Tuberculosis transmission in a high school choir.
Washko R; Robinson E; Fehrs LJ; Frieden TR
J Sch Health 1998 Aug; 68(6):256-259
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.
Infectious-diseases; Infection-control; Bacterial-disease; Bacterial-infections; Respiratory-system-disorders; Pulmonary-system-disorders; Disease-transmission; Disease-vectors
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
Journal of School Health