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Effectiveness of reporting on latent tuberculous infection in Massachusetts, 2006-2008
N S Hochberg1, R W Kubiak2, A Tibbs3
1Boston University School of Public Health, Boston, Massachusetts ; Section of Infectious Diseases, Boston University School of Medicine, Boston, Massachusetts.
Abstract:
Massachusetts is one of five states that mandate the reporting of latent tuberculous infection (LTBI). We assessed 2006-2008 Massachusetts surveillance data for LTBI to describe the system and examine the characteristics of persons with LTBI. Over 3 years, 15 301 LTBI cases were reported (4742-5398/year). Among those with known country of birth (n = 11 655), 9983 (85.7%) were foreign-born. Substantial under-ascertainment and/or under-reporting appear likely; mandatory reporting does not appear sufficient for LTBI detection. Enhanced targeted testing, active LTBI surveillance, or laboratory-based surveillance may be needed to eliminate tuberculosis disease in the United States.
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