                   AIDS INFORMATION NEWSLETTER
                   Michael Howe, MSLS, Editor
                     AIDS Information Center
                VA Medical Center, San Francisco
                     (415) 221-4810 ext 3305
                           May 6, 1994

            TUBERCULOSIS AND HIV INFECTION (Part XIX)
                      Information Resources

The resources' list below (1992-1993) was obtained by searching
databases at the CDC National AIDS Clearinghouse.  Providing this
information does not constitute endorsement of these educational
materials by CDC, the CDC National AIDS Clearinghouse, the
Department of Veterans Affairs, the AIDS Information Center, or any
other organization.  It is the responsibility of the user to
evaluate this information prior to use based on individual needs.

Guide to abbreviations:

AC = Target Audience
TI = Title
AU = Author
CN = Corporate Name (the name of the organization responsible for
the compilation of the material)
SO = Source (bibliogrphic information about the publication)
PD = Physical Description
AV = Availability
AB = Abstract

                             PAPERS

(1)
AC:  Administrators. Government Agencies. Organizations. Employers.
TI:  Tuberculosis and HIV Public Health Policy: A Dual Challenge. 
AU:  Schietinger, H.
CN:  AIDS Action Foundation.
SO:  Washington, DC: AIDS Action Foundation. March 1992.
PD:  17 p.: b&w, refs.
AV:  AIDS Action Foundation, 1875 Connecticut Ave., N.W., Ste. 700,
     Washington, DC 20009. (202) 986-1300.
AB:  This policy paper, derived from a day-long roundtable
     discussion held by the AIDS Action Foundation in Washington,
     D.C., on Jan. 28, 1992, looks at the challenge the recent rise
     in the incidence of tuberculosis (TB) has presented to the
     public-health system. It says some of this increase is due to
     the increased susceptibility of persons with Human
     immunodeficiency virus (HIV) infection to TB. The paper gives
     background information on public-health funding for TB before
     recommending several strategies for protecting HIV-infected
     people. These recommendations include the following: Insuring
     that all health services respect the confidentiality of
     HIV-infected persons; assuring that HIV-infected people work
     and receive services in environments that protect them from
     TB to the greatest extent possible; assessing people with TB
     for HIV infection; assessing people with HIV infection for TB;
     and providing effective TB diagnosis, treatment, and
     monitoring for vulnerable populations. Other policy
     initiatives listed in the paper say that State and local
     public health TB programs need adequate funding; research
     needs adequate funding; the Centers for Disease Control and
     Prevention (CDC) is to be commended for creating the Coalition
     for the Elimination of Tuberculosis; steps outlined in the
     CDC's 1989 Strategic Plan for the Elimination of Tuberculosis
     in the United States should be funded and implemented; TB and
     HIV programs should be coordinated, and services integrated;
     and universal access to health care must become a national
     priority. The paper also outlines several issues that it says
     merit further consideration.

(2)
AC:  Health Professionals. Planners. Administrators. Federal
     Agencies.
TI:  Tuberculosis and HIV: Challenges in Policy and Practice. 
CN:  AIDS Action Council.
SO:  Washington, DC: AIDS Action Council. May 1992.
PD:  5 p.: b&w.
AV:  AIDS Action Council, 1875 Connecticut Ave., N.W., Ste. 700,
     Washington, DC 20009. (202) 986-1300.
AB:  This paper looks at the connection between tuberculosis (TB)
     and Human immunodeficiency virus (HIV) infection, and its
     implication for future health-care policies. It opens with
     background information on TB, how it is treated, and the
     development of multi-drug resistant (MDR) strains of the
     illness. The paper outlines the current status of the TB
     epidemic in the United States, and the need to allocate funds
     to respond to the epidemic. It also suggests changes needed
     in health-care policy and practice to fight TB.

