Epidemiology

TB Outbreak in North Dakota Traced to Boy from Marshall Islands

Published in TB and Outbreaks Week, November 22nd, 1999

A boy from the Marshall Islands spread tuberculosis (TB) to 56 people, including many of his playmates, after coming to live in rural North Dakota.

The case, researchers said, underscores the need for tighter medical screening of children adopted from abroad.

The outbreak was discovered in 1998, when one of the boy's guardians was treated for a painful hip that turned out to be a TB infection, researchers reported in the November 10, 1999, issue of the New England Journal of Medicine.

TB is common in the Marshall Islands, a Pacific Ocean chain midway between Hawaii and Australia, but is rare in North Dakota. In the preceding five...

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Source: TB and Outbreaks Week (1999-11-22)

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