[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-298439-105":59,"doc-detail-298439-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","hawaii-department-of-health-streamlines-tb-testing-requirements-for-faster-results-and-improved-accuracy-march-14-2018","Hawaii Department of Health streamlines TB testing requirements for faster results and improved accuracy - March 14, 2018","","Hawaii Department of Health announces updated tuberculosis (TB) screening requirements starting March 19, 2018, aimed at faster results and improved accuracy. Many residents seeking TB clearance for employment, school, food handling, or other programs may no longer need a traditional skin test if a standardized risk assessment questionnaire shows no risk or symptoms. Physicians may issue same-day clearance letters, while healthcare workers still require annual screening. The update also allows substitution with a TB blood test for eligible individuals.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/hawaii-department-of-health-streamlines-tb-testing-requirements-for-faster-results-and-improved-accuracy-march-14-2018/298439/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/hawaii-department-of-health-streamlines-tb-testing-requirements-for-faster-results-and-improved-accuracy-march-14-2018/298439.png","ImageObject",300,407,{"name":92,"@type":93},"Mia  ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-18",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"When do the new TB screening procedures begin in Hawaii?","Question",{"text":112,"@type":113},"The Hawaii Department of Health will begin instituting the new TB screening procedures on March 19, 2018.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How can many residents get TB clearance without a skin test under the new process?",{"text":117,"@type":113},"Residents complete a standardized TB risk assessment questionnaire; based on responses and other observations, a physician or advance practice nurse may determine there are no risks or symptoms and issue a clearance letter the same day without a skin test.",{"name":119,"@type":110,"acceptedAnswer":120},"What updates are included regarding TB testing options and ages?",{"text":121,"@type":113},"A TB blood test can substitute for a TB skin test for individuals above age five identified as at risk, but it is not approved or accepted for children under age five for clearance purposes.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},298439,1790063319,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},687207024478,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","DEPARTMENT OF HEALTH  \nD AV I D Y . I G E  \nG O V E R N O R  \nV I R G I N IA P R E S S L E R , M . D .  \nD I R E C T O R  \nFOR IMMEDIATE RELEASE  \nMarch 14 , 2018 18-023  \nHawaii Department of Health streamlines TB testing requirements for faster results and improved accuracy  \nHONOLULU – Traditional tuberculosis (TB) skin tests may no longer be necessary for many Hawaii residents seeking TB clearance for employment, school, food handling or participation in other programs, thanks to new TB testing requirements.  \nFollowing the recommendations of the majority of healthcare organizations, including the U.S. Centers for Disease Control and Prevention and the American Academy of Pediatrics , the Hawaii Department of Health (DOH) will begin instituting new TB screening procedures beginning March 19, 2018.  \nPrevious Procedure  \nMany are familiar with the previous standard procedure: a TB skin test involves an injection administered by a healthcare professional that requires a follow-up examination to “read” the injected area within 48 to 72 hours.  \n“The screening procedures we established 12 years ago have been updated with better, proven procedures to more accurately determine someone’s risk of exposure to TB,” said  \nDr. Elizabeth MacNeill, TB Control Branch chief. “This allows us to make better use of health resources and reduce unnecessary x-rays for those who have no risk. It also allows us to focus on providing treatment for those who would really benefit from treatment.”  \nCurrent Requirement  \nNow, when individuals visit their healthcare provider for a routine TB screening, they will be asked to complete a new standardized and detailed TB risk assessment questionnaire—a process that only takes a few minutes.  \n“We will be asking for more information about the person being screened, including symptoms of TB disease and health risks, such as a weakened immune system, which place that person at higher risk of getting TB,” Dr. MacNeill added. “The new process will help the healthcare community do a better job of screening for TB.”  \nOne of the survey questions asks whether the individual has traveled abroad for four weeks or  \nmore to locations known for their prevalence of TB.  \nBased on an individual’s responses to the questions and other observations, a physician or advance practice nurse may determine the individual does not have any risks or symptoms andwill be able to issue a TB clearance letter the same day without requiring the individual to take a skin test.  \nThe new rule does not apply to those working in the healthcare field. Healthcare workers are still required to obtain an annual TB screening and a test if they had no positive tests in the past.  \nAdditional Screening Update: TB Blood Test  \nThere is another update to the screening process: a TB blood test can be substituted for a TB skin test. Anyone above age five who is identified by the survey as being at risk for TB will be required to take either a TB skin test or a TB blood test. The blood test is not currently approved for children under age five and will not be accepted for this age group for clearance purposes.  \nIndividuals with a positive TB skin test are still required to have a chest x-ray. Individuals with suspicious TB symptoms will require both a TB test as well as a chest x-ray before they receive clearance.  \nDOH will continue to provide the TB skin test free of change at designated locations statewide. People may request the blood test for TB from their healthcare provider. Most local doctors can provide the risk screen and skin test, but it’s recommended to call in advance. The TB blood testis more expensive than a TB skin test but is an option for those who do not want a skin test. In some cases, the blood test may be covered by health insurance plans.  \nFor further information about TB testing requirements, visit [https://health.hawaii.gov/tb/](https://health.hawaii.gov/tb/)  \n[or call the TB program at](or call the TB program at) (808) 8","cbCaitYkFHswdjGp","https://ap.wps.com/l/cbCaitYkFHswdjGp","pdf",142976,"English","# Current Requirement\n## Additional Screening Update: TB Blood Test\n## Previous Procedure\n## Tuberculosis Control Program Services","[{\"question\":\"When do the new TB screening procedures begin in Hawaii?\",\"answer\":\"The Hawaii Department of Health will begin instituting the new TB screening procedures on March 19, 2018.\"},{\"question\":\"How can many residents get TB clearance without a skin test under the new process?\",\"answer\":\"Residents complete a standardized TB risk assessment questionnaire; based on responses and other observations, a physician or advance practice nurse may determine there are no risks or symptoms and issue a clearance letter the same day without a skin test.\"},{\"question\":\"What updates are included regarding TB testing options and ages?\",\"answer\":\"A TB blood test can substitute for a TB skin test for individuals above age five identified as at risk, but it is not approved or accepted for children under age five for clearance purposes.\"}]","Hawaii Department of Health streamlines TB testing requirements for faster results and improved accuracy - March 14, 2018 | PDF",1789757627]