2 Dead, Dozens Sick in Tuberculosis Outbreak in Kansas City Area

Mycobacterium tuberculosis bacilli, the organism responsible for causing the disease tuberculosis, in a microscope photo in 1966. Elizabeth S. Mingioli/CDC via AP
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Health officials in the Kansas City area are warning of a recent outbreak of tuberculosis (TB) cases, prompting an effort from state and local health agencies to stop the spread, according to the Kansas Department of Health and Environment (KDHE).

The outbreak has killed two people since it started in January 2024, KDHE spokeswoman Jill Bronaugh said. Health officials in Kansas say there is no threat to the general public.

The outbreak has primarily affected Wyandotte County, with a total of 67 active cases reported as of Jan. 24. According to KDHE, 60 of these cases are in Wyandotte County, while the remaining seven are in neighboring Johnson County.

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In addition to the active cases, health officials have identified 79 latent TB infections associated with the outbreak, which means such individuals have an inactive infection. A large majority of the latent infections, 77, are in Wyandotte County, with only two reported in Johnson County.

The KDHE, working with local health departments, is following guidelines set forth by the U.S. Centers for Disease Control and Prevention to manage the outbreak. These efforts include identifying and testing close contacts of infected individuals and providing treatment to those who test positive.

According to KDHE officials, TB testing is being offered at no cost to individuals who may have been exposed. Those who test positive will undergo further screening to determine their treatment, which varies for an active TB disease or latent infection.

The health department has confirmed that treatment will be provided free of charge to uninsured patients or those whose insurance doesn’t cover TB treatment. This approach aligns with CDC guidelines, which recommend patients complete the full course of treatment to prevent the development of drug-resistant strains of TB.
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According to the CDC’s 2023 TB Surveillance Report, the United States reported a total of 9,633 TB cases in 2023.
According to federal health agency, TB is caused by the bacterium Mycobacterium tuberculosis and primarily affects the lungs, although it can impact other parts of the body. The CDC estimates that up to 13 million people in the United States live with latent TB infection.

Symptoms of active TB disease include a persistent cough lasting three weeks or longer, chest pain, coughing up blood, fatigue, weight loss, fever, and night sweats, according to the agency.

Two types of tests are available for TB detection: a blood test called interferon-gamma release assay and a skin test. TB spreads through the air when a person with active pulmonary TB coughs, speaks, or sings. The CDC notes that TB germs can remain airborne for several hours, especially in poorly ventilated areas.

The Associated Press contributed to this report.