Abstract
This study describes the epidemiologic surveillance necessary to detect pediatric pulmonary tuberculosis in the two populations most often affected by the disease, American-born children of minority race or ethnicity and foreign-born children. We reviewed the records of 34 cases of pediatric pulmonary tuberculosis in racial or ethnic minorities. Most children were asymptomatic and smear- and culture-negative. Contact tracing is essential, and, in the absence of bacteriologic confirmation, a positive tuberculin skin test and an abnormal chest roentgenogram are still the only clues to a clinical diagnosis
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