TB Program News and Announcements
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.
Revised Standing Delegation Orders (SDO) released on September 1, 2013 have been updated effective January 27, 2014. SDO and Services are used for patients who have not been medically seen or evaluated by a physician. They also serve as Standing Medical Orders (SMO) and Services for patients who have been evaluated by a physician. Read 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.
TB Morbidity Data Updated for 2012
Year 2012 TB morbidity data are available for viewing and downloading at our statistics page.
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 ( 67 KB) provides the reporting framework for the cohort reviews.
Please refer to the Cohort Review Policy ( 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 ( 141 KB).
Tuberculosis in Texas
In 2011, 1,325 cases of tuberculosis (TB) were reported in Texas, a rate of five per 100,000 population. TB can strike anyone but is more likely to be found in those born in a foreign country where TB is prevalent, people with diabetes, people with HIV/ AIDS, the homeless, and those that work in health care. Alcohol abuse is associated with more than 18 percent of TB cases and close to 9 percent of cases are associated with detention facilities. Learn more...
Recommendations for 12-Dose Regimen to Treat LTBI
On December 8, 2011, the CDC issued recommendations for a 12-dose isoniazid-rifapentine regimen to be delivered by directly observed therapy (DOT) to treat latent Mycobacterium tuberculosis infection (LTBI). For more information, see the full article in the MMWR or watch the CDC video podcast [English | Español].
Electronic Disease Notification Tuberculosis Follow-up Guide
High risk populations requiring TB screening include class B immigrants and refugees reported through the Centers for Disease Control and Prevention Electronic Disease Notification (EDN) System. The EDN Tuberculosis Follow-up Guide (PDF, 1.8 MB) provides instructions to complete the electronic TB Follow-up Worksheet for all class B immigrants and refugees.
The TB Follow-up Worksheet should be completed to reflect all screening and treatment outcomes for class B immigrants and refugees reported in EDN. Learn more...
Requests for TB Data
Contact the TB Program via e-mail to request TB data.