TB Exposure Reported at Father Joe’s Paul Mirabile Center

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The County's Tuberculosis Program is working in close collaboration with Father Joe's Villages to notify residents, employees, and volunteers potentially exposed to tuberculosis (TB) at the Paul Mirabile Center (PMC) at Father Joe's Villages, at 1501 Imperial Ave., San Diego, CA, 92101.

The dates of potential exposure are from May 4th, 2024, to May 19th, 2024.

Not enough information is available at this time to determine whether this exposure indicates transmission may have occurred at another shelter site operated by Father Joe's Villages. In November 2023, the County TB Control program investigated a potential exposure at a different Father Joe's facility.

TB is an airborne disease that is transmitted from person-to-person through inhalation of the bacteria from the air. The bacteria are spread when someone sick with TB coughs, speaks, sings or breathes. People with frequent and prolonged indoor exposure to a person who is sick with TB should get tested. 

People experiencing homelessness are at increased risk for TB for a variety of reasons. These include a higher risk for getting infected in congregate settings, challenges regarding access to healthcare, and the presence of certain medical conditions that may be more common and/or severe among people experiencing homelessness. 

While the rate of TB is much higher among people who have experienced homelessness, among cases in San Diego County, about 90% of people who are diagnosed with TB have not been recently homeless.

"Symptoms of active TB include persistent cough, fever, night sweats, and unexplained weight loss," said Ankita Kadakia, M.D., County Interim Public Health Officer. "Most people who become infected after exposure to tuberculosis do not get sick right away. This is called latent TB infection. Some who become infected with tuberculosis will become ill in the future, sometimes even years later, if their latent TB infection is not treated. For people who think they may have been exposed, blood tests and skin tests are an effective way to determine an infection."

Effective treatments are available to cure people who are sick from active TB. It is especially important for people with symptoms of active TB and those who are immune compromised to see a medical provider to rule out active TB disease and to discuss treatment. 

The County TB Control program will be offering TB testing, and x-rays when appropriate, to exposed residents, on site at Father Joe's Villages to ensure easy access to testing for exposed persons.

People who test positive for TB but who don't have symptoms of an active disease should get a chest x-ray and talk to a medical provider, as they most likely have a latent TB infection. People in this situation are infected with TB, but the infection is essentially dormant or "sleeping." Taking medicines for latent TB infection can cure the infection and keep these people from getting sick later. 

The number of people diagnosed with active TB in San Diego County had decreased since the early 1990s when more than 400 cases were reported annually. After decades of declining, TB cases have begun to rise since 2020.

In 2020, there were 193 TB cases, 201 in 2021 and 208 in 2022. In 2023, a total of 243 people were reported with active TB disease in San Diego County. The 17 percent increase in 2023 brought the County back to pre-pandemic levels.

An estimated 175,000 people in San Diego County have latent TB infection. Of these, 5 to 10 percent are at risk for developing active TB disease if they go without preventive treatment. 

People who would like more information on this potential exposure should call the County Tuberculosis Control Program at (619) 692-8621. 

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