<P>Early work in this project included the design and renovation of the NTRL facility in Pyongyang. After the facility was reconstructed, laboratory equipment and supplies were procured, initial training in laboratory techniques and biosafety began, and instructions on the speci?c responsibilities of National TB Reference laboratories were established. These steps were accomplished with the help of largely volunteer CFK construction crews and facilities engineers and Bay Area microbiology laboratory experts. With help from Jason Rao of the American Society for Microbiology, Stanford Uni- versity (Dr. Schoolnik) was able to obtain additional funding from the Richard Lounsbery Foundation. Together with funding from Zero TB World, this enabled the hiring of a full-time TB laboratory ex- pert, Dr. Kathleen England. The following text box is a narrative of Dr. Englands work, a description of the challenges, and a glimpse of the rewards of constructive humanitarian engagement. Page 28 » Across the Divide » Hotez / England & Desmond / Madani / Asghar The DPRK TB program is currently making strong e?orts to improve the diagnostic and treatment program for drug- resistant tuberculosis. The Ministry of Public Health strong- ly recognizes the need to improve multidrug-resistant TB (MDR-TB) case detection and treatment for the nation. One of the most successful endeavors over the past ?ve years includes the renovation of, and diagnostic advancements at, the National Tuberculosis Reference Laboratory (NTRL) in Pyongyang. Currently, the NTRL has the ability to perform WHO-recommended diagnostics, which include ?uores- cent acid-fast microscopy, culture-based TB identi?cation methods, drug susceptibility testing by conventional culture methods, and molecular testing using GeneXpert technolo- gy. The laboratory sta? are currently undergoing pro?cien- cy testing and method validation studies to demonstrate the level of performance required to obtain accurate and reliable results. Once pro?ciency and competency are at- tained, the laboratory will be able to implement national surveillance programs for both TB and MDR-TB, properly monitor MDR-TB patients under treatment, and perform a national drug resistance survey. Under direct guidance of Stanfords technical advisor, the NTRL is working through </p> <UL><LI><a href="http://www.mzines.net/publication/643/colfslwvw/1/1/">Front-Cover</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/2/2/">Inside-Front-Cover</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/3/3/">Page-1</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/4/4/">Page-2</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/5/5/">Page-3</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/6/6/">Page-4</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/7/7/">Page-5</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/8/8/">Page-6</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/9/9/">Page-7</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/10/10/">Page-8</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/11/11/">Page-9</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/12/12/">Page-10</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/13/13/">Page-11</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/14/14/">Page-12</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/15/15/">Page-13</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/16/16/">Page-14</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/17/17/">Page-15</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/18/18/">Page-16</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/19/19/">Page-17</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/20/20/">Page-18</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/21/21/">Page-19</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/22/22/">Page-20</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/23/23/">Page-21</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/24/24/">Page-22</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/25/25/">Page-23</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/26/26/">Page-24</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/27/27/">Page-25</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/28/28/">Page-26</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/29/29/">Page-27</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/30/30/">Page-28</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/31/31/">Page-29</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/32/32/">Page-30</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/33/33/">Page-31</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/34/34/">Page-32</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/35/35/">Page-33</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/36/36/">Page-34</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/37/37/">Page-35</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/38/38/">Page-36</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/39/39/">Page-37</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/40/40/">Page-38</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/41/41/">Page-39</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/42/42/">Page-40</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/43/43/">Page-41</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/44/44/">Page-42</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/45/45/">Page-43</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/46/46/">Page-44</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/47/47/">Page-45</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/48/48/">Page-46</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/49/49/">Page-47</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/50/50/">Page-48</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/51/51/">Page-49</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/52/52/">Page-50</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/53/53/">Page-51</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/54/54/">Page-52</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/55/55/">Page-53</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/56/56/">Page-54</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/57/57/">Page-55</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/58/58/">Page-56</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/59/59/">Page-57</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/60/60/">Page-58</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/61/61/">Page-59</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/62/62/">Page-60</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/63/63/">Page-61</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/64/64/">Page-62</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/65/65/">Page-63</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/66/66/">Page-64</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/67/67/">Page-65</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/68/68/">Page-66</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/69/69/">Page-67</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/70/70/">Page-68</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/71/71/">Page-69</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/72/72/">Page-70</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/73/73/">Page-71</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/74/74/">Page-72</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/75/75/">Page-73</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/76/76/">Page-74</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/77/77/">Page-75</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/78/78/">Page-76</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/79/79/">Page-77</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/80/80/">Page-78</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/81/81/">Page-79</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/82/82/">Page-80</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/83/83/">Page-81</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/84/84/">Page-82</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/85/85/">Page-83</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/86/86/">Page-84</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/87/87/">Page-85</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/88/88/">Page-86</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/89/89/">Page-87</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/90/90/">Page-88</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/91/91/">Page-89</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/92/92/">Page-90</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/93/93/">Page-91</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/94/94/">Page-92</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/95/95/">Page-93</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/96/96/">Page-94</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/97/97/">Page-95</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/98/98/">Page-96</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/99/99/">Page-97</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/100/100/">Page-98</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/101/101/">Page-99</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/102/102/">Page-100</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/103/103/">Page-101</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/104/104/">Page-102</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/105/105/">Page-103</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/106/106/">Page-104</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/107/107/">Page-105</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/108/108/">Page-106</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/109/109/">Page-107</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/110/110/">Page-108</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/111/111/">Page-109</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/112/112/">Page-110</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/113/113/">Page-111</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/114/114/">Page-112</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/115/115/">Page-113</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/116/116/">Page-114</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/117/117/">Page-115</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/118/118/">Page-116</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/119/119/">Page-117</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/120/120/">Back-Cover</a></LI> <LI><a href="http://www.mzines.net/publications/643/x/sitemap.xml" target="_blank">site map</a></LI> </UL>

 

If you would like to view publication without flash plugin, please click on link below




To view your publication, you need to upgrade your Flash Player

Click here to install latest flash player.