Outbreak Investigation and Control Experience of School Tuberculosis in Taipei Region

DOI: 10.6525/TEB.20151027.31(20).001

Chu-Ming Chiu, Chun-Ru Do, Jiunn-Shyan Julian Wu,Shih-Tse Huang, Hwan-Feng Wang

2015 Vol.31 NO.20

Correspondence Author: Chu-Ming Chiu

  • Taipei Regional Center, Taiwan Centers for Disease Control, Ministry of Health and Welfare, Taiwan


The school campus is one of the most common sites related to tuberculosis outbreak in community. We report a large school tuberculosis outbreak in Taipei region.

Based on the expert meetings, local public health authorities took actions including: 1) expanding contact examination; 2) transferring and assessing of latent tuberculosis infection (LTBI) treatment; 3) following up chest X-ray every six months; and 4) improving the ventilation systems of the school. We tracked 1,081 tuberculosis contacts; there were 22 confirmed tuberculosis case-patients during the two-year follow up and 12 patients had isolates with matching restricted fragment length polymorphism (RFLP) genotypes.

We recommend: 1) implementing regular chest X-ray examination for school employees and students; 2) fulfilling the student health examination exactly; 3) emphasizing the risk communication among contacts; 4) expanding Seven Score Screen Method; 5) setting the monitoring mechanisms of respiratory symptoms in schools; and 6) promoting the Indoor AirQuality Act which is associated to air quality improvement in schools.

Keywords:School;Outbreak;Tuberculosis cluster;Investigation and control experience