How Do I Look Up My Tb Results Again

For the General Public:

What is TB?
What are the symptoms of TB?
How is TB spread?
Is at that place a difference betwixt TB Infection, and TB disease?
What should I do if I take spent time with someone with TB infection?
What should I do if I have been exposed to someone with TB disease?
How do I go tested for TB?
Who tin administer a tuberculin skin test (TST)?
How often tin TSTs exist repeated?
Where tin can I go tested for TB?
What does a positive TB test mean?
Can I become vaccinated for TB?
What if someone has received the BCG vaccine (which is given in many countries)?
Why is TB infection treated?
How is TB disease treated?
How many people in Texas take TB?

For Health Care Professionals

What are the recommendations for screening health care personnel (HCP) for tuberculosis upon hire?
How oft should HCP be screened for TB afterward hire? Is annual testing recommended?
If annual testing with a TST or blood test is no longer routinely recommended, should HCP be checked for symptoms of TB periodically?
How should I screen my employee for TB upon hire if they say they already accept a positive TB skin or blood test?
Can a new hire'southward documented negative tuberculin skin test (TST) result be used in performing a baseline ii-pace TST?
What do I demand to know if my HCW has received a BCG vaccine?
Are routine or almanac CXRs all the same recommended?
Tin my employee with a positive TB skin or blood test return to work?
What further actions practise I need to have when HCP are diagnosed with TB infection or TB disease?
Should HCP be treated for TB infection?
Have the updated 2019 guidelines for screening HCP for TB inverse the demand for a facility run a risk assessment?
Does DSHS have a sample class that wellness care facilities may use to document TB screening, testing, and educational activity?
Where can I detect more information regarding screening health intendance personnel for TB?

TB and COVID-19

Practise COVID-19 and TB share like symptoms?
Are at that place recommendations to filibuster TB screening in persons recently vaccinated against COVID-19?

Full general Reporting Requirements

How do I report tuberculosis screening results?

Recommendations for TB Screening of Adults and Children in Various Settings

Are there general recommendations about which adults should and should not exist screened for TB in Texas, and how to screen them?
Are there full general recommendations about which children should and should not be screened for TB in Texas, and how to screen them?
What are the screening requirements for TB testing in facilities that provide care to children?
What are the screening requirements for TB testing in adult care centers such equally assisted living facilities?

For Schools

Do all employees in Texas schools all the same need a tuberculin skin test?
Do all new students in Texas schools nevertheless need a tuberculin skin test?

For Correctional Settings

Are correctional facilities in Texas required to screen inmates and employees for TB?

Other Resources

What are other recommended sites where I can discover data about tuberculosis?

For the General Public

What is TB?

Tuberculosis (TB) is a illness acquired by germs that are spread from person to person through the air. TB usually affects the lungs, simply it can also affect other parts of the body, such as the brain, the kidneys or the spine. A person with TB can die if they do not get treatment.

What are the symptoms of TB?

The general symptoms of TB disease include feelings of sickness or weakness, weight loss, fever, and nighttime sweats. The symptoms of TB disease of the lungs also include coughing, chest hurting, and the coughing up of blood. Symptoms of TB disease in other parts of the trunk depend on the surface area afflicted.

How is TB spread?

TB germs are put into the air when a person with TB disease of the lungs or throat coughs, sneezes, speaks or sings. These germs can stay in the air for several hours, depending on the environment. Persons who breathe in the air containing these TB germs can become infected; this is called TB infection or latent TB infection (LTBI). If untreated, TB infection can become TB disease.

Is in that location a deviation between TB Infection, and TB disease?

People with TB infection have TB germs in their bodies, but they are not sick considering the germs are not agile. These people do not have symptoms of TB disease and they cannot spread the germs to others. Withal, they may develop TB disease in the future. They are oftentimes prescribed treatment to forestall them from developing TB affliction.

People with TB disease are sick from TB germs that are active, meaning that they are multiplying and destroying tissue in their body. They usually have symptoms of TB disease. People with TB disease of the lungs or pharynx are capable of spreading germs to others. They are prescribed drugs that can treat TB disease.

What should I do if I have spent fourth dimension with someone with TB infection?

A person with TB infection cannot spread germs to other people. You practise non need to be tested if you have spent fourth dimension with someone with TB infection. However, if you take spent time with someone with TB disease or someone with symptoms of TB, you should contact your doctor or local or regional health department for TB screening recommendations.

What should I practise if I have been exposed to someone with TB illness?

Not anybody who is exposed to TB becomes infected with the TB germs. If yous believe you take been exposed to TB, you should contact your physician or the local health section for more information well-nigh screening and testing.

How exercise I become tested for TB?

In that location are 2 tests that can exist used to help observe TB infection: a pare test or a TB blood examination.

The Mantoux tuberculin skin test (TST) is performed by injecting a small amount of fluid (called tuberculin) into the skin in the lower part of the arm. A person given the TST must return inside 48 to 72 hours to take a trained health care worker wait for a reaction on the arm; this must be done in-person.

The TB blood test, known as the Interferon Gamma Release Assay (IGRA), measures how the patient'due south immune organisation reacts to the germs that cause TB when present. There are currently two Federal Drug Administration (FDA) approved blood tests on the marketplace: the QuantiFERON®–TB Gold In-Tube test (QFT-GIT) and the T-SPOT®.TB test (T-Spot).

Although the tuberculin skin exam has been the well-nigh mutual screening method in Texas, many wellness departments now use the IGRA test every bit the standard tool. When choosing a skin examination or blood test, consideration can be made based on historic period, health status (see policy TB 1004), BCG condition, and other factors of the person needing the examination.

A positive TST or IGRA only tells you if y'all take TB germs in your body. Other tests may be needed to tell if y'all have TB disease, such every bit a chest 10-ray (CXR) and other laboratory testing of sputum.

Who can administer a tuberculin skin test (TST)?

A tuberculin skin examination (TST) is considered a medical act and should only exist performed past an individual working under the lodge of a licensed physician. There is no requirement for the individual to be a licensed health care worker. DSHS recommends those that administer a TST see knowledge and clinical skills requirements, have received training, and demonstrated competency earlier administering a TST.

The Texas DSHS TB Program recommends that anyone who administers a TST has reviewed, is familiar with, and able to readily access the recommendations inside the following documents:

CDC Fact Sail "Tuberculin Skin Testing"
CDC fact sheet "Targeted Tuberculin Testing and Interpreting Tuberculin pare Test Results"
CDC Mantoux Tuberculin Peel Testing Facilitator Guide
Tubersol parcel insert (PDF)
Aplisol packet insert (PDF)

In person preparation on how to administer a TST is available through the Heartland National TB Eye. Please visit the Heartland National TB Center website for a listing of training opportunities.

How often tin can TSTs exist repeated?

In general, there is no adventure associated with repeated tuberculin peel test placements. If a person does not return within 48-72 hours for a tuberculin peel test reading, a second test can be placed every bit before long as possible. In that location is no contraindication to repeating the TST, unless a previous TST was associated with a astringent reaction.

Where can I become tested for TB?

In general, Texas Section of Land Wellness Services does not recommend that low risk individuals be tested for tuberculosis. If a test is needed or recommended, the general public may ask their main care provider, local clinics, or pharmacies, amidst other sites. You may also contact your local or regional health department for recommendations regarding private testing needs.

What does a positive TB exam mean?

A person with a positive TST or claret test has the TB germ in their body. It does not tell whether or not the person has TB infection or TB disease. Other tests, such equally a chest 10-ray, symptom screening and a testing of sputum (phlegm), are needed to make up one's mind whether the person has TB infection or TB illness.

Can I get vaccinated for TB?

There is a vaccine for TB, all the same it is not generally recommended for use in the Us. Bacille Calmette-Guérin, or BCG, is a vaccine used in many countries with high rates of TB. BCG vaccination does not completely foreclose people from getting TB, simply information technology is used to protect infants and young children from serious, life-threatening diseases, specifically miliary TB and TB meningitis.

What if someone has received the BCG vaccine (which is given in many countries)?

In many parts of the world where TB is common, Bacille Calmette-Guérin, (BCG) vaccine is used to protect infants and young children from serious, life-threatening diseases, specifically miliary TB and TB meningitis. Even so, it does non completely prevent people from getting TB.

The effect of the BCG vaccine wanes overtime and may have little to no effect on positive TST results amongst adults who received the vaccine as a child.

