Control and Prevention of an Epidemic

Part IV. Control and Prevention of an Epidemic

Question 14:

What preventive measures would you recommend for those who had a positive TST, but did not have any other sign of disease?

Question 15:

Based on the pathogenicity–the ability of an agent to cause disease after infection, measured as the proportion of persons infected by an agent who then experience clinical disease–8 of TB, do you recommend future TSTs and studies?

Part V. Conclusion

Ten weeks after the initial tuberculin testing, 86 of the 11 a.m. nonreactor choir members were retested. Two new reactors (both tenors) were found and given treatment for latent TB infection. No additional cases were found. It should also be noted that the sopranos who sat directly in front of the tenors, separated by the floor air outlet-intake vents, did not have TB, and few sopranos had positive TST results.

Works Cited

· Mangura BT, Napolitano EC, McDonald RJ, Passannante MR, Reichman LB. Mycobacterium tuberculosis miniepidemic in a church gospel choir. Chest. 1998;113:234-237.

· Centers for Disease Control and Prevention. Fact sheets: diagnosis of tuberculosis disease. http://www.cdc.gov/tb/pubs/tbfactsheets/diagnosis.htm Accessed April 15, 2009.

· Centers for Disease Control and Prevention. Summary of notifiable diseases- United States, 2006. MMWR. 2008;55:1-94.

· Centers for Disease Control and Prevention. Module 6: contact investigations for tuberculosis. http://www.cdc.gov/tb/education/ssmodules/pdfs/6.pdf Accessed July 23, 2009..

· California Department of Health Services Tuberculosis Control Branch; California Tuberculosis Controllers Association. Contact Investigation Guidelines. Berkeley, CA: California Department of Health Services; 1998.

· Centers for Disease Control and Prevention. Guide to the application of genotyping to tuberculosis prevention and control. www.cdc.gov/…/Chap3/3_CDCLab_2Description.htm Accessed April 15, 2009.

· U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Office of Workforce and Career Development, Career Development Division, Atlanta, GA 30333. Technical content by: Richard C. Dicker, MD, MSc, Lead Author, Fatima Coronado, MD, MPH, Denise Koo, MD, MPH and Roy Gibson Parrish, II, MD, Published by the Public Health http://www.cdc.gov/excite/library/glossary.htm#P Accessed July 23, 2009.

· U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Office of Workforce and Career Development, Career Development Division, Atlanta, GA 30333. Technical content by: Richard C. Dicker, MD, MSc, Lead Author, Fatima Coronado, MD, MPH, Denise Koo, MD, MPH and Roy Gibson Parrish, II, MD, Published by the Public Health http://www.cdc.gov/excite/library/glossary.htm#P Accessed April 15, 2009.

· Michael GB. Field Epidemiology. Second Edition. New York: Oxford Press, 2002.

· Centers for Disease Control and Prevention. Q&A: About TB, 2009.http://www.cdc.gov/tb/faqs/default.htm Accessed April 15, 2009.

· Targeted tuberculin testing and treatment of latent tuberculosis infection. Am J Respir Crit Care Med. 2000; 161:S221-S247.

· Centers for Disease Control and Prevention. Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities, 1994. MMWR Morb Mortal Wkly Rep. 1994; 43:1-132.

�All of these need to be corrected for proper APA format, 6th edition. See the style cheat sheet for examples.

 

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