Figure 1. Tuberculosis screening for applicants in high tuberculosis burden countries

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Tuberculosis Screening for Applicants 2 – 14 Years of Age in High Burden Countries*

• For all applicants 2 through 14 years of age in high tuberculosis burden countries
  • Medical history
  • Physical examination
  • IGRA
• For those with positive IGRA or signs or symptoms of tuberculosis or known HIV infection
  • Chest x-ray
• For those with a chest x-ray suggestive of tuberculosis, or sign or symptoms of tuberculosis, or known HIV infection
  • Three sputum smears and three cultures for M. tuberculosis
• For those with positive cultures
  • Drug susceptibility testing

*Tuberculosis screening for applicants 2 through 14 years of age in countries with a WHO-estimated tuberculosis disease incidence rate ≥ 20 cases per 100,000 population.

Tuberculosis Screening for Applicants 15 Years of Age or Older in High TB Burden Countries*

• For all applicants ≥ 15 years of age in high tuberculosis burden countries
  • Medical history
  • Physical examination
  • Chest x-ray
• For those with a chest x-ray suggestive of tuberculosis, or signs or symptoms of tuberculosis, or known HIV infection.
  • Three sputum smears and three cultures for M. tuberculosis
• For those with positive cultures
  • Drug susceptibility testing

*Tuberculosis screening for applicants ≥ 15 years of age in countries with a WHO-estimated tuberculosis disease incidence rate ≥ 20 cases per 100,000 population.