Responses-to-regional-and-rural-outbreaks-TB-Prof-Gulam-Khandaker-presented-by-Robert-Booy-9th-AIF-2025.pdf

1、Responses to regional and rural outbreaks TB in Central QLDDr Gulam Khandaker Central QLD Hospital and Health Service Woorabinda Aboriginal Shire Woorabinda kangaroo sit down Community of forced relocation(1927 1970)from across QLD,NT and NSW 52 clans represented Population 1020(2021 census)TB in Wo

2、orabinda Sporadic cases 15/09/2011(Woorabinda)24/04/2012(Woorabinda)1/11/2015(Rockhampton)1/07/2023(Woorabinda)All genetically linked MPT 64 negative clusterIssues A remote Aboriginal community with a history of forced relocation and high social mobility.Sporadic but genetically linked TB cases have

3、 occurred over the past decade,indicating ongoing community transmission.Traditional contact tracing is challenging due to large,interconnected households and frequent movement of residents.TB rates remain higher in First Nations communities,reflecting broader health inequities and social determinan

4、ts.Stigma,historical mistrust,and limited local health resources further complicate TB control efforts.Woorabinda TB response From case onset 1/07/23(notified 3/11/23)Contact tracing and screening Testing and treatment of latent and active cases Increased TB workforceClose Contacts487Close Contacts

5、Screened348(71%)Break of Contact(BOC)Screening241(69%)BOC Complete170(71%)Close Contacts Missed139(29%)BOC Retest Required107(31%)BOC Pending71(29%)Transition to Community Wide ScreeningHighly mobile,socially intermingling community with high density transient livingExpected long term transmission w

6、ithin communityContact numbers for active cases reaching large proportion of total population(47%)Likely to miss potential cases through contact tracing alone given historic presenceCommunity Screening Workforce Involvement Began 11/03/2025 Engagement with Woorabinda MPHS,local G