{"id":26,"date":"2019-10-03T14:01:09","date_gmt":"2019-10-03T18:01:09","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/tuberculosis\/?page_id=26"},"modified":"2026-03-12T14:57:01","modified_gmt":"2026-03-12T18:57:01","slug":"tb-disease","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/tuberculosis\/tb-disease\/","title":{"rendered":"TB Disease"},"content":{"rendered":"<div id=\"pl-26\"  class=\"panel-layout\" ><div id=\"pg-26-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-26-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-26-0-0-0\" class=\"so-panel widget widget_sow-button panel-first-child\" data-index=\"0\" ><div class=\"so-rounded panel-widget-style panel-widget-style-for-26-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-087d97bdf638-26\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=3HX44LRM3C\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tVDH TB Central Resource Hub\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"panel-26-0-0-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"1\" ><div class=\"panel-widget-style panel-widget-style-for-26-0-0-1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Reporting<\/h2>\n<p>TB Disease is a <strong>rapidly reportable<\/strong> condition in Virginia as reflected in the <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/134\/2023\/03\/VIRGINIA-REPORTABLE-DISEASE-LIST.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Virginia Reportable Disease List.<\/a>\u00a0Providers must report all suspected and confirmed cases of TB Disease <strong>immediately<\/strong>\u00a0to their local health department.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/12\/Tuberculosis-Disease-and-Tuberculosis-Infection-Reporting-Guidance-in-Virginia.January-2023.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Tuberculosis Disease and Latent Tuberculosis Infection Reporting Guidance in Virginia<\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/local-health-districts\/\" target=\"_blank\" rel=\"noopener\">View contact information for your local health department at this link.<\/a><\/p>\n<h3>For Local Health Districts:<\/h3>\n<ul>\n<li>Report <strong>all<\/strong> new presumptive and confirmed TB cases to VDH TB Program via the <a href=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=YMKEE8K9KK\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">electronic portal<\/a> within <strong>three days<\/strong> of learning about the new case.<\/li>\n<li>Contact a VDH TB nurse consultant as needed and\/or if you anticipate media attention surrounding a contact investigation.<\/li>\n<li>Contact a VDH TB Program consultant if you need assistance with an environmental assessment associated with a contact investigation.<\/li>\n<li>2020 Report of Verified Case of Tuberculosis (RVCT) Resources (2023 on later cases):\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/2020-RVCT-Reference-Manual_508comp_02252022.pdf\" target=\"_blank\" rel=\"noopener\">2020 RVCT Reference Manual (CDC cleared 2\/25\/2022)<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/2020-RVCT-Training_October-2023.pdf\" target=\"_blank\" rel=\"noopener\">2020 RVCT\/VEDSS Training Slides (October 2023)<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>Testing<\/h2>\n<p>There are two kinds of tests that are used to detect TB bacteria in the body: the TB skin test (TST) and TB blood tests. A positive TB skin test or TB blood test only tells that a person has been infected with TB bacteria. It does not tell whether the person has <a class=\"tp-link-policy\" href=\"https:\/\/www.cdc.gov\/tb\/hcp\/clinical-overview\/latent-tuberculosis-infection.html\" target=\"_blank\" rel=\"noopener\">latent TB infection\u00a0(LTBI) or has progressed to\u00a0TB disease<\/a>. Other tests, such as a chest x-ray and a sample of sputum (if symptomatic), are needed to see whether the person has TB disease. - CDC, 2018<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-26-0-0-2\" class=\"so-panel widget widget_sow-accordion\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-004838da7bad-26\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"cdc-fact-sheets\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-cdc-fact-sheets\" aria-controls=\"accordion-content-cdc-fact-sheets\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tCDC Fact Sheets\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-cdc-fact-sheets\"\n\t\t\t\tid=\"accordion-content-cdc-fact-sheets\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/tb\/publications\/factsheets\/testing\/pdf\/skinTestingInformation-508.