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Prevention and control of tuberculosis in correctional facilities; recommendations of the Advisory Council for the Elimination of Tuberculosis
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Description:The recommendations contained in this report update and expand previously published recommendations for preventing and controlling tuberculosis (TB) in correctional facilities (MMWR 1989;38:313–20, 325). The Advisory Council for the Elimination of Tuberculosis (ACET) has prepared this report to assist officials of federal, state, and local correctional facilities in controlling TB among inmates and employees of both short- and long-term correctional facilities (e.g., prisons, jails, and juvenile detention centers). Additional information about TB is available in the American Thoracic Society/CDC statements referred to in this report.
The transmission of Mycobacterium tuberculosis in correctional facilities presents a public health problem for correctional-facility employees and for inmates and the communities into which they are released. ACET recognizes the urgent need to improve TB prevention and control practices in many correctional facilities. All correctional facilities, even those in which few TB cases are expected to occur, should designate a person or group of persons who will be responsible for the facility’s TB infection-control program and the following three essential TB control activities: a) screening—identifying persons who are infected with M. tuberculosis or who have active TB disease; b) containment— preventing transmission of M. tuberculosis and adequately treating persons who have latent TB infection or active TB disease; and c) assessment—monitoring and evaluating the screening and containment activities. Correctional-facility officials should form close working relationships with their state and local health departments, which can assist correctional facilities in formulating, implementing, and evaluating these activities.
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Content Notes:Includes bibliographical references (p. 23-25).
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