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Mike Mitka

JAMA. 2001;286:909.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The most cost-effective, efficient, and successful method of identifying active tuberculosis (TB) cases in jails is using miniature chest radiography, report researchers at the Tennessee Department of Health. The findings appear in the first of two July issues of the American Journal of Respiratory and Critical Care Medicine.

The researchers estimated the cost of screening to detect an active TB case by miniature chest radiography at $9600. This compares with $32 100 per case identified by tuberculin skin testing and $54 100 per case by symptom screening.

Most jails and prisons perform tuberculin skin testing to detect active TB cases, but the method is neither sensitive nor specific enough to detect active disease, the researchers said. In the Memphis, jail, a program that screened inmates on admission using the skin test resulted in only a 5.8% rate of successfully read tests.

Another problem is inmate mobility. In Cook County, Illinois, . . . [Full Text of this Article]

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