Health Care Department Operations Manual

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Chapter 3 – Health Care Operations

Article 8 – Public Health

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3.8.6 Tuberculosis Program

  • Policy

    • The California Correctional Health Care Services (CCHCS) program of detection, reporting, isolation, treatment, contact investigations, screening, and surveillance of tuberculosis (TB) cases and recent latent TB infections (LTBIs) shall comply with applicable state law, regulations, and national and state guidelines. Using evidence-based guidelines, CCHCS shall control TB transmission among patients by:

    • Rapidly identifying, isolating, treating, and providing case management of patients with active TB disease.

    • Identifying recently exposed patients (contact investigations) and detecting and treating recent LTBIs.

    • Providing case management of recently infected but untreated patients for two years to detect active TB disease.

    • Providing case management of patients with LTBI who are receiving treatment to prevent development of active TB disease.

    • Ensuring CCHCS providers reference and consider the current CCHCS TB Care Guide and Centers for Disease Control and Prevention guidelines.

  • Purpose

    • To minimize morbidity and mortality from TB among patients under the care of CCHCS.

  • Responsibility

    • The Chief Executive Officer shall designate a provider who is knowledgeable in infectious diseases to be responsible for oversight of the institution’s TB control program. This provider, usually the Chief Medical Executive (CME), shall manage the medical services program for all patients who require TB evaluation and treatment.  Health care staff under the supervision of the CME and Chief Nursing Executive shall be trained to conduct contact investigations and provide case management of patients with active TB disease and LTBI.

  • References

    • California Health and Safety Code, Division 105, Part 5, Chapter 1, Sections 121361-121375

    • California Penal Code, Part 3, Title 8.7, Examination of Inmates and Wards for Tuberculosis, Sections 7570-7576.

    • California Code of Regulations, Title 17, Division 1, Chapter 4, Subchapter 1, Article 1, Sections 2500-2505

    • Centers for Disease Control and Prevention, What You Need to Know About the TB Skin Test Fact Sheet.

    • CCHCS Care Guide: Tuberculosis

  • Revision History

    • Effective: 01/2002
      Revised: 07/14/2025