The Status of TB Prevention and Control Measures
in Large City and County Jails in the U.S.
Develop and Strengthen Contact Investigation Protocols
Ninety-five percent of surveyed jail systems reported
that they conduct contact investigations when inmates are diagnosed
with or suspected of having infectious TB disease. However, only
about one third of jail systems had written protocols for conducting
contact investigations. Furthermore, 40 percent of the jail systems
took at least a month to conduct the contact investigation at the
jail, by which time a large percentage of inmates would have been
released to the community.
- Increase collaboration with the health department in developing
written policies and protocols for contact investigations and
in conducting them.
- Implement investigations sooner—within days.
- Initiate contact investigations for smear-positive patients
and patients with abnormal radiographs suggestive of TB, rather
than waiting until TB is culture confirmed.
Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination - http://www.cdc.gov/tb
Please send comments/suggestions/requests
CDC/Division of Tuberculosis Elimination
Communications, Education, and Behavioral Studies Branch
1600 Clifton Rd., NE - Mailstop E-10, Atlanta, GA 30333