Discussion: An Epidemic in the Community Consider the following scenario: This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spen

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Discussion: An Epidemic in the Community

Consider the following scenario: This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.

Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.

Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following:

  • As a BSN-prepared community health nurse, what steps should Debbie take next?
  • Considering economic and social considerations within the community, what are the primary, secondary, and tertiary interventions that Debbie might use in managing this outbreak?
  • Can similar interventions be applied to your community and its TB prevalence?
  • What considerations need to be addressed within your community that are different form Debbie’s community?

By Day 3

Post your response to this Discussion.

Support your response with references from the professional nursing literature.

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

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file attached of VHD TB report. I reside in Virginia

Discussion: An Epidemic in the Community Consider the following scenario: This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spen
NUM BER O F VER IF IE D C A SE S1 6 9 TB R ATE P ER 1 00,0 00 P O PU LA TIO N2 .0 H EA LT H D IS T R IC TS W IT H TB C A SE S2 7 Ove rv ie wC lin ic a l C hara cte ris tic s D em ogra p h ic sM ost C om mon C ou ntr ie s o f B ir th A m ong P atie n ts 3 5 Num ber o f co untr ie s re p re se n te d am ong patie n ts w it h T B d is e ase C ountr y o f B ir th B orn i n t h e U .S .: 1 4% N on-U .S .- b orn : 8 6% Unit e d S ta te s: 2 2E th io pia – 1 4In d ia – 1 7V ie tn am – 1 5P hilip pin es – 1 3H ond ura s: 8G uate m ala : 8 T im e i n t h e U .S . 10 .6 M ed ia n n um ber o f ye ars i n t h e U .S . a t tim e o f d ia g n osis a m ong n on-U .S .- b orn p atie n ts M aleF em ale 5 7% of T B c a se s o ccu rre d a m ong m ale s P ro po rtio n o f T B c a se s w it h H IV P ro po rtio n o f T B c a se s w it h d ia b ete s 7 3. 3% Pro po rtio n o f T B c a se s w it h a p u lm onary s it e o f d is e ase 1 9 .5 % 1.8 % Min orit y g ro ups co ntin ue t o b e heav ily r e p re se n te d am ong t h ose w it h T B i n V ir g in ia o f T B c a se s w ere a m ong c h ild re n 1 4 y e ars o f ag e  a n d y o unge r 3 .5 % Non-H is p an ic A sia n N on-H is p an ic B la ck H is p an ic N on-H is p an ic W hit e 4 5-6 425-4 415-2 4<15>64 4 .1 % Pro po rtio n o f T B c a se s w it h r e sis ta n ce t o a n y f ir s t lin e d ru g M ult i- R ace T u b erc u lo sis i n V ir g in ia , 2 020 Pro po rtio n o f T B c a se s w it h C O VID -1 9 6 .5 % May 2 021

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