US Procedures for TB Patients Originating in the U.S. and Traveling to Mexico

1. US Procedures for TB Patients Originating in the U.S. and Traveling to Mexico Shouldpatient receiveBinational Health Card? NO YES • Patient has active TB and meets inclusion criteria[1] • Patient not from Pilot Site • Active TB patient with 1 month of treatment left • Educate the patient about the Card. • Ask about patient’s travel plans. • Distribute Card to patient. • Record patient name, date of birth, Card number,date Card given, and reason Card given in logbook. • Transmit this information by fax (619-692-8020) to CureTBevery 2 weeks. • Register patient as official/unofficial U.S. TB patient and assign RVCT# or “fake” RVCT#. • Register patient as “Binational”. Patientwill travel to(or has left for) Mexico? YES NO Doespatientoriginate in El Paso/Las Cruces (including INS detentionCtr.)? Willpatient movewithin the U.S.? YES NO YES NO As appropriate, continue asking about travel plans and educate patient about Binational Health Card. Call TBNet (1-800-825-8205) and complete referral forms.[2] TBNet will call CureTB and fax the referral forms. Call both CureTB and TBNet. Call CureTB and complete and fax referral forms[2] to CureTB. If the patient has not left yet, provide 2 weeks of TB medication prior to departure. END CureTB will inform the UIES[3] (800#) in Mexico. [1] Inclusion criteria: At leastone of the following: Mexican-born; recently arrived to the U.S. from Mexico; migrant worker; close or immediate family lives in Mexico; works in the U.S. and lives in Mexico; or lives in the U.S. but receives medical care in Mexico. [2] Appendix B: Binational Notification Referral Form Appendix C: Supplemental Referral Form I, Appendix D: Supplemental Referral Form II (if not an official U.S. case) [3] UIES = Unidad de Inteligencia Epidemiológica y Sanitaria FAX CureTB: 619-692-8020 FAX UIES: 55-93-93-24

2. U.S. Procedures for TB Patients Originating in Mexico and Traveling to the U.S. HCW receives a call from CureTB about the arrival of a patient. HCW attempts to locate patient. Patientwith TB Card Found? NO HCW continues to attempt to locate patient. YES Patient is not found, call CureTB (1-800-789-1751) for more information. Patient found. • Call CureTB to notify of patient’s arrival and provide information on Card status (i.e., arrived with Card: Yes/No) and Date of Arrival. • Register patient into TIMS (use fake RVCT number if necessary). • Register patient as “binational” using binational variable (in sites using this variable). • Send all referral forms (Appendices B, C, and D)[1] to CureTB. • Report final treatment outcome to CureTB who will communicate this information to the UIES[2] (800# ) in Mexico. • CureTB will call HCW every 3 months to ensure final treatment outcomes are determined. END [1] Appendix B: Binational Notification Referral Form Appendix C: Supplemental Referral Form I Appendix D: Supplemental Referral Form II (if not an official US case) [2] UIES = Unidad de Inteligencia Epidemiológica y Sanitaria FAX CureTB: 619-692-8020 FAX UIES: 55-93-93-24