Safety Training Course

Tuberculosis: Prevention and Control

Help healthcare, corrections and lab safety leaders control tuberculosis exposure with risk assessment, engineering controls, respirators and screening.

Length:
15m
Language(s):
EN, FR, SP
Year Produced:
2024

Tuberculosis: Prevention and Control

This comprehensive training prepares healthcare workers, laboratory personnel, correctional facility staff, and other at-risk employees to prevent and control tuberculosis (TB) transmission in workplace settings. The program covers OSHA and CDC guidelines for identifying TB risks, implementing infection control measures, and protecting workers from this serious airborne disease. Participants will learn to recognize environments and job activities that pose TB exposure risks including healthcare facilities, shelters, correctional institutions, and settings serving high-risk populations. The course explains how TB spreads through airborne droplet nuclei, the difference between latent TB infection and active TB disease, and why certain workers face elevated exposure risks. Topics include implementing engineering controls such as negative pressure isolation rooms, HEPA filtration, and ultraviolet germicidal irradiation (UVGI), selecting and properly using respiratory protection including N95 respirators and PAPRs, conducting TB risk assessments and developing exposure control plans, screening and testing protocols for employees, isolation procedures for suspected or confirmed TB cases, following CDC's hierarchy of TB infection control measures, recognizing signs and symptoms of active TB disease, post-exposure protocols and medical evaluation, and compliance with OSHA's Respiratory Protection Standard (29 CFR 1910.134). This training emphasizes that TB remains a serious occupational health threat and that layered infection control measures—combining engineering controls, administrative procedures, and personal protective equipment—are essential for protecting healthcare and other at-risk workers.

Course Overview

  • Identify settings and job tasks that carry a risk of TB exposure
  • Explain how engineering controls reduce airborne TB transmission
  • Select, wear and maintain respirators and other PPE for TB protection
  • Describe TB screening and testing for at-risk employees
  • Follow isolation and case management steps for suspected TB cases
  • Apply OSHA and CDC requirements to a workplace TB control plan
Objectives:
Identify settings and job tasks that carry a risk of TB exposure
Explain how engineering controls reduce airborne TB transmission
Select, wear and maintain respirators and other PPE for TB protection
Describe TB screening and testing for at-risk employees

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FAQs

Who needs tuberculosis prevention training?

Tuberculosis prevention training is for workers in settings with higher TB exposure risk, including hospitals and clinics, laboratories, correctional facilities, homeless shelters and zoos. Safety officers, infection control staff and HR managers who build TB control plans also benefit. The 15-minute video is in English with Spanish and French closed captions.

Which OSHA standards apply to tuberculosis exposure?

OSHA has no TB-specific standard, so it enforces TB protections through compliance directive CPL 02-02-078. That directive relies on the Respiratory Protection Standard (29 CFR 1910.134), the PPE standard (29 CFR 1910.132) and the General Duty Clause. CDC guidelines supply the recommended infection control practices.

How does tuberculosis spread in the workplace?

Tuberculosis spreads through the air. Someone with active TB in the lungs or throat releases tiny droplet nuclei when coughing, sneezing or talking, and others inhale them. These particles can linger in poorly ventilated rooms for hours. TB does not spread by touching surfaces, sharing dishes or shaking hands.

What is the difference between latent TB infection and active TB disease?

Latent TB infection means the bacteria are in the body but inactive; the person has no symptoms and cannot spread TB. Active TB disease means the bacteria are multiplying and causing symptoms such as a lasting cough, fever and weight loss. Active TB of the lungs can spread to others.

What respirator protects workers against tuberculosis?

An N95 or higher-rated respirator protects workers against tuberculosis; a surgical mask does not. Under 29 CFR 1910.134, respirator users need a medical evaluation, fit testing and training, with fit tests repeated annually. Powered air-purifying respirators (PAPRs) are an option for workers who can't get a good fit.

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