The Status of TB Prevention and Control Measures
in Large City and County Jails in the U.S.
Increase HIV Counseling and Testing
Because coinfection with HIV is the greatest risk
factor for progressing from latent to active TB, and jail inmates
tend to have relatively high rates of HIV infection, the risk of
TB transmission in a jail setting is especially high. All but two
jail systems had a policy of offering HIV testing to all inmates
diagnosed with TB disease; however, less than half had policies
of offering HIV testing to patients who have positive TST results.
In the medical records examined, nearly 20 percent of inmates evaluated
for TB disease were reported to be HIV positive; however, HIV status
information was lacking in nearly one third of the records.
- Encourage HIV counseling and testing among inmates with TB
disease and LTBI and among inmates at risk for HIV.
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