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Tuberculin Skin Testing (TST)<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/tb\/hcp\/testing-diagnosis\/interferon-gamma-release-assay.html\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Interferon Gamma Release Assay (IGRA) Blood Testing<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"national-guidelines-and-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-national-guidelines-and-recommendations\" aria-controls=\"accordion-content-national-guidelines-and-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tNational Guidelines and Recommendations\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-national-guidelines-and-recommendations\"\n\t\t\t\tid=\"accordion-content-national-guidelines-and-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.idsociety.org\/practice-guideline\/diagnosis-of-tb-in-adults-and-children\/\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Diagnosis of Tuberculosis in Adults and Children (2016) - ATS\/IDSA\/CDC Guidelines<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><div id=\"panel-26-0-0-3\" class=\"so-panel widget widget_sow-editor\" data-index=\"3\" ><div class=\"panel-widget-style panel-widget-style-for-26-0-0-3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Treatment\/Management<\/h2>\n<p>When TB bacteria become active (multiplying in the body) and the immune system can\u2019t stop the bacteria from growing, this is called\u00a0<a href=\"https:\/\/www.cdc.gov\/tb\/about\/index.html\" target=\"_blank\" rel=\"noopener\">Tuberculosis (TB) disease<\/a>. TB disease will make a person sick. People with TB disease may spread the bacteria to people with whom they spend many hours.<\/p>\n<p>It is very important that people who have TB disease are treated, finish the medicine, and take the drugs exactly as prescribed. If they stop taking the drugs too soon, they can become sick again; if they do not take the drugs correctly, the TB bacteria that are still alive may become resistant to those drugs. TB that is resistant to drugs is harder and more expensive to treat.<\/p>\n<p>TB disease can be treated by taking several drugs for 6 to 9 months.\u00a0 There are 10 drugs currently approved by the U.S. Food and Drug Administration (FDA) for treating TB. Of the approved drugs, the first-line anti-TB agents that form the core of treatment regimens are:\u00a0 isoniazid (INH), rifampin (RIF), ethambutol (EMB), pyrazinamide (PZA). - CDC, 2018<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-26-0-0-4\" class=\"so-panel widget widget_sow-accordion\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-004838da7bad-26\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"vdh-guidelines-and-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-vdh-guidelines-and-recommendations\" aria-controls=\"accordion-content-vdh-guidelines-and-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tVDH Guidelines and Recommendations\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-vdh-guidelines-and-recommendations\"\n\t\t\t\tid=\"accordion-content-vdh-guidelines-and-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2021\/05\/Needed-Communication-between-Local-Health-Departments-and-the-TB-and-Newcomer-Health-Programs.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Needed Communication between Local Health Departments and the TB and Newcomer Health Programs<\/a><\/li>\n<li><strong>Nursing Directives and Guidelines<\/strong>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/02\/Nursing-Directive-Tuberculosis-Case-Management.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"doc-download-warning\">Tuberculosis Case Management<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/02\/Nursing-Directive-Direct-Observed-Therapy-Medication-Administration.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"doc-download-warning\">Direct Observed Therapy (Medication Administration)<\/a><\/li>\n<li>Delegation of Nursing Tasks to Unlicensed Personnel - link to be reposted soon<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/03\/Alternative-Housing-and-Incentive-Program-March-2022.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Alternative Housing and Incentive Program Manual<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2024\/07\/Discontinuing-Regimens-that-Do-Not-Contain-a-Rifamycin.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Discontinuing Regimens that Do Not Contain a Rifamycin<\/a><\/li>\n<li>Documentation in the Medical Record - link to be reposted soon<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/12\/Recommendations-for-Determination-of-Completion-of-Treatment-2022.