Which workplaces must have a tuberculosis control plan?

DOSH requires the following workplaces to have a TB Control Plan in place:

a. Health care settings.
b. Correctional institutions.
c. Long-term care facilities for the elderly.
d. Homeless shelters.
e. Drug treatment centers.

The CDC has identified workers in these workplaces as having a greater incidence of TB infection than in the general population.

Health-care settings include hospitals where patients with confirmed or suspect TB are treated or to which they are transported. Non-hospital health care settings (for example, doctors' offices, clinics, and so forth) may be included when evaluation and treatment services are provided to patients with suspect or active TB. Dental health care personnel are covered by the directive only if they treat suspect or active patients in one of these five high risk settings.

Homeless shelters and drug treatment centers present unique problems for the protection of workers. Shelters must establish protocols that provide for rapid early identification followed by immediate transfer of suspect cases for medical evaluation.

Tuberculosis control: DOSH requirements

DOSH enforces the CDC Guidelines for: 1) Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005, and 2) Prevention and Control of Tuberculosis in Correctional and Detention Facilities, 2006.

Health care
Correctional facilities


The following resources provide additional information on Tuberculosis:

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