Abstract
THE NEXT generation of federal guidelines and regulations for controlling the spread of tuberculosis (TB) is on its way. But instead of offering much-needed guidance based on consensus among national experts, the new documents may continue to confuse the issue with potentially conflicting advice based on gaps in scientific data on the transmission of Mycobacterium tuberculosis . Earlier this month, the Centers for Disease Control and Prevention (CDC), Atlanta, Ga, published a draft of long-awaited revisions to its 1990 guidelines on the prevention of TB transmission in health care settings. At the same time, the Occupational Safety and Health Administration (OSHA) has drafted a memorandum clarifying how inspections of health care facilities for occupational TB exposure should be carried out. Potential for Confusion Several groups, including the American Medical Association (AMA), were invited to review drafts offered by both federal agencies. In a letter to David Zeigler, the acting assistant secretary
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