Table 2.
Year | TB Cases |
Cont. N. |
Outbreak Contributing Factors | |
---|---|---|---|---|
Patient Level | System Level | |||
2022 * | 6 | 89 | Nonadherence to LTB treatment | Termination of DOT for LTB |
2014 [12] | 6 | 25 | Patient miscommunication, crowded living conditions |
Staff miscommunication |
2014 [15] | 10 | 174 | Rural community cultural practices, noncompliance with contact screening, smoking | Prison TB control measures ignored, downsizing of TB clinic staff, staff unfamiliarity with rural community cultural practices |
2020 [16] | 13 | 385 | Noncompliance with contact screening and LTB treatment, poverty, substance abuse, stigma | Challenging transportation route to the TB clinic, partial identification of TB contacts, unavailability of IGRA tests |
TB, tuberculosis; Cont. N, contacts number; *, the current outbreak; LTB, latent tuberculosis; DOT, directly observed treatment; IGRA, interferon-gamma release assay.