Curbside Consults Podcast

Published August 19, 2021

In this episode of Curbside Consults, we discuss the need for high-quality care to achieve global tuberculosis elimination. Increasingly, high-quality care is recognized as essential to reduce the global burden of TB. We are joined by Dr. Hannah Alsdurf, an infectious disease epidemiologist and postdoctoral research fellow at the University of Ottawa.

0:05 Intro
1:00 Overview of the global burden of TB
2:10 The impact of COVID-19 on TB elimination
3:30 Challenges for the elimination of TB
7:05 Swiss cheese model for TB
13:50 What is quality in TB care
17:10 Cascade of TB care
28:50 Latent TB infection
32:30 Scaling up latent TB screening and treatment
37:00 Is TB elimination achievable?
45:00 Outro

Resources and articles discussed in this episode:

1. Madhukar P and Temesgen Z. Quality of Tuberculosis Care (e-book). J Clin Tuberc Other Mycobact Dis 2015.
2. Global Tuberculosis Report 2020. World Health Organization 2020.
3. 12 Months of COVID-19 Eliminated 12 Years of Progress in the Global Fight Against Tuberculosis. STOP TB Partnership March 2021.
4. Furin J and Madhukar P. We Went All-out to Tackle Covid-19 – TB Needs the Same Approach. The Telegraph March 2021 (reference for Swiss Cheese Model).
5. The Lancet Global Health Commission on High Quality Health Systems.
6. Alsdurf H et al. The Cascade of Care in Diagnosis and Treatment of Latent Tuberculosis Infection: A Systematic Review and Meta-analysis. Lancet Infect Dis 2016.
7. Fox GJ et al. Active Case-finding in Contacts of People with TB. Int J Tuberc Lung Dis. 2021. 

The Curbside Consults series complements the foundational information in Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.

Dr. Hannah Alsdurf is an infectious disease epidemiologist and postdoctoral research fellow at the University of Ottawa.
James was a 2020-2021 NEJM Editorial Fellow and a graduate of the National University of Ireland, Galway. He has a Masters of Science in Evidence-Based Healthcare from University College London and completed Basic Specialist Training in general internal medicine with the Royal College of Physicians in Ireland.