Table 1.

Recommendations for tuberculosis (TB) programmes in paragonimiasis (PRG)-endemic areas

1.	Inquire about history of consumption of crustaceans (crab and cray fish) in presumptive TB patients
2.	Investigate for PRG and TB simultaneously including laboratory evaluation
3.	If diagnosed with TB–PRG co-infection provide treatment for PRG before anti-TB treatment
4.	Repeat laboratory evaluation for PRG, in case of no clinical improvement of TB patients on treatment or upon suspicion of TB treatment failure
5.	Consider mass triclabendazole administration in communities where cases of PRG are significantly clustered