{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T16:51:44Z","timestamp":1783529504595,"version":"3.55.0"},"reference-count":22,"publisher":"American Public Health Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:p> Objectives. To understand the frequency, magnitude, geography, and characteristics of tuberculosis outbreaks in US state prisons. <\/jats:p><jats:p> Methods. Using data from the National Tuberculosis Surveillance System, we identified all cases of tuberculosis during 2011 to 2019 that were reported as occurring among individuals incarcerated in a state prison at the time of diagnosis. We used whole-genome sequencing to define 3 or more cases within 2 single nucleotide polymorphisms within 3 years as clustered; we classified clusters with 6 or more cases during a 3-year period as tuberculosis outbreaks. <\/jats:p><jats:p> Results. During 2011 to 2019, 566 tuberculosis cases occurred in 41 state prison systems (a median of 3 cases per state). A total of 19 tuberculosis genotype clusters comprising 134 cases were identified in 6 state prison systems; these clusters included a subset of 5 outbreaks in 2 states. Two Alabama outbreaks during 2011 to 2017 totaled 20 cases; 3 Texas outbreaks during 2014 to 2019 totaled 51 cases. <\/jats:p><jats:p> Conclusions. Only Alabama and Texas reported outbreaks during the 9-year period; only Texas state prisons had ongoing transmission in 2019. Effective interventions are needed to stop tuberculosis outbreaks in Texas state prisons. (Am J Public Health. 2022;112(8):1170\u20131179. https:\/\/doi.org\/10.2105\/AJPH.2022.306864 ) <\/jats:p>","DOI":"10.2105\/ajph.2022.306864","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T20:01:41Z","timestamp":1657742501000},"page":"1170-1179","source":"Crossref","is-referenced-by-count":12,"title":["Tuberculosis Outbreaks in State Prisons, United States, 2011\u20132019"],"prefix":"10.2105","volume":"112","author":[{"given":"Rebekah J.","family":"Stewart","sequence":"first","affiliation":[{"name":"The authors are with the Division of Tuberculosis Elimination, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kala M.","family":"Raz","sequence":"additional","affiliation":[{"name":"The authors are with the Division of Tuberculosis Elimination, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott P.","family":"Burns","sequence":"additional","affiliation":[{"name":"The authors are with the Division of Tuberculosis Elimination, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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