Manitoba Tuberculosis Protocol

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Table of Contents

      November 2015 - Addendum

1.   Tuberculosis in Manitoba

2.   Purpose of the Protocol

3.   Etiology

4.   Epidemiology
      4.1   Reservoir
      4.2   Transmission
      4.3   Occurrence
      4.4   Incubation Period
      4.5   Susceptibility and Resistance
      4.6   Communicability

5.   Case Definition
      5.1   Confirmed Case
              5.1.1   Laboratory-confirmed Case
              5.1.2   Clinically-confirmed Case
              5.1.3   New Case
              5.1.4   Retreatment Case

6.   Pathogenesis

7.   Case and Contact Management
      7.1   Management of Cases
              7.1.1    Fundamentals of Tuberculosis in Children
              7.1.2    Reporting Requirements
              7.1.3    Interruptions in Tuberculosis Treatment
      7.2   Management of Contacts
              7.2.1    Transmission Risk Assessment
              7.2.2    Management of Cross-jurisdictional Contact Investigation
      7.3   Outbreak Management

8.   Diagnosis and Key Investigation Overview
      8.1   Diagnosis of Active Tuberculosis Disease
      8.2   Diagnosis of Latent Tuberculosis Infection

9.   Public Health Preventive Measures/Issues
      9.1   Key Public Health Messages
      9.2   Immunization
      9.3   Screening
              9.3.1    Tuberculin Skin Test
              9.3.2    Interferon Gamma Release Assay
              9.3.3    Baseline Tuberculin Skin Testing (Health Care Facilities)
              9.3.4    Screening in Long Term Care Facilities
      9.4   Tuberculosis and Human Immunodeficiency Virus
      9.5   General Guidelines for Education of Persons with Tuberculosis Disease
              9.5.1    Education Topics

10.  Contact Information
       10.1   Manitoba Health
       10.2   Regional Health Authorities Including The Winnipeg Regional Health Authority
       10.3   Winnipeg Regional Health Authority

11.   References

Communicable Disease Control (CDC)
Public Health
Manitoba Health

4th Floor - 300 Carlton St.
Winnipeg MB  R3B 3M9  CANADA

Health Links – Info Santé
204-788-8200 or 1-888-315-9257