Introducing the Sixth Edition of the Canadian tuberculosis standards

Can J Infect Dis Med Microbiol Introducing the sixth edition of the Canadian Tuberculosis Standards Richard Long 0 2 3 Edward Ellis 0 1 2 0 Medical aspects of tuberculosis Chapter 2 Mycobacteriology laboratory standards: Services and policies Joyce Wolfe, Kym Antonation, Meenu Kaushal Sharma Chapter 3 Transmission and pathogenesis of tuberculosis Richard Long, Kevin Schwartzman Chapter 4 Diagnosis of tuberculosis infection and disease Dick Menzies , Kamran Khan 1 Tuberculosis Prevention and Control Program, Public Health Agency of Canada , Ottawa, Ontario 11402 University Avenue, Edmonton, Alberta T6G 2J3. Telephone 780-407-1427, fax 780-407-1429, e-mail 2 Epidemiology of tuberculosis in Canada Melissa Phypers , Dennis Kunimoto, Marcel Behr, Derek Scholten, Edward Ellis 3 Tuberculosis Committee of the Canadian Thoracic Society of the Canadian Lung Association Tsoon be available in hard copy through the offices of the he sixth edition of the Canadian Tuberculosis Standards will Canadian Lung Association (CLA), and the individual provincial and territorial lung associations, and in PDF format at <www.publichealth.gc.ca/tuberculosis>. Historically, the Standards became important when effective treatment of tuberculosis became available and sanatoria closed. In contrast to the first (1972), second (1981), third (1988) and fourth (1996) editions, which were products of the Canadian Thoracic Society (CTS)/CLA alone, the fifth (2000) and sixth editions of the Standards were jointly produced by the CTS/CLA and Health Canada (fifth), and the Public Health Agency of Canada (PHAC) (sixth). The evolution of the Standards as a document dependent on the CTS for medical and scientific input, and on the PHAC for public health and policy input, was part of a broader shift from nongovernmental to governmental organization of tuberculosis prevention and control activity in Canada. The Tuberculosis Prevention and Control Program of the PHAC is the sponsor of the Canadian Tuberculosis Committee, a national committee with representation from each province and territory, Citizenship and Immigration Canada, First Nations and Inuit Health Branch of Health Canada, Correctional Service Canada, Canadian Public Health Laboratory Network, Association of Medical Microbiology and Infectious Disease, CLA, CTS and PHAC (both the National Microbiology Laboratory and the Tuberculosis Prevention and Control Program). It also houses the Canadian Tuberculosis Surveillance System and the Canadian Tuberculosis Laboratory Surveillance System, as well as represents Canada internationally. The major role of the Tuberculosis Committee of the CTS is now the preparation of the Standards. In fact, the membership of the CTS Tuberculosis Committee and the editorial committee of the Standards are one and the same; the editors of the Standards are the Chair of the CTS Tuberculosis Committee and the Manager of the Tuberculosis Prevention and Control Program of the PHAC. The sixth edition of the Standards is a substantial revision to its predecessor the fifth edition (see below). Chapters or appendixes already in the fifth edition were redacted, and new chapters and appendixes were added (Chapters 14, 15 and 18; Appendixes D, E, F, G, H and J) after a systematic survey of end-user satisfaction with the fifth edition undertaken by the CTS. In addition to the chapter-specific table of contents and expanded bibliographies, the text is populated with a series of Web resources that will be regularly updated by PHAC and other agencies. As in the fifth edition, treatment recommendations are rated using a roman numeral (I, II or III), which indicates the quality of evidence supporting the recommendation (1). The Standards are meant to be a definitive resource on issues pertaining to tuberculosis prevention and control in Canada. In contrast to provincial and territorial guidelines, which describe how an action is to be accomplished and how the structure of care is framed, the Canadian Tuberculosis Standards, like the International Standards for Tuberculosis Care (available at <www.nationaltbcenter.edu/international/>), provide the foundation on which care can be based, presenting what should be done. - CANADIAN TUBERCULOSIS STANDARDS, SIXTH EDITION (2007) Preface Acknowledgements Epidemiology Chapter 1 Editorial Chapter 5 Chapter 6 Chapter 7 Chapter 8 Chapter 9 Chapter 10 Nonrespiratory tuberculosis Victoria Cook, Richard Long Treatment of tuberculosis disease and infection Vernon Hoeppner, Heather Ward, Kevin Elwood Drug-resistant tuberculosis Richard Long, Monica Avendano, Lori Whitehead Pediatric tuberculosis Ian Kitai, Patricia Malloy, Alice Kowalczyk, Richard Long Tuberculosis and human immunodeficiency virus Stan Houston, Paul Brassard, Mark FitzGerald, Wendy Wobeser Nontuberculous mycobacterial disease Robert Cowie, Stephen Field, Anne Fanning Public health aspects of tuberculosis Chapter 11 The role of public health in tuberculosis control R (...truncated)