                           PROCEEDINGS

(1)
AC:  Health Professionals. Planners. Community Service
     Professionals.
TI:  The Dual Epidemics of Tuberculosis and AIDS: Health Care
     Policy, Professional Practice, Law and Ethics; A Conference
     for World AIDS Day, New York, NY, December 4 - 5, 1992.
CN:  American Society of Law Medicine and Ethics. Columbia
     University, School of Public Health, Institute for AIDS
     Prevention Training and Research. Albert Einstein College of
     Medicine, Montefiore Medical Center, Department of Pediatrics,
     Adolescent AIDS Program.
SO:  Boston, MA: American Society of Law Medicine and Ethics.  New
     York, NY: Columbia University, School of Public Health,
     Institute for AIDS Prevention Training and Research.  Bronx,
     NY: Albert Einstein College of Medicine, Montefiore Medical
     Center, Department of Pediatrics, Adolescent AIDS Program.
     Dec. 1992.
PD:  314 p.: b&w, ill., graphs, refs.
AV:  American Society of Law Medicine and Ethics, 765 Commonwealth
     Ave., 16th Fl., Boston, MA 02215. (617) 262-4990.  United
     Hospital Fund of New York, 55 5th Ave., 16th Fl., New York,
     NY 10003. (212) 645-2500. 
AB:  These supplemental materials from  "The Dual Epidemics of
     Tuberculosis and AIDS: Health Care Policy, Professional
     Practice, Law and Ethics," held December 4-5, 1992 in New York
     City, include a conference program, information on cooperating
     organizations, conference objective, continuing education
     credits, and conference chairs and faculty lists. A section
     titled "Articles, Bibliographies and Speakers Outlines" covers
     the following presentations: "Tuberculosis in the AIDS era--A
     new threat from an old disease," Peter A. Selway; "Public
     Health Powers: The Imminence of Radical Change", Lawrence O.
     Gostin; "The Americans with Disabilities Act and the U.S.
     Health Care System", Lawrence O. Gostin; "Resurgent
     Tuberculosis in New York City: Human Immunodeficiency Virus,
     Homelessness, and the Decline of Tuberculosis Control 
     Programs", Karen Brudney, Jay Dobkin; "Tuberculosis Control
     Laws in the United States: A Survey and Recommendations", CDC
     draft report; "The New Tuberculosis", Dixie E. Snider Jr.,
     William L. Roper; "A Strategic Plan for the Elimination of
     Tuberculosis in the United States", Walter R. Dowdel;
     "National Action Plan to Combat Multidrug-Resistant
     Tuberculosis", CDC Task Force; "Tuberculosis in Correctional
     Institutions", Dixie E. Snider Jr., Mary D. Hutton;
     "Nosocomial Transmission of Multidrug-resistant Mycobacterium
     Tuberculosis", Michele L. Pearson; "Multidrug-resistant
     Tuberculosis", Samuel W. Dooley; "TB and HIV: Are We Repeating
     Our Failures?" Victor Sidel; "Health Care in the United
     States, A Thousand Points of Blight", Victor Sidel;
     "Controlling Outbreaks of TB in Congregate Settings", Robert
     B. Greifinger; ""Tuberculosis Behind Bars", Robert B.
     Greifinger; "Managing TB and MDR-TB in Correctional
     Facilities", Robert B. Greifinger; "Rebuilding a Public Health
     Infrastructure--The Challenges of TB", Kristine M. Gebbie; and
     "The Challenge of Controlling Tuberculosis in New York City",
     Margaret A. Hamburg. A number of additional articles are
     included as resource materials.

(2)
AC:  Health Professionals. Researchers. Physicians. International
     Agencies.
TI:  World Congress on Tuberculosis Program and Abstracts; November
     16 - 19, 1992, Bethesda, Maryland, USA.
CN:  Fogarty International Center, National Institutes of Health,
     International Studies Branch. US Department of Health and
     Human Services, Public Health Service, Centers for Disease
     Control and Prevention. US Department of Health and Human
     Services, Public Health Service, National Institutes of
     Health, National Institute of Allergy and Infectious Diseases.
SO:  Bethesda, MD: Fogarty International Center, National
     Institutes of Health, International Studies Branch. Nov. 1992.
PD:  100 p.: b&w.
AV:  Fogarty International Center, National Institutes of Health,
     International Studies Branch, Bldg., 31, Rm. B2C32, Bethesda,
     MD 20892. (301) 496-2516.
AB:  These proceedings from the 1992 World Congress on Tuberculosis
     held Nov. 16-19, 1992, in Bethesda, MD, include program
     materials and abstracts of the sessions. Sessions topics
     focused on TB control in developing countries, behavioral and
     operational research needs, public health, and prevention
     technology. 

