Emerging Infectious Disease ISSN: 1080-6059

Statewide Molecular Epidemiology of Mycobacterium tuberculosis Transmission in a Moderate- to Low-Incidence State: Are Contact Investigations Enough?

Wendy A. Cronin*

, Jonathan E. Golub*, Monica J. Lathan†, Leonard N. Mukasa*, Nancy Hooper*, Jafar H. Razeq*, Nancy G. Baruch*, Donna Mulcahy‡, William H. Benjamin§, Laurence S. Magder¶, G. Thomas Strickland¶, and William R. Bishai#

Author affiliations: *Maryland Department of Health and Mental Hygiene, Baltimore, Maryland, USA; †American Public Health Association, Washington, D.C., USA; ‡Alabama Department of Public Health, Montgomery, Alabama, USA; §University of Alabama at Birmingham, Birmingham, Alabama, USA; ¶University of Maryland—Baltimore, Maryland, USA; #The Johns Hopkins University, Baltimore, Maryland, USA;

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Actions needed to decrease recent tuberculosis transmission in various settings. Decreasing diagnostic delays can potentially eliminate large point source clusters and substantially reduce transmission in both traditional and nontraditional settings. CI, contact investigation.

Figure. Actions needed to decrease recent tuberculosis transmission in various settings. Decreasing diagnostic delays can potentially eliminate large point source clusters and substantially reduce transmission in both traditional and nontraditional settings. CI, contact investigation.

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