Posted March 6, 2018. Past health advisories and alerts are archived for historical purposes and are not maintained or updated.
The Spokane Regional Health District (SRHD) TB Program has noted a recent increase in reported tuberculosis disease cases. The reported cases have been a combination of extrapulmonary (specifically the cervical lymph nodes) and pulmonary sites.
One fourth of the world’s population is infected with TB. In 2016, 10.4 million people around the world became sick with TB disease. There were 1.7 million TB-related deaths worldwide. A total of 9,272 TB cases (a rate of 2.9 cases per 100,000 persons) were reported in the United States in 2016 (https://www.cdc.gov/tb/statistics/default.htm). Approximately two-thirds of these cases are individuals born abroad in the 22 countries considered to be “high burden” countries. These include countries in Eastern Europe, Africa, Asia, the Caribbean, Latin America, and the Pacific Islands.
Transmission of the tuberculosis bacteria occurs through the air from person to person. In the US, an estimated 85% of individuals with TB disease represent reactivation of latent tuberculosis infection (LTBI). Risk factors for TB disease include:
Individuals with pulmonary tuberculosis may clinically present with symptoms of a cough lasting for 3 weeks or longer, chest pain, hemoptysis, weakness or fatigue, weight loss, decreased appetite, fever, and night sweats. Symptoms of extrapulmonary tuberculosis are dependent on the area affected.
ACTIONS REQUESTED OF ALL CLINICIANS:
|SRHD TB Program Contact Information|
|Katie Dickeson, RN
TB Program Coordinator
|Dr. Robert Lutz