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Ukrainian Arrival Resources

Ukrainian Health Resources, DOH Refugee Health Program

Fact sheets, webinars, videos, and other health resources to support new arrivals from Ukraine. TB patient education materials in Ukrainian, Russian, and English are available under the ‘TB Resources’ section.

​Rifampin and Rifapentine Supply Issues: On September 14, 2020 the CDC posted a Dear Colleague Letter about some current rifamycin issues. The Washington State TB Program recommends that providers treating TB patients review this letter, found on the CDC website here. The FDA has more information about nitrosamines posted on this page.

If you have questions or if you have difficulty accessing these medications please contact WA DOH at TBServices@doh.wa.gov or Island County Public Health.

Tuberculosis Program

Public health staff engage in surveillance and management of tuberculosis, a notifiable condition in Washington State. Tuberculosis (TB) is caused by the bacterium Mycobacterium tuberculosis, which can be treated with antibiotics. There are two stages of TB: infection and disease. If not treated properly, TB disease can be fatal. Worldwide, TB is the second leading infectious disease killer after COVID-19. Rates of TB disease in Washington State have declined since 2007. An estimated 200,000 people in Washington have latent TB infection (LTBI), which may progress to TB disease without treatment.

A positive TB skin test or TB blood test only indicates that a person has been infected with TB bacteria; it cannot tell whether the person has LTBI or is sick with TB disease. A chest x-ray, a sample of sputum, and possibly other tests, are needed to diagnose TB disease.

TB tests are generally not needed for people with no risk of infection from TB. Some people should be tested because they are more likely to get TB disease. People who should be tested include:

  • People who have been in close contact with someone who has infectious TB disease.
  • People with HIV infection or another medical problem that weakens the immune system or before taking prescribed medication that intentionally suppresses the immune system.
  • People who have symptoms of TB disease (fever, night sweats, cough, and weight loss).
  • People who have lived or worked in a country where TB disease is common (includes any country other than the United States, Canada, Australia, New Zealand, or a country in western or northern Europe).

If you think you may need to get tested for TB, or want more information, talk to your health care provider and Island County Public Health.

Healthcare Provider Resources





  • TB Project ECHO - A videoconference meeting tor clinicians to get consultation on TB infection or TB disease cases and participate in case-based learning and TB-related didactics.


Melanie Davis, RN BSN
TB Coordinator

Shawn Morris, ND
Community & Family Health Manager


Confidential Fax

Health Care Provider and TB Program Materials - CDC
Continuing Education Activities - CDC
Find TB Resources.gov
Electronic Mailing Lists - CDC
DOH Data and Reports
TST in 3D Online TST/IGRA interpreter.

​TB ECHO - Collaborative model of medical education and case management.