A person with a history of BCG vaccination can be tested and treated for TB infection if they react to the TST. TST reactions should be interpreted based on risk stratification regardless of BCG vaccination history. IGRAs use Grand. tuberculosis specific antigens that do not cross react with BCG, and therefore, exercise not cause simulated positive reactions in BCG recipients— this means a claret test, or IGRA, is preferred for BCG vaccinated individuals.

Why is TB infection treated?

If y'all have TB infection but not TB disease, your md may want you to take a drug to impale the TB germs and preclude you lot from developing TB disease. The decision about taking treatment for TB infection will be based on your chances of developing TB disease. Some people are more likely than others to develop TB disease once they have TB infection. This includes people with HIV infection, people who were recently exposed to someone with TB illness, and people with certain medical weather condition.

How is TB illness treated?

TB disease can exist treated past taking multiple drugs for several months, more often than not half-dozen to 12 months. It is very important that people who take TB illness finish the medicine, and have the drugs exactly as prescribed. If they stop taking the drugs too soon, they can become sick over again; if they do non take the drugs correctly, the germs that are still alive may become resistant to those drugs. TB that is resistant to drugs is harder and more expensive to treat. In some situations, local health department staff meets regularly with patients who take TB to watch them take their medications. This is called straight observed therapy (DOT). DOT helps the patient complete handling in the least corporeality of time.

DSHS provides TB medications to public health clinics across Texas. These clinics care for patients with TB disease. Also, people who are presumed to have TB may be given treatment while their clinicians perform farther testing to confirm or rule out TB disease.

How many people in Texas have TB?

Each year, DSHS provides data on numbers of TB cases per county. The most current information is plant on the TB statistics page.

For Wellness Care Professionals

What are the recommendations for screening wellness care personnel (HCP) for tuberculosis upon rent?

The Department of State Health Services (DSHS) in partnership with the National Tuberculosis Controllers Association (NTCA) and Centers for Illness Command and Prevention (CDC), recommend that both paid and unpaid health intendance personnel (HCP) receive the following upon hire:

A unmarried blood test known as an interferon gamma release assay (IGRA) or a 2-step tuberculin peel test (TST);
An private take chances assessment to decide baseline risk for TB and interpret the IGRA or TST results; and
A signs and symptoms screening assessment.

DSHS has developed a sample Baseline Tuberculosis Assessment for Health Care Personnel course (PDF) that may be used by health care facilities. DSHS also recommends completing the Tuberculosis Screening Results and Work Clearance for Health Care Personnel (PDF) after performing a baseline TB assessment.

These recommendations may exist used by health care facilities and other entities to guide the evolution of their internal TB screening policies. These recommendations should not be interpreted as DSHS policies.

How oftentimes should HCP be screened for TB after hire? Is annual testing recommended?

Annual TB testing using an IGRA or TST is not routinely recommended. Health care facilities should perform TB testing and complete a signs and symptoms assessment afterward known or ongoing exposure to TB or consummate a signs and symptoms assessment annually for HCP with untreated TB infection. HCP should also be educated about TB treatment options for TB infection.

DSHS has developed a sample After Rent Tuberculosis Cess for Health Intendance Personnel grade (PDF) that may be used for HCP with untreated TB infection or anytime a HCP is tested for TB subsequently rent.

*Annual TB testing using an IGRA or TST and symptom screening may be considered for HCP with significant occupational take a chance, such equally pulmonologists or respiratory therapists in high risk settings, or in settings where TB exposures take occurred in the past (i.e. emergency departments). This conclusion should be adult by the wellness intendance staff responsible for infection control and may be done in collaboration with your local health department.

If almanac testing with a TST or claret test is no longer routinely recommended, should HCP be checked for symptoms of TB periodically?

DSHS recommends that facilities consider the local epidemiology of TB in their canton (PDF), including risk factors for TB (PDF) [CDC] in their staff, and any past TB exposures in the facility when deciding to implement periodic TB screening afterwards baseline testing. The purpose of screening for TB using a signs and symptoms assessment questionnaire is to ensure active TB is identified early. Anyone with symptoms of TB should be referred for medical evaluation.

How should I screen my employee for TB upon rent if they say they already accept a positive TB skin or claret exam?

HCP with documentation of a previous positive TST or IGRA result, or documentation confirming completion of treatment for TB infection or disease, should be screened for TB in the following way:

Consummate a TB signs and symptoms cess.
Have a baseline breast x-ray (CXR) performed (unless a contempo copy is available).

