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Tuberculosis screening for international students.

D Norton1

  • 1Kirkwood Community College, Cedar Rapids, Iowa, USA.

Journal of American College Health : J of ACH
|January 29, 2000
PubMed
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International students in the U.S. are not screened for tuberculosis (TB). A college implemented TB screening, finding 35% of international students had positive tests, with many completing treatment.

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Student Health Services

Background:

  • Tuberculosis (TB) poses a significant risk, with 39% of US cases in foreign-born individuals.
  • International students are not mandated for TB screening upon entering US colleges.
  • Rising international student populations necessitate proactive campus health strategies.

Purpose of the Study:

  • To assess the prevalence of tuberculosis infection among international students.
  • To evaluate the effectiveness of a campus-specific TB screening policy.
  • To reduce the incidence of active TB within a university community.

Main Methods:

  • Implemented a tuberculosis screening policy for all new international students.
  • Conducted TB skin tests for 171 international students from 70 countries during the 1997/98 academic year.

Related Experiment Videos

  • Monitored initiation and completion of isoniazid therapy for students with positive skin tests.

    • Main Results:

    • 35% (59 out of 171) of international students screened had positive TB skin tests (>10 mm induration).
    • 34 students began isoniazid therapy for latent or active TB.
    • 27 students successfully completed their prescribed treatment under health service supervision.

    Conclusions:

    • A significant proportion of international students screened positive for TB infection.
    • Campus-based TB screening is feasible and can lead to treatment completion.
    • Proactive screening policies are crucial for managing infectious diseases in diverse student populations.