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The decision to conduct a tuberculin skin test on an individual is a decision to treat until completion, if that person is found to be tuberculin-positive. 

TB Skin Testing

The Clay County Public Health Center accepts the following for payment: 

    Cash, Check, Credit Card or Debit Card 
    Medicaid - Most fees are covered by Medicaid

Who can get TB?

Anyone can get TB, but some people are more at risk than others. Those in high-risk category include:
  • Anyone in close contact with someone with TB (family member, coworker, or friend) 
  • Poor and/or homeless persons 
  • Foreign-born individuals from countries where TB is common 
  • Nursing home residents 
  • Prisoners 
  • Alcoholics and drug users 
  • People with medical conditions such as diabetes, certain types of cancers and HIV 
  • Exposure to TB

How is TB diagnosed?

If you show signs of TB, you should have a TB skin test. If the test is positive, you will be given other tests to see if you have TB infection or TB disease. CCPHC does not provide chest x-rays but people may qualify through a program established with Missouri Department of Health and Senior Services.

Where can I get a TB skin test?

In Clay County, you can have a TB skin test done at Clay County Public Health Center on:
 
Monday, Wednesday and Friday only. Testing is NOT done on Thursdays.
 
The two-step test for tuberculosis is administered to clients who have not had a TB skin test within the past year. A two-step TB Skin Test is two separate TB Skin Tests conducted 1 – 3 weeks apart. This follows a recommendation from Missouri Department of Health Bureau of Tuberculosis Control and the CDC. If you have had a TB skin test within the past year, please bring documentation and you will only need to receive a one-step test. There is no charge for the second step of a two-step TB skin test.
Tuberculosis (TB) Services
Tuberculosis (TB) is a communicable disease caused by bacteria that is spread from person to person by respiratory droplets. TB normally affects the lungs, but can also affect other areas of the body.

How do you get TB?

TB is spread from person to person through the air. Germs are put into the air when a person with TB of the lungs coughs, sneezes, laughs or sings.

TB: General Information

TB Info

Prevent TB


What to do if you think you have TB

BEGINNING JANUARY 1, 2013

NEW HOURS OF OPERATION for TB SKIN TESTS!
APPOINTMENTS ONLY!

Monday and Wednesday mornings - 8:30 - 11:00
Monday and Wednesday evenings - 4:00 - 5:30
Fridays - 8:30-12:15

 Please arrive 15 – 30 minutes prior to your appointment time for registration

Call (816) 595-4355 for more information or to make an appointment

The general symptoms of TB disease include feelings of sickness or weakness, weight loss, fever, and night sweats. The symptoms of TB disease of the lungs also include coughing (with or without blood) and chest pain. Symptoms of TB disease in other parts of the body depend on the area affected. TB usually affects the lungs. Symptoms of TB of the lungs may include cough, chest pain, and coughing up blood.
What is the difference between TB infection and TB disease?

People with TB infection (without disease) have the germ that causes TB in their body. These individuals do not have symptoms and are not sick because the germ is inactive in their body. These individuals cannot spread TB to others; however, they may develop TB disease in the future, especially if they are in a high-risk category.

Those with TB disease are sick and display one or more obvious symptoms. These individuals are capable of spreading the infection to others. Those with TB disease can often suffer permanent body damage or death.
 
How is TB treated?

TB is easily prevented and cured. Individuals with both TB infection and TB disease are treated with medications. Those with TB infection are treated with medication to prevent them from developing TB disease. Medications are prescribed to cure active TB disease.

Treatment of Latent Tuberculosis Infection (LTBI)

Case Management.  Nurse case managers provide one-on-one attention to clients with latent TB infection or TB disease. Clients meet with a nurse case manager on a regular basis during the treatment period to assess the patent’s physical response to the medication and to ensure the medication is taken properly. The treatment period may vary depending on the client’s individual needs, response to treatment, and the physician’s orders. For those with a latent TB infection, CCPHC offers a monthly clinic consisting of a consultation with the nurse case manager and evaluation by a physician specializing in the care and treatment of lung conditions. The clinic is by appointment only. Case management is available at no cost.

Helpful links

Center for Disease Control and Prevention
 
TB: General Information
 
State of Missouri Department of Health and Senior Services 
 


800 Haines Drive Liberty, MO 64068
816-595-4200 www.clayhealth.com
© 2014 Clay County Public Health Center