{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:45:49Z","timestamp":1774619149336,"version":"3.50.1"},"reference-count":16,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1997,9,1]]},"abstract":"<jats:p>Objective.\u2003Between November 1994 and April 1995, more than 3300 students in 49 schools in two counties in New York were potentially exposed to five school bus drivers with tuberculosis. This investigation was carried out to determine the extent of transmission of Mycobacterium tuberculosis among students.<\/jats:p>\n               <jats:p>Methods.\u2003Components of the epidemiologic investigation included tuberculin skin-test screening and collection of demographic information for students exposed to a driver with tuberculosis, chest radiography and medical evaluation of individuals with positive skin tests, and DNA fingerprinting of M tuberculosis isolates. A positive skin test was defined as \u226510 mm induration, and a converter was an individual with an increase in reaction size of \u226510 mm in the past 2 years.<\/jats:p>\n               <jats:p>Results.\u2003The rates of positive skin tests were 0.8%, 0.3%, 9.9%, 1.1%, and 0.7% among US-born students exposed to drivers 1 through 5, respectively. The relative risk for a positive tuberculin skin test was significant only for students exposed to driver 3, and the only secondary case identified among students was exposed to driver 3. The DNA fingerprint patterns of isolates from drivers 3 and 4 matched.<\/jats:p>\n               <jats:p>Conclusion.\u2003There was no clear evidence of transmission ofM tuberculosis to students from drivers 1, 2, 4, or 5. However, evidence suggests that driver 3 transmitted M tuberculosis to students and another driver. Routine annual tuberculin skin-test screening of drivers would not have prevented these tuberculosis exposures.<\/jats:p>","DOI":"10.1542\/peds.100.3.e9","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T23:40:17Z","timestamp":1092440417000},"page":"e9-e9","source":"Crossref","is-referenced-by-count":13,"title":["Tuberculosis Transmission Among Five School Bus Drivers and Students in Two New York Counties"],"prefix":"10.1542","volume":"100","author":[{"given":"Hussain R.","family":"Yusuf","sequence":"first","affiliation":[{"name":"From the Epidemic Intelligence Service, Epidemiology Program Office and the"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher R.","family":"Braden","sequence":"additional","affiliation":[{"name":"Division of TB Elimination, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abby J.","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Division of Disease Control, Nassau County Department of Health, Mineola, New York; and the"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre C.","family":"Weltman","sequence":"additional","affiliation":[{"name":"Bureau of Tuberculosis Control, New York State Department of Health, Albany, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ida M.","family":"Onorato","sequence":"additional","affiliation":[{"name":"Division of TB Elimination, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Valway","sequence":"additional","affiliation":[{"name":"Division of TB Elimination, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[1997,9,1]]},"reference":[{"key":"2021120919472952200_B1","first-page":"157","article-title":"Epidemics of tuberculosis.","volume":"14","author":"Lincoln","year":"1965","journal-title":"Adv Tuberc Res."},{"key":"2021120919472952200_B2","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1093\/clinids\/21.3.565","article-title":"Infectiousness of a university student with laryngeal and cavitary tuberculosis.","volume":"21","author":"Braden","year":"1995","journal-title":"Clin Infect Dis"},{"key":"2021120919472952200_B3","first-page":"497","article-title":"A mini-epidemic of tuberculosis in the Upper Fraser Valley Health Unit.","volume":"64","author":"Ameil","year":"1973","journal-title":"Can J Public Health."},{"key":"2021120919472952200_B4","first-page":"22","article-title":"An epidemic of tuberculosis in a rural high school in 1967.","volume":"60","author":"Rideout","year":"1969","journal-title":"Can J Public Health."},{"key":"2021120919472952200_B5","doi-asserted-by":"crossref","first-page":"2117","DOI":"10.1001\/jama.1971.03180390029006","article-title":"Tuberculosis outbreak in an Alabama high school.","volume":"216","author":"Darney","year":"1971","journal-title":"JAMA."},{"key":"2021120919472952200_B6","first-page":"137","article-title":"An outbreak of tuberculosis, Pike County, Kentucky.","volume":"19","author":"Centers for Disease Control","year":"1970","journal-title":"MMWR."},{"key":"2021120919472952200_B7","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1093\/oxfordjournals.aje.a113110","article-title":"Transmission of multiple drug-resistant tuberculosis: report of a high school and community outbreak.","volume":"113","author":"Reves","year":"1981","journal-title":"Am J Epidemiol."},{"key":"2021120919472952200_B8","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1093\/oxfordjournals.aje.a117035","article-title":"Risk factors for transmission ofMycobacterium tuberculosis in a primary school outbreak: lack of racial differences in susceptibility to infection.","volume":"139","author":"Hoge","year":"1994","journal-title":"Am J Epidemiol."},{"key":"2021120919472952200_B9","doi-asserted-by":"crossref","first-page":"361","DOI":"10.2105\/AJPH.75.4.361","article-title":"Epidemiology of a tuberculosis outbreak in a South Carolina junior high school.","volume":"75","author":"Sacks","year":"1985","journal-title":"Am J Public Health."},{"key":"2021120919472952200_B10","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1017\/S0950268800051499","article-title":"A school- and community-based outbreak of Mycobacterium tuberculosis in northern Italy, 1992\u20131993.","volume":"113","author":"The Lodi Tuberculosis Working Group","year":"1994","journal-title":"Epidemiol Infect"},{"key":"2021120919472952200_B11","first-page":"348","article-title":"An outbreak of primary tuberculosis in school children. 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