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Tuberculosis Control Program for Providers


Tuberculosis (TB) Control Program

San Mateo County’s Tuberculosis (TB) Control program provides priority TB prevention and control activities to help those with TB disease, and protect the health of the public.

San Mateo County’s TB Control Program:

  • Provides evaluation, treatment and case management services for County residents with active tuberculosis or latent tuberculosis infection
  • Identifies, notifies and ensures follow up of individuals determined to have been contacts of a case of active tuberculosis disease
  • Investigates outbreaks of tuberculosis
  • Collects and analyzes data on tuberculosis cases in the county
  • Provides consultation to medical providers regarding the diagnosis and treatment of tuberculosis cases
  • Provides tuberculosis education to the public

Tuberculosis is a reportable disease. Providers are required by law to report any suspect or confirmed cases of tuberculosis as mandated by Title 17 California Code of Regulations (CCR): Please use this Confidential Morbidity Report - TB (CMR-TB). For more information, view the reporting tab below.

Do you have questions? 

We are available for consultation: (650) 573-2346

More Information for Providers

General information

1. Reporting Requirements

Tuberculosis is a reportable disease, as mandated by Title 17 California Code of Regulations (CCR)

Active Tuberculosis Disease

All confirmed or suspected cases of active TB disease must be reported by phone and/or fax within 1 working day to TB Control

Phone: (650) 573-2346
Fax: (650) 573-2919

Do not wait for lab results to confirm the diagnosis prior to reporting

For faxed reports use the Confidential Morbidity Report - TB (CMR-TB).  Please fill out the entire CMR-TB (completely as possible).

General information

2. Screening

Who, Why, How and Where

Who should be screened?

San Mateo County’s tuberculosis (TB) prevention and control program follows testing recommendations set forth by the Centers for Disease Control (CDC), which include the use of a targeted testing strategy. This strategy entails finding and treating persons with latent tuberculosis infection (LTBI) who are at the highest risk for developing TB disease, and thus would benefit from treatment.

General information

3. Treatment of Latent Tuberculosis Infection (LTBI)

Managing Patients with Positive Tuberculin Skin Tests (TSTs) or Interferon Gamma Release Assays (IGRAs)

A chest x-ray must always be obtained when there is a positive TST or IGRA to rule out active disease.

If the chest x-ray is not suggestive of active TB, the patient is a candidate for latent TB treatment (this was previously called “prophylaxis”.)

There are four regimens that can be used to treat LTBI.

General information

4. Treatment of Active Tuberculosis Disease

San Mateo County follows treatment recommendations for active tuberculosis disease set forth by the California Tuberculosis Controller’s Association (CTCA) adapted from the Centers for Disease Control (CDC).  The recommendations by the CTCA differ slightly from the CDC’s guidelines.  An overview of the differences can be found on the CTCA Website

General information

5. Hospital Discharge

Hospital Discharge Guidelines

Providers must report patients with suspected or confirmed diagnosis of tuberculosis within one working day of identification (Title 17 California Code of Regulations §2500).

All patients with suspect or confirmed diagnosis of M. tuberculosis need approval by San Mateo County Health System prior to discharge or transfer to another facility to ensure that:

General information

7. Patient Education Resources

Sputum Collection Instructions for Patients

The doctor has asked that you submit sputum specimens.  It’s important to collect the samples for three mornings in a row,  for example, on Monday, Tuesday, and Wednesday, or on Saturday, Sunday and Monday.

These instructions will help you collect the specimens in the right way.