TABLE. Effect of COVID-19 response on CDC tuberculosis (TB) elimination and laboratory program performance indicators, by level of impact — 50 U.S. jurisdictions,* April 2020.
Performance indicator | No. (%) |
|||
---|---|---|---|---|
No impact† | Partial impact§ | High impact¶ | Partial§ or high¶ impact | |
Program staffing for cooperative agreement and fiscal management |
18 (36) |
16 (32) |
15 (30) |
31 (62)
|
Program staffing for clinical consultation or clinic service delivery |
17 (34) |
21 (42) |
12 (24) |
33 (66)
|
Program staffing for outreach and field services (e.g., directly observed therapy or contact investigations) |
16 (32) |
16 (32) |
14 (28) |
30 (60)
|
Program staffing for surveillance and case reporting |
14 (28) |
24 (48) |
12 (24) |
36 (72)
|
Program staffing for training and program evaluation |
15 (30) |
13 (26) |
21 (42) |
34 (68)
|
Diagnosis and treatment of persons with TB disease |
23 (46) |
22 (44) |
4 (8) |
26 (52)
|
Diagnosis and treatment of persons with LTBI |
15 (30) |
25 (50) |
9 (18) |
34 (68)
|
Contact investigations for infectious TB cases |
17 (34) |
23 (46) |
9 (18) |
32 (64)
|
Targeted testing and treatment of LTBI among populations at risk |
12 (24) |
22 (44) |
15 (30) |
37 (74)
|
Case reporting and other surveillance activities (e.g., genotype or cluster monitoring and data analysis) |
20 (40) |
24 (48) |
5 (10) |
29 (58)
|
Program evaluation activities (e.g., cohort review) |
10 (20) |
20 (40) |
17 (34) |
37 (74)
|
Education and training activities | 2 (4) | 22 (44) | 25 (50) | 47 (94) |
Abbreviations: COVID-19 = coronavirus disease 2019; LTBI = latent TB infection.
* Reported by 50 of 61 CDC-funded TB program recipients to CDC project officers. Number and row percent might total <50 (100%) as a result of missing responses. Eleven programs could not be reached because of deployments among the eight CDC project officers or in the TB programs.
† No changes in staffing assignments or TB program activities.
§ <50% of personnel time dedicated to COVID-19 response or some changes made to program activity, but activity is still being performed.
¶ 50%–100% of personnel time dedicated to COVID-19 response or major changes made to program activity or activity was not being performed at the time of the program’s response.