Yale
New Haven Hospital
QISS
GB 325
New Haven, CT
06504 USA
Dr. Jeff Topal
688-4634
Introduction, pg2
The causes of this increased incidence of TB cases are complex, but
four contributing factors have been identified to date:
The synergy between TB and HIV co-infection. HIV infected
individuals are at a significantly higher risk of active infection
following exposure than non-HIV infected individuals.
Increased immigration to the United States from countries
where TB is highly prevalent.
Transmission of TB in congregate settings (i.e. healthcare
facilities, prisons, and homeless shelters).
Decreased public health resources to identify, track, and
treat cases of active TB.