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Tubercular threat

The county health department is looking for a contractor

 “Among clients who are diagnosed with tuberculosis in San Diego, an estimated 40 clients per year require services on both sides of the US-Mexico border.” - Image by Stockdevil/iStock/Thinkstock
“Among clients who are diagnosed with tuberculosis in San Diego, an estimated 40 clients per year require services on both sides of the US-Mexico border.”

The city’s hepatitis A crisis continues unabated, and now the county health department is looking for a contractor to help tame a cross-border tuberculosis threat. “Among clients who are diagnosed with tuberculosis in San Diego, an estimated 40 clients per year require services on both sides of the US-Mexico border,” says a December 5 request for quotation regarding the provision of so-called Directly Observed Therapy services. “Limited resources in Tijuana, Rosarito and the east towards Tecate make it difficult for these clients to reliably receive outreach services. Failure to ensure directly observed therapy and to manage household contacts can adversely affect efforts to control TB in the border region.”

The contractor will be required to “notify TB Control staff within one working day of all episodes where a client misses two or more doses in one week or one dose per week for three subsequent weeks.” The vendor must also notify officials if a TB patient “is lost to the program (no forwarding address), enters an institution where [Directly Observed Therapy] cannot be continued, or moves out of the jurisdiction.”

No putative cost for services is provided. Per the website PSN en Linea, Tijuana reports three times the average rate of TB in Mexico and has the highest mortality rate in the country.

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 “Among clients who are diagnosed with tuberculosis in San Diego, an estimated 40 clients per year require services on both sides of the US-Mexico border.” - Image by Stockdevil/iStock/Thinkstock
“Among clients who are diagnosed with tuberculosis in San Diego, an estimated 40 clients per year require services on both sides of the US-Mexico border.”

The city’s hepatitis A crisis continues unabated, and now the county health department is looking for a contractor to help tame a cross-border tuberculosis threat. “Among clients who are diagnosed with tuberculosis in San Diego, an estimated 40 clients per year require services on both sides of the US-Mexico border,” says a December 5 request for quotation regarding the provision of so-called Directly Observed Therapy services. “Limited resources in Tijuana, Rosarito and the east towards Tecate make it difficult for these clients to reliably receive outreach services. Failure to ensure directly observed therapy and to manage household contacts can adversely affect efforts to control TB in the border region.”

The contractor will be required to “notify TB Control staff within one working day of all episodes where a client misses two or more doses in one week or one dose per week for three subsequent weeks.” The vendor must also notify officials if a TB patient “is lost to the program (no forwarding address), enters an institution where [Directly Observed Therapy] cannot be continued, or moves out of the jurisdiction.”

No putative cost for services is provided. Per the website PSN en Linea, Tijuana reports three times the average rate of TB in Mexico and has the highest mortality rate in the country.

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4S Ranch Allied Gardens Alpine Baja Balboa Park Bankers Hill Barrio Logan Bay Ho Bay Park Black Mountain Ranch Blossom Valley Bonita Bonsall Borrego Springs Boulevard Campo Cardiff-by-the-Sea Carlsbad Carmel Mountain Carmel Valley Chollas View Chula Vista City College City Heights Clairemont College Area Coronado CSU San Marcos Cuyamaca College Del Cerro Del Mar Descanso Downtown San Diego Eastlake East Village El Cajon Emerald Hills Encanto Encinitas Escondido Fallbrook Fletcher Hills Golden Hill Grant Hill Grantville Grossmont College Guatay Harbor Island Hillcrest Imperial Beach Imperial Valley Jacumba Jamacha-Lomita Jamul Julian Kearny Mesa Kensington La Jolla Lakeside La Mesa Lemon Grove Leucadia Liberty Station Lincoln Acres Lincoln Park Linda Vista Little Italy Logan Heights Mesa College Midway District MiraCosta College Miramar Miramar College Mira Mesa Mission Beach Mission Hills Mission Valley Mountain View Mount Hope Mount Laguna National City Nestor Normal Heights North Park Oak Park Ocean Beach Oceanside Old Town Otay Mesa Pacific Beach Pala Palomar College Palomar Mountain Paradise Hills Pauma Valley Pine Valley Point Loma Point Loma Nazarene Potrero Poway Rainbow Ramona Rancho Bernardo Rancho Penasquitos Rancho San Diego Rancho Santa Fe Rolando San Carlos San Marcos San Onofre Santa Ysabel Santee San Ysidro Scripps Ranch SDSU Serra Mesa Shelltown Shelter Island Sherman Heights Skyline Solana Beach Sorrento Valley Southcrest South Park Southwestern College Spring Valley Stockton Talmadge Temecula Tierrasanta Tijuana UCSD University City University Heights USD Valencia Park Valley Center Vista Warner Springs
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