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    TB and Refugee Health Services Branch

    MC 1939
    P.O. Box 149347
    Austin, TX 78756-9347

    Phone: 512-533-3000
    Fax: 512-533-3167

    Email the TB Program

Tuberculosis (TB)



TB Program News and Announcements

DSHS TB Phlebotomy Trainings

Texas Department of State Health Services will host Phlebotomy Trainings at local and regional health departments across Texas that provide TB clinical care.  The goal of the training is to provide information and skills that will enable participants to collect blood specimens for IGRA tuberculosis screenings. Phlebotomy certification is not being offered.

Trainings will be provided at no cost to health service regions, local health departments and public health partners involved in screening high-risk TB populations. However, travel costs are not included.

To learn more and to register, click on the training links below.

Houston- July 27-28
Houston – July 29-30

To register for these two-day trainings, participants must read and agree to the Phlebotomy Training Informed Consent.

The planning committee applied for and received continuing education credit for multiple disciplines for this training (view approved credits). The trainer will provide attendees with specific instructions during the training. DSHS will send a link to the required evaluation after the training.

The training is from 8:30 a.m. to 4:30 p.m. each day. Full attendance is required (partial attendance is not permissible). Attendance is limited to 15 persons.

For more information, please contact Raiza Ruiz, Congregate Settings Coordinator at (512) 533-3154.

Posted 5/26/2015

Tuberculosis in Texas

In 2013, 1,222 cases of tuberculosis (TB) were reported in Texas, a rate of 4.6 per 100,000 population. TB can affect anyone but is more likely to be diagnosed in people born in a foreign country where TB is prevalent, people living with diabetes or HIV/AIDS, the homeless, and health care workers. Alcohol abuse is associated with 17% of TB cases and 10% of cases are diagnosed in detention facilities. Learn more...

TB in Correctional Facilities

The Texas Department of State Health Services (DSHS) Tuberculosis Services Branch collects, compiles and analyzes tuberculosis screening activity reported by jails meeting Texas Health and Safety Code Chapter 89 criteria.  The Annual Tuberculosis Screening Report reflects these screening results for jails meeting the statutory criteria and is now available for viewing or download

Posted 9/24/2014

FY15 Standing Delegation Orders Updated

The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Control for FY 2015 are now available.

The SDO/SMO and services are written instructions, orders and procedures prepared by the Department of State Health Services Tuberculosis and Refugee Health Services Branch to promote consistent evaluation and treatment practices for persons with suspected or confirmed TB disease or latent TB infection.

The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Control are effective September 1, 2014.

Posted 8/25/2014



Congregate Setting Target Testing

On May 13, 2014, the Texas Department of State Health Services (DSHS) Tuberculosis and Refugee Health Services Branch released new guidelines for congregate setting target testing. The guidelines were issued in recognition of the importance of screening activities among high-risk populations and treatment for TB infection as essential components in TB elimination programs. Submission of a Congregate Setting Target Testing Monthly Report is now required under these guidelines.

Posted 5/16/2014


Cohort Review Implementation

In March 2013, the Tuberculosis Services Branch implemented the cohort review system in Texas. A cohort review is a systematic and retrospective review of the management of TB cases and contacts. It is an effective management tool that identifies trends impacting outcomes and provides the impetus for developing systems that enhance program performance.

It is the policy of the Tuberculosis Services Branch that in order to promote optimal case management and contact investigation practices statewide, DSHS health service regions and contracted local health department TB programs will hold quarterly cohort reviews.  DSHS health service regional TB programs will work with low morbidity public health jurisdictions to implement the cohort review process. The Health Service Regions' Tuberculosis Cohort Review Infrastructure form (Adobe PDF File 67 KB) provides the reporting framework for the cohort reviews.

Please refer to the Cohort Review Policy (Adobe PDF File 45 KB) for further information.

The followings tools are available to conduct the cohort review and report findings to DSHS Tuberculosis Program Services Branch:

For help completing the summary form, download An Overview of the Cohort Review Summary Form (Adobe PDF File  141 KB).

Updated 6/10/2015



Last updated July 21, 2015
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