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Tuberculosis Epidemiology and Chain of Infection Communicable diseases occurring throughout worldwide communities raise public health challenges and demand the attention of health agencies on a global scale. Disease control is a complex issue which requires intervention on the environmental and behavioral level by health agencies and caregivers including public health nurses. Providing primary, secondary, and tertiary methods of prevention are necessary in the interruption of the chain of infection and protection of populations from communicable diseases. Tuberculosis is a deadly disease occurring in one third of the world’s population, infecting nine million people in 2013 and leading to over one million deaths (Centers for Disease Control and Prevention [CDC], 2015). Community health nurses play an integral role in the fight against tuberculosis by providing immediate and follow up care to affected individuals, assisting in research and investigations to combat the disease, and educating communities about early detection, treatment, and prevention. Tuberculosis (TB) is a potentially fatal infection commonly caused by a strain of bacteria called Mycobacterium tuberculosis (Maurer & Smith, 2013). In the most familiar presentation, the lungs are affected, but the bacteria can also infect the kidneys, lymphatic system, brain, and spine (Maurer & Smith, 2013). The disease can manifest in latent form in which an individual is not infectious and cannot spread the illness to others. It is considered active if one’s immune system cannot fight the bacteria and a person exhibits symptoms such as blood tinged sputum, fever, anorexia, fatigue, and night sweats (CDC, 2015). Latent tuberculosis can be detected in an infected individual through the Mantoux tuberculin skin test, where an area of induration is considered a positive test or through

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