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    TB and Refugee Health Services 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

World TB Day

World TB Day March 24 End TBWorld TB Day is celebrated around the globe on March 24th to commemorate the day Robert Koch discovered the bacteria that causes tuberculosis (TB).  Health departments across Texas are raising awareness about this disease as part of their efforts to eliminate TB as a public health threat.


The following events are scheduled March 24, 2017: 


Austin, TX - Presentation and Live Webinar “Translating TB Epidemiologic Concepts into Practice”

The Texas Department of State Health Services (DSHS), Tuberculosis and Hansen’s Disease Branch (TB Branch) is presenting a live webinar, “Translating TB Epidemiologic Concepts into Practice”.  Persons in and around Austin are also invited to participate at the location below.

The presentation will focus on applying molecular epidemiology to support TB elimination efforts with a primary focus on cluster investigations. The webinar will be recorded for future viewing. 

Event Details
Event Date: 
March 24, 2017
DSHS, TB Branch 
Event Time: 
9:00 AM - 10:30 AM CT 
Event Location: 
1. Webinar 
2. 1100 West 49th Street, Lecture Hall, Room K-100, 
    Austin, TX  78756 
Event Webpage: 
Contact Information:
Mary Pomeroy, MSN,RN, 512 533-3162
Erica Mendoza, 512-533-3159 
Email: or 


Tyler, TX - World TB Day Conference

In recognition of World TB Day 2017, DSHS, Health Service Region 4/5N and the University of Texas at Tyler Nursing Department have organized a full day of raising awareness about TB.

Featured speakers include:

  • Krishna Vankayalapati, PhD
    Chair of the Department of Pulmonary Immunology and Margaret E. Byers
    Cain Chair for Tuberculosis Research, UT Health Northeast
  • Jeffrey Cirillo, PhD
    Director for the Center for Airborne Pathogen Research and Tuberculosis
    Imaging (CAPRI), Texas A& M Health Science Center College of Medicine
  • Jotam Pasipanodya, MD, PhD
    Center for Infectious Disease Research & Experimental Therapeutics
    (CIDRETH), Baylor Scott & White Health
Event Details
Event Date: 
March 24, 2017
Texas DSHS
Health Service Region 4/5N 
Event Time: 
8:00 AM - 4:30 PM CT 
Event Location: 
Ornelas Activity Center
3402 Old Omen Rd.
Tyler, TX 75707 
Event Webpage:
Contact Information:
Alison Sterken, BSW, MS, 903-533-5270                                  


San Antonio, TX - Community United to End TB 

The Heartland National TB Center in collaboration with Texas Center for Infectious Disease, San Antonio Metropolitan Health District-City Chest Clinic, University of Texas Health Science Center San Antonio, Texas DSHS, Regional Healthcare Partnership 6, and University Health System, are hosting a joint training. This training provides updates on TB research, treatment guidelines, co-morbidities, 1115 Medicaid Waiver results and ethical considerations in patient care. This course is designed for physicians, nurses, and health care professionals who work with patients with or at risk of TB. No charge exists to attend this training, but pre-registration is mandatory. Applications will be accepted on a first come first serve basis until the capacity of 100 participants is met.

Event Details
Event Date: 
March 24, 2017
Heartland National TB Center 
Event Time: 
8:00 AM – 4:30 PM CT 
Event Location: 
2303 SE Military Drive, 
San Antonio, Texas 78223 
Event Webpage: 
Contact Information:
Jessica Quintero, 210-531-4568                                  


Midland, Odessa, Andrews, San Angelo, and El Paso, TX

The Texas Department of State Health Services (DSHS) Health Service Region 9/10 staff is holding a World TB Day Tour and Promotional Week. Regional TB Program staff will visit various local health departments to conduct TB presentations and share promotional TB materials. A new bulletin board will be established for TB information and alternatives for stigmatizing language.

During this same week, Health Service Region 9/10 will provide education on TB testing and recognizing TB signs and symptoms in a large prison. The binational project coordinator will host an event for the Texas Tech Residency program in conjunction with the El Paso Health Department to educate on the partnership DSHS shares with the CDC to serve clients near our Texas border towns. Health Service Region 9/10 TB Program Staff will share some of their newsletters that go out to regions 9 and 10. These newsletters include articles titled “World TB Day 2017” that share regional statistical and educational information. 

