Case Report

Comorbid TB and HIV in a Chronically Homeless Male: Social Isolation Compounds Stress of Medical Confinement (2006) – This case report by HCH clinicians in Baltimore is a reminder that relationship building, coordination of care by multiple providers, and maintaining contact with homeless clients during and after medical confinement are key in assuring treatment adherence and progress toward resolving homelessness. It also points to the special vulnerabilities of homeless persons with infectious diseases, whose coping mechanisms may exacerbate their social isolation and interfere with efforts to provide appropriate medical care.

Healing Hands Newsletter

Prevention & Treatment Guidelines

  • The Health Care of Homeless Persons: A Manual of Communicable Diseases & Common Problems in Shelters & on the Streets (2004) – This easy to use and read manual is designed for clinicians and shelter staff. Sections cover communicable diseases and infections, major medications, heat-related conditions and cold-related injuries, emerging challenges, management of chronic illnesses, immunizations, food management in shelters and soup kitchens, and fact sheets in English and Spanish for clients. The manual includes a chapter on tuberculosis.
  • Shelters & TB: What Staff Need to Know, Second Edition (2011) | Curry International Tuberculosis Center – An 18-minute video and viewer’s guide (PDF) designed to help homeless shelter staff create a healthy and safe environment. The video helps train staff about how to prevent the spread of TB in homeless shelters. It describes what TB is, how it is spread, what to do when you suspect someone has TB, how to develop and implement a TB infection control policy, and how you and your local health department can work together to create a healthy and safe environment for staff and clients. The accompanying viewer’s guide expands on the content covered in the video and serves as a reference guide containing additional information, resources, templates, and checklists to help establish your shelter’s TB infection control policy.

Training Opportunities

Additional Resources

  • Engaging the Private Sector in TB Prevention (2012) | Curry International Tuberculosis Center – This two-hour webinar focuses on tools and strategies State and local health departments can use to help private providers (including Federally Qualified Health Centers, Community Health Clinics, HMOs, and smaller practice practitioners) get up-to-speed on the diagnosis and treatment of latent TB infection (LTBI).
  • Tuberculosis Drug Information Guide, 2nd edition (2012) | Francis J. Curry International Tuberculosis Center, California Department of Public Health
  • Forging Partnerships to Eliminate TB (2007) | A Guide and Toolkit, to help TB programs create and sustain productive TB partnerships. Forging Partnerships emphasizes reaching and involving nontraditional partners in TB prevention and control efforts. The guide and toolkit enable staff to plan new intervention strategies and strengthen existing ones, with creativity, perseverance and the participation of productive partners. Chapters of the guide include topics such as: Structure and Decision Making Issues; Working with the Media and TB Stakeholders; Preparing Your Partnership to Communicate During a TB Outbreak; and Evaluating and Measuring Success. The toolkit includes checklists, worksheets, planning tools and easily adapted sample materials.
  • Forms and Policies for TB Testing at Lutheran Services in New York (2013) | TB screening results | City of New York positive TB policy | Lutheran TB screening page 1 | Lutheran TB screening page 2
  • Counting the Homeless: A Previously Incalculable Tuberculosis Risk and Its Social Determinants (2013) | American Journal of Public Health