The Institute of Medicine (IOM),an arm of the National Academy of Sciences,released a report in May 2000 that lays out an action plan for eliminating tuberculosis in the United States.(Elimination is defined as an incidence rate of less than one TB case per 1 million persons per year.)Called Ending Neglect,the report details a number of intertwined steps that involve all levels of government,as well as the private sector.If all parties will join in implementing this plan,its goal is well within reach.