Public health laboratories test to identify tuberculosis quickly as it resurges in this country in new and virulent forms. Laboratories also test for resistant strains and perform universal genotyping that is useful for identifying outbreaks.
A decade of declining funding is compromising the infrastructure and preventing successful coordination between laboratories, controllers of the disease and clinicians.
Tuberculosis Resources for Better Laboratory Practice (Requires Login)
Access reports, tools and guidelines developed by APHL's TB Steering Committee. Over the last few years APHL has developed several resources specific to TB laboratory practices. Check the Tuberculosis Resources page frequently for updates and new links to external resources.
Assess Your TB Lab and Get Tips on Improving the Quality of Your Practices
In 1995 APHL (then know as the Association of State and Territorial Public Health Laboratory Directors) and the Centers for Disease Control and Prevention developed and published Mycobacterium tuberculosis: Assessing Your Laboratory, a tool designed to assist laboratories in the assessment of the quality of their laboratory’s TB diagnostic practices. This year APHL members and staff, in conjunction with CDC, clinical and commercial laboratorians have updated the content of the original tool to reflect the profound changes to TB diagnostics in the ensuing years. The content has been converted to the electronic tool that you are able to access here.
Have Questions About the Tuberculosis Cooperative Agreement? Get Them Answered Here!
The Laboratory Upgrade Component of the TB Cooperative Agreement began in 1992 with the primary purpose of facilitating improvements in TB laboratory performance. A particular sum of money (currently about $7.7 million) is distributed between 68 state, territory, and local public health laboratories and that distribution is based on a predetermined (by CDC) Funding Formula. In the past, that formula was not well understood by most grant recipients. In 2008 CDC convened a workgroup tasked with developing consensus-based recommendations for a new formula to be used for the Cooperate Agreements for FY2010-2014. This webpage contains various documents that explain the funding formula in detail as well as resources aimed at making the application process a bit easier.
Results and Next Steps from the 2010 National TB Services Survey
In response to a 2002 Federal TB Taskforce recomendation, APHL and CDC conducted the National TB Laboratory Services Survey. The survey's major objective was to assess the capability and capacity of commercial, clinical and public health laboratories in the US to provide TB diagnostic testing services.
Lab Matters Winter 2011 Feature Article - "Wipeout: What Will it Take to End TB?"
World TB Day - March 24
Diagnostics Critical in Resurgent TB
Evidence Based TB Diagnosis
TB Cooperative Agreement
Future of TB Lab Services
TB Drug Susceptibility
TB Lab Assessment Tool
Proceedings of the 7th National Conference on Laboratory Aspects of Tuberculosis
A New WHO Report, “Anti-Tuberculosis Drug Resistance in the World,” Reveals that Multidrug-Resistant Tuberculosis (MDR-TB) is at the Highest Level Ever
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