TB in Birmingham

Who: Hanna Kaur – TB Lead Nurse

Background: Hanna Kaur is currently based at the Birmingham Chest Clinic, where she is the Lead Nurse for TB Services (Birmingham & Solihull). She has previously worked in London as a Lead Nurse in TB. Her background is in Intensive care Nursing and Occupational Health. In Birmingham, Hanna manages a city-wide nurse-led service, where the team manages TB cases, offering support to complete their course of treatment. This can be challenging in those who have social risk factors. The service undertakes a risk assessment for adherence for all patients and for those less likely to comply, they start them on Direct Observed Therapy (DOT). They also manage Incidents and Outbreaks, in partnership with Public Health England. Currently they are working in partnership with Clinical Commissioning Groups to set-up TB screening in New Entrants.

Approach: Prevention and Promotion

Location: Birmingham and Solihull TB Service

Speciality: Tuberculosis (TB)

What initiative are you involved in?

The Birmingham and Solihull TB Service is involved in a Project to Screen for Latent Tuberculosis amongst High Risk New Entrants in Birmingham. Tuberculosis (TB) incidence in Birmingham is 40 in every 100,000 and around ¾ of TB cases in Birmingham occur in people born overseas. The majority of people born overseas who develop TB do so within 5 years of arrival in the UK. It is predictable that certain groups of people will develop active TB.

What prompted the work?

There was no organised new entrant screening in Birmingham and the team was many newly arrived people developing TB. It made sense to conduct the screening within colleges where students were undertaking courses on English and citizenship, where around 8’000 people take this course annually in Birmingham and many students are from high TB incidence countries There had been several reported cases previously of TB that have occurred in these classes.

By screening for latent / inactive TB and treating it, this can prevent the person developing active TB. Those with positive result were clinically assessed at the Chest Clinic. All were offered the test for Blood Borne Viruses.