Tuberculosis Control Program

BUMEDINST 6224.8

Chief, Bureau of Medicine and Surgery
February 8, 1993

Record Keeping and Administration

1. Disease Alert Reports

a. As required by reference (b), a Disease Alert Report (MED 6220- 3) must be submitted upon suspicion or confirmation of a diagnosis of tuberculosis. The Disease Alert Report must include the date that the diagnosis was first suspected and, when available, the date the diagnosis was confirmed. If the medical staff determines that the patient was probably not infectious, the message should so state.

b. For confirmed cases, the commanding officer of any duty station where the patient may have posed a public health risk for transmitting tuberculosis must be an information addressee, so that appropriate tuberculosis contact studies can be instituted or continued. Per reference (b), civilian or other public health authorities must be notified, as appropriate.

c. If a diagnosis of tuberculosis is subsequently ruled out, a message to that effect must be sent so that unnecessary tuberculosis contact studies can be terminated.

2. Records for a Tuberculosis Contact Investigation. The command initiating the contact investigation must prepare and maintain summaries of the investigation. Summary records are required for the initial study and the 3 month followup investigation. The record must be retained on file for at least 3 years. The records must include the information shown on page 2 of this enclosure.

3. Annual Summary Record

a. Prepare a summary record annually by each activity with Medical Department personnel attached and by ships of the Military Sealift Command. This summary record covers the period 1 January through 31 December, inclusive. These summary records must contain the items listed on page 3 of this enclosure, and must be retained on file for at least 3 years. A copy of this summary must be sent to the cognizant NAVENPVNTMEDU, as defined in reference (b), by 28 February after each year.

b. Record deployed units with separate Unit Identification Codes (UICs) (e. g., embarked air squadrons, Marine Corps units aboard amphibious ships, etc.) separately. Such units, when not deployed, must be included in the records of their "homeport" shore establishments. Recruit training activities and other commands which test large numbers of transient personnel must record permanently assigned and transient personnel (e. g., recruits, students) separately under item number 2 in the format provided on page 3.

Contents of a Summary of a Tuberculosis Contact Investigation

1. UIC.

2. Name, grade or rate, social security number, age, sex, and race or ethnic group of original case.

3. Status of investigation, i. e., initial or 3 month evaluation.

4. For each evaluation period (initial or 3 months) provide:

a. Number of persons who received tuberculin skin test.

b. Number of newly- identified tuberculin reactors.

c. Number of tuberculin reactors placed on INH preventive therapy. (See comments section below.)

d. Number of previously- known (old) tuberculin reactors evaluated.

5. Number of contacts receiving INH preventive therapy.

6. Name, grade or rate, social security number, age, sex, and race or ethnic group of each secondary case of active disease.

7. Comments on Investigation. (Include reasons any newly-identified tuberculin reactors were not placed on INH.)

Contents of Annual Summary Record of Tuberculosis Screening of Active Duty/CIVMARs Personnel

1. Name and UIC of command or unit.

2. Usual number of permanent active duty or CIVMARs personnel assigned aboard this UIC.

3. Number of previous nonreactors (or people of unknown PPD status) who received an interpreted 5 TU PPD skin test at this command during previous 12 months.

4. Number of tuberculin reactors identified at this command.

5. Number of tuberculin reactors placed on INH.

6. Number of tuberculin reactors not placed on INH or for whom INH was discontinued because of untoward side effects.

(Specify reason in each case in "Remarks" section.)

7. Number of previously- known (old) reactors who received required annual clinical evaluation.

8. Number of active cases of tuberculosis identified at this command during previous 12 months (include name, grade or rate, social security number, age, sex, race/ ethnic group, and date of diagnosis in "Remarks" section).

9. Remarks: