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TB Notes 1, 2008
Director's Letter
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  TB Outreach Educator Honored
  TB Legal Forum for Southwestern Border States
  Effecting Acute Isolation of TB patients Utililizing Chicago Department of Public Health Emergency Quarantine and Isolation Regulations
The 2007 Pacific Island Tuberculosis Controllers Association Meeting
Revision of Technical Instructions for Panel Physicians
National Tuberculosis Indicators Project (NTIP): Intensive Review
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  An Evaluation of Surveillance for Multidrug-Resistant Tuberculosis: Texas, 2000-2006
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TB Notes Newsletter

No. 1, 2008

TB Education and Training NetworkUpdates

New Column! - Ask the Experts

The TB Education and Training Network (TB ETN) Membership Development Workgroup welcomes you to the new TB ETN “Ask the Experts” column. This column will be a great way to get the answers to your TB education, training, and communication-related questions from some of the leading education experts!

Do you have a question about TB education, training, and communication issues? In each edition of TB Notes, a TB education and training expert will answer questions about these issues and topics submitted by TB Notes readers. Just submit your question to Please keep your questions as brief as possible. Please note, we reserve the right to edit questions.


I am going to our local correctional facility to provide TB education and training for the officers. They have never had any TB education or training before.

Are there any good videos I can show them? What about handouts or other training materials?


According to the Reported Tuberculosis in the United States, 2006 annual summary, there were 505 TB cases reported in correctional facilities in 2006. That represents 3.9% of all TB cases in the United States. Although the overall incidence of new TB cases among the U.S. population has remained at <10 cases per 100,000 persons since 1993, substantially higher case rates have been reported in correctional populations. Studies have demonstrated the prevalence of latent TB infection (LTBI) among inmates to be as high as 25%, with other studies indicating that transmission probably occurred in correctional settings. (CDC. Reported Tuberculosis in the United States, 2006. Atlanta, GA: U.S. Department of Health and Human Services, CDC, September 2007; and Prevention and Control of Tuberculosis in Correctional and Detention Facilities: Recommendations from CDC. MMWR 2006; 55 [No. RR-09]: 1–44.)

Issues that you may want to discuss with the correctional officers include

  • Basic TB information, such as the difference between LTBI and active TB disease, symptoms of TB disease, diagnosis, and treatment

  • TB screening and testing of inmates and staff, including when, why, and how

  • Infection control, including how to protect themselves and inmates

  • The importance of maintaining an effective employee TB screening and testing program to identify ongoing transmission

In addition, you could add a case scenario that perhaps happened in their facility (if they have one; if not, we would be happy to share). When training staff, particularly custody staff, it is important to demonstrate why they need to understand TB. It’s not just a medical issue; it affects everyone who breathes, including those who “breathe beyond the bars,” and the communities into which inmates are released.

Video (VHS / DVD) suggestions:

The Texas Department of Health has several videos (now in DVD format). To order, call 512-458-7447.

  • Preventing Tuberculosis in Correctional Facilities – 22 min.

  • Safely Transporting Inmates with Tuberculosis – 14 min.

  • I Wish I’d Known Then What I Know Now – 9 min.

The New York State Department of Health Bureau of Tuberculosis Control has a video. To order, call 518-474-4845 or email

  • TB Control in Prisons and Jails – 20 min.

Florida Department of Health - Order Educational Materials

  • TB Control in Prisons and Jails (this is the same as the video from NY State)

  • Nurse Lucretia Goes to Jail: Contact Investigation in Correctional Facilities – 17 min.

Handout suggestions:

CDC pamphlets may be ordered free of charge on the TB Website Order Form

  • Tuberculosis – Get the Facts (2005)

  • Tuberculosis – The Connection between TB and HIV (2005)

“About Tuberculosis: Precautions for Law Enforcement, Correctional, Parole, and Probation Personnel” may be purchased from-
Channing Bete Company
One Community Place
South Deerfield, MA 01373-0200

For additional resources, search the TB Education and Training Resources website .

For more information about TB in correctional facilities, check out the following resources:

Note: The authors are not responsible for the content of the education and training materials mentioned in this article. It is up to the user to evaluate the materials.


Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination -

Please send comments/suggestions/requests to:, or to
CDC/Division of Tuberculosis Elimination
Communications, Education, and Behavioral Studies Branch
1600 Clifton Rd., NE - Mailstop E-10, Atlanta, GA 30333