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  • 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.

For residents

All residents when admitted must have a:

  • Chest x-ray (baseline posterior-anterior and lateral)
  • Tuberculin skin tests are no longer recommended to be done for residents 65 years of age or older. if a TST was previously done, record the date and result of the most recent TST.

For staff

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.

Fact sheets:

TB Skin Test (PDF, 1 page)

2-step TB Skin Test (PDF, 2 pages)

Reporting requirements

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: 1-855-WDG-LINE (1-855-934-5463).