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An Automated Culture System for Use in Preclinical Testing of Host-Directed Therapies for Tuberculosis
Published on: August 16, 2021
Multipronged Approach to Controlling a Tuberculosis Outbreak Among Persons Experiencing Homelessness
Eva Muloma1, Rebekah Stewart, Helen Townsend
1Foreign-Born/Refugee Health & TB Control Program, Marion County Public Health Department, Indianapolis, Indiana (Drs Muloma and Caine and Mss Townsend, Koch, Burkholder, and Redington-Noble); Department of Infectious Disease, Eskenazi Health, Indianapolis, Indiana (Drs Muloma and Caine); Indiana University School of Medicine, Indianapolis, Indiana (Drs Muloma and Caine); Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, Georgia (Mss Stewart and Railey); and Tuberculosis/Refugee Health Program, Indiana State Department of Health, Indianapolis, Indiana (Ms White).
None:
In May 2009, the Marion County Public Health Department in Indiana declared a tuberculosis (TB) outbreak among persons experiencing homelessness in Marion County, began active case finding to detect additional cases, and formed a TB outbreak response team to plan and coordinate outbreak activities. Outbreak-associated cases had 1 of 2 outbreak genotypes and either reported experiencing homelessness themselves or had an epidemiologic link to a shelter or a person experiencing homelessness. The last of 53 outbreak-associated cases was detected in 2019 after more than 2 years without a case. The Marion County Public Health Department continues to address TB-related issues and implement prevention measures at homeless shelters and among persons experiencing homelessness in 2019. This example, in addition to other published guidance, can be used by jurisdictions to plan and implement their own TB outbreak prevention and response activities among persons experiencing homelessness.
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