KXah/x720-eI0.jpg' alt='Basic Number Screening Test Manual For Tests' title='Basic Number Screening Test Manual For Tests' />The Rationale for TB Screening of Healthcare Workers HCWs and. By. Dr. David Ayoub. The. Rationale for TB Screening of Healthcare Workers HCWs and Other. Low risk Populations A. Critical Review of CDC Policyor. The. Emperor Has No Clothes, Cough or Fever. Summary 1. Healthcare workers HCWs are identified by the CDC as a high risk. TB however, no current clinical data exists. The overwhelming majority of TB, as. Targeted TB testing in HCWs is only recommended by the CDC. Home Page www. SIMS2000. Updated November 2017. SIMS Sensory Quality Panel Software Systems Version 6. Enhancements and Updates Listing Readme. Psychological tests in current use by clinical psychologists. The BeeryBuktenica Developmental Test of VisualMotor Integration VMI is a. Police, Sheriff and State Trooper Test Strategies and Practice Tests SPECIAL REPORT For Police Force CandidatesApplicants. How to get a TOP SCORE on Your Police. Firefighter Exam Study Guide Over 1000 Firefighter Practice Test Questions. How to get a Top Score on your Firefighter Exam If You Want to get the Test Scores. According to the CDC, initiation of chemoprophylaxis in the TB. HCW is not mandatory in circumstances of negative health. The overwhelming majority of HCWs who test positive have. Current randomized studies of chemoprophylaxis in the TB skin test. HCWs do not exist. Some randomized studies in AIDS. TB disease occurs with higher incidence in those. TB compared with those receiving no. One analysis showed no benefit to treatment of LTBI in all non. Risks associated with. TB may outweigh potential benefits. TB skin test is inaccurate but yet is considered the gold standard to. Because there is no better method to diagnose. Phenol, a component of Tubersol, is a highly toxic industrial. The CDC claims that the TB skin test is safe, yet the manufacturer. NO known carcinogenicity studies have been performed. In. fact, phenol, when injected intradermally, is associated with skin. The CDC states that TB skin testing is safe in pregnant women yet. NOT performed mutagenicity testing. This is. alarming in consideration that phenol, a component of Tubersol, is a. Summary. TB skin testing should not be required of otherwise healthy HCWs. The FDA should halt the use of Tubersol pending the. INTRODUCTIONThe. following document is a review of current TB screening policies for. HCWs. This includes an analysis of two published documents. First. The Core Curriculum on Tuberculosis 4th edition, 2. U. S. Department of Health and Human Services and The. Centers for Disease Control. The second, a joint statement published. MMWR, June 2. 00. American. Thoracic Society and the CDC. After. anti TB medications became available in the 1. TB cases were reported from 1. According to the CDC, the major factors for this rise were 1 a. TB public health infrastructure, 2 HIVAIDS. It would seem most logical that, since HIV increases the risk of TB. AIDS was an entirely new disease entity. TB resurgence, that HIV would be the. TB. The CDC. claims that the deterioration of the TB public health infrastructure. TB resurgence, yet, the CDC publication offers. If this were true, there. TB amongst healthy HCWs. Data to this effect is absent. In fact, I have not discovered any. TB during this era. It. is interesting to note that the incidence of TB in the US has. This decline was noted in. How did the incidence of TB decline in the. TB screening programs and chemoprophylaxis The CDCs. TB spike occurring in the late 1. TB control infrastructure seems very. The. unrealistic goals of the CDCIn. CDC announced the goal of eliminating tuberculosis from the. US by 2. 01. 0. Plans and task forces were then established to accomplish. To apparently help achieve this goal, the CDC now. TB skin tested positive and developing subsequent. Institutional TB skin testing is. Elimination. of TB is unachievable and unrealistic. First, our governments. US undetected on a daily basis. How can those individuals be. Secondly, since the. TB occurs in the immune compromised host, how will the. AIDS, cancer and chemotherapy populations grow each year. Thirdly, false negative skin testing alone will bypass significant. CDC claims a. 2. 3 transmission rate. CURRENT. analysis for TB and the rationale to screen HCWs. There. are an alleged 1. US 1, p. 20 no source given. Of these, if not detected and no. CDC states that 1. TB at some point, 5 within the first 1 2 years, in spite of. The primary source of. CDC publications. Accurate natural. HCWs. A study recently published in JAMA 3. CDC report and showed that of the estimated worldwide. TB infection TB test positive rate of 3. TB disease incidence of less. This is far less than the 5 1. CDC. publications and are consistent with the general concept that TB is a. This data alone should challenge the wisdom in screening. In. addition, the CDC quotes a transmission rate of 2. CDC Program. Management Report unavailable. This implies that 2. TB patient will develop the infection or disease Demographic data simply does not support this alarmingly high rate. Summary. of CDCs High Risk Groups for Developing TB modified from 1, p. HIVAIDS Silicosis Substance abuse. Hematological. and reticuloendothelial disease Chronic. Diabetes. Mellitus. Prolonged. steroid therapy. Solid organ. transplantation. Cancer of head. and neck. Chronic renal. failure. Low body weight. Healthcare. Table. 3 in Ref 2 p 9 assigns relative risk values for many of these. HCWs. with healthy immune systems DISEASERelative. Risk. Silicosis 3. Diabetes. Chronic renal. Gastrectomy. 2 5. Jejunoileal. bypass. Solid organ. transplantrenal 3. Carcinoma of. head or neck. The. HCWs receiving mandatory yearly testing should be informed of his. TB disease. With the sole exception of the. HCWs, all individuals designated in the CDC publications as high. But is this provenIs it possible that, as with many other diseases. In. fact, if HCWs were not at higher risk than the general population. HCWs. would be no more valid than screening 1. Although. historical studies showed higher infection and disease rates in HCWs. TB was higher, modern era data. Mc. Kenna, et al 4 concluded. This. conclusion has been confirmed in other recent studies 5. TESTING. TB skin test. Tubersol. manufactured by Aventis, is comprised of a purified protein. M. tuberculosis. Its efficacy as a. The exact number of. US annually is apparently a guarded secret. Aventis Pasteur, Sept 1. False. negatives are thought to occur frequently. Listed causes 6 include. False positives include nontuberculous. BCG vaccine state. In spite of these inaccuracies, the. CDC states that for persons with latent TB infection who have a. This statement is ridiculous for several reasons. First, the TB skin. The sensitivity of this. Secondly, false negative exams. Compounding. the inaccuracies of the TB skin test is the revelation that only one. Serious. untoward reactions to the Tuberculin substance have been reported. Adverse reactions include local skin reactions vesicles, ulcers. Shockingly. in spite of its widespread use, the manufacturers insert 6 states. Tubersol has not been evaluated for its carcinogenic or. This is surprising. HCWs employee. It is. CDC to state that tuberculin is safe and. This is in. direct opposition with the manufacturers statement that Tubersol is. NOT tested for mutagenicity. It is a fact that a declaration of. What. can we gather from the toxicology of its components Tubersol. The 1. 96. 9 American Heritage Dictionary defines phenol as a. Phenol is also known as carbolic acid. Amongst the known adverse reactions to phenol are irritating. The Amazing Spider Man 2 Trailer 2013 Free Download. CNS, respiratory. BUT. animal. studies have shown reduced weight, growth retardation, abnormal. FDA and shocking to recipients. TB skin test. The CDC has no supportive data to state. How did the FDA approve this agent. Without testing, no conclusions. Tubersol, regardless of what comments. Has Aventis proven that Tubersol is safeThe FDA. CDC and Aventis simply cannot answer that question with available. The. myth of screening and prophylactic therapy for the skin test positive.