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. 2017 Feb 1;132(2):157–163. doi: 10.1177/0033354916688270

Table 2.

Factors contributing to TB outbreaks for which the Centers for Disease Control and Prevention provided on-site assistance, United States, 2002-2015

No. of Outbreaksa
Characteristics 2009-2015 2002-2008b
Total 21 27
Delays in TB diagnosisc 20 12
Patient delay in seeking care for symptoms 16  6
 Delay in diagnosis once under medical care 14 12
Nonadherence to treatment 7 5
Congregation of high-risk populationsd 12 7
 Overnight homeless facilities 8 e
 Local jails 8 e
 Prisons 2 e
 Residence for people with mental disability 2 e
 Health care facilities 2 e
 Otherf 7 e
Incomplete contact investigations 13 10
 Contacts not identified 7 e
 Contact investigation not expanded 6 e
 Contacts identified but not evaluated 8 e
 Contacts evaluated but infection not treated 3 e

Abbreviation: TB, tuberculosis.

aCategories not mutually exclusive.

bData for 2002-2008 were previously reported.2

cData concerning delays in TB diagnoses considered to be >2 months between symptom onset and the date that the patient began TB treatment.

dNumbers may exceed the number of outbreaks because several outbreaks involved >1 congregate setting.

eData concerning these characteristics were not collected for the 2002-2008 outbreaks.

fOther facilities included drug houses (n = 4 outbreaks), workplaces (n = 2 outbreaks), and a school.