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MMWR: Recommendations for the Prevention and Control of Tuberculosis Among Foreign-Born Persons: Report of the Working Group on Tuberculosis Among Foreign-Born Persons

This report reviews the new CDC guidelines about TB screening for immigrants and the medical treatment of infected persons. Recent immigration trends and the epidemiology of TB among immigrants is examined. The report discusses the prioritization of TB case finding, screening, and preventive therapy for immigrants in the overall elimination of TB in the United States. It includes recommendations to improve epidemiologic reporting on the federal, state, and local levels for foreign-born persons in the US.

MMWR: Missed Opportunities for Prevention of Tuberculosis Among Persons With HIV Infection--Selected Locations, United States, 1996-1997

This study examined the clinic records of TB programs to determine whether these programs used recommended practices to manage HIV-positive persons exposed to TB. The study suggests that TB programs need to review their contact investigation policies, procedures, and outcomes to reduce missed opportunities for preventing active TB among HIV-positive close contacts.

MMWR: Update: Nucleic Acid Amplification Tests for Tuberculosis

This notice explains that on September 30, 1999, the Food and Drug Administration approved a reformulated amplified Mycobacterium Tuberculosis Direct (MTD) test for detection of Mycobacterium tuberculosis in acid-fast Bacille (AFB) smear-positive and smear-negative respiratory specimens from patients suspected of having TB.

MMWR: Tuberculosis Outbreaks in Prison Housing Units for HIV-Infected Inmates - California, 1995-1996

This report describes the investigations of two TB outbreaks that occurred in two state correctional institutions with dedicated HIV housing units. In each outbreak, IS6110-based DNA fingerprinting of Mycobacterium (MTB) isolates linked all cases. During the 4-month intervals between identification of the two male index case-patients, one of whom later died of miliary TB, and chest radiograph screening of all the contacts remaining in the housing unit, 190 inmates had been released.

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