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Pseudo-outbreak of Tuberculosis in Poultry Plant Workers, Sussex County, Delaware

Kim, Dennis Y. MD, MPH; Ridzon, Renee MD; Giles, Beverly RN, BSN; Mireles, Teresa MSN, APRN, BC

Journal of Occupational and Environmental Medicine: December 2002 - Volume 44 - Issue 12 - p 1169-1172
Original Articles

Delaware is a leading US poultry-producing state, and foreign-born workers make up a significant percentage of those employed by Delaware’s poultry plants. In Sussex County, Delaware, a high percentage of the poultry workers are from two countries with a high incidence of tuberculosis (TB), Mexico and Guatemala, and thus are at risk for TB infection and disease. Furthermore, their risk of TB may be increased because many of these workers live in crowded conditions and lack access to medical care. 1–4

From the Epidemic Intelligence Service (Dr Kim); Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Kim, Ms Ridzon); and Delaware Division of Public Health, Georgetown, Delaware (Ms Mireles, Ms Giles).

Address correspondence to: Dennis Kim, MD, MPH, Amgen Inc., One Amgen Way, MS: 17-2-C, Thousand Oaks, CA 91320-1799; e-mail:

Dr. Kim is currently at Amgen Inc., Thousand Oaks, CA. Dr. Ridzon is currently at the Bill and Melinda Gates Foundation, Seattle, WA.

This article was written by employees of the U.S. Government as part of their duties, and therefore, is not subject to U.S. copyright.

Copyright © 2002 by the American College of Occupational and Environmental Medicine