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Institute of Medicine (US) Forum on Drug Discovery, Development, and Translation; Russian Academy of Medical Science. The New Profile of Drug-Resistant Tuberculosis in Russia: A Global and Local Perspective: Summary of a Joint Workshop. Washington (DC): National Academies Press (US); 2011.

Cover of The New Profile of Drug-Resistant Tuberculosis in Russia

The New Profile of Drug-Resistant Tuberculosis in Russia: A Global and Local Perspective: Summary of a Joint Workshop.

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Appendix AAgenda

THE NEW PROFILE OF DRUG RESISTANT TUBERCULOSIS: A GLOBAL AND LOCAL PERSPECTIVE

Sponsored by the U.S. National Academy of Sciences, Institute of Medicine, Forum on Drug Discovery, Development, and Translation, and the Russian Academy of Medical Sciences, this 2-day workshop will address the spread of multidrug-resistant (MDR) tuberculosis in Russia and across the globe, as well as the rapid emergence and spread of extensively drug resistant (XDR) tuberculosis. The implications of totally drug resistant (TDR) tuberculosis will also be discussed, as well as the newly emerging profile of MDR TB.

Objectives: The primary goals of this workshop are:

  • to increase awareness and create a renewed sense of urgency of the growing global burden of multidrug- and extensively drug-resistant tuberculosis (MD/XDR TB) and its profile in Russia;
  • to consider the magnitude of transmission of drug-resistant strains and options for transmission and infection control;
  • to address the MDR TB burden in vulnerable populations, including pediatric cases, those co-infected with HIV, and substance abusers;
  • to assess current treatment options and approaches to patient care, taking into account the unique needs of the population being treated;
  • to discuss the supply of quality-assured second-line TB drugs and the pipeline for a new “cocktail” of TB drugs;
  • to assess the current state of the art for rapid detection of drug resistance—and its implication for patient management; and
  • to suggest policies to accelerate improvements in drug-resistant TB treatment and infection control.

Wednesday, May 26

Conference Venue: International Science & Technology Centre (ISTC)

Krasnoproletarskaya ulitsa, 32-34

127473 Moscow, Russia

09:00–09:30Welcoming Remarks and Overview of Conference Objectives
 Dmitry Orlov, Russian Academy of Medical Sciences
 Mikhail Perelman, Moscow Medical Academy
 Gail Cassell, Eli Lilly and Company
09:30–12:30Roundtable #1: Magnitude of the Burden of Drug Resistant Tuberculosis—Local and Global Perspectives
Co-Chairs:Marina Yakimova, Central TB Research Institute
Jeffrey Drazen, New England Journal of Medicine
Global Status of MDR/XTR Tuberculosis, 30 min
 Salmaan Keshavjee, Chair, Green Light Committee (GLC)
Harvard Medical School
Epidemiology of TB in the Russian Federation, 30 min
 Marina Yakimova, Central TB Research Institute
Prevalence of Drug Resistance at the Initiation of Second-Line Drugs in Eight Countries, 30 min
 Peter Cegielski, U.S. Centers for Disease Control and Prevention
Profile of MDR/XDR in South Africa Based Upon Laboratory Data, 30 min
 Gerrit Coetzee, National Health Laboratory Service, South Africa
Current Status of Disease Burden and Programmatic Management of MDR/XDR TB in China, 30 min
 Mingting Chen, Center for Disease Control and Prevention, China
Roundtable Discussion, 30 min
12:30–13:30Lunch
13:30–15:30Roundtable #2: The Capability of Health Care Systems to Keep Up with the Spread of MDR TB
Co-Chairs:Elena Skachkova, Central Research Institute for the Organization and Informatization of Health Care, Moscow
Dale Nordenberg, Novasano Health and Science
Monitoring System of MDR TB, 30 min
 Elena Skachkova, Central Research Institute for the Organization and Informatization of Health Care, Moscow
Surveillance Systems for TB Drug Resistance in China, 30 min
 Renzhong Li, Center for Disease Control and Prevention, China
Laboratory lnformation Barriers to MDR TB Control, 30 min
 Dale Nordenberg, Novasano Health and Science
Roundtable Discussion, 30 min
15:30 – 15:45Break
15:45 – 17:45Roundtable #3: Treatment of Drug-Resistant TB in Vulnerable Patient Populations
Co-Chairs:Irina Vasilyeva, Central TB Research Institute
Janet Tobias, Ikana Media
Treatment of MDR TB, the CTRI Experience, 15 min
 Irina Vasilyeva, Central TB Research Institute
Approach to the Treatment of Children Infected with Multidrug-Resistant TB, 15 min
 Elena Ovsiankina,1 Central TB Research Institute
HIV and MDR TB Co-Infection, 15 min
 Olga Frolova, Federal Center of TB/AIDS Treatment
MDR TB in Cases of Substance Abuse, 15 min
 Piotr Golubchikov, Regional Anti-Tuberculosis Dispensary, Tomsk
Epidemiology of TB in the Prison System of the Russian Federation, 15 min
 Svetlana Safonova, Federal Correction System, Russian Federation
Response Panel and Roundtable Discussion, 45 min
 Sonya Shin, Harvard Medical School
 Carlos Pérez-Vélez, National Jewish Hospital, Denver
 Gary Reubenson, Rahima Moosa Mother & Child Hospital, South Africa
17:45–18:30Gaps in TB Research: Meeting Report from the National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH)
 Barbara Laughon, NIAID/NIH
 Alexandr Apt, Central Institute for Tuberculosis, Moscow
Opportunities for International Cooperation
 Stuart Politi, Civilian Research and Development Foundation

