Occupational health
l FB health care personnel
– hard to interpret annual TST:  BCG?  LTBI
acquired in country of origin?
l FB TB patients more likely to be working
than US-born TB patients
– Implications for workplace contact investigations
l Kim DY, Ridzon R, et al., 2002: DE poultry workers,
work-related cluster ruled out using spoligotyping
– Undocumented workers in particular industries