​Good morning,

It is a struggle when we know we have legal means to bring someone to treatment however when they disappear, we cannot enforce or employ those means. We actually have a TB Treatment unit in Massachusetts that people can be committed to either from the community or a hospital to hospital transfer. When someone is lost to follow-up depending on their background and place of birth if known, I have contacted CDC DGMQ to see if they have flown.  If they have flown, they may assist you with creating a Do Not Board for them to return to the country.  They also have had other means on the border for the same. The issue is that the individual will have to ensure they have documented evidence of TB care in order to return.  If there are known connections who know where they have been and know the diagnosis we have asked for their assistance in at least informing the person that we want them to return for their own and the public's benefit.  I am speaking specifically with pulmonary cases. Extra-pulmonary is a bit tougher.

Best of luck,

Pat Iyer


Patricia A. Iyer, MSN, RN, BC
Tuberculosis Program
Division of Global Populations and Infectious Disease Prevention
Bureau of Infectious Disease and Laboratory Sciences
MA Department of Public Health
305 South Street
Boston, MA 02130

Telephone 617 983 6971
Fax          617 983 6990
Cell         617 756 3050

From: TB nurse communication <nobody@simplelists.com>
Sent: Wednesday, September 26, 2018 8:25 PM
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legal process for non-compliant TB cases - Amy M Hill (26 Sep 2018 15:10 EDT)

legal process for non-compliant TB cases by Amy M Hill (26 Sep 2018 15:10 EDT)
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