Well, we got through the worst of the COVID-19 pandemic, and though we lost many lives, we are now healing. But now, we hold our breath anytime someone says “outbreak.” I don’t believe we would be forced to step backward and shut our centers down again, but when it comes to preventing COVID-19 and tuberculosis in senior care, we can’t take our finger off the pulse, not even for a minute! Each time a new variant makes an entrance, health officials take notice, as it may signal an important change in SARS-CoV-2’s behavior. The newest variant, “XEC,” has already been detected in at least 25 states.
Not quite! After 27 years of declining U.S. Tuberculosis (TB) case counts, TB cases have increased each year since 2020. In 2023, 40 states and DC reported increased case counts and rates. Despite being preventable and curable, TB remains one of the world’s leading infectious disease killers, and 85% of U.S. cases are due to the reactivation of latent TB infections rather than recent transmission. This is especially concerning for preventing COVID-19 and tuberculosis in senior care settings, where close living quarters increase the risk of disease spread. Staff and visitors may unknowingly bring TB into the community, making regular screenings crucial.
Consider regular screenings for residents and staff, perhaps adopting annual TB tests for high-risk individuals, and ensure that new residents and staff are screened before joining your community. Additionally, training staff to recognize signs of TB—such as a persistent cough lasting over three weeks, chest pain, appetite loss, night sweats, fatigue, and weight loss—is essential. Review your current infection prevention protocols, meet with your infection preventionist, and share this blog with your medical director. We can never be too cautious, and remember, keep your finger on the pulse—after you wash your hands!
Stay well and stay informed!
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Angie Szumlinski
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April 10, 2025