HCP with documentation of a previous positive TST or IGRA outcome should not be re-tested with a TST or IGRA.

After the baseline screening, serial or routine CXRs are not recommended; nonetheless, persons exhibiting symptoms of TB affliction require a CXR regardless of history.

HCP without documentation of the previous examination result should undergo baseline screening with a two-stride TST or an IGRA. An individual run a risk assessment (PDF) and signs and symptoms screening assessment should also be completed (refer to Baseline Tuberculosis Assessment for Wellness Care Personnel (PDF)). Copies of the TB screening results and responses to the symptom screen and private chance assessment should be kept past the employee as documentation in case of hereafter screenings.

Tin a new hire's documented negative tuberculin skin examination (TST) event be used in performing a baseline ii-step TST?

Aye, a new hire's documentation of a negative TST event can exist recorded as footstep one of the two-step TST when administered any time during the previous 12 months, if the result was documented in millimeters (mm). The TST administered at rent volition be recorded equally step ii of the 2-footstep TST.

For more details, refer to the Guidelines for Preventing the Manual of M. TB in Health-Care Setting, 2005 (PDF) [CDC] TB Infection-Command Surveillance.

What practice I demand to know if my employee has received a BCG vaccine?

The IGRA and TST are not contraindicated for persons who take been vaccinated with Bacillus Calmette–Guérin (BCG). The effectiveness of BCG wanes overtime but it may cause a simulated-positive reaction to the TST, which may complicate decisions most diagnosing TB infection and prescribing treatment. IGRAs use M. tuberculosis specific antigens that do not cross react with BCG, and therefore, do not cause false positive reactions in BCG recipients. This means an IGRA test is preferred for BCG vaccinated individuals. More information tin be found on the CDC website.

Are routine or annual CXRs still recommended?

No, chest ten-rays should not be performed routinely or annually for persons with a positive IGRA or TST. Wellness care personnel, patients or institutional residents with a baseline positive or newly positive IGRA or TST consequence who are likely to be infected with TB should receive i breast radiograph to exclude a diagnosis of TB illness. Repeat chest x-rays are non needed unless signs or symptoms of TB develop, or a clinician recommends a repeat breast radiograph, or afterwards a new exposure to TB.

Wellness care personnel who take a previously positive IGRA or TST effect and who alter jobs should carry documentation of the results of their IGRA or TST, chest radiograph and documentation of handling history for TB infection, if applicable, to their new employer.

Tin can my employee with a positive TB peel or blood exam render to work?

HCP who are likely * infected with TB based on a positive TST or IGRA result and individual risk, should be referred for a CXR and medical evaluation to dominion out active TB prior to returning to work. If a diagnosis of TB infection is made, HCP may return to work, every bit TB infection is non contagious. They should be educated on treatment options for TB infection to minimize their risk of developing TB disease.

HCP who are asymptomatic, unlikely* to be infected with TB, and who are at low risk for progression to TB illness based on private risk, should have a 2nd exam (either an IGRA or a TST) if their first exam is positive. Only when the second exam is positive in low take a chance individuals is TB infection considered an accurate diagnosis (PDF).

What further actions practise I demand to take when HCP are diagnosed with TB infection or TB disease?

TB infection, TB illness, and suspicion of TB disease are all reportable to your local health section. See How do I written report TB? for reporting requirements.

Should HCP be treated for TB infection?

Treatment for TB infection should be considered in all persons to forbid the progression to TB disease. This conclusion should be made between the HCP and their health intendance provider.

When facilities screen for TB, DSHS recommends that an annual teaching component is included in the screening plan. Pedagogy can include information on signs and symptoms of TB, the difference between TB infection and disease, TB risk factors, and the risks for developing TB disease if not treated.

Have the updated 2019 guidelines for screening HCP for TB changed the need for a facility risk cess?

No, facility risk assessments are even so recommended. The results of the assessment are no longer used to determine frequency of TB screening but are useful in documenting infection control in facilities. Refer to the CDC website for more than details on the employ of the gamble assessment and updates to the 2019 guidelines.

Does DSHS take a sample form that health intendance facilities may apply to document TB screening, testing, and education?

Yes. DSHS has adult the following forms that facilities may employ or modify to fit their need.

