Abstract
Tuberculosis (TB) is a top 10 global cause of death. Incidence varies a great deal between countries, and the ease and frequency of global travel by college students and faculty and close living conditions of students increase the likelihood of spread to US colleges. Most infected individuals experience prolonged asymptomatic periods for months to years before becoming symptomatic and contagious. Colleges must have in place policies and procedures to strategically control the risk to their communities. Clinicians have a responsibility to be educated about and alert to the signs and symptoms of active TB in order to protect the public health. Treatment of latent (asymptomatic) and active TB requires prolonged chemotherapy. Successful TB control requires culturally sensitive and medically informed screening, testing, consultation, and treatment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
The World Health Organization, Newsroom, Fact Sheets, Detail, The Top 10 causes of death. Accessed 23 Oct 2019. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.
Global tuberculosis report 2019. Geneva: World Health Organization; 2019. License: CC BY-NC-SA 3.0 IGO. Accessed 24 Oct 2019. https://apps.who.int/iris/bitstream/handle/10665/329368/9789241565714-eng.pdf?ua=1.
Global Health Observatory Data, World Health Organization. Accessed 25 Oct 2019. https://www.who.int/gho/tb/epidemic/cases_deaths/en/.
Reported Tuberculosis in the United States. Centers for Disease Control and Prevention; 2018. Accessed 23 Oct 2019. https://www.cdc.gov/tb/statistics/reports/2018/table1.htm.
Trends in Tuberculosis. Centers for Disease Control and Prevention; 2017. Accessed 23 Oct 2019. https://www.cdc.gov/tb/publications/factsheets/statistics/tbtrends.htm.
The Difference Between Latent TB Infection and TB Disease. Centers for Disease Control and Prevention, Fact Sheets. Accessed 24 Oct 2019. https://www.cdc.gov/tb/publications/factsheets/general/ltbiandactivetb.htm.
Legal Immigration and Status Report Quarterly Data, U.S. Department of Homeland Security, News, Publications Library. Accessed 23 Oct 2019. https://www.dhs.gov/immigration-statistics/readingroom/special/LIASR.
Tuberculosis Screening and Targeted Testing of College and University Students. American College Health Association Guidelines; 2018. Accessed 24 Oct 2019. https://www.acha.org/documents/resources/guidelines/ACHA_Tuberculosis_Screening_2018.pdf.
Mazurek GH, Jereb J, Vernon A, LoBue P, Goldberg S, Castro K, IGRA Expert Committee, Centers for Disease Control and Prevention (CDC). Updated guidelines for using interferon gamma release assays to detect mycobacterium tuberculosis infection – United States, 2010. MMWR Recomm Rep. 25 Jun 2010;59(RR-5):1–25.
Testing in BCG-Vaccinated Persons, Centers for Disease Control. Accessed 24 Oct 2019. https://www.cdc.gov/tb/topic/testing/testingbcgvaccinated.htm.
Hill A, Becerra J, Castro K. Modelling tuberculosis trends in the USA. Epidemiol Infect. 2012;140(10):1862–72.
Trauer JM, Moyo N, Tay EL, Dale K, Ragonnet R, McBryde ES, et al. Risk of active tuberculosis in the five years following infection…15%? Chest. 2016;149(2):516–25.
Getahun H, Matteelli A, Chaisson RE, Raviglione M. Latent mycobacterium tuberculosis infection. N Engl J Med. 2015;372(22):2127–35.
Diel R, Loddenkemper R, Niemann S, Meywald-Walter K, Nienhaus A. Negative and positive predictive value of a whole-blood interferon-γ(gamma) release assay for developing active tuberculosis: an update. Am J Respir Crit Care Med. 2011;183(1):88–95.
Ferebee SH. Controlled chemoprophylaxis trials in tuberculosis. A general review. Bibl Tuberc. 1970;26:28–106.
[no authors listed]. Efficacy of various durations of isoniazid preventive therapy for tuberculosis: five years of follow-up in the IUAT trial. Bull World Health Organ. 1982;60(4):555–64.
Treatment Regimens for Latent TB Infection (LTBI), Centers for Disease Control and Prevention. Accessed 24 Oct 2019. https://www.cdc.gov/tb/topic/treatment/ltbi.htm.
Arnadottir T. Tuberculosis and public health. Policy and principles in Tuberculosis control. Paris: International Union Against Tuberculosis and Lung Disease; 2009. https://theunion.org/what-we-do/publications/technical/english/pub_tbpublic-health_eng.pdf
Nahid P, Dorman SE, Alipanah N, Barry PM, Brozek JL, Cattamanchi A, et al. Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America clinical practice guidelines: treatment of drug-susceptible Tuberculosis. Clin Infect Dis. 2016;63(7):e147–95.
Recommended Reading
Core Curriculum on Tuberculosis: What the Clinician Should Know, Centers for Disease Control and Prevention. https://www.cdc.gov/tb/education/corecurr/index.htm.
American College Health Association Guidelines, Tuberculosis Screening and Targeted Testing of College and University Students; 2018. https://www.acha.org/documents/resources/guidelines/ACHA_Tuberculosis_Screening_2018.pdf.
Latent tuberculosis infection: updated and consolidated guidelines for programmatic management. Geneva: World Health Organization; 2018. Accessed 24 Oct 2019. http://www.ncbi.nlm.nih.gov/books/NBK531235/.
Taylor Z, Nolan CM, Blumberg HM; American Thoracic Society, Centers for Disease Control and Prevention, Infectious Diseases Society of America. Controlling tuberculosis in the United States, Recommendations from the American Thoracic Society, CDC, and the Infectious Diseases Society of America. MMWR Recomm Rep. 2005 4;54(RR-12):1–81. Accessed 24 Oct 2019. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5412a1.htm.
Getahun H, Matteelli A, Chaisson RE, Raviglione M. Latent mycobacterium tuberculosis infection. N Engl J Med. 2015;372(22):2127–35.
Nahid P, Dorman SE, Alipanah N, Barry PM, Brozek JL, Cattamanchi A, et al. Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America clinical practice guidelines: treatment of drug-susceptible Tuberculosis. Clin Infect Dis. 2016;63(7):e147–95.
Global tuberculosis report 2019. Geneva: World Health Organization; 2019. Licence: CC BY-NC-SA 3.0 IGO. https://apps.who.int/iris/bitstream/handle/10665/329368/9789241565714-eng.pdf?ua=1.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Bullis, K.W. (2021). Tuberculosis. In: Vaughn, J.A., Viera, A.J. (eds) Principles and Practice of College Health. Springer, Cham. https://doi.org/10.1007/978-3-030-56309-7_2
Download citation
DOI: https://doi.org/10.1007/978-3-030-56309-7_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-56308-0
Online ISBN: 978-3-030-56309-7
eBook Packages: MedicineMedicine (R0)