Three air travel-related contact investigations associated with infectious tuberculosis, 2007-2008.

Abstract:

BACKGROUND:The potential for transmission of Mycobacterium tuberculosis during air travel has garnered considerable attention in the media and among public health authorities due to high-profile cases of international travelers with infectious tuberculosis (TB). METHODS:During 2007 and 2008, state and local health officials were asked to locate and conduct diagnostic follow-up for airline passengers considered contacts of three travelers, two with multidrug-resistant (MDR) TB and one considered highly contagious, who undertook air travel while infectious with TB disease. RESULTS:Public health departments in 21 states located and evaluated 79 (60%) of the 131 passenger contacts identified; 52 (40%) were lost to follow-up. Eight (10%) contacts had a history of TB disease or latent TB infection and were not retested. Sixteen (23%) of 71 contacts tested had positive TB test results suggesting latent TB infection, 15 of whom were from countries reporting estimated TB disease rates of greater than 200 cases/100,000 persons. CONCLUSIONS:Passenger contacts' positive test results may represent prior TB infection acquired in their countries of residence or may be a result of new TB infection resulting from exposure during air travel.

journal_name

Travel Med Infect Dis

authors

Kornylo-Duong K,Kim C,Cramer EH,Buff AM,Rodriguez-Howell D,Doyle J,Higashi J,Fruthaler CS,Robertson CL,Marienau KJ

doi

10.1016/j.tmaid.2009.08.001

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

120-8

issue

2

eissn

1477-8939

issn

1873-0442

pii

S1477-8939(09)00126-4

journal_volume

8

pub_type

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