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American Journal of Public Health, Vol. 84, Issue 11 1834-1836, Copyright © 1994 by American Public Health Association

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A cluster of tuberculosis among crack house contacts in San Mateo County, California.

K K Leonhardt, F Gentile, B P Gilbert and M Aiken

County of San Mateo Department of Health Services, Public Health Division, CA 94403.

In March 1992, a cluster of 89 persons with tuberculosis infection was identified in San Mateo County, California. Thirteen persons (15%), including 11 children, were diagnosed with active pulmonary tuberculosis. All contacts were African Americans who resided in or visited one of two houses used for crack cocaine smoking or dealing. The patient with the index case, a male infected with human immunodeficiency virus, contributed to the transmission of tuberculosis as a transient resident of several dwellings. Public health authorities applied unique intervention methods to control the outbreak, including the use of a mobile health van. Further innovative strategies will be necessary to meet the challenge of this reemerging disease.




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