Examining Relationships Between Hiv Aids And Tuberculosis Programs In Title I Eligible Metropolitan Areas PDF Download

In the United States, TB and HIV are widespread epidemics. The highest prevalence of both diseases remains concentrated in urban centers. While the total number of TB cases reported in the U.S. decreased by 6.4 percent from 1994 to 1995, cases increased among foreign-born persons. Since 1989, TB screening for all people infected with HIV has been the recommended standard of care. The Federal Government combats TB and HIV with direct assistance and financial support to State and local governments. The Health Resources and Services Administration (HRSA), and the Centers for Disease Control and Prevention (CDC) administer separate Federal funding streams for HIV and TB respectively. Through HRSA's Title I programs and CDC's Division of TB Elimination programs, more than 230 separate funding agreements exist between the Federal Government and States, territories, and cities. Clearly, coordination and collaboration among HIV/AIDS programs and TB prevention and control programs at the local, State, and Federal levels are essential if there is to be an effective response to the increase in HIV-related TB. Yet, the extent to which these programs are working together to improve, expand, and coordinate services-and thus decrease the occurrence of TB-is largely unknown. HRSA initiated and funded this study to better understand relationships between HIV/ AIDS and TB programs in Title I eligible metropolitan areas.