{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:43:30Z","timestamp":1777527810021,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2013,2,25]],"date-time":"2013-02-25T00:00:00Z","timestamp":1361750400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:p>Community-based outbreaks of Mycobacterium tuberculosis are uncommon in the United States but represent a dramatic type of epidemic that can lead to considerable investigations. Most of our knowledge regarding spread of tuberculosis (TB) has accumulated from the study of outbreaks. We describe the most recent outbreak of TB in Genesee County, Michigan. In February 2007, isoniazid-sensitive infectious pulmonary TB was identified in a 45-year-old African American grandmother who frequently provided care for her grandchildren and other children. The source case was reported to the Genesee County Health Department, which started an investigation to identify family and social contacts. We reviewed past medical records of contacts and prioritized them for evaluation based on the period of exposure to the index case. Health department staff screened contacts using clinical evaluation, tuberculin skin test, and chest radiography when indicated. Results were reviewed, and data were analyzed using descriptive inferential and epidemiological statistics.<\/jats:p>","DOI":"10.1177\/0009922813477913","type":"journal-article","created":{"date-parts":[[2013,2,26]],"date-time":"2013-02-26T20:44:32Z","timestamp":1361911472000},"page":"589-592","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pulmonary Tuberculosis Outbreak in a Pediatric Population"],"prefix":"10.1177","volume":"52","author":[{"given":"Nida","family":"Yousef","sequence":"first","affiliation":[{"name":"Advocate Hope Children\u2019s Hospital, Oak Lawn, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashed A.","family":"Hasan","sequence":"additional","affiliation":[{"name":"Michigan State University and College of Human Medicine, Flint, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walid","family":"Abuhammour","sequence":"additional","affiliation":[{"name":"Michigan State University and College of Human Medicine, Flint, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,2,25]]},"reference":[{"key":"bibr1-0009922813477913","unstructured":"World Health Organization. Communicable diseases: TB and children fact sheet. http:\/\/www.who.int\/tb\/en\/. Updated April 27, 2006."},{"key":"bibr2-0009922813477913","unstructured":"Centers for Disease Control and Prevention. Reported tuberculosis in the United States, 2008. http:\/\/www.cdc.gov\/tb\/statistics\/reports\/2008\/default.htm. Updated September 18, 2009. Reviewed June 1, 2011. Accessed January 30, 2012."},{"key":"bibr3-0009922813477913","unstructured":"American Academy of Pediatrics. Tuberculosis. In: Pickering LK, Baker CJ, Long SS, eds. Red Book: 2006 Report of the Committee on Infectious Diseases. 27th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2006:678-704."},{"key":"bibr4-0009922813477913","unstructured":"Rogers EF. Epidemiology of an outbreak of tuberculosis among school children. Public Health Rep. 1962;77: 401-409."},{"key":"bibr5-0009922813477913","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e31816ff7c5"},{"key":"bibr6-0009922813477913","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.6.e514"},{"key":"bibr7-0009922813477913","first-page":"157","volume":"14","author":"Lincoln E","year":"1965","journal-title":"Adv Tuberc Res"},{"key":"bibr8-0009922813477913","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1996.00040041053002"},{"key":"bibr9-0009922813477913","doi-asserted-by":"publisher","DOI":"10.2165\/00148581-200507040-00002"},{"key":"bibr10-0009922813477913","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.75.4.361"},{"key":"bibr11-0009922813477913","unstructured":"Feigin R, Cherry J. Textbook of Pediatric Infectious Disease. Vol.1. 5th ed. Philadelphia, PA: Saunders; 2004:1338-1373."},{"issue":"11","key":"bibr12-0009922813477913","first-page":"1","volume":"52","author":"American Thoracic Society, Centers for Disease Control and Prevention and Infectious Disease Society of America","year":"2003","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr13-0009922813477913","unstructured":"Genesee County Health Department. Tuberculosis in Genesee County; Current tuberculosis activity in Genesee County. http:\/\/www.gchd.us\/ReportsAndData\/Tuberculosis\/#Current_Tuberculosis_activity_in_Genesee_County. Updated September 20, 2010. Accessed January 30, 2013."}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922813477913","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0009922813477913","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922813477913","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:34:18Z","timestamp":1777394058000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0009922813477913"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,25]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.1177\/0009922813477913"],"URL":"https:\/\/doi.org\/10.1177\/0009922813477913","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2,25]]}}}