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    TB and Hansen's Disease Branch

    MC 1939
    P.O. Box 149347
    Austin, TX 78756-9347

    Phone: 512-533-3000
    Fax: 512-533-3167

    Email the TB Program

Tuberculosis (TB)

TB Program News and Announcements

Screening & Treating TB Infection: Heartland National TB Center

Heartland National TB Center presents Screening & Treating TB Infection to increase screening and treatment capacity for latent tuberculosis infection. The training event is partnered with the TST practicum, and will be hosted by four local and regional health departments across Texas.

Learning objectives include:

1) Identifying persons at risk of exposure to M. tuberculosis and at risk of progressing to TB disease if infected
2) Describing screening tools for TB infection
3) Discussing impediments to care and role stigma plays in accessing health care
4) Identifying and implementing treatment regimens used to treat TB infection
5) Discussing opportunities and benefits to working with the health department

Region 2/3: July 13th

9:30AM – 03:30PM
Dallas County Health & Human Serv (registration link open)
2377 North Stemmons Freeway Suite 300
Dallas, TX 75207

Region 8: July 20th   

09:30AM – 03:30PM
DSHS, Public Health Region 8 (registration link open)
7430 Louis Pasteur
San Antonio, TX  78229

Region 9/10: July 26th 

09:30AM – 03:30PM
DSHS, Public Health Region 9/10 (registration link will open as date approaches)
2301 N. Big Spring, Ste. 300
Midland, Texas 79705

Region 11: August 3rd

09:30AM – 03:30PM
DSHS, Public Health Region 11 (registration link will open as date approaches)
601 W. Sesame Dr.
Harlingen, TX  78550

Heartland National TB Center--Training and Courses

Heartland National TB Center
2303 SE Military Dr
San Antonio, TX 78223

Contact Person: Jessica Quintero
Telephone Number: 210-531-4568

Contact Person: Delphina Sanchez
Telephone Number: 210-531-4528

Take on TB

DSHS has developed the Texas-specific TB disease data fact sheet "Take on TB" (PDF : 208 kB) based on data from the 2016 TB Surveillance report (PDF : 675 kB). This fact sheet was adapted from CDC’s infograph [CDC] for national data. DSHS partners are free to use surveillance and other local data to create their own tailored [CDC] publication based on the DSHS fact sheet.

Posted 12/12/2017

The Tuberculosis and Hansen’s Disease Branch encourages local health department TB programs to enroll in Medicaid as a TB Medicaid Provider.

Information on the enrollment process for first time enrollees can be found on the Texas Medicaid and Healthcare Partnership (TMHP) website.

Clinics requesting reimbursement for TB services must also enroll as a TB Medicaid Provider. To enroll, the clinic must apply for a DSHS letter verifying their TB services, and may attach the letter to their Medicaid application. To apply for the letter, clinics may fill out the Medicaid Provider Application which may be downloaded from the TB forms page.

Updated 9/8/2017

The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Control for FY 2018 are now available.

The Standing Delegation Orders (SDOs) and Standing Medical Orders (SMOs) are written instructions, orders and procedures prepared by the Department of State Health Services Tuberculosis and Refugee Health Services Branch to promote consistent evaluation and treatment practices for persons with suspected or confirmed TB.

The purpose of this document is to provide authority for specific acts of tuberculosis (TB) clinical services under authority of Rule Title 22, Texas Administrative Code §193.2, Standing Delegation Orders.

The intended audience for the SDOs and SMOs includes physicians, registered nurses, licensed vocational nurses, non-licensed staff working in DSHS Health Service Regions. These orders are being shared with local health department TB programs as a resource document only. 

The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Control are effective September 1, 2016.

Posted 9/2/2016

Tuberculosis in Texas

In 2016, 1,250 cases of tuberculosis (TB) were reported in Texas, a rate of 4.5 per 100,000 population. TB can affect anyone but is more likely to be diagnosed in persons born in a foreign country where TB is prevalent, persons living with diabetes or HIV/AIDS, persons who abuse alcohol and other drugs, persons who live in congregant settings (including prisons and other detention centers), the homeless, and health care workers. Learn more... (PDF : 442 kB)

Posted 9/19/2017

Cohort Review Implementation

In March 2013, the Tuberculosis Services Branch implemented the cohort review system in Texas. A cohort review is a systematic and retrospective review of the management of TB cases and contacts. It is an effective management tool that identifies trends impacting outcomes and provides the impetus for developing systems that enhance program performance.

It is the policy of the Tuberculosis Services Branch that in order to promote optimal case management and contact investigation practices statewide, DSHS health service regions and contracted local health department TB programs will hold quarterly cohort reviews. DSHS health service regional TB programs will work with low morbidity public health jurisdictions to implement the cohort review process. The Health Service Regions' Tuberculosis Cohort Review Infrastructure form (PDF : 67 kB) provides the reporting framework for the cohort reviews.

Please refer to the Cohort Review Policy (PDF : 45 kB) for further information.

The followings tools are available to conduct the cohort review and report findings to DSHS Tuberculosis Program Services Branch:

For help completing the summary form, download An Overview of the Cohort Review Summary Form (PDF : 141 kB).

Updated 11/10/2015

Last updated June 28, 2018