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Journal of Correctional Health Care
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Transmission of Mycobacterium tuberculosis in a Tennessee Prison, 2002-2004

Lauren A. Lambert, MPH

Centers for Disease Control and Prevention, Atlanta, Georgia: Division of Tuberculosis Elimination, llambert{at}cdc.gov

Lorena Espinoza, DDS, MPH

Epidemic Intelligence Service Program, Office of Workforce and Career Development

Maryam B. Haddad, MSN, MPH

Centers for Disease Control and Prevention, Atlanta, Georgia: Division of Tuberculosis Elimination

Patrick Hanley, DVM

Epidemiology Elective Program, Office of Workforce and Career Development

Theodore Misselbeck, MA

Centers for Disease Control and Prevention, Atlanta, Georgia, and Tennessee Department of Health, Nashville

Frances G. Myatt, RN

Tennessee Department of Health, Nashville

Donna S. Lewis, RN

Tennessee Department of Health, Nashville

Susan S. Porter, RN

Tennessee Department of Health, Nashville

Kashef Ijaz, MD, MPH

Centers for Disease Control and Prevention, Atlanta, Georgia: Division of Tuberculosis Elimination

Connie A. Haley, MD, MPH

Department of Medicine, Division of Infectious Diseases, Vanderbilt University Medical Center, Tennessee Department of Health, Nashville

An outbreak investigation was conducted in a Tennessee prison to determine the extent of Mycobacterium tuberculosis transmission and prevent additional tuberculosis (TB) cases. Inmates, staff, visitors, and community contacts were screened. TB disease was diagnosed for eight inmates, including one after release and three people in the community, including two young children. In addition, 59 contacts (47 inmates, 4 staff members, and 8 additional persons in the community) were newly diagnosed with latent TB infection (LTBI). Failure to recognize TB symptoms, delays in TB diagnosis, inconsistent LTBI treatment, and prolonged congregation of inmates with infectious TB propagated this outbreak. Prison incarceration provides an important opportunity to diagnose and treat LTBI and thus prevent TB disease transmission to the community.

Key Words: tuberculosis • prisons • disease outbreaks • genotype • correctional health care

Journal of Correctional Health Care, Vol. 14, No. 1, 39-47 (2008)
DOI: 10.1177/1078345807308847
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