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'Shoe Leather Therapy' Is Gaining on TB

Rebecca Voelker
JAMA. 1996;275(10):743-744. doi:10.1001/jama.1996.03530340007002.
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THROUGHOUT the dimly lit hallways of a Newark, NJ, housing project, a musty odor mingles with the smell of urine and cooking food. Darryl Sabu Kilgore takes it in stride as he gently raps on the door of Belinda Warren's one-room apartment.

Warren is a young woman, but she moves slowly. She manages a faint smile for Kilgore, who's a regular visitor. So regular, in fact, that he follows Warren's frequent moves—four in the last 6 months alone. If he lost track of her, Warren might not take her tuberculosis (TB) medication. The result could be life-threatening multidrug-resistant TB for Warren and the risk of an outbreak in the building where she lives.

"We're aggressive in our approach to getting people cured," says Kilgore, a public health representative at the University of Medicine and Dentistry of New Jersey—New Jersey Medical School's National Tuberculosis Center in Newark.

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