Question

A 30-year-old Métis woman living in an urban centre has active tuberculosis and identifies several household contacts, including children. She expresses fear that public health involvement will lead to stigma and child apprehension. Which approach best reflects the CanMEDS Collaborator and Health Advocate roles in TB care for Indigenous peoples?

Accepted Answer

Explain the role of public health, involve Indigenous liaison workers and Elders if available, and co-develop a contact investigation plan with her input

Answer

Inform her that reporting is mandatory and proceed without further discussion

Answer

Avoid notifying public health to preserve trust

Answer

Tell her stigma is unlikely and focus only on medication adherence

Answer

Refer her to a non-Indigenous clinic far from her community

Practice question