![]() ![]() Finally, racial and ethnic minority populations and foreign-born individuals continue to account for a large number of TB cases in the United States. Multidrug-resistant TB (MDR TB) remains a concern, and extensively drug-resistant TB (XDR TB) has become an important issue. For example, while the number of TB cases is still declining, the speed of decline has slowed since 2003. However, with increased funding and attention to the TB problem, there has been a steady decline in the number of persons with TB disease since 1993. ![]() This contributed to an increase in the number of TB cases between 19. But in the 1970s and early 1980s, the country let its guard down and TB control efforts were neglected. As a result, TB disease slowly began to decrease in the United States. Starting in the 1940s, scientists discovered the first of several medicines now used to treat TB. In the early 1900s, TB disease killed one out of every seven people living in the United States and Europe. Why are TB and TB control an issue in the United States?Ī. Most people with latent TB infection can take medicine so that they will not develop active TB disease. For more information on TB infection, visit Q. People with active TB disease can be treated if they seek medical help. However, some people with latent TB infection go on to get TB disease. People who have latent TB infection do not feel sick, do not have any symptoms, and cannot spread TB to others. People who are infected but not sick have what is called latent TB infection. However, not everyone infected with TB bacteria becomes sick. People nearby may breathe in these bacteria and become infected. The bacteria are put into the air when a person with active TB disease of the lungs or throat coughs, sneezes, speaks, or sings. TB is spread through the air from one person to another. TB disease was once the leading cause of death in the United States. If not treated properly, TB disease can be fatal. But TB bacteria can attack any part of the body, such as the kidney, spine, and brain. Tuberculosis (TB) is a disease caused by bacteria called Myobacterium tuberculosis. More information on immigration medical exams and civil surgeons is available on our website at For more information about the medical examination, please visit Immigration Medical Examinations. For more information about civil surgeons, please visit Designated Civil Surgeons.Ī. The civil surgeon also has to assess whether the individual has received vaccinations against vaccine preventable diseases, and administer appropriate vaccines, as required by HHS. These conditions include other communicable diseases of public health significance, as defined in the Department of Health and Human Service's (HHS) regulations at 42 CFR part 34 mental and physical disorders with associated harmful behaviors and drug abuse or drug addiction. The screening for TB is one part of the medical examination only the civil surgeon has to screen an applicant for other conditions that render an applicant inadmissible to the United States. The update supplements the Tuberculosis Component of the Technical Instructions for the Medical Examination of Aliens (May 2008) (TB Component of the Technical Instructions) it does NOT replace it. The update to the TB Component of the Technical Instructions is effective and applies to the completion of any medical assessment made on or after November 1, 2009. ![]() The civil surgeon is required to comply with the Technical Instructions for the Medical Examination of Aliens in the United States (Technical Instructions), and any updates, issued by the CDC. USCIS anticipated this change and made the necessary amendments to Form I-693, Report of Medical Examination and Vaccination Record. On November 1, 2009, the Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC) updated the Tuberculosis Component of the Technical Instructions for the Medical Examination of Aliens in the United States (May 2008) (available on CDC's website at This update makes the traditional Tuberculin Skin Test (TST), and as of November 1, 2009, the QuantiFERON®-TB Gold (QFT-G) Test, the QuantiFERON®- TB Gold in Tube (QFT-G IT) test, and the T-Spot TB test available for TB testing. These Questions and Answers only provide information about the assessment by the civil surgeon to determine whether an applicant has been infected with TB and address the most recent updates to the Tuberculin (TB) Component of the Technical Instructions for the Medical Examination of Aliens in the United States. ![]()
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