Kansas TB program supplies meds directly to the local health departments and those medications are kept at the LHD. Patients have to report to the health department to receive the medications each day.

Kimberly Winans MSN-PH, RN

Infectious Disease Management Section Chief

Kansas Department of Health and Environment

Bureau of Disease Control and Prevention

1000 SW Jackson St, Suite 210

Topeka, KS 66612

Email: kimberly.d.winans@ks.gov

Desk Phone: 785-296-0739

Cell Phone: 785-289-3991

Fax: 785-559-4224

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Some of our local jurisdictions rely heavily on incentives to get patients to buy into and continue DOT. We have different options for incentives depending on the patients’ wants/needs.

Grocery cards (some can be used for gas where the grocery store has gas station), monthly bus passes, paying for monthly cell bill (as long as it’s under $100 a month), AMEX gift cards are some examples of what we have used. We generally give $25 a week or up to $100 a month in incentives.

If incentives do not work, we do have statutory measures that the local health director can order DOT as a first step in the legal process. So sorry, no help to you.

Danielle Orcutt, MPH, RN, CHES^®

Supervising Case Manager

Department of Public Health

Tuberculosis Control Program

Phone: 860/509-7738

Cell: 860/539-8185

Fax: 860/730-8271

Let us know how we are doing: Survey

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From: tbnurses@ntca.simplelists.com <tbnurses@ntca.simplelists.com> On Behalf Of Hesson, Chanda L (DOH)
Sent: Wednesday, September 21, 2022 4:29 PM
To: tbnurses@ntca.simplelists.com
Subject: Cases Who Refuse DOT

You don't often get email from chanda.hesson@alaska.gov. Learn why this is important

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Good afternoon, hoping to get some feedback on what other programs are doing for cases that refuse DOT and are self-administering? We have no legal authority to require DOT but it is an expectation for active TB cases. In addition to the programmatic flow in these instances, are there any changes to whether the public health department will supply the medication?

Thanks for any recommendations you may have in advance.

Chanda

Chanda Hesson | Nurse Consultant II

State of Alaska | Department of Health

Division of Public Health | Section of Epidemiology

3601 C St. st 540 | Anchorage AK 99503

Phone (907) 269-8009 Fax (907) 563-7868

chanda.hesson@alaska.gov

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