CDC-Initiated Tuberculosis Aircraft Contact Investigations for Commercial Flights to the United States, January 24, 2011¨CDecember 31, 2022

What to know

  • Presentation Day/Time: Wednesday, April 23, 1:00–2:25 pm
  • Presenter: Samantha Swisher, DVM, MPH, EIS officer assigned to the National Center for Emerging and Zoonotic Infectious Diseases, Division of Global Migration and Quarantine
Samantha Swisher, DVM, MPH

What did we do?

  • We analyzed data from aircraft contact investigations (CIs) to better understand the likelihood that travelers were infected with tuberculosis (TB) during air travel.

What did we find?

  • Although TB aircraft CIs identified persons with TB disease or LTBI, most contacts with TB (N=294) had other previous exposures including:
    • 281 persons who had lived in countries with high TB burden, and
    • 51 persons with known exposure to someone with TB unrelated to the flight.
  • Nine persons (2.7%) exhibited conversion on serial testing within four months after the flight, providing evidence for recent infection.

Why does it matter?

  • Aircraft CIs are resource-intensive and the available evidence does not support exposure on aircraft as an important source of TB transmission.
  • Further evaluation is needed to determine whether screening strategies based on other risk factors, such as residence in a high-burden country or prolonged contact with someone with TB, would be a more effective use of limited TB program resources.

***This presentation has updated data that will be shared at the EIS Conference.

Abstract Category: Tuberculosis