Table 1.

Current Canadian recommendations for chest X-rays upon admission to long-term care facilities, by province and territory.

Province/ Territory	Source on TB procedures	LTCF definition	TB screening on admission	Other
Alberta	Alberta Health and Wellness. Tuberculosis prevention and control guidelines for Alberta Edmonton, AB: Government of Alberta; 2010 https://open.alberta.ca/dataset/ffaa5ef8-dffd-4516-9ffe-0deaa6a945d1/resource/42bcee8b-60cf-442e-a3cb-f2f3cb8c4904/download/tb-prevention-control.pdf	Include supportive living and long-term care accommodations with different levels of care	PA and lateral chest X-ray	Within 6 months of application for admission
British Columbia	BC Center for Disease Control. Tuberculosis manual. Chapter 4: TB screening and testing. Vancouver, BC: BC Center for Disease Control; 2015. http://www.bccdc.ca/health-professionals/clinical-resources/communicable-disease-control-manual/tuberculosis	Include long term care, extended care, nursing homes and assisted living each offering different levels of care	<60 X-ray if symptomatic or TST positive >60 X-ray if symptomatic	<60 receive TST to monitor for LTBI
Manitoba	Manitoba Health, Healthy Living, and Seniors. Manitoba tuberculosis protocol. Winnipeg, MB: Manitoba Health, Healthy Living, and Seniors; 2014 https://gov.mb.ca/health/publichealth/cdc/protocol/tb.pdf	Include personal care homes, nursing homes, chronic care facilities, supportive housing and assisted living with different levels of care	Baseline PA and lateral chest X-ray on admission for certain populations	Born before 1955 Aboriginal born or resided in high TB incidence countries
New Brunswick	Government of New Brunswick. Eligibility for publically funded TST and testing policy in Non-Hospital Settings. Fredericton, NB: Government of New Brunswick; 2016. https://www2.gnb.ca/content/dam/gnb/Departments/h-s/pdf/en/CDC/TuberculosisTestingRecommendationsUpdate.pdf	Nursing homes providing 24 h nursing and supervision	No current recommendations on admission
Newfoundland and Labrador	Government of Newfoundland and Labrador. Guideline for preventing the transmission of Mycobacterium tuberculosis across the continuum of care. St. John's, NL: Government of Newfoundland and Labrador; 2015 https://health.gov.nl.ca/health/publichealth/cdc/tuberculosis_management.pdf	Homes for the aged, nursing homes, chronic care facilities, hospices, retirement homes and designated assisted living centers	PA and lateral chest X-ray on admission
Nova Scotia	Nova Scotia Department of Health and Wellness, Infection Prevention and Control Nova Scotia. Infection prevention and control: guidelines for long-term care facilities. Halifax, NS: Nova Scotia Department of Health and Wellness; 2015 https://ipc.gov.ns.ca/sites/default/files/IPCNS%20Infection%20Prevention%20and%20Control%20LTC%20Final(1).pdf	Nursing homes (24 h care) and residential homes (limited medical care)	>65 with symptoms require chest X-ray <65 high risk populations receive TST and chest X-ray if positive	High Risk Populations Former employees/residents of homeless shelters or correctional facilities Former IV drug users Aboriginal Canadians Positive HIV status People born in high TB incidence countries
Northwest Territories	Northwest Territories Health and Social Services. Tuberculosis. Yellowknife, NT: Northwest Territories Health and Social Services; 2014. https://www.hss.gov.nt.ca/en/services/tuberculosis	Include Long term care and Extended Care offering different levels of care	No current recommendations on admission
Nunavut	Government of Nunavut. Tuberculosis manual. Iqaluit; NU: Government of Nunavut; 2018 https://gov.nu.ca/sites/default/files/nunavut-tuberculosis-manual-2018.pdf	Include assisted living, residential care and nursing homes	No current recommendations on admission
Ontario	Ontario Agency for Health Protection and Promotion (Public Health Ontario). Tuberculosis screening on admission to long-term care homes in Ontario. Toronto, ON: Queen's Printer for Ontario; 2019. https://www.publichealthontario.ca/-/media/documents/report-tb-screening-ltch.pdf?la=en	Facilities that provide 24 h nursing and personal care	PA and lateral chest X-ray	Within 14 days of admission unless X-ray done 90 days prior admission
Prince Edward Island	Department of Health and Wellness. (2016). Tuberculin Skin Testing Policy. Chief Public Health Office- Government of Prince Edward Island: 2016. https://www.princeedwardisland.ca/sites/default/files/publications/tuberculin_skin_testing_policy_web.pdf	Nursing homes providing 24 h nursing and supervision	No current recommendations on admission
Quebec	Ministère de la santé et des services sociaux du Québec. Tuberculose. Québec, QC: Gouvernement du Québec; 2018 http://www.msss.gouv.qc.ca/professionnels/maladies-infectieuses/tuberculose/	Temporary or permanent accommodation facilities that provide 24 h care and supervision; continuing care homes	No current recommendations on admission
Saskatchewan	Government of Saskatchewan. Tuberculosis control: a reference guide to the tuberculosis program in Saskatchewan Saskatoon, SK: Saskatoon Health Region; 2005 https://www.saskatoonhealthregion.ca/locations_services/Services/TB-Prevention/Documents/Resources/Tuberculosis%20Control%20-%20A%20Reference%20Guide%20to%20the%20TB%20Program%20in%20Saskatchewan.pdf	Include nursing homes and special care homes with 24 h nursing supervision	Chest X-ray done on admission	Unless X-ray completed within 90 days of admission
Yukon	Government of the Yukon. (2015). TB Control Manual. Retrieved from: http://www.hss.gov.yk.ca/tbmanual.php	Include long term care and assisted living homes offering different levels of care	No current recommendations on admission

TST, tuberculin skin test; PA, posterior-anterior; LTBI, latent tuberculosis infection.