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Gaps in Federal and State Screening of Tuberculosis in the United States


Singer, Phillip M.; Noppert, Grace A.; & Jenkins, Charlotte H. (2017). Gaps in Federal and State Screening of Tuberculosis in the United States. American Journal of Public Health, 107(11), 1750-1752. PMCID: PMC5637684


Tuberculosis (TB) control in the United States has largely been a success story. Over the past 20 years, the total incidence of the disease has decreased by more than 60%, with fewer than 10 000 new cases reported in 2015. The burden of TB in the United States is low compared with incidence worldwide, where it is the leading cause of death from infectious disease. However, TB incidence in the United States continues to be marked by persistent racial and ethnic disparities, as well as a recent stagnation in the overall incidence rate. TB control policy in the United States, with a focus on both active and latent TB, is no longer concerned with containing widespread epidemics, and new strategies need to be incorporated to realize further improvements. However, the US response to TB is shaped by two challenges: fragmentation of responsibilities between state and federal governments and gaps in TB screening in state and federal regulations and laws, which result from fragmentation.


Reference Type

Journal Article

Year Published


Journal Title

American Journal of Public Health


Singer, Phillip M.
Noppert, Grace A.
Jenkins, Charlotte H.