International Issues In Infection Prevention

Concurrent Education Session - 60 minutes

2307 - Tuberculosis: Old Problem, New Solution

Thursday, June 15
2:15 PM - 3:15 PM
Location: Oregon Convention Center, E 145-146

Globally, tuberculosis (TB) remains a major cause of morbidity and mortality, with close to 9 million people infected and 1.5 million deaths occurring in 2014. TB in the United States occurring among foreign-born persons continues to increase, with 9,412 new cases reported in 2014 and, for the first time in 2015, the rate did not reflect a decrease. The impact of this is not yet known; however, the rate among foreign-born persons in the United States in 2014 was 13.4 times higher than those born in the United States. Every year nearly 450,000 persons are admitted to the United States on an immigrant visa and more than 70,000 are admitted as refugees. Screening for TB occurs among immigrants and refugees prior to arrival and, depending on the status of TB, they may be classified as Class B immigrants. They are considered high risk for developing TB, including activation of latent tuberculosis infection (LTBI), and are instructed to report to their local health department or private clinician. Language barriers, unfamiliarity with the U.S. healthcare system, and seemingly simple issues like transportation all contribute to the lack of follow-up.
Refugee health programs serve as a resource for newly arriving refugees going through the resettlement process and can also serve as an entry point for identifying those with LTBI. This presentation is targeted to those working in public health, refugee health, and infection prevention. In this session, we will discuss how infection preventionists working with refugees collaborated with the local and state health department in an urban setting to identify refugees with LTBI and to offer a novel approach to treatment. Collaboration between infection prevention and direct healthcare providers offers new approaches in the treatment and prevention of this public health threat.

Learning Objectives:

Ruth M. Carrico

Associate Professor
University of Louisville
Louisville, Kentucky

Ruth M. Carrico PhD DNP FSHEA CIC is an Associate Professor and Family Nurse Practitioner with the University of Louisville School Medicine, Division of Infectious Diseases, and founding Associate Director of the School of Medicine Global Health Center. Dr. Carrico has authored or co-authored numerous publications and served as the editor for the Association for Professionals in Infection Control and Epidemiology, Inc. (APIC) 2005-2010. Dr. Carrico has also served on the APIC National Board of Directors and was president of CBIC in 2016. In 2011, Dr. Carrico was appointed to the Healthcare Infection Control Practices Advisory Committee (HICPAC) for a three year term,in 2012, was presented with the Carole DeMille Achievement Award. In 2013, Dr. Carrico was joined the board of the National Foundation for Infectious Diseases, in 2014 became a Robert Wood Johnson Foundation Executive Nurse Fellow alumna and in 2017 launched the Journal of Refugee & Global Health.


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Linda Goss

Nurse Practitioner/ Infection Prevention Consultant
University of Louisville
Louisville, Kentucky

Linda Goss began her career in infection prevention in 2000 and has been fascinated with it ever since. She has worked as director of a program for over eight years and has never experienced the same day twice! During her tenure as director, she obtained an advanced practice nursing degree to practice what she preaches. She has since translated the two into a career that combines infection prevention and infectious diseases with a global health focus. She hopes to continue this work to make a difference in the lives of those she serves.


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Janet NAU. Franck

Infection Preventionist / Consultant
Consulting Professionals, Inc.
Bradenton, Florida

Janet Nau Franck MBA, BSN, CIC acts as an interim or full time Infection Prevention consultant to hospitals, healthcare agencies and industry to provide expertise to advance program development. Successful strategies to "jump start" program success have included program assessments, policy development, survey preparation, staff orientation and facility wide training as needed. Janet has served APIC in numerous leadership positions, including as National President of APIC (1999), National BOD, founding president of the St. Louis chapter and also proud member of the Chicago and Central Florida Chapters. She has authored a number of publications, including the APIC Text and having received a blue ribbon award as the lead author of the APIC abstract entitled "The Red Box, An Innovative Method to Improve Isolation Precaution Compliance and Reduce Costs," for innovation and creativity. Janet is an author, speaker, and healthcare consultant in the field of Infection Prevention.


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2307 - Tuberculosis: Old Problem, New Solution

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