                             REPORTS

(1)
AC:  Health Professionals. Legislators. Administrators. Government
     Agencies.
TI:  The Tuberculosis Revival: Individual Rights and Societal
     Obligations in a Time of AIDS.
CN:  United Hospital Fund of New York.
SO:  New York, NY: United Hospital Fund of New York. 1992. 
PD:  87 p.: b&w, graphs, appendixes, refs.
AV:  United Hospital Fund of New York, 55 5th Ave., 16th Fl., New
     York, NY 10003. (212) 645-2500. ISBN: 1-881277-12-7;
     Approximate price range per copy: $10-$25.
AB:  This report publishes the texts of five papers related to
     tuberculosis (TB) and Acquired immunodeficiency syndrome
     (AIDS). The first and longest consists of a report from The
     Working Group on Tuberculosis and Human immunodeficiency virus
     (HIV), and examines ethical, legal, and public policy issues
     connected with screening, treatment, and protection of those
     in congregate facilities. It includes an executive summary and
     recommendations. The remaining papers look at recommendations
     on the facilities needed to care for patients with TB;
     developing a system for TB prevention and care in New York
     City; TB in correctional facilities; and an historical
     analysis of sanitorium treatment.

(2)
AC:  Health Professionals. Planners. Physicians. Administrators.
     Hospitals.
TI:  Tuberculosis and HIV Disease: A Report of the Special
     Initiative on AIDS of the American Public Health Association.
CN:  American Public Health Association.
SO:  Washington, DC: American Public Health Association. Nov. 1992.
PD:  16 p.: b&w, graphs, refs.
AV:  American Public Health Association, 1015 15th St., NW.,
     Washington, DC 20005. (202) 789-5600. ISBN: 0-87553-212-8;
     Approximate price range per copy: Under $5.
AB:  This report summarizes the connection between tuberculosis
     (TB) and Human immunodeficiency virus (HIV) infection. It
     starts out with background information on TB and the incidence
     of TB infection worldwide. It then turns to clinical symptoms
     of TB, symptoms of HIV disease, and the connection between the
     two. Diagnosis of TB infection through chest X-rays and sputum
     sample testing, TB treatment, and TB prevention are examined.
     The report concludes with policy issues involving
     discrimination, availability of medications, access to
     treatment, and occupational safety. 

(3)
AC:  Planners. Researchers. Physicians. Tuberculosis.
TI:  Tuberculosis
AU:  de Palomo, F.B.
CN:  National Council of La Raza, AIDS Center.
SO:  Washington, DC: National Council of La Raza, AIDS Center. July
     1992.
PD:  8 p.: b&w, graphs, refs.
AV:  National Council of La Raza, AIDS Center, 810 1st St., NE,
     Ste.  300, Washington, DC 20002-4205. (202) 289-1380.
AB:  This report points out that tuberculosis has reappeared as a
     major health threat in the United States, especially for
     persons with Human immunodeficiency virus (HIV) infection,
     Injecting drug users (IDU's), and those who come into close
     contact with them. It looks at the growing incidence of TB,
     pointing out those groups at highest risk of infection. The
     report explains the progression of the disease, its higher
     incidence in certain geographic areas, diagnostic tests, and
     methods of treatment. It also examines the connection between
     TB and HIV infection, and the difficulty in treating strains
     that have developed resistance to conventional drugs.


                         Editor's Notes

     This issue concludes the series on tuberculosis and HIV
infection.  The next newsletter which will be transmitted on 20 May
will be a table of contents for this series.  When guidelines for
the control of tuberculosis are issued by the Centers for Disease
Control and Prevention (CDC), the announcement will be made in a
special e-mail transmission to VA Medical Centers and/or in AIDS
News Service.  

     In Part XVI (March 25, 1994) of this series, information was
provided about a publication titled TB MONITOR.  Please note that
the annual subscription of $850 is a special rate obtained from a
sample copy; annual subscription rates are usually $995.  The
publisher, CW Henderson (P.O. Box 830409, Birmingham, AL 35283-
0409.  Telephone: 1-800-633-4931), also provides other newsletters
that are related to tuberculosis/AIDS.  These include:  TB WEEKLY,
AIDS & TB Weekly Abstracts from Conference Proceedings, AIDS & TB
Weekly Article Summaries, and Infection Control.  Contact the
publisher for additional information.
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