Tuberculosis (TB) Disease

TB is a disease, caused by bacteria, that can spread from one person to another. Most often TB affects the lungs, but you can find it in any part of the body.
Page updated on August 19, 2024 at 9:30 AM
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Report TB to the Health Department

Providers, you can report latent TB infection to the Virginia Department of Health using this online form. 

BCG does not prevent TB

Unlike many vaccines that are very good at preventing disease, the bacille Calmette-Guerin (BCG) vaccine has limited benefits.  It prevents the most serious TB symptoms in infants and young children.  It does NOT prevent you from getting TB infection if you are exposed, or from developing active TB disease.

What is TB and how do I get it?

TB is a disease caused by bacteria which can spread from one person to another. TB often affects the lungs, but you can find it in any part of the body. 

TB bacteria is spread through the air in tiny droplets when a person with TB in his/her lungs coughs, sneezes, or speaks.  

TB1

If you breathe in these droplets, one of three things can happen:

  1. You do not get infected with TB bacteria, OR
  2. You get infected with TB bacteria, and your body controls it (latent TB infection), OR
  3. You get infected with TB bacteria, but your body does not control it and you get sick (active TB disease).

 

 

Latent TB infection can turn into active TB disease. That is why getting tested and taking medicine for prevention is important.

TB2

What are the symptoms of TB?

Symptoms of active TB disease may include:

  • Cough lasting 3 or more weeks
  • Coughing up blood
  • Losing weight
  • Night sweats
  • Shortness of breath
  • Fever

People with latent TB infection do not have any symptoms.

Who is at risk for getting TB?

You have a greater chance of getting TB if you have one or more of the following risk factors: 

If you are a baby, child or adult who:

  • Lived or spent time in a country where TB is common
  • Lived or spent time with someone with active TB disease
  • Lived or worked in a congregate setting (such as a shelter, jail, long-term care or assisted living facility)
  • Worked in a healthcare setting
  • Was/is homeless within the last 2 years
  • Uses illicit drugs (including crack cocaine) 
  • Spent time with a person with any of the risk factors listed above

How Do I Get Tested for TB?

To get tested, call your medical provider or the Health Department at 703.746.4960.

Can TB Be Treated?

Yes. Latent TB infection and active TB disease can be treated and cured by finishing all medications your doctor orders.

If you have TB risk factors or TB symptoms, call your doctor or Alexandria Health Department at 703.746.4960.

If you live outside of the City of Alexandria, contact the Virginia Department of Health for your local health department.

AHD TB Clinic

TB RISK ASSESSMENT AND SCREENING CLINIC:

This service is for adults (19 years of age and older) and is by appointment only. Children must attend Immunization Clinic for this service.

Prior to performing a TB test, patients are carefully assessed for risk factors. Only those patients at high risk for TB undergo a tuberculin skin test (TST) or an Interferon Gamma Release Assay (IGRA) blood test. Those individuals without risk factors receive a clearance letter immediately. 

There is a charge for this service. Some new and current programs grant eligibility for a free IGRA TB test from AHD to individuals migrating to the United States.

On January 5, 2023, the Department of Homeland Security released a new process granting free TB testing eligibility for qualified Cubans, Haitians, Venezuelan nationals and Nicaraguan nationals migrating temporarily to the United States. In April 2022, the Uniting for Ukraine program began granting free TB testing eligibility to participating Ukrainians. Call (703) 746-4960 for more information.