Event Details
Event Date: 
Week of March 20 thru March 24, 2017 
Texas Department of State Health Services
Health Service Region 9/10 
Event Time: 
Event Location: Local Health Departments- Permian Basin (Midland, Odessa, Andrews, San Angelo) and El Paso Health Department. 
Contact Information:
Lindsey Thomas, RN, 432-683-9492 

The Texas Department of State Health Services (DSHS) Tuberculosis and Refugee Health Services Branch is now accepting requests to co-host Train the Trainer TB Phlebotomy Classes at regional and local health departments across Texas. 

The goal of the trainings is to enhance regional and local tuberculosis (TB) programs’ capacity to collect blood specimens for TB screening. Interferon-Gamma Release Assays (IGRA), a blood test is the standard method to screen for TB in Texas. 

Trainings will be provided at no cost to regional and local TB programs and community based organizations that screen populations at high risk for TB. Travel costs are not included.

For each scheduled phlebotomy training, DSHS will:
    * Provide a certified phlebotomist trainer;
    * Prepare training announcements; 
    * Create a registration web link;
    * Prepare an agenda;
    * Provide continuing education credits;
    * Provide testing supplies (except sharps containers); and,
    * Provide phlebotomy Training Informed Consent Form.

The co-host TB program will:
    * Provide a suitable training room; 
    * Provide audio visual equipment for presentations;
    * Distribute training announcements to staff and local agencies;
    * Provide sharps containers and biohazard disposal;
    * Facilitate IGRA webinars by QIAGEN and Oxford laboratories if needed; and
    * Identify at least one trainee with training skills who may become a designated trainer.

The class size requirement is 10-15 participants. If the minimum number of participants is not met ten days before the class start date, the course may be canceled. 

The two-day training curriculum includes a didactic and practice session. Participants must attend both days from 8:30 a.m. to 4:30 p.m. and accept the Phlebotomy Training Informed Consent  prior to registration. 

Health departments interested in co-hosting a training should send the Train the Trainer TB Phlebotomy Class Request (form F12-14729) to DSHS Tuberculosis and Refugee Health Services Branch at or fax to 512-533- 3167. For questions, please contact Raiza Ruiz or call (512) 533-3154.

Posted 10/25/2016


The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Control for FY 2017 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 disease or latent TB infection.

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

The Tuberculosis and Refugee Health Services Branch encourages local health department TB programs to enroll in Medicaid.

If you were enrolled as a TB Medicaid Provider prior to January 1, 2013, you are required to re-enroll prior to September 25, 2016 to continue billing for services.  

The Application to enroll or re-enroll may be downloaded from our forms page.

Updated 2/3/2016

Tuberculosis in Texas

In 2015, 1,334 cases of tuberculosis (TB) were reported in Texas, a rate of 4.9 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...

Posted 7/28/2016

TB in Correctional Facilities

The Texas Department of State Health Services (DSHS) Tuberculosis Services Branch collects, compiles and analyzes tuberculosis screening activity reported by jails meeting Texas Health and Safety Code Chapter 89 criteria.  The Annual Tuberculosis Screening Report reflects these screening results for jails meeting the statutory criteria and is now available for viewing or download

Posted 9/24/2014



Congregate Setting Target Testing

On May 13, 2014, the Texas Department of State Health Services (DSHS) Tuberculosis and Refugee Health Services Branch released new guidelines for congregate setting target testing. The guidelines were issued in recognition of the importance of screening activities among high-risk populations and treatment for TB infection as essential components in TB elimination programs. Submission of a Congregate Setting Target Testing Monthly Report is now required under these guidelines.

Posted 5/16/2014


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 ( Adobe PDF File 67 KB) provides the reporting framework for the cohort reviews.

Please refer to the Cohort Review Policy ( Adobe PDF File 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 (Adobe PDF File  141 KB).

Updated 11/10/2015


Last updated March 13, 2017