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Volume 14, Number 11—November 2008

Research

Multidrug-Resistant Tuberculosis 
Outbreak among US-bound Hmong 
Refugees, Thailand, 2005

John E. OeltmannComments to Author , Jay K. Varma, Luis Ortega, Yecai Liu, Thomas O’Rourke, Maria Cano, Theresa A. Harrington, Sean Toney, Warren Jones, Samart Karuchit, Lois Diem, Dhanida Rienthong, Jordan W. Tappero, Kashef Ijaz, and Susan A. Maloney
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J.E. Oeltmann, L. Ortega, Y. Liu, M. Cano, T. Harrington, S. Toney, L. Diem, K. Ijaz, S.A. Maloney); Thailand Ministry of Public Health–US Centers for Disease Control and Prevention Collaboration, Bangkok, Thailand (J.K. Varma, S. Karuchit, J.W. Tappero); The International Organization for Migration, Bangkok (T. O’Rourke, W. Jones); Thailand Ministry of Public Health, Bangkok (D. Rienthong);

Main Article

Table 3

Summary of tuberculosis screening algorithm components for Hmong refugees, by date, Thailand*

Date Medical history Physical examination TST Sputum smear Culture Drug-susceptibility testing
CXR
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Apr–Jun 2004 Yes Yes No Yes, for those >15 years of age No Yes, if CXR indicated possible TB Yes, if sputum-smear positive for AFB No
Jul 2004–Jan 2005 Yes Yes No Yes, for those >15 years of age No Yes, if CXR indicated possible TB Yes, regardless of sputum-smear status Yes
Feb 2005–Apr 2007 Yes Yes Yes, for those 6 mo to 10 y of age Yes, for those >10 years of age Yes, for those 6 mo to 10 y of age Yes, if CXR indicated possible TB Yes, regardless of sputum-smear status Yes

*TST, tuberculin skin test; CXR, chest radiograph; TB, tuberculosis; AFB, acid-fast bacilli.

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