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Tuberculosis transmission in a high school choir.

Authors
Washko-R; Robinson-E; Fehrs-LJ; Frieden-TR
Source
J Sch Health 1998 Aug; 68(6):256-259
NIOSHTIC No.
20033852
Abstract
Results from this investigation support some important public health messages. First, TST screening should be accompanied by intensive educational efforts and active follow-up. Second. BCG-vaccinated persons can become infected with M. tuberculosis and develop active TB. Both the index patient and one of the secondary cases had received BCG vaccination. In addition, case-finding and contact investigations are central to effective TB control efforts and should assume precedence over mass screening policies. The most effective public health strategies are those targeted toward high-risk groups and thus, TST screening of high-risk groups before school entry should be considered. In situations where an efficient means for spread of TB infection and disease exists, such as described in this report, more aggressive screening efforts may initially be necessary so that the target group is effectively evaluated. The success of such activities ultimately rests with effective collaboration between schools and public health TB control programs.
Keywords
Infectious-diseases; Infection-control; Bacterial-disease; Bacterial-infections; Respiratory-system-disorders; Pulmonary-system-disorders; Disease-transmission; Disease-vectors
Contact
R. Washko, Centers for Disease Control & Prevention, NIOSH, Division of Respiratory Disease Studies, Clinical Investions Branch, 1095 Willowdale Rd,Room H-009, Morgantown, WV 26505
CODEN
JSHEA2
Publication Date
19980801
Document Type
Journal Article
Email Address
RMW8@CDC.GOV
Fiscal Year
1998
NTIS Accession No.
NTIS Price
ISSN
0022-4391
NIOSH Division
DRDS
Source Name
Journal of School Health
State
WV
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