Module 3: Targeted Testing and the Diagnosis of Latent Tuberculosis Infection and Tuberculosis Disease

These educational modules are designed to provide basic information about tuberculosis (TB) in a self-study format for new TB Disease Intervention Specialists. After completion of this module, the staff will be able to:

  • Identify high-risk groups for targeted testing. 
  • Describe how to interpret an interferon-gamma release assay. 
  • Describe how to place, read, and interpret a Mantoux tuberculin skin test. 
  • Discuss considerations for using either an interferon-gamma release assay or the Mantoux tuberculin skin test for diagnosing latent TB infection.
  • Describe the components of a medical evaluation for diagnosing TB disease.

Instructions:

  1. Please review the PowerPoint presentation ” Targeted Testing and The Diagnosis of Latent Tuberculosis Infection and Tuberculosis Disease.” You can find the PowerPoint embedded on the course homepage (see below).
  2. Complete the quiz with a passing grade of 70% or higher.

Deadline: The course should be completed within the first 6 months of employment.

Module 2: Epidemiology of Tuberculosis

These educational modules are designed to provide basic information about tuberculosis (TB) in a self-study format for new TB Disease Intervention Specialists. After completion of this module, the staff will be able to:

  • Describe how the number of TB cases reported in the United States has changed over the last 65 years.
  • List five factors that contributed to the increase in the number of TB cases between 1985 and 1992.
  • List three improvements TB programs were able to make with increased federal, state, and other funds and resources that have contributed to a decrease in TB cases since 1993. 
  • List the groups of people who are more likely to be exposed to or infected with M. tuberculosis.
  • List the groups of people who are more likely to develop TB disease once infected with M. tuberculosis.

Instructions:

  1. Please review the PowerPoint presentation “ The Epidemiology of Tuberculosis.” You can find the PowerPoint embedded on the course homepage (see below).
  2. Complete the quiz with a passing grade of 70% or higher.

Deadline: The course should be completed within the first 6 months of employment.

Onboarding Training Depot

Welcome to the RADR Fundamentals Training Depot, where you can find resources to support onboarding and refresher training for Public Health and DIS Fundamentals and other support for training and navigating our public health system.
If you would like a record of your learning progress in this course, here’s what you need to know:
Once you have completed your onboarding or refresher training, you can upload an image of your completed certificates, screen shots, and learning to the Training Record Upload tab lesson found at the end. Additional instructions can be found within the lessons.

Table of Contents

  1. Getting Started and Intro to SFDPH-RADR
  2. Public Health Fundamentals
  3. DIS Fundamentals
  4. Links to Other Training Resources
  5. Training Record Upload – Track Your Progress

Module 1: Transmission and Pathogenesis of Tuberculosis

This educational module is designed to provide basic information about tuberculosis (TB) in a self-study format for new TB Disease Intervention Specialists. After completion of this module, the staff will be able to:

•     Identify ways in which tuberculosis (TB) is spread; 

•     Describe the pathogenesis of TB;

•     Identify conditions that increase the risk of TB infection progressing to TB disease;

•     Define drug resistance; and

•     Describe the TB classification system.

Instructions:

  1. Please review the PowerPoint presentation “ The Epidemiology of Tuberculosis.” You can find the PowerPoint embedded on the course homepage (see below).
  2. Complete the quiz with a passing grade of 70% or higher.

Deadline: The course should be completed within the first 6 months of employment.

Additional Resources

SFDPH Communicable Disease Control Unit

This course contains eight lessons that together provide a fundamental overview of the SFDPH Communicable Disease Control Unit. Lessons do not need to be taken in sequence, though all are recommended as content for this course. All of the modules conclude with a Knowledge Check you must complete and pass to receive credit. Knowledge Checks can be taken more than once. To learn more about the CDCU, please visit our website at https://www.sfcdcp.org/communicable-disease/.

Lesson Overview:

Communicable Disease Control:

This lesson provides the general framework and responsibilities of Communicable Disease Control. The lesson should take about 30 minutes to complete.

Important Terminology Used in Communicable Disease:

This lesson provides critical terms used in Communicable Disease Control. Terminology is sourced from the Control of Communicable Diseases Manual (2016). The lesson should take about 30 minutes to complete.

Testing Methods for Communicable Diseases:

This lesson provides an overview of testing methods for communicable diseases. An orientation to types of tests and test results are reviewed. The lesson provides information about genomic sequencing, specimen management, and some common terms related to test results. The lesson should take about 15 minutes to complete.

CDCU Officer of the Day and Clinical Consultation:

This lesson provides training for DCIs and RNs regarding the CDCU Officer of the Day (OD). The lesson should take about 45 minutes to complete.

  • Overview and Responsibilities of Officer of the Day
  • Procedures for Managing Common Calls to Officer of the Day
  • Consultation Guidance
  • CD Nurse of the Day Proposal

Communicable Disease Control: Vector-Borne Diseases:

This lesson provides a brief overview of Vector-Borne Diseases (VBD), defined as infectious diseases of animals and humans caused by pathogenic agents transmitted by arthropod vectors. The lesson should take about 25 minutes to complete.

Importance of Public Health Investigations of Enteric Infections:

This lesson provides an overview of the importance of public health investigations of enteric infections. It should take about 30 minutes to complete.

  • Enteric infections, common enteric infections reported to CDCU, and actions taken by CDCU in response
  • Information about testing and specimen management
  • Sensitive occupations and situations
  • CDCU protocols for enteric infections

SFDPH Communicable Disease Control Training: Animal Bites and Rabies:

This lesson provides SFDPH Communicable Disease Control training on animal bites. Specifically, the lesson gives information on CDCU’s role in supporting the prevention of rabies after animal exposure. There is information on epidemiology, testing, transmission, symptoms, PREP and PEP. The lesson should take about 45 minutes to complete.

Public Health Investigation of Vaccine Preventable Diseases:

This lesson provides an overview of the public health investigation of vaccine preventable diseases. The lesson includes VPD reports, determinations made, test results, interviewing, exposures and outbreaks, and a summary of actions for VPDs when working in CDCU. The lesson should take about 15 minutes to complete.