Thursday, May 27

Conference Venue: International Science & Technology Centre (ISTC)

Krasnoproletarskaya ulitsa, 32-34

127473 Moscow, Russia

08:30–10:10Roundtable #4: Rapid Methods for Determining Drug Resistance in Tuberculosis and Implications for Patient Management
Co-Chairs:Elena Larionova, Central TB Research Institute
Jerrold Ellner, Division of Infectious Diseases, Boston University
Molecular and Genetic Methods of Mycobacteria Identification in Russia, 20 min
 Tatiana Smirnova, Central TB Research Institute
Overview of Rapid Methods for Determining Drug Resistance in Mycobacterium tuberculosis, 20 min
 Elena Larionova, Central TB Research Institute
Implication of Rapid Detection of Resistance in Patient Management, 20 min
 Danila Zimenkov, Engelhardt lnstitute of Molecular Biology, Moscow
Response Panel and Roundtable Discussion, 40 min
 Maria Giovanni, National Institute of Allergy and Infectious Diseases, National Institutes of Health
 Nico Gey van Pittius, Stellenbosch University, South Africa
 Qian Gao, Shanghai Medical College, China
10:10–12:00Roundtable #5: MDR TB Transmission and Infection Control
Co-Chairs:Rostislav Mitrofanov, Novosibirsk Tuberculosis Research Institute
Edward Nardell, Harvard Medical School
Infection Control in Anti-Tuberculosis Institutions, 20 min
 Elina Sevastyanova, Central TB Research Institute
Transmission of MDR/XDR in Shanghai, 20 min
 Qian Gao, Shanghai Medical College, China
Transmission-Based Genetic Analysis in South Africa, 20 min
 Nico Gey van Pittius, Stellenbosch University, South Africa
Turning off the Spigot: Reducing Nosocomial Drug-Resistant TB Transmission, 20 min
 Edward Nardell, Harvard Medical School
Roundtable Discussion, 30 min
12:00–13:00Lunch
13:00 – 13:50Roundtable #6: lnnovative Efforts to Advance MDR TB Control and Treatment
Co-chairs:Vladislav Gergert, Central SRI of TB, RAMS
Jeffrey Drazen, New England Journal of Medicine
Stem Cell TB Therapy Application in Experiment, 20 min
 Vladislav Gergert, Central SRI of TB, RAMS
Stem Cell Therapy in MDR TB Patients: A Promising Approach? 20 min [via online presentation]
 Mark Maeurer, Karolinska Institute
Roundtable Discussion, 10 min
13:50–14:35Roundtable #7: Addressing Challenges in MDR TB Drug Procurement
Co-chairs:Nikita Afanasiev, USAID, Moscow
Paul Zintl, Partners In Health
The World Health Assembly Resolution on MDR/XDR TB: Is It Important for Russia's Second-Line TB Drug Supply? 15 min
 Paul Zintl, Partners In Health
Response Panel and Roundtable Discussion, 30 min
 Dmitry Goliaev, Russian Health Care Foundation
 Alex Golubkov, Partners In Health
 Benjamin Potashnikov, Biocom, Russia
14:35–15:00Break
15:00–18:15Roundtable #8: Closing Plenary Lectures: A Blueprint for Action
Chair:Gail Cassell, Eli Lilly and Company
Remarks from Academician Mikhail Perelman, Moscow Medical Academy
The Realities of Global MDR TB Control and the Growing Number of Totally Resistant Cases (XDR TB): An Argument for Quantifying the Threat in Tangible Ways
 Paul Farmer, Partners In Health
The Critical Role of Regulatory Science and Innovation in Making Existing Drugs Matter and in Development of New TB Drugs and Diagnostics
 Margaret Hamburg, Commissioner, U.S. Food and Drug Administration
Former Public Health Commissioner, New York City
Summary of Meeting Highlights and a Blueprint for Action
 Salmaan Keshavjee, Green Light Committee (GLC) Initiative
Response Panel and Roundtable Discussion
 Peter Cegielski, U.S. Centers for Disease Control and Prevention
 Mingting Chen, Center for Disease Control and Prevention, China
 Gerrit Coetzee, National Health Laboratory Service, South Africa
 Janet Tobias, Ikana Media
18:15–18:30Closing Remarks
Gail Cassell, Eli Lilly and Company

Footnotes

1

Unable to attend the workshop due to an emergency.

Copyright © 2011, National Academy of Sciences.
Bookshelf ID: NBK62454

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