Pseudo-outbreak of tuberculosis in poultry plant workers, Sussex County, Delaware

Delaware is a leading US poultry-producing state, and foreign-born workers make up a significant percentage of those employed by Delaware's poultry plants. In Sussex County, Delaware, a high percentage of the poultry workers are from two countries with a high incidence of tuberculosis (TB), Mexico and Guatemala, and thus are at risk for TB infection and disease. Furthermore, their risk of TB may be increased because many of these workers live in crowded conditions and lack access to medical care.