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Volume 31, Number 3—March 2025
Research

Model-Based Analysis of Impact, Costs, and Cost-Effectiveness of Tuberculosis Outbreak Investigations, United States

Sourya ShresthaComments to Author , Lucia Cilloni, Garrett R. Beeler Asay, J. Steve Kammerer, Kala Raz, Tambi Shaw, Martin Cilnis, Jonathan Wortham, Suzanne M. Marks, and David Dowdy
Author affiliation: Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA (S. Shrestha, L. Cilloni, D. Dowdy); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (G.R.B. Asay, J.S. Kammerer, K. Raz, J. Wortham, S.M. Marks); California Department of Public Health, Richmond, California, USA (T. Shaw, M. Cilnis)

Main Article

Table 4

Projected epidemiologic impact of TB outbreak investigations, United States, 2023–2037*

Projected outcome Point estimate Lower bound Upper bound
No. TB cases averted from early detection† 1,330 266 3,650
No. TB cases averted through LTBI treatment‡ 4,220 1,200 9,090
Total TB cases averted 5,560 1,720 11,400

*The point estimate is the mean, and the lower and upper bounds represent the 2.5th and 97.5th percentiles across all 10,000 simulations. LTBI, latent TB infection; TB, tuberculosis. †Includes cases expected from transmission that would have occurred within five years, in the absence of outbreak investigation. ‡Includes cases expected to result from reactivation of LTBI that would have occurred within five years among persons who are detected with LTBI and complete LTBI treatment during an outbreak investigation.

Main Article

Page created: January 17, 2025
Page updated: February 21, 2025
Page reviewed: February 21, 2025
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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