Screening & Testing - Tuberculosis

VDH Guidelines and Recommendations

High Burden TB Countries 2023 (Updated 12/22/2022)
MDR TB High Burden Countries 2023 (Updated 12/27/2022)
Screening and Testing for Tuberculosis (NEW 3/29/2023)
Report of Tuberculosis Screening | Arabic | Chinese (Simplified) | Korean | Spanish
Annual TB Education Template
- Presentation Slides from September 2020 VDH webinar: TB Screening, Testing & Treatment in HCP
- Questions and Answers from September 2020 VDH webinar: TB Screening, Testing & Treatment in HCP

Humanitarian Parolee Programs

As part of the Department of Homeland Security’s United States Citizenship and Immigration Services’ humanitarian parolee programs, program beneficiaries two years of age or older are required to complete a medical screening for tuberculosis (TB), including an IGRA test within 90 days of arrival to the United States.

Please reference the table below for further guidance regarding required documentation and the relevant submission process based on the parolee’s country of origin and entrance process:

Country of Origin	Currently Eligible for ORR Benefits?*	Required Documentation for Local Health Departments	Where to Submit Required Documentation
Nicaragua	No	Humanitarian Parolee Tuberculosis Screening and Testing Form and laboratory generated IGRA invoice (Quest or LabCorp) **	Encrypted email to tuberculosis@vdh.virginia.gov or fax to 804-416-8175
Venezuela	No	Humanitarian Parolee Tuberculosis Screening and Testing Form and laboratory generated IGRA invoice (Quest or LabCorp) **	Encrypted email to tuberculosis@vdh.virginia.gov or fax to 804-416-8175
Cuba
Entered United States in accordance with the requirements of 45 CFR § 401.2	Yes	Newcomer Health Program Initial Health Screening Report	Encrypted email to newcomerhealth@vdh.virginia.gov or fax (804-864-7913) by the 20th of the month following the screening date
Entered United States in accordance with the U.S.-based sponsor DHS process	No	Humanitarian Parolee Tuberculosis Screening and Testing Form and laboratory generated IGRA invoice (Quest or LabCorp) **	Encrypted email to tuberculosis@vdh.virginia.gov or fax to 804-416-8175
Haiti
Entered United States in accordance with the requirements of 45 CFR § 401.2	Yes	Newcomer Health Program Initial Health Screening Report	Encrypted email to newcomerhealth@vdh.virginia.gov or fax (804-864-7913) by the 20th of the month following the screening date
Entered United States in accordance with the U.S.-based sponsor DHS process	No	Humanitarian Parolee Tuberculosis Screening and Testing Form and laboratory generated IGRA invoice (Quest or LabCorp) **	Encrypted email to tuberculosis@vdh.virginia.gov or fax to 804-416-8175
Ukraine	Yes	Newcomer Health Program Initial Health Screening Report	Encrypted email to newcomerhealth@vdh.virginia.gov or fax (804-864-7913) by the 20th of the month following the screening date

* Including an initial health screening

** Invoice must indicate which specific laboratory procedure(s) you are seeking reimbursement and the eligibility criteria (Uniting for Ukraine, Private Sponsorship from Venezuela, Nicaragua, Cuba, or Haiti) that the individual meets. Please note, this is the same process used for IGRA reimbursement for Class B immigrants and contact investigations, as specified in this guidance document.

Last Update: March 8, 2023

Forms for the community

VA TB Risk Assessment and User Guide (Updated 3/29/2023)
VA TB Risk Assessment and User Guide for Children Under 6 (Updated 3/29/2023)
National Health Care Personnel (HCP) Baseline Individual TB Risk Assessment (2019)

National Guidelines and Recommendations