In October 2007, the NYC Department of Health and Mental Hygiene (DOHMH) Office of General Counsel approved use of names and photographs of patients and their contacts during interviews by BTBC. Cluster investigators administered informed consent forms.
Despite using substantial resources within BTBC and beyond, we did not clearly identify chains of transmission in this outbreak.
tuberculosis that had not been reported to BTBC. This person died; therefore, cluster investigators were unable to confirm this hypothesis despite medical record review and pharmacy surveillance.
During a 7-month period, hospital A and BTBC took the following measures to notify contacts: 1) mailing certified letters, making telephone calls, and attempting home visits to hospital patients and to mothers and guardians of all infants; 2) faxing notifications to all pediatric providers in the area; and 3) cross-matching the list of exposed infants with names in the city's immunization registry.
BTBC recommended LTBI treatment with isoniazid daily for 9 months for all contacts with a positive TST result, after TB disease was excluded.