What are the reporting requirements around TB?
All patients with confirmed or suspected Tuberculosis (TB) must be reported as mandated by Illinois State Law. If the patient is residing in Chicago, the Local Health Department is the Chicago Department of Public Health (CDPH). This includes pulmonary and extrapulmonary TB cases.
All health care providers in attendance of a patient suspected to have or confirmed with active TB within seven calendar days.
Laboratory personnel must report laboratory evidence suggestive of TB within one calendar day after obtaining results.
How is a report submitted?
Reports of confirmed and suspected cases of TB should be submitted via the Illinois Department of Public Health’s web-based INEDSS system. The case report submitted will be routed to the appropriate Local Health Department based on the patient’s address of residence. Instructions for registering for access to INEDSS can be found here.
When a report of a TB case within the City of Chicago is entered in INEDSS by a disease, please fax supporting documents to CDPH at 312.746.5134:
• Copy of patient’s medical record pertaining to TB
• Narrative Summary
• X-rays with report
• Laboratory results
If providers or disease reporters do not have access to INEDSS or there are any questions or concerns about a case, CDPH’s TB program can be reached at 312.296.7394, Monday through Friday from 8am to 4pm.
CDPH as a public health authority reserves the right to request PHI as it pertains to TB diagnosis without individual authorization.
What is the role of the Chicago Department of Public Health in TB treatment?
TB is a communicable disease of public health significance, and under Illinois law the Local Health Department should be actively managing and/or monitoring treatment of each case of TB. TB is different than other illnesses; by law, the onus of completion of adequate therapy is on the healthcare provider and the Local Health Department, not the patient. While CDPH no longer has TB clinics, the TB program does conduct a number of services around TB treatment and prevention, including:
• Case management by a public health nurse
• Directly Observed Therapy (DOT)
• Contact investigations
• Follow-up TB screening for immigrants and refugees (Class B)
• Epidemiological surveillance
• TB education, outreach and research
• Processing referrals
• Housing linkage for TB patients experiencing homelessness
• Technical Assistance: Infection control and medical consultations
CDPH provides TB treatment to all cases of active TB at no cost to the patient. TB clinical services are provided by the Cook County Health and Hospital System (by CDPH referral only).
Providers treating TB should adhere to the consensus TB treatment guidelines as published by the Centers for Disease Control and Prevention (CDC) and endorsed by the American Thoracic Society (ATS) and Infectious Disease Society of America (IDSA), which are available here.
The Centers for Disease Control’s Division of Tuberculosis Elimination recently released the 2016 surveillance report entitled “Reported Tuberculosis in the United States, 2016” and an accompanying slide set. While provisional, limited 2016 data were made available for the March World TB Day MMWR report and activities, this expanded follow-up report provides validated information reported to CDC from partners in state and local health departments.
Following the release of this report, the CDC shared these takeaways:
- Most cases of TB in the United States are due to longstanding, untreated latent TB infection, and are not attributed to recent transmission.
- Even states where overall TB incidence is low may have communities where recent transmission has occurred.
- The cycle of TB transmission can be ended by early diagnosis, infection control, and treatment of patients with TB disease; and by identifying and treating contacts with latent TB infection to prevent the progression to TB disease.
Additionally, here is an infographic that captures 2016 data on TB in Chicago.
David Ashkin, M.D., F.C.C.P. It's World TB Day
Theodore Bonau, M.Ph. Epidemiology of Tuberculosis Cases in Chicago
Janette Candido Tuberculosis in Illinois: Updates 2018
Elaine Darnall, R.N., B.S.N., C.I.C. Latent TB, TB and The Role of the Helath Department
Dean E. Schraufnagel, M.D. TB Update
Dr. Kathy Ritger discusses the different TB screening tests and how to use them as a tool in public health TB control and prevention.
Janette Candido discusses the role of focusing on TB infection as a means for TB disease prevention and introduction on the new TB infection module in I-NEDSS.
Jenny Aguirre and Anne Bendelow identify best practices for communication between Refugee Health Programs and TB programs across the state and current refugee resettlement in the United States.
Physicians from Mayo Clinic Center for Tuberculosis present on a consultation for a dual infected HIV/TB case.
Tuberculin Skin Test Train-the-Trainer
A ONE-DAY SKILL BUILDING COURSE - 8:00 A.M. – 5:00 P.M.
Monday – June 11, 2018
CHICAGO DEPARTMENT OF PUBLIC HEALTH TRAINING CENTER - CHICAGO, IL
The course is designed for nurses who are proficient in administering and reading the tuberculin skin test and are responsible for training others in tuberculin skin testing. This course is not intended for those learning how to perform TSTs. Click here for more infomation.
Enrollment is limited to 25. Register early, this course fills up fast.
The course is free, but pre-registration is required.
Registration is available online at http://sntc.medicine.ufl.edu/training.aspx
For questions contact Ellen Murray at SNTC at firstname.lastname@example.org or 352-273-7682 (toll-free at 888-265-7682).
TB Program Contacts
For Clinical questions please contact:
Dr. Kathy Ritger, Medical Director
For clinical questions during non-business hours, call 311 and ask for the communicable disease physician on-call.
For Program Questions please contact:
Stephanie Atella, Program Manger
CDPH does not provide routine TB screening services to the public. Recently, CDPH put together a list of places that provide screening in Chicago, which can be found here. CDPH recommends contacting these providers directly to verify availability and cost of TB screening.
If you are a provider who offers screening (TST, IGRA and/or X-Ray) and you would like to be added to the list (or your information is out of date), please contact Stephanie Atella, Program Director, at Stephanie.email@example.com
Tuberculosis (TB) is an infectious disease caused by the organism Mycobacterium tuberculosis (MTB).
TB can occur in any part of the body (the brain, spine, lymph nodes, etc), but it most often causes infection in the lungs.
TB is spread from person to person through the air. This happens when a person with TB of the lungs sneezes, coughs, speaks, or sings and a person close by breathes in the MTB bacteria.
Not everyone with TB gets sick. A person can have TB disease or TB infection (“LTBI”), both of which are treatable with medication. If someone is not treated properly, TB can be a severe or deadly disease. People who have LTBI and are not treated properly can develop TB disease and become sick.
General information about TB and a variety of TB topics is available on US Centers for Disease Control and Prevention website.
Although TB is less common in the US now than in the past, there are still cases of TB in the Chicagoland area. For detailed information about TB in Chicago, please visit the following link here
The following links provide information for Clinicans regarding Tuberculosis
TB Treatment Guidelines : This link provides information on general treatment, drug dosage and interactions as well as treatment of special populations.
Tools for Health Care Providers: One-stop-shop for information, guidance & education
CDC Course “TB: What the Clinician Should Know”: This curriculum was designed to present basic information about TB for health care professionals in a web-based format. It is intended for clinicians caring for persons with or at high risk for TB disease or infection. This course offers free Continuing Education credits.