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    TB and Hansen's Disease Branch

    MC 1939
    P.O. Box 149347
    Austin, TX 78756-9347

    Phone: 737-255-4300
    Fax: 512-989-4010

    Email the TB Program

About Us

Texas Health and Safety Code, Chapters 81 and 89 require specific information regarding notifiable conditions be provided to the Texas Department of State Health Services (DSHS). Health care providers, hospitals, laboratories, schools, and others are required to report patients who are suspected of having a notifiable condition ( Texas Administrative Code Title 25, Part 1, Chapter 97 [Texas Secretary of State]).

Report a case of tuberculosis disease within one working day and an occurrence of latent tuberculosis infection within one week to the local health authority. You may also call 1-800-705-8868 to reach the nearest local health department or regional health service area.

Additional information is available on case definitions [CDC] from the Centers for Disease Control and Prevention (CDC) website.

Services We Provide:

To eliminate tuberculosis in Texas

To prevent, control and eliminate tuberculosis among the people of Texas

Community-Based Tuberculosis Screening

Local health departments in selected urban and border counties receive funding from the Tuberculosis (TB) Program to establish a TB screening program in methadone drug treatment centers, HIV early intervention centers, homeless shelters and other organizations that serve high-risk groups. Individuals identified with latent TB infection are referred to the appropriate health department for treatment and other follow-up as appropriate.

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Correctional TB

The Correctional TB Program provides technical assistance to all county jails and other correctional facilities covered by Chapter 89 [Texas Legislature] of the Texas Health & Safety Code [Texas Legislature] (the statutes) and Title 25, Part I, Chapter 97, Subchapter H [Texas Secretary of State] (the rules) of the Texas Administrative Code [Texas Secretary of State]. These correctional facilities must have an approved TB control plan. The Correctional TB Program also consults with correctional facilities when they have a case of TB within their facility to facilitate identification of persons with risk of exposure and to facilitate continuity of care upon release or transfer. For more information about ensuring continuity of TB therapy for detainees of the U.S. Immigration and Customs Enforcement (ICE) see SOP 8.13.1, Appendix V ( Word : 28 kB | PDF : 21 kB).

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Court-Ordered Management

The Communicable Disease Prevention and Control Act is a comprehensive statute (codified as Chapter 81, Texas Health and Safety Code) which provides for numerous control measures which are available for use in protecting the public health. When an individual who has, or is suspected of having, a communicable disease does not comply with the control order issued by the local health authority and/or DSHS, Subchapter G of Chapter 81 provides for court-ordered management of the patient.

The process by which a local health authority seeks court-ordered management of a person who has violated a control order is a cooperative effort between that local health authority/local health department staff and the city, county or district attorney whose office represents them in legal matters.

The Office of General Counsel of the Department of State Health Services is available to answer questions from local attorneys seeking court-ordered management in their jurisdictions.

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Drug-Resistant TB Monitoring and Control

The DRTB Program coordinates, tracks, and monitors all reported laboratory confirmed drug-resistant TB cases throughout their course of treatment. The program works with medical providers to ensure rapid notification of the drug resistant status. It assists the provider in obtaining expert TB consultation to assure that the patient is provided with an adequate treatment plan and that the provider is aware of DSHS policies and requirements relevant to drug resistant TB. Consultations by designated TB experts are recommended and strongly encouraged for all cases with resistance to isoniazid only, rifampin only, or both isoniazid and rifampin (MDR) combined with other TB drugs. This program also monitors the directly observed therapy (DOT) policy, which is the standard of care in Texas in the treatment of TB patients.

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Evaluation and Program Reviews

A regular system of reviews of TB programs has been established for local and regional health departments to assess the quality of service and to recommend strategies to improve the delivery of TB prevention and control services. Quantitative indicators of program performance are also monitored based on information contained in the TB case registry. Other indicators are derived from special performance or financial reports from local and regional TB programs.

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Tuberculosis (TB) genotyping is a laboratory-based approach to analyze the genetic material of Mycobacterium tuberculosis (M.tb). Common uses for genotyping results include, identifying unknown transmission relationships, establishing outbreaks, detecting false positives and laboratory cross-contamination events and distinguishing recent disease from activation of old disease. The TB genotyping program manages the genotyping database, tracks isolates submitted for genotyping, monitors genotyping results, performs cluster investigations and provides epidemiologic consultations.  In addition, the program works very closely with laboratories and local health authorities to ensure all initial M.tb isolates are sent to the Department of State Health Services (DSHS) Laboratory in Austin per the Texas Administrative Code [Texas Secretary of State] (Texas Administrative Code, Title 25, Part 1, Chapter 97, Subchapter A, Rule §97.3, (a), (4).

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Hansen's Disease

The Hansen's Disease Program provides treatment for individuals with this disease in the state of Texas. These services are federally funded through the National Hansen’s Disease Program (NHDP), an activity in the Department of Health and Human Services (DHHS), and the Bureau of Primary Health Care. The primary goal of the program is to prevent deformity and disability from HD through early diagnosis and treatment.

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Technical Assistance

Assistance and consultation are provided to local and regional health departments in devising strategies to conduct contact investigations in congregate settings such as schools, workplaces and residential institutions. Technical assistance with other TB prevention and control issues is also available upon request.

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Last updated June 12, 2020