Abstract
What is already known about topic? Multidrug-resistant tuberculosis (MDR-TB) has become a growing threat to public health. There were few reports about family-to-school MDR-TB outbreaks in China, especially during the coronavirus disease 2019 (COVID-19) pandemic. What is added by this report? A tuberculosis (TB) outbreak happened in Hubei Province during the COVID-19 pandemic. The transmission chain was probably from a father （MDR-TB case）with retreated TB history to his daughter, who then spread TB to her classmates. What are the implications for public health practice? We should enhance TB control both in schools and households, including strengthening TB/MDR-TB detection, health education, and ventilation. The TB contact screening cannot only be limited to outside school settings and should be conducted in the school when a TB student is absent from school for 2 or 3 months, or even longer especially during the COVID-19 pandemic.
Highlights
On April 17, 2020, 10 days after the coronavirus disease 2019 (COVID-19) pandemic lockdown ended and before schools reopened in Hubei Province, China, a hospital reported a student tuberculosis (TB) pleurisy case
The rest of the faculty (n=1) and students (n=16) with strong positive purified protein derivatives tuberculosis (PPD) were diagnosed as latent tuberculosis infection (LTBI)
The risk ratio (RR) of being strong positive PPD and LTBI in the shared classroom with the index case was 19 and 15 times higher, respectively, than that of students who did not share the same classroom as the index patient
Summary
On April 17, 2020, 10 days after the coronavirus disease 2019 (COVID-19) pandemic lockdown ended and before schools reopened in Hubei Province, China, a hospital reported a student tuberculosis (TB) pleurisy case. TB screening was performed among classmates and faculty who shared a classroom with the index case according to the National Norms of Tuberculosis Prevention and Control in School (2017) [1].
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