highlights of americas region - who · betina m. alcântara gabardo working group of tuberculosis...
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![Page 1: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/1.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Highlights of Americas Region
Working Group of Tuberculosis in Childhood
(2016 – 2017)
Betina M. Alcântara Gabardo Rwanda, October 2017
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
![Page 3: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/3.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
![Page 4: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/4.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Early diagnosis of tuberculosis including universal
drug-susceptibility testing, and systematic
screening of contacts and high-risk groups
Decentralization of the Tuberculosis Control Program to
whole country in the primary health care units
Training of all health professionals in the clinical management
and detection of symptomatic respiratory person - Ecuador
Diagnosis of childhood TB in Primary Health Care and reference
to specialized care if necessary - Ecuador, Brazil, Colombia
![Page 5: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/5.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Early diagnosis of tuberculosis including universal
drug-susceptibility testing, and systematic
screening of contacts and high-risk groups
Planning and implementation of multiple courses and
workshops on children tuberculosis - Colombia, Brazil,
Dominican Republic, Honduras
Exclusive for pediatricians
For health works in general (medical doctors, nurses,
pharmacists, pediatricians)
![Page 6: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/6.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Investigate congenital disease
Contraindication breastfeeding
Give isoniazid and vaccinate with BCG
A newborn of a mother who treats
tuberculosis for a week. What is the conduct
with this child in the maternity ?
Example of Brazilian Training
![Page 7: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/7.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Investigate congenital disease
Contraindication breastfeeding
Give isoniazid and vaccinate with BCG
A newborn of a mother who treats
tuberculosis for a week. What is the conduct
with this child in the maternity ?
Example of Brazilian Training
![Page 8: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/8.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Investigate congenital disease
Contraindication breastfeeding
Give isoniazid and vaccinate with BCG
A newborn of a mother who treats
tuberculosis for a week. What is the conduct
with this child in the maternity ?
Example of Brazilian Training
![Page 9: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/9.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Example for Brazil Training
![Page 10: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/10.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Investigate congenital disease
Contraindication breastfeeding
Give isoniazid and vaccinate with BCG
A newborn of a mother who treats
tuberculosis for a week. What is the conduct
with this child in the maternity ?
Example of Brazilian Training
After the answer we explain the theme
![Page 11: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/11.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Organization of a Congress in Pneumology with a
symposium about TB in childhood - Dominican Republic,
El Salvador
Elaboration of a guideline to treat outbreaks of
Tuberculosis in educational institutions - Peru
Early diagnosis of tuberculosis including universal
drug-susceptibility testing, and systematic
screening of contacts and high-risk groups
![Page 12: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/12.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Early diagnosis of tuberculosis including universal
drug-susceptibility testing, and systematic
screening of contacts and high-risk groups
Training of the importance of treating latent TB infection -
all countries
Implantation of the latent TB infection treatment
notification system – Brazil (in construction) , Peru (SIG
TB)
Increase in the number of equipment for the realization
of genexpert - El Salvador, Brazil, Panama, Dominican
Republic
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Treatment of all people with tuberculosis
including drug-resistant tuberculosis, and
patient support
Request for inclusion of pediatric fixed dose
combinations - Honduras, Brazil, Colombia, El Salvador,
Dominican Republic
Participation in monthly sessions of the national
committee of TB specialists in the discussion and
management of pediatric cases with more complexity
and MDR TB - Colombia, Honduras, Dominican
Republic, Mexico
![Page 14: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/14.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Treatment of all people with tuberculosis
including drug-resistant tuberculosis, and
patient support
Pediatrician who guides and controls the different
schemes to be adopted in cases of complexity
(online/phone) - Brazil
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Collaborative tuberculosis/HIV activities, and
management of co-morbidities
Elaboration of Clinical Practice Guidelines of
management of TB/HIV coinfection - Brazil, Ecuador,
El Salvador
Participation in monthly sessions of the national
committee of TB specialists in the discussion and
management of pediatric coinfections cases – Colombia,
Honduras, Dominican Republic
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
![Page 17: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/17.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Bold policies and supportive systems
Participation in the National TB Committee of TB
specialists
Updating of guides and manuals of diagnosis and treatment of
Tuberculosis in Childhood - Ecuador, Brazil, El Salvador,
Colombia, Dominican Republic
Ecuador
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Bold policies and supportive systems
Participation in the meeting on updating the list of
essential drugs to treat TB - Honduras
Training with the World Organization of Migrations in
Tuberculosis in Special Populations - Colombia
Inclusion of the component of TB in childhood in the
Regulations of the National Program for Prevention and
Control of Tuberculosis - El Salvador, Colombia,
Dominican Republic
Law on Prevention and Control of Tuberculosis - Peru
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Bold policies and supportive systems
Launching of the National Plan to End Tuberculosis as a
public health problem (2017 – 2020) - Brazil
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Bold policies and supportive systems
The theme of World TB Day was TB in childhood –
Brazil, El Salvador, Ecuador
Brazil
Brazil
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Bold policies and supportive systems
El Salvador Ecuador
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Bold policies and supportive systems
Parliamentary Front of Tuberculosis of the Americas -
Mexico, Honduras, Uruguay, Nicaragua, Bolivia, Peru
and Brazil
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
![Page 24: Highlights of Americas Region - WHO · Betina M. Alcântara Gabardo Working Group of Tuberculosis in Childhood of Americas Region - OPAS Early diagnosis of tuberculosis including](https://reader034.vdocuments.net/reader034/viewer/2022051908/5ffc2a1127a43f7af469b722/html5/thumbnails/24.jpg)
Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Intensified research and innovation
Development of operational research to identify barriers
in the implementation of best practices in the control of
Tb in childhood - El Salvador
Research: “Lost opportunities in the diagnosis and
treatment of TB” and “10 years of experience in the
treatment of TBDR in childhood” – Dominican Republic
Network in TB research - Brazil (REDE TB with specific
area for children)
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
Intensified research and innovation
Teaching activities for graduate and post graduate health
students – Dominican Republic, Brazil, Colombia,
Honduras
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Highlights of Americas Region
Betina M. Alcântara Gabardo
Working Group of Tuberculosis in Childhood of Americas
Region - OPAS
The group:
Created in 2014
3 meetings
WhatsApp group with cases discussion
Mailing group for information
Thank you!