RESPIRATORY HEALTH/ TB CLINIC

FULTON COUNTY PUBLIC HEALTH at 10 PARK PLACE
ADDRESS:
     10 Park Place South S.E., 5th Floor
     Atlanta, GA 30303

 

PHONE:
     404-613-1450

HOURS:
     Monday, 8:00 a.m. – 5:30 p.m.
     Tuesday, Wednesday, and Friday, 8:00 a.m. – 3:30 p.m.
     Thursday--No TB tests are given 

RESPIRATORY HEALTH / TUBERCULOSIS

Tuberculosis (TB) is an infectious air-borne disease caused primarily by rod-shaped bacteria called Mycobacterium Tuberculosis.

Additionally, there are four very closely related mycobacterial species (M. bovis, M. africanum, M. microti, and M. canetti) that together comprise what is known as the M. tuberculosis complex---this can also cause tuberculosis disease. The bacteria can attack any part of your body, including the kidneys, spine, or even the brain, but they usually attack the lungs.

If not treated properly, TB disease can be fatal.
Tuberculosis has two general states: latent TB infection and active TB disease. Only those who develop active TB can transmit the disease.

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In step with the rest of the United States, Fulton County has continued to see a decline in the number of new Tuberculosis (TB) cases reported within its' borders in the past decade (2006 – 2016). Though it has remained one of the highest contributors to the state of Georgia's TB case numbers, significant progress has been made in reducing the scourge of TB among the inhabitants of the County.

How Is TB Spread

If a person is diagnosed with latent TB infection it means that the person has inhaled TB bacteria and become infected with TB, but only has dormant (inactive) TB bacteria in their body. However, not everyone who is exposed to the bacteria develops latent TB infection. In general, close contacts or persons with prolonged, frequent, or intense contact are at highest risk of becoming infected.

The dormant TB bacteria in the body are kept under control by the body’s immune system. The immune system does this by producing special immune cells that surround the TB bacteria. These dormant bacteria are not making them sick, and they cannot pass these bacteria to anyone else. A person with LTBI only is not regarded as a case of TB. Many who have LTBI only, never develop tuberculosis disease. In these people, the TB bacteria can remain inactive for a lifetime without causing disease.

People with Latent TB Infection (LTBI)

  • Have no symptoms
  • Don't feel sick
  • Can't spread TB to others
  • Usually, have a positive skin test reaction or QuantiFERON-TB Gold test (QFT-G)
  • May develop active TB disease if they do not receive treatment for latent TB infection


What is TB Disease?

Some people diagnosed with latent TB infection will develop TB disease. TB disease develops when the immune system cannot keep the dormant bacteria under control and the bacteria begin to rapidly multiply and destroy tissue in their body. The bacteria can actually create a hole or cavity in the lung. People with TB disease are sick and usually have symptoms of TB disease.

TB disease can develop very soon after infection or many years after infection. In the United States, older people, persons with issues of substance abuse, HIV infection, or cancer are more likely to progress from latent TB infection to active TB disease. People with a history of TB exposure have about a 10% risk, over their lifetime, of developing active TB disease. People with HIV and a history of TB exposure have about a 10% risk each year of life of developing active TB disease.

 

People with TB Disease

  • Usually, have signs and symptoms
  • Usually feel sick
  • May spread TB bacteria to others
  • Usually, have a positive skin test reaction or QuantiFERON-TB Gold test (QFT-G)
  • May have an abnormal chest x-ray, or positive sputum smear or culture
  • Need treatment to treat active TB disease


TB disease normally affects the lung and is called pulmonary TB. When TB occurs outside the lung it is referred to as extrapulmonary TB. TB in the lungs or throat can be infectious; meaning that the bacteria can be spread to other people. People with TB disease are most likely to spread it to people they spend time with every day, including family members, friends, and coworkers. TB disease in other parts of the body, such as the kidney or spine, is usually not infectious. TB is a serious illness; it is important to identify people who have active TB disease so they can be treated, preventing further spread of the bacteria and future cases of TB.


TB is contagious, but not as contagious as other diseases such as the flu or chickenpox. To get infected, a person usually has to spend many hours over an extended period of time with the person who has infectious TB disease. You must inhale the infectious droplet to become infected. People who live in overcrowded housing with poor air circulation may be more at risk of getting TB infection.

 

The probability that TB will be transmitted heavily depends on these other factors:

  • Infectiousness of the person with TB disease
  • The environment in which exposure occurred
  • Duration of exposure
  • Virulence of the organism

 

TB Control Strategy
How You Can Keep From Getting TB
TB & Incarceration
Multi-Drug Resistant TB
How Is TB Spread
How Is TB Spread
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