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N.C. Department of Environment, Health, and Natural Resources <br />, Division of General Services <br />CONTRACT ADDENDUM <br />TUBERCULOSIS CONTROL <br />Office, Section, or Branch <br />Grange County Health Department <br />Contractor <br />Page 1 of 1 <br />F YGi qz <br />45s1 <br />92 -323& -068 <br />Contract Number <br />TUBERCULOSIS <br />Activity <br />Local Health Department Tuberculosis Control objectives <br />1. By June 30, 1992, 85 % of newly positive TB cases on <br />treatment will convert their sputum to negative within <br />three months. <br />(Statewide objective 850) <br />2. By June 30, 1992, 95 e of newly reported sputum positive <br />TB cases on treatment will convert their sputum to <br />negative within six months. <br />(Statewide objective 95 %) <br />3. By June 30, 1992, 95 % of cases started on drugs will <br />complete the prescribed course of drug therapy. <br />(Statewide objective 950) <br />4. By June 30, 1992, 90s of close contacts will be examined <br />within 14 days after health department was notified. <br />(Statewide objective 98 %) <br />5. By June 30, 1992, 90% of PPD negative, close contacts <br />will receive two or more PPD's at least three months <br />apart. <br />(Statewide objective 90 %) <br />6. By June 30, 1992, 80% of persons started on preventive <br />therapy will complete the prescribed course of treatment. <br />(Statewide objective 80s) <br />7. By June 30, 1992, 25% of cases started on drugs will be <br />placed on directly observed therapy. <br />(Published studies estimate that therapeutic <br />noncompliance occurs in approximately 25 to 50% of TB <br />outpatients) <br />Reviewed by <br />DEHNR 3300 (Revised 2/90) � 1 rl <br />General Services Division (Review 1/95) Initials Da <br />