What
is tuberculosis?
Tuberculosis is an infectious
disease caused by a germ called Mycobacterium tuberculosis. The
germ usually causes an infection in the lungs, but sometimes it can affect
other parts of the body.
What
are the signs and symptoms of tuberculosis?
The signs or symptoms of
tuberculosis are common to many other diseases. They are:
- loss of weight
- loss of energy
- poor appetite
- fever and wet cough
How is
tuberculosis transmitted?
Tuberculosis is transmitted
through the air from exposure to germs in the saliva of infected persons
and sputum coughed up from their lungs. When an infected person coughs or
sneezes, tiny droplets which contain the germs are released and can be
inhaled by employees or anyone in the area. The germs inhaled through the
nose and mouth reach the windpipe (trachea) and the dividing air tubes
(bronchi) that lead to the lungs. The germs can spread from the initial
location in the lungs to other parts of the body through the bloodstream. Within
weeks from infection, the immune system which is the infection control
mechanism of the human body, reacts to the germs and usually prevents them
from multiplying and spreading. Not everyone infected develops the disease.
In fact, about 90% of infected persons remain infected for life without
having any symptoms.
A person infected with the
germs who does not develop the disease cannot infect others because no
germs are discharged in the sputum or saliva.
About 5% of infected persons
develop the disease. These persons can transmit tuberculosis because they
discharge germs in their sputum or saliva.
How is
tuberculosis recognized?
Medical tests such as skin
tests, chest x-ray, and sputum tests can determine if a person was exposed
to the germs or whether the person has the disease.
Can
tuberculosis be treated?
Tuberculosis can be treated
very effectively through a combination of drugs. It is important to follow
the physician's directions and take the drugs exactly as recommended. If
you forget to take your pills or if you take only one of them, the
tuberculosis germs might become resistant to the drugs and start growing
again.
Should
tuberculosis be an occupational concern?
In the workplace employees of
institutions or hospitals can contract tuberculosis from persons who have
not yet been diagnosed. Safe work procedure should include screening
programs that will identify persons who have been exposed to the germs
causing tuberculosis.
When an infectious person is
identified all isolation precautions should be implemented. An infectious
person should be placed in a private room. Employees entering the room
should wear a protective respiratory device. The isolation room must be at
negative air pressure and it must have adequate ventilation to dilute the
concentration of contaminants within the room. The air from the isolation
room must be directly exhausted outside.
Document last updated on April 12, 1999
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