06/2014

Tuberculosis Screening
Tuberculosis (TB) screening is required for incoming domestic or international students that were born in, resided in, or traveled to for
more than 3 months one of the countries listed below.
As of Fall 2013, T-Spot or Quantiferon Gold Blood testing is required. TB Skin testing will no longer be accepted as a Tuberculosis screen.

Afghanistan
Algeria
Angola
Argentina
Armenia
Azerbaijan
Bahrain
Bangladesh
Belarus
Belize
Benin
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Central African Republic
Chad
China
Colombia
Comoros
Congo
Cte dIvoire
Democratic PRK
Democratic Rep Congo
Djibouti
Dominican Republic
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Gabon
Gambia
Georgia
Ghana
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
India
Indonesia
Iran (Islamic Republic of)
Iraq
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao PDR
Latvia
Lesotho
Liberia
Libya
Lithuania
Madagascar
Malawi
Malaysia
Maldives
Mali
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States
of)
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Nicaragua
Niger
Nigeria
Niue
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
St. Vincent and
the Grenadines
Sao Tome and Principe
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Solomon Islands
Somalia
South Africa
South Sudan
Sri Lanka
Sudan
Suriname
Swaziland
Tajikistan
Thailand
Timor-Leste
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Republic of Tanzania
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian
Republic of)
Viet Nam
Yemen
Zambia
Zimbabwe


STUDENT HEALTH CENTER POLICY REQUIRES:
T-Spot or Quantiferon Gold Blood testing is required.
Tuberculosis testing must be done within 12 months of enrollment.
Students with a prior BCG immunization still require tuberculosis testing.
Students with positive TB test results will be evaluated at the Student Health Center.

TB SCREENING SHOULD BE CONSIDERED IF:
Persons who have been close contacts of a person with infectious TB
Persons with signs or symptoms of active TB
Persons with HIV infection
Persons who inject drugs
Persons who have resided in, have been employed by, or volunteered in the following high-risk congregate settings: prisons and jails,
nursing homes and other long-term facilities for the elderly, hospitals and other health care facilities, residential facilities for patients with
acquired immunodeficiency syndrome (AIDS), and homeless shelters
Persons with the following clinical conditions that place them at high risk: silicosis, diabetes mellitus, chronic renal failure, some
hematologic disorders (e.g. leukemias and lymphomas), other specific malignancies (e.g. carcinoma of the head or neck and lung), low
body weight (10% or more below the ideal), gastrectomy and jejunoileal bypass, prolonged corticosteroid therapy (e.g. prednisone 15
mg/d for 1 month), other immunosuppressive therapy, pulmonary fibrotic lesions seen on chest radiographs (presumed to be from prior,
untreated TB)
Detailed information about screening and treatment for tuberculosis can be found at the following website: http://www.cdc.gov/tb/

ALL RECOMMENDED VACCINES AND SCREENINGS ARE AVAILABLE AT STUDENT HEALTH SERVICES
If you have questions, please visit our web site at http://shs.tamu.edu/ or call (979) 458-8345.
You can return this document by fax (979-458-8319) or email- info@shs.tamu.edu.

TUBERCULOSIS TESTING DOCUMENTATION

Student Name:___________________________________ UIN:_____________________ Date of Birth: ______/______/________
MM DD YYYY

T-Spot or Quantiferon Gold Test Result: ______________________________________ Date of Result: ______/______/_________
MM DD YYYY
_____________________________________ ______/______/________ __________________________________
Physician Signature Date of Signature Office Telephone Number

__________________________________________________________ __________________________ ___________________________ ________________________
Address of Clinic or Office City State or Country Zip or Country Code

A Copy or Original test result document is required.
Texas A&M University Student Health Services reserves the right to not accept documentation that
appears to be duplicated, false, or altered.