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TUBERCULOSIS IN
SAN DIEGO COUNTY
SAN DIEGO COUNTY TB STATS
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192 new cases were reported in 2020. A drop of 73 from 2019
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Case rates in 2020 were 5.7 per 100,000 persons
Image source from sandiegocounty.gov. 4/13/21.
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80% of active TB cases are due to the progression of LTBI to active TB
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About 175,000 San Diegans have LTBI which can develop into active TB without treatment
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From the 175,000 persons affected with LTBI, 25% are unaware of their status and only 15% get treated
Mycobacterium bovis
M. bovis, often found in Southern California due to the states proximity to Mexico, is a germ from the bacteria family that can cause tuberculosis.
It is contracted through the ingestion of unpasteurized dairy products, primarily cheese made in unsanitary conditions.
In 2020 San Diego County reported 12% of cases due to M. bovis. Of these cases, 24% were from persons born in Mexico. This is a slight increase from 2019.*
*Above statistics obtained from San Diego Health & Human Services Agency TB program, 4/2021.
TUBERCULOSIS SKIN TEST (TST)
Please watch either the video by CDC or the two YouTube videos. These will provide background on tuberculin skin test (TST) placement and how to read the results.
Video is 29 minutes in length and reviews the procedure for TST preparation, administration and reading of the test. CDC provides an in depth instruction on TST
The videos below are concise and approximately 2 minutes in length.
This video demonstrates the appropriate TST placement.
This video discusses how to read a TST.
TUBERCULOSIS WEBINAR
The following archived webinar is hosted by Heartland National Tuberculosis Center. Heartland National is one of four of the TB Centers of Excellence that is funded by the CDC. They serve the mid west states.
The webinar is broken into 7 presentations. Below lists the title of each presentation and the time it starts. Please view one of interest to you.
1. Epidemiology of Childhood TB (6min)
2. TB Exposure in Children (39min 50sec)
3. Radiologic Manifestations of Pediatric TB
(1hr 42min 20sec)
4. What can a Low-Burden TB Setting Contribute to Global Childhood TB Care & Prevention
(2h 35min 17sec)
5. Diagnosis & Management of Childhood TB
(3h 39min 28sec)
6. Diagnosis & Treatment of LTBI and Adolescent TB
(4h 48min 4sec)
7. TB Meningitis (6h 12min)
The following archived webinar is hosted by Rutgers Global Tuberculosis Institute. Rutgers is one of four of the TB Centers of Excellence that is funded by the CDC. They provide training, education, and consultations to 20 states in the northeastern part of the States.
RESOURCES
https://www.cdc.gov/tb/default.htm
San Diego County | Tuberculosis Control and Refugee Health Program
https://www.sandiegocounty.gov...tuberculosis_control_program/
Curry International TB Center | UCSF
https://www.currytbcenter.ucsf.edu/
Heartland National TB Center | University of Texas Health Center at Tyler
https://www.heartlandntbc.org/
Rutgers Global Tuberculosis Institute
http://globaltb.njms.rutgers.edu/
South Eastern National Tuberculosis Center
https://sntc.medicine.ufl.edu/home/index#/
Infectious Diseases Society of America | Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children
Testing & Treatment Recommendations for Active TB
TST: Administration, Reading and Interpretation
