Emerging Infectious Disease ISSN: 1080-6059

Use of DNA Fingerprinting To Investigate a Multiyear, Multistate Tuberculosis Outbreak

Peter D. McElroy*

, Timothy R. Sterling†, Cynthia R. Driver‡, Barry Kreiswirth§, Charles L. Woodley*, Wendy A. Cronin¶, Darryl X. Hardge*†, Kenneth L. Shilkret#, and Renee Ridzon1*

Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA; †Baltimore City Health Department, Baltimore, Maryland, USA; ‡New York City Department of Health, New York City, New York, USA; §Public Health Research Institute, New York City, New York, USA; ¶Maryland State Department of Health and Mental Hygiene, Baltimore, Maryland, USA; #New Jersey Department of Health and Senior Services, Trenton, New Jersey, USA;

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Figure

Epidemic curve representing 38 tuberculosis patients associated with an outbreak involving the cities of Baltimore and New York and the states of Maryland and New Jersey, 1995−2001. *Numbered boxes represent additional patients detected after the investigation was extended beyond Baltimore (August 1999). Unnumbered patients (and patient 28) were previously described by Sterling et al. (6).

Figure. Epidemic curve representing 38 tuberculosis patients associated with an outbreak involving the cities of Baltimore and New York and the states of Maryland and New Jersey, 1995−2001. *Numbered boxes represent additional patients detected after the investigation was extended beyond Baltimore (August 1999). Unnumbered patients (and patient 28) were previously described by Sterling et al. (6).

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¹ PDM, TRS, CRD, BK, CLW, WAC, DXH, KLS, and RR were involved in the conception and design of various phases (epidemiologic and laboratory methods) of this investigation. All coauthors were responsible for collection of either epidemiologic or molecular genotyping data. Analysis and interpretation of the data were primarily performed by PDM, TRS, and RR. All coauthors participated in preparation and critical review of the manuscript.

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