An independent voice for ethical adoption
Tuberculosis Screening and Treatment
Changes to Tuberculosis Screening and Treatment for immigrants are being implemented in stages in different geographic areas; these changes may affect travel for adoptive families, particularly for those families adopting HIV positive children. Specifically, on October 6, 2008, the Department of Health and Human Services and Center for Disease Control (CDC) published an Interim Final Rule for 42 Code of Federal Regulations (CFR) Part 34 - Medical Screening of Aliens that amended the definition of a communicable disease of public health significance in 42 CFR 34.2(b), the scope of the examination (42 CFR 34.3), and the evaluation criteria for tuberculosis in 42 CFR 34.3.
Below are resources that provide information about the new TB testing protocols:
CDC Overview of new rules:
http://www.cdc.gov/ncidod/dq/ifr_main.htm
CDC Fact Sheet on new rules:
http://cdc.gov/ncidod/dq/pdf/Part34-IFR-FactSheet.pdf
Background on the 2007 Technical Instructions for Tuberculosis Screening and Treatment:
http://www.cdc.gov/ncidod/dq/titb_background_2007.htm
2007 Technical Instructions for Tuberculosis Screening and Treatment for Panel Physicians. This page shows a roll out of countries where immigrants are being screened under the new TB screening protocols.
http://www.cdc.gov/ncidod/dq/panel_2007.htm
2008 Addendum to the Technical Instructions for Medical Examination of Aliens
http://www.cdc.gov/ncidod/dq/pdf/ifr_100608/ti_addendum.pdf
US Embassy in Ethiopia description of New Procedures for Identifying and Treating Active Tuberculosis:
http://ethiopia.usembassy.gov/tb_testing.html
Excerpt from Department of State’s Foreign affairs manual:
http://www.state.gov/documents/organization/86936.pdf
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