Best Practices in TB Control
Santa Clara County
www.sccgov.org/portal/site/phd/
The CDC released new Civil Surgeon Tuberculosis (TB) Technical Instructions, effective May 1, 2008.
The changes in the instructions regarding the evaluation of immigrants and refugees residing in
California, who are applying to adjust their visa status, has led to a significant increase in number of
referrals for completion of the 1-693 form for applicants with a normal chest x ray and a positive
Tuberculin skin test (TST) to Valley Health Center at Lenzen - TB clinic.
This letter clarifies our county policy and procedures regarding the referral of applicants seeking
status adjustment under the new TB screening guidelines, effective immediately.
Click here (.pdf) to read the full letter written by Julie Higashi, TB Controller and Deputy Health Officer, and Gulshan Bhatia, Chief, Division of Mycobacterial Diseases & International Health Tuberculosis Clinic & Refugee Health, both in Santa Clara County.