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Recommendations for Determination of Completion of Treatment<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/02\/Recommendations-for-TB-Record-and-Form-Use-updated-9-12-19-1.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Recommendations for TB Record and Form Use<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2020\/07\/Guidance-for-Evaluating-Individuals-with-Class-B-TB-Conditions.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Guidance for Evaluating Individuals with Class B TB Conditions<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/Recommended-Sputum-Sample-Collection-Schedule-Aug.-2025-Final.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"doc-download-warning\">Recommended Sputum Sample Collection Schedule<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2020\/05\/TDM-May-2020.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Recommendations and Procedures for the Use of Therapeutic Drug Monitoring (TDM)<\/a><\/li>\n<li><a href=\"https:\/\/idpl.pharmacy.ufl.edu\/wordpress\/files\/2022\/08\/Instructions-sample-handling-UFShands-v-08.22.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Serum Drug Level Collection, Shipping, and Handling Instructions<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/02\/UF-IDPL-Therapeutic-Drug-Monitoring-FAQ-v2.pdf\" target=\"_blank\" rel=\"noopener\">University of Florida (UF) Therapeutic Drug Level Monitoring FAQ<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2024\/12\/Four-Month-Treatment-Regimen-Guidance_112023.pdf\" target=\"_blank\" rel=\"noopener\">Use of Four-Month Treatment Regimen for TB Disease<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/05\/Isolation-and-Respiratory-Restrictions-for-PWTB-in-HH-and-Community-Settings_VDH.pdf\" target=\"_blank\" rel=\"noopener\">Isolation and Respiratory Restrictions for Persons with Infectious Active TB in Household and Community Settings: VDH Guidance for Local Health Departments\u00a0<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"national-guidelines-and-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-national-guidelines-and-recommendations\" aria-controls=\"accordion-content-national-guidelines-and-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tNational Guidelines and Recommendations\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-national-guidelines-and-recommendations\"\n\t\t\t\tid=\"accordion-content-national-guidelines-and-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.thoracic.org\/statements\/resources\/tb-opi\/diagnosis-of-tuberculosis-in-adults-and-children.PDF\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Diagnosis of Tuberculosis in Adults and Children: Official American Thoracic Society\/Infectious Diseases Society of America\/Centers for Disease Control and Prevention Clinical Practice Guidelines (2017)<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/tb\/publications\/guidelines\/pdf\/clin-infect-dis.-2016-nahid-cid_ciw376.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Treatment of Drug-Susceptible Tuberculosis: Official American Thoracic Society\/Infectious Diseases Society of America\/Centers for Disease Control and Prevention Clinical Practice Guidelines (2016)<\/a><\/li>\n<li><a href=\"https:\/\/www.atsjournals.org\/doi\/10.1164\/rccm.202410-2096ST?ACSTrackingID=USCDCNPIN_2014-DM143574&amp;ACSTrackingLabel=Updated+Guidelines+on+the+Treatment+of+Drug-Susceptible+and+Drug-Resistant+TB&amp;deliveryName=USCDCNPIN_2014-DM143574&amp;\" target=\"_blank\" rel=\"noopener\">Updates on the Treatment of Drug-Susceptible and Drug-Resistant Tuberculosis: An Official ATS\/CDC\/ERS\/IDSA Clinical Practice Guideline<\/a><\/li>\n<li><a href=\"https:\/\/www.currytbcenter.ucsf.edu\/products\/view\/drug-resistant-tuberculosis-survival-guide-clinicians-3rd-edition\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Drug-Resistant Tuberculosis \u2013 A Survival Guide for Clinicians, 3<sup>rd<\/sup>\u00a0Edition\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/www.currytbcenter.ucsf.edu\/products\/view\/nursing-guide-managing-side-effects-drug-resistant-tb-treatment\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Nursing Guide for Managing Side Effects to Drug-resistant TB Treatment<\/a><\/li>\n<li><a href=\"https:\/\/www.atsjournals.org\/doi\/10.1164\/rccm.200510-1666ST?