In 2017, Hawaii's TB incidence rate was 8.1/100,000.


For school-aged individuals, we do TST (or rarely QFT) or Risk Assessment symptom screening depending on risk.



Aloha,

Angie


Angela Goodbody, RN

Nursing Supervisor

State of Hawaii, Dept of Health

TB Control Branch

1700 Lanakila Avenue, Ground Floor

Honolulu, HI 96817


Ph  (808) 832-5623

Fax (808) 832-3538


Fear is useless. What we need is TRUST.





From: TB nurse communication <nobody@simplelists.com>
Sent: Wednesday, January 30, 2019 2:22 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
 
TB screening in schools - Fearey, Donna A (HSS) (30 Jan 2019 12:38 EST)
Re: TB screening in schools - Lorna Will (30 Jan 2019 13:22 EST)

TB screening in schools by Fearey, Donna A (HSS) (30 Jan 2019 12:38 EST)
Reply to list

    Hello from Alaska,

     

    I would appreciate hearing about any routine school TB testing or TB risk assessments requirements in your state. My understanding is that most states do not have require school based TB testing or TB risk assessments.

     

    In Alaska

    ·         Annual TB testing (TST or IGRA) is required in our school districts categorized as “high risk”.

    ·          A one-time TB risk assessment is required for new students in our school districts categorized as “low risk”. TB testing is only done if a TB risk is identified.

     

    I look forward to hearing from you.

     

    Thanks,

    Donna

     

    Donna Fearey, ANP, MSN

    Nurse Epidemiologist
    State of Alaska
    3601 C Street, Suite 540
    Anchorage, AK  99503
    Phone: 907-269-8093
    Fax: 907-563-7868
    Cell: 907-903-9819

     

     

     

     

     

     

     


Re: TB screening in schools by Lorna Will (30 Jan 2019 13:22 EST)
Reply to list

    Donna,
    We stopped all routine testing in WI because our rates of TB are so low. The major risk is from new refugee/immigrant populations, and from older foreign-born folks, and we approach those with targeted testing. 
    In Alaska, however, I understand that there are still very high rates of TB in some areas, so I think that in those areas, routine testing AND PREVENTIVE TREATMENT should still exist. Testing without subsequent treatment is pretty useless, in my opinion. Other than it tells you when they break down with disease that there were previous opportunities to prevent disease.
    All this is my opinion only. Glad to hear from others. 

    Lorna Will RN, MA
    On Wed, Jan 30, 2019 at 11:38 Fearey, Donna A (HSS) <donna.fearey@alaska.gov> wrote:

    Hello from Alaska,

     

    I would appreciate hearing about any routine school TB testing or TB risk assessments requirements in your state. My understanding is that most states do not have require school based TB testing or TB risk assessments.

     

    In Alaska

    ·         Annual TB testing (TST or IGRA) is required in our school districts categorized as “high risk”.

    ·          A one-time TB risk assessment is required for new students in our school districts categorized as “low risk”. TB testing is only done if a TB risk is identified.

     

    I look forward to hearing from you.

     

    Thanks,

    Donna

     

    Donna Fearey, ANP, MSN

    Nurse Epidemiologist
    State of Alaska
    3601 C Street, Suite 540
    Anchorage, AK  99503
    Phone: 907-269-8093
    Fax: 907-563-7868
    Cell: 907-903-9819

     

     

     

     

     

     

     

    To reply to a posting, simply reply. To start a new thread, address it to
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    You are on the daily digest setting for the listserve.The archives for
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    Will at lwill@tbcontrollers.org


To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org