The United States government has developed a program entitled Uniting for Ukraine (U4U) to support Ukrainians who have been displaced from their homes due to the war. Due to the high burden of tuberculosis (TB) in Ukraine, parolees are being advised that they need to get an evaluation and screening for TB within 2 weeks of arrival into United States. The Office of Refugee Resettlement (ORR) estimates approximately 1,000 individuals may arrive in the National Capitol Region.
- Ukrainians with parole status that entered the U.S. on 2/24/22 or later are eligible for refugee benefits through their local health department.
- If the parolee resides in the Fairfax Health District, direct the patient to call the Fairfax County Health Department (FCHD) at 703-246-7100 for an appointment as soon as possible. Patients should identify themselves as a participant of the Uniting for Ukraine (U4U) program. If the parolee resides in another jurisdiction, please instruct them to call their local health department.
- Services will be provided at no charge by the FCHD for parolees residing in the Fairfax Health District.
- Latent TB infection (LTBI) and active TB are reportable conditions in Virginia. All providers are required to report suspected and confirmed cases of active TB to FCHD via phone at (703) 246-2433. If your patient has a positive TST or IGRA (T-SPOT or QFT) please ensure a CXR is ordered. Reporting of a positive TST or IGRA result can be done online via the Fairfax County Health Department TB webpage. There, a direct link is provided to the VDH reporting portal where providers can complete and submit an electronic Confidential Morbidity Report (also called the Epi-1).
- Health Department TB experts are available for consultation regarding evaluation and diagnosis of persons with suspected TB disease, referral for treatment of active TB disease, as well as for consultation regarding Fairfax Health District residents with LTBI. For consultation or any questions, contact the FCHD Intake/Referral line at 703-246-2433 to speak with a member of the FCHD TB Program.
- The current Virginia reportable disease list, which includes TB infection, is posted online.
- In 2020, Ukraine’s TB rate was estimated to be 73 per 100,000 population. By contrast, the 2021 TB rate for Fairfax Health District was 4.2 per 100,000 population. Worldwide, Ukraine is among the high multidrug-resistant TB burden countries, as designated by the World Health Organization. As Ukraine has a substantially higher TB incidence, and a higher burden of multidrug resistant TB cases (about one-quarter of their TB cases), it is important to work proactively to identify and manage any active TB or latent TB infections in this population.