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed\" target=\"_blank\" rel=\"noopener\">An Official ATS Statement: Hepatotoxicity of Antituberculosis Therapy<\/a><\/li>\n<li><a href=\"https:\/\/www.atsjournals.org\/doi\/10.1164\/ajrccm.161.4.16141\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Diagnostic Standards and Classification of Tuberculosis in Adults and Children<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/PDF\/rr\/rr5211.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Treatment of Tuberculosis (MMWR, 2003)<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/pdf\/rr\/rr5412.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Controlling Tuberculosis in the United States (MMWR, 2005)<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/pdf\/rr\/rr5417.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/rr\/pdfs\/rr6907a1-H.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Essential Components of a Public Health Tuberculosis Prevention, Control, and Elimination Program: Recommendations of the Advisory Council for the Elimination of Tuberculosis and the National Tuberculosis Controllers Association (2020)<\/a>\u00a0and\u00a0<a href=\"https:\/\/stacks.cdc.gov\/view\/cdc\/90289\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Supplementary Appendices<\/a>\n<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/PDF\/rr\/rr4411.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Essential Components of a Tuberculosis Prevention and Control Program (MMWR, 1995)<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/05\/NTCA-Guidelines-for-Respiratory-Isolation-and-Restrictions-to-REduce-Tranmission-of-Pulmonary-Tuberculosis-in-Community-Settings.pdf\" target=\"_blank\" rel=\"noopener\">NTCA Guidelines for Respiratory Isolation and Restrictions to Reduce Transmission of Pulmonary Tuberculosis in Community Settings (2024)<\/a><\/li>\n<li><a href=\"https:\/\/www.heartlandntbc.org\/wp-content\/uploads\/2026\/02\/TB-Adverse-Drug-Reactions_2.17.26.pdf\" target=\"_blank\" rel=\"noopener\">TB Medications: Key Side Effects and Toxicities<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><div id=\"panel-26-0-0-5\" class=\"so-panel widget widget_sow-editor\" data-index=\"5\" ><div class=\"panel-widget-style panel-widget-style-for-26-0-0-5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Drug Resistance<\/h2>\n<p>Drug-resistant tuberculosis (TB) is a deadly communicable disease that poses a serious global health threat.\u00a0 It impacts not only individual patients and their families, but also imposes tremendous burdens on overextended public health systems that may lack the resources to contain it.<\/p>\n<ul>\n<li><strong>Multidrug-resistant (MDR):<\/strong> Resistance of\u00a0<em>Mycobacterium tuberculosis<\/em> strains to at least isoniazid and rifampicin, the cornerstone medicines for the treatment of TB.<\/li>\n<li><strong>Pre-extensively drug-resistant (Pre-XDR):<\/strong> TB caused by <em>Mycobacterium tuberculosis (M. tuberculosis)<\/em> strains that fulfil the definition of multidrug resistant and rifampicin-resistant TB (MDR\/RR-TB) and which are also resistant to any fluoroquinolone.<\/li>\n<li><strong>Extensively drug-resistant (XDR):<\/strong> TB caused by\u00a0<em>Mycobacterium tuberculosis (M. tuberculosis)<\/em>\u00a0strains that fulfil the definition of MDR\/RR-TB and which are also resistant to any fluoroquinolone and at least one additional Group A drug (Group A drugs are the most potent group of drugs in the ranking of second-line medicines for the treatment of drug-resistant forms of TB using longer treatment regimens and comprise levofloxacin, moxifloxacin, bedaquiline and linezolid).<\/li>\n<\/ul>\n<p style=\"text-align: right;\">- World Health Organization, 2021<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-26-0-0-6\" class=\"so-panel widget widget_sow-accordion\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-004838da7bad-26\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"vdh-guidelines-and-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-vdh-guidelines-and-recommendations\" aria-controls=\"accordion-content-vdh-guidelines-and-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tVDH Guidelines and Recommendations\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-vdh-guidelines-and-recommendations\"\n\t\t\t\tid=\"accordion-content-vdh-guidelines-and-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/07\/Bedaquiline-Ordering-Process-July-2025-Final.pdf\" target=\"_blank\" rel=\"noopener\">VDH Bedaquiline (Sirturo) Ordering Process<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/07\/Sirturo-Prescription-Form-October-2024-FillableWITHOUT-1st-2-wks.pdf\" target=\"_blank\" rel=\"noopener\">Bedaquiline (Sirturo) Prescription Order Form<\/a><\/li>\n<li><span style=\"color: #ff0000;\"><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/07\/Patient-Intake-Form-Fillable-April-2025.pdf\" target=\"_blank\" rel=\"noopener\">Bedaquiline (Sirturo) Patient Intake Form<\/a><\/span><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/BPaL-BPaLM-TB-Care-Plan-Curry.pdf\" target=\"_blank\" rel=\"noopener\">BPaL-BPaLM TB Care Plan (From Curry Guidelines)<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/MDR-Monitoring-Checklist-Curry.pdf\" target=\"_blank\" rel=\"noopener\">MDR Monitoring Checklist (From Curry Guidelines)<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/MDR-Lab-Flow-Sheet-Curry.pdf\" target=\"_blank\" rel=\"noopener\">MDR Lab Flow Sheet (From Curry Guidelines)<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"national-guidelines-and-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-national-guidelines-and-recommendations\" aria-controls=\"accordion-content-national-guidelines-and-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tNational Guidelines and Recommendations\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-national-guidelines-and-recommendations\"\n\t\t\t\tid=\"accordion-content-national-guidelines-and-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.atsjournals.org\/doi\/pdf\/10.1164\/rccm.201909-1874ST\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Treatment of Drug Resistant Tuberculosis (2019) - ATS\/CDC\/ERS\/IDSA<\/a><\/li>\n<li><a href=\"https:\/\/www.currytbcenter.ucsf.edu\/products\/view\/drug-resistant-tuberculosis-survival-guide-clinicians-3rd-edition\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Drug-Resistant Tuberculosis: A Survival Guide for Clinicians, 3rd edition (Curry International Tuberculosis Center)<\/a><\/li>\n<li><a href=\"https:\/\/www.currytbcenter.ucsf.edu\/products\/nursing-guide-managing-side-effects-drug-resistant-tb-treatment\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Nursing Guide for Managing Side Effects to Drug-resistant TB Treatment (Curry International Tuberculosis Center)<\/a>\u00a0also check out the guide in mobile app form called: Nursing DR-TB Guide (<a href=\"https:\/\/apps.apple.com\/us\/app\/nursing-dr-tb-guide\/id1507364988\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Apple<\/a>,\u00a0<a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.nursingguide.app\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Google Play<\/a>).<\/li>\n<li><a href=\"https:\/\/archive.cdc.gov\/#\/details?url=https:\/\/www.cdc.gov\/tb\/hcp\/treatment\/bpal.html\" target=\"_blank\" rel=\"noopener\">Provisional CDC Guidance for the Use of Pretomanid as part of a Regimen [Bedaquiline, Pretomanid, and Linezolid (BPaL)] to Treat Drug-Resistant Tuberculosis Disease (May 5, 2023)<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><div id=\"panel-26-0-0-7\" class=\"so-panel widget widget_sow-editor\" data-index=\"7\" ><div class=\"panel-widget-style panel-widget-style-for-26-0-0-7\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Contact Investigation<\/h2>\n<p>Conducting contact investigations (CIs) is one of the highest priorities for TB programs in the United States; second in importance only to detection and treatment of TB disease.<\/p>\n<p>Contact investigations are complicated undertakings that typically require hundreds of interdependent decisions, the majority of which are made on the basis of incomplete data, and dozens of time-consuming interventions.\u00a0 Making successful decisions during a contact investigation requires use of a complex, multi-factor matrix rather than simple decision trees.\u00a0 -CDC, 2005<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-26-0-0-8\" class=\"so-panel widget widget_sow-accordion panel-last-child\" data-index=\"8\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-004838da7bad-26\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"vdh-guidelines-and-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-vdh-guidelines-and-recommendations\" aria-controls=\"accordion-content-vdh-guidelines-and-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tVDH Guidelines and Recommendations\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-vdh-guidelines-and-recommendations\"\n\t\t\t\tid=\"accordion-content-vdh-guidelines-and-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li>Nursing Directives and Guidelines\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/02\/Nursing-Directive-Tuberculosis-Contact-Investigation.