Baseline Tuberculosis Assessment for Wellness Care Personnel (PDF). It is intended for use in health care facilities when assessing employees for TB upon rent.
Subsequently Hire Tuberculosis Assessment for Health Intendance Personnel (PDF). It is intended for use in health care facilities when assessing employees for TB whatsoever time later on baseline screening.
Tuberculosis Screening Results and Work Clearance for Wellness Care Personnel (PDF). Information technology allows facilities to document results of baseline and later on hire screening including the recommended annual educational activity.

These forms are not required past DSHS only may be used to guide and document facility screening practices, equally they marshal with DSHS and CDC recommendations.

Where can I find more information regarding screening health intendance personnel for TB?

Refer to the Centers for Disease Control and Prevention (CDC) website for more information.

TB and COVID-19

Do COVID-nineteen and TB share similar symptoms?

Yes, TB and COVID-nineteen have some similar symptoms such as a cough or a fever. Only a licensed healthcare provider can determine the crusade of symptoms and farther testing may be needed. For healthcare providers, it is important to "Think TB" when symptoms and risk factors for TB are present. Meet Tuberculosis and COVID-19 Know the Difference (PDF) for details.

Are there recommendations to delay TB screening in persons recently vaccinated against COVID-19?

No, TB screening should non be delayed for people with gamble factors for TB who accept been vaccinated against COVID-19. The Centers for Disease Command and Prevention (CDC) has information about TB screening practices and the COVID-nineteen vaccine.

It is recommended that those in charge of TB screening visit the CDC website periodically for whatsoever updates regarding TB screening practices. When considering the touch on of TB in your expanse, delight consult with your regional or local wellness department (R/LHD). Study suspected and confirmed TB infections to your R/LHD.

General Reporting Requirements

How do I study tuberculosis screening results?

Both TB infection and TB disease are Notifiable Atmospheric condition reportable to the local or regional wellness department TB Programs. Reporting details can be constitute on the DSHS website, which include reporting forms.

Tuberculosis Infection- Reportable within one (i) week to the local or regional health department. A diagnosis of a latent TB infection is Not complete until the post-obit criteria have been met:

Positive pare test with results written in millimeters and date read, or positive IGRA blood examination results; and
Documentation that patient has no current signs or symptoms of active tuberculosis affliction; and
CXR results that are read every bit normal, or non consequent with TB; and
There is no suspicion of Active TB disease

TB Illness or Suspicion of TB Illness- Reportable within 1 (i) working twenty-four hour period.

Recommendations for TB Screening of Adults and Children in Diverse Settings

Are there general recommendations about which adults should and should not be screened for TB in Texas, and how to screen them?

Yes, the DSHS TB Unit has recommendations for TB screening of adults in Texas, depending on identified TB chance factors. Please refer to information in Tuberculosis Screening Recommendations for Adults in Various Settings (TB-1002) (PDF).

Are in that location general recommendations about which children should and should non be screened for TB in Texas, and how to screen them?

Yes, the DSHS TB Unit has recommendations for TB screening of children in Texas, depending on identified TB hazard factors. Delight refer to information in Tuberculosis Screening Recommendations for Children in Various Settings (TB-1003) (PDF).

What are the screening requirements for TB testing in facilities that provide intendance to children?

Facilities with a permit or license from Texas Health and Human Services (HHS) to provide care to children volition bide past the chapters that utilize to each type of facility in the Texas Administrative Code (TAC) Championship 26, Office 1.

The Minimum Standards page on the HHS website contains links to the standards related to daycare facilities, 24-60 minutes residential intendance, and child-placing agencies. These links are located at the lesser of the page.

Whatever facilities that provide care to children and are not listed above should get-go review the Texas Administrative Code for any statutory requirements or cheque with their licensing or credentialing bureau. Collaboration with a local or regional TB program may assistance in developing screening, testing, and treatment plans.

What are the screening requirements for TB testing in developed care centers such equally assisted living facilities?

