Changes to Tuberculosis (TB) Screening Procedures

October 24, 2018

Tuberculosis Screening Requirements

High TB Burden Country List 2018*

Persons from countries with a high TB incidence (20/100,000) should be screened for TB and TB infection. Persons from countries not found on this list should only be tested if they are symptomatic or have an individual risk factor for TB infection or progression to TB disease. (Data obtained from 2017 WHO Global Tuberculosis Report and reflects 2016 data)


Afghanistan Algeria Angola Anguilla Argentina Armenia Azerbaijan Bahamas Bangladesh Belarus Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Central African Republic Chad China China, Hong Kong SAR China, Macao SAR Colombia Comoros Congo Cote d’Ivoire Democratic Republic of the Congo Djibouti Dominican Republic Ecuador El Salvador Equatorial Guinea Eritrea

Ethiopia Fiji French Polynesia Gabon Gambia Georgia Ghana Greenland Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras India Indonesia Iraq Kazakhstan Kenya Kiribati Kuwait Kyrgystan Lao People's Democratic Republic Latvia Lesotho Liberia Libya Lithuania Madagascar Malawi Malaysia Maldives Mali

Mali Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Moldova (Republic of ) Mongolia Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Nicaragua Niger Nigeria Niue Northern Mariana Islands Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Portugal Qatar Romania Russian Federation Rwanda Sao Tome and Principe Senegal Serbia Sierra Leone Singapore Solomon Islands Somalia South Africa South Africa South Korea (Republic of Korea) South Sudan Sri Lanka Sudan Suriname Swaziland Syrian Arab Republic Tanzania (United Republic) Tajikistan Thailand Timor-Leste Tokelau Togo Tunisia Turkmenistan Tuvalu Uganda Ukraine Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Yemen Zambia Zimbabwe    

*locally identified high burden countries not meeting WHO definition of >20/100,000

For all students who have resided in a foreign country included on the High TB Burden Country List 2018, (see table above) for a consecutive period of four weeks, one of the following is required:

  • Evidence of a negative tuberculin skin test (TST) or Quantiferon TB Gold blood test (QFT) and a negative symptom screen completed within 90 calendar days prior to registration, certified by a licensed physician or department of health.
  • Evidence of a normal (negative) chest X-ray taken within 90 calendar days prior to registration.
  • Documentation of a negative symptom screen and risk assessment from the health department or private physician for students who present written documentation of having completed treatment for latent tuberculosis infection or TB disease.

Note: For the purpose of reenrollment in FCPS, persons returning from temporary (greater than four weeks) trips outside the United States will be required to be screened for tuberculosis.