- Investigate all reports of active or suspected cases of Tuberculosis (TB)
- Ensure required follow-up has been done on all reported positive TB skin tests
- Provide TB skin testing to the public in our clinics
- Provide free TB medication for prophylaxis and treatment
- Provide information, advice on the management of LTBI and Active TB cases to healthcare providers
- Provide multilingual resources on TB
Tuberculosis screening requirements
Long-term care homes are legislated under the Long-Term Care Homes Act, 2007 to ensure that staff and residents are screened for tuberculosis upon admission or employment at the facility.
All residents when admitted must have a:
- Chest x-ray (baseline posterior-anterior and lateral)
- Two-step tuberculosis skin test (TST) within 14 days of admission, regardless of prior BCG vaccination (unless resident has a documented result of a previous two-step TST done within the last 90 days).
All staff must have a two-step TST ideally before placement, or within 14 days of starting work (unless employee has a documented result of a previous two-step TST done within the last 12 months). If the employee has a documented negative TST done longer than 12 months ago, they need a one-step TST.
Tuberculosis is a reportable disease under the Health Protection and Promotion Act - R.S.O. 1990, Chapter H.7.
Long-term care homes must report all residents and staff with any of the following to Public Health:
- Positive Mantoux TB skin test
- Latent TB infection
- Suspected active TB
- Confirmed active TB
How to report
Call the Reportable Disease and Outbreak Reporting Line at 1-800-265-7293, ext. 4752. After business hours, on weekends, or on statutory holidays, call 1-877-884-8653.
To report a positive Mantoux TB skin test result, use this form: Reporting Mantoux TB Skin Test (PDF) and fax to our secure reportable disease fax line: 519-846-3307.