Screening requirements for adults working in these facilities are outlined in the Long-Term Care Regulatory Provider Letter of the alphabet (PDF) :

Assisted Living Facility
Day Activeness and Health Services Facility
Intermediate Intendance Facility for Individuals with an Intellectual Disability or Related Conditions
Home and Customs Back up Services Agency
Nursing Facility, and
Prescribed Pediatric Extended Care Middle

Facilities licensed by HHS for adult intendance in Blazon A and Blazon B Assisted Living Facilities will abide by Texas Administrative Lawmaking (TAC) Championship 26 Part 1 Chapter 553 Subchapter E Dominion §553.261B. TB requirements are summarized beneath; however, each facility should review the TAC for specific details:

Facilities must develop written policies for the control of communicable diseases in employees and clients, including TB screening and the provision of a safety and sanitary environment for clients and their families.
Screen employees for TB within ii weeks of employment.
Afterwards hire, facilities must follow CDC guidance in Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Clan and CDC, 2019. See FAQs for Health Care Professionals.
Facilities must screen residents for TB upon admission and afterward exposure to TB.
Whatever facilities that provide intendance to adults and are not listed above review the Texas Authoritative Code for whatever statutory requirements or check with their licensing or credentialing bureau. Collaboration with a local or regional TB program may assist in developing screening, testing, and treatment plans.

For Schools

Practise all employees in Texas schools nonetheless demand a tuberculin pare exam?

There is no statewide requirement for teachers or other school employees to have a tuberculin skin test or TB claret test. The Centers for Disease Control and Prevention (CDC) and DSHS discourage the apply of the tuberculin skin testing or IGRA blood test for persons who have no risk factors for TB exposure.

Notwithstanding, anyone with signs or symptoms of TB should be considered for medical evaluation.

Specifications for employee or volunteer TB screening may be required by a licensing, credentialing, or insurance policy, or by the school district's regulations and requirements. Each school should defer to their own policy.

Do all new students in Texas schools still need a tuberculin pare test?

No. A tuberculosis questionnaire has been developed by Texas Department of Land Health Services to identify children at high hazard for TB infection. Refer to the list of counties with a high incidence of TB (PDF) where use of the questionnaire is recommended prior to entering schoolhouse. As resources let, school districts in other counties may apply the TB questionnaire to identify children who should receive a TB pare test prior to school entry.

Children who accept a positive reaction to the TB skin test merely no symptoms of TB disease should NOT be kept out of school while they are beingness evaluated for handling of TB infection.

The American Academy of Pediatrics (AAP) recommends that physicians routinely assess a child's take chances of TB exposure with a questionnaire and offering tuberculin skin testing merely to at-adventure children. The AAP does non recommend routine tuberculin skin testing of children with no TB risk factors for school entry, day care attendance, WIC eligibility, or campsite attendance.

A tuberculin peel test may be applied on the same day equally routine immunizations. The skin test will demand to be read 48-72 hours later. If a peel test is non placed on or before the day of a live virus immunization such as measles-mumps-rubella (MMR), then the peel test should exist postponed at to the lowest degree half-dozen weeks.

For more information about TB screening for children in schoolhouse settings visit the post-obit links:

Recommendations for TB Screening of School Aged Children (PDF)
Tuberculosis Questionnaire in English language (DOC)
Tuberculosis Questionnaire (en Español) (Doc)

For Correctional Settings

Are correctional facilities in Texas required to screen inmates and employees for TB?

The law (Chapter 89 of the Texas Wellness & Safety Lawmaking) in Texas requires canton correctional facilities that run across any one of three criteria to screen all inmates for TB by the seventh twenty-four hour period of incarceration and annually thereafter, and to screen all employees and volunteers both pre-employment and annually thereafter.

The three criteria are every bit follows:

a capacity of 100 or more than beds,
housing inmates transferred from a canton that has a jail with a capacity of 100 or more beds, or
housing inmates from another country.

The police as well requires all correctional facilities in the country, including youth detention facilities, regardless of whether they meet the criteria stated higher up, to report to the Texas Section of Land Health Services, Infectious Disease Intervention and Control Branch, the release of inmates being treated for TB and then that the Section tin can conform for continuity of care.

Other Resources

What are other recommended sites where I can find information virtually tuberculosis?

Centers for Disease Command and Prevention:

Bones TB Facts
Tuberculosis Fact Sheet
Tuberculosis Fact Sheet (PDF) Courtesy of the CDC

HIPAA:

Frequently asked questions nigh HIPAA Privacy Rule

Medical Consultation:

TB Medical Consultation Procedure

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Source: https://www.dshs.texas.gov/disease/tb/faq.shtm