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Manitoba

Manitoba Health

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Communicable Disease Control (CDC) Branch

Manitoba Tuberculosis Protocol


Click on any of the sections in the following Table of Contents, and the corresponding page of the PDF version of the Protocol will open in a new browser window. You can then either print that specific page, or you may choose to print the entire Protocol.

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Table of Contents

1.   Tuberculosis in Manitoba

2.   Purpose of the Protocol

3.   Etiology

4.   Epidemiology
      4.1   Reservoir
      4.2   Transmission
      4.3   Occurrence
      4.4   Incubation Period
      4.5   Susceptibility and Resistance
      4.6   Communicability

5.   Case Definition
      5.1   Confirmed Case
              5.1.1   Laboratory-confirmed Case
              5.1.2   Clinically-confirmed Case
              5.1.3   New Case
              5.1.4   Retreatment Case

6.   Pathogenesis

7.   Case and Contact Management
      7.1   Management of Cases
              7.1.1    Fundamentals of Tuberculosis in Children
              7.1.2    Reporting Requirements
              7.1.3    Interruptions in Tuberculosis Treatment
      7.2   Management of Contacts
              7.2.1    Transmission Risk Assessment
              7.2.2    Management of Cross-jurisdictional Contact Investigation
      7.3   Outbreak Management

8.   Diagnosis and Key Investigation Overview
      8.1   Diagnosis of Active Tuberculosis Disease
      8.2   Diagnosis of Latent Tuberculosis Infection

9.   Public Health Preventive Measures/Issues
      9.1   Key Public Health Messages
      9.2   Immunization
      9.3   Screening
              9.3.1    Tuberculin Skin Test
              9.3.2    Interferon Gamma Release Assay
              9.3.3    Baseline Tuberculin Skin Testing (Health Care Facilities)
              9.3.4    Screening in Long Term Care Facilities
      9.4   Tuberculosis and Human Immunodeficiency Virus
      9.5   General Guidelines for Education of Persons with Tuberculosis Disease
              9.5.1    Education Topics

10.  Contact Information
       10.1   Manitoba Health
       10.2   Regional Health Authorities Including The Winnipeg Regional Health Authority
       10.3   Winnipeg Regional Health Authority

11.   References

To reach staff and for general enquiries:

Communicable Disease Control (CDC)
Public Health
Manitoba Health
4th Floor - 300 Carlton St.
Winnipeg MB  R3B 3M9  CANADA
Phone: 204-788-6737
Fax: 204-948-2040