Question

A 34-year-old Cree man living in a remote northern community presents for screening. He has no symptoms. Community public health data show a tuberculosis incidence many times higher than the national average. What is the most appropriate approach to TB prevention in this high-risk Indigenous community?

Accepted Answer

Offer targeted TB testing (e.g., IGRA or TST) and preventive treatment for those with latent infection

Answer

Rely on symptom-based screening only

Answer

Offer universal chest radiographs every year

Answer

Vaccinate adults with BCG regardless of prior exposure

Answer

No TB-specific interventions are needed if chest radiograph is normal

Practice question