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"doc-download-warning\">Tuberculosis Contact Investigation<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Determining the Need for a Contact Investigation and Prioritizing Public Health Response - link to be reposted soon<\/li>\n<li>Guidelines for Estimating the Start of the Infectious Period - link to be reposted soon<\/li>\n<li>TB Transmission - Effect of Index Patient Characteristics and Behaviors - link to be reposted soon<\/li>\n<li>Reporting a Contact Investigation:\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/Contact-Investigation-Documentation-Instructions.pdf\" target=\"_blank\" rel=\"noopener\">Contact Investigation Documentation Instructions<\/a>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2020\/05\/Final-502-Fillable_5_12_2020.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Final 502 (Fillable)<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/Congregate-CI-Summary-Form-Fillable_6.2021.pdf\" target=\"_blank\" rel=\"noopener\">Summary Report of a TB Contact Investigation in a Congregate Setting<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"national-guidelines-and-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-national-guidelines-and-recommendations\" aria-controls=\"accordion-content-national-guidelines-and-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tNational Guidelines and Recommendations\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-national-guidelines-and-recommendations\"\n\t\t\t\tid=\"accordion-content-national-guidelines-and-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/pdf\/rr\/rr5415.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Guidelines for the Investigation of Contacts of Persons with Infectious Tuberculosis (MMWR, 2005)<\/a><\/li>\n<li><a href=\"https:\/\/centerfortuberculosis.mayo.edu\/media\/studio-sites\/center-for-tuberculosis-website\/products\/ChildrenUnder5ExposedtoInfectiousTBGuide-mc8011-09.pdf\">Diagnosis and Management Guide: Children Under 5 Exposed to Infectious TB (Mayo Clinic Center for Tuberculosis, 2025)<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-26-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-26-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-26-1-0-0\" class=\"so-panel widget widget_text panel-first-child\" data-index=\"9\" ><div class=\"moonside panel-widget-style panel-widget-style-for-26-1-0-0\" >\t\t\t<div class=\"textwidget\"><p><span id=\"pdf-download-warning\">Opens pdf to download<\/span><\/p>\n<\/div>\n\t\t<\/div><\/div><div id=\"panel-26-1-0-1\" class=\"so-panel widget widget_text panel-last-child\" data-index=\"10\" ><div class=\"moonside panel-widget-style panel-widget-style-for-26-1-0-1\" >\t\t\t<div class=\"textwidget\"><p><span id=\"doc-download-warning\">Opens document to download<\/span><\/p>\n<\/div>\n\t\t<\/div><\/div><\/div><div id=\"pgc-26-1-1\"  class=\"panel-grid-cell\" ><div id=\"panel-26-1-1-0\" class=\"so-panel widget widget_text panel-first-child\" data-index=\"11\" ><div class=\"moonside panel-widget-style panel-widget-style-for-26-1-1-0\" >\t\t\t<div class=\"textwidget\"><p><span id=\"new-window-warning\">Opens in a new window<\/span><\/p>\n<\/div>\n\t\t<\/div><\/div><div id=\"panel-26-1-1-1\" class=\"so-panel widget widget_text panel-last-child\" data-index=\"12\" ><div class=\"moonside panel-widget-style panel-widget-style-for-26-1-1-1\" >\t\t\t<div class=\"textwidget\"><p><span id=\"external-link-warning\">External link will open in new window.\u00a0 Click link to exit Virginia Department of Health Website.\u00a0<\/span><\/p>\n<\/div>\n\t\t<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Reporting TB Disease is a rapidly reportable condition in Virginia as reflected in the Virginia Reportable Disease List.\u00a0Providers must report all suspected and confirmed cases of TB Disease immediately\u00a0to their local health department. Tuberculosis Disease and Latent Tuberculosis Infection Reporting Guidance in Virginia View contact information for your local health department at this link. For [&hellip;]<\/p>\n","protected":false},"author":499,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-26","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>TB Disease - Tuberculosis<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/tuberculosis\/tb-disease\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"TB Disease - Tuberculosis\" \/>\n<meta property=\"og:description\" content=\"Reporting TB Disease is a rapidly reportable condition in Virginia as reflected in the Virginia Reportable Disease List.\u00a0Providers must report all suspected and confirmed cases of TB Disease immediately\u00a0to their local health department. 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