       Document 0851
 DOCN  M95A0851
 TI    Dentistry and tuberculosis in the 1900s.
 DT    9510
 AU    Riben PD; Epstein JB; Mathias RG; Health Facility
       Epidemiology/Environmental Health, Vancouver; Hospital and Health
       Sciences Centre.
 SO    J Can Dent Assoc. 1995 Jun;61(6):492, 495-8. Unique Identifier :
       AIDSLINE MED/95339274
 AB    The number of new cases--or incidence--of tuberculosis is increasing in
       nearly every region of the world. A number of forces have resulted in
       the increased incidence of TB in developed countries, including the HIV
       epidemic, homelessness, and emigration from highly endemic regions.
       Although the number of new cases in Canada is relatively constant, the
       TB experience in the United States serves as a reminder that this
       situation could change rapidly. The appearance of multidrug-resistant
       tuberculosis has added to the urgency of situation. The basic methods of
       preventing TB transmission include preventing the release of the
       organism into the air, removing the organism from the air, and
       preventing the inhalation of the organism. Identifying and appropriately
       treating every person with active tuberculosis is an extremely important
       component of the control strategy; adequate ventilation, filtering air,
       and ultraviolet germicidal irradiation are methods used to remove the
       organism from the air; and masks and other personal protective devices,
       such as high-efficiency particulate air filters (HEPA), have been
       suggested as a means of preventing inhalation of the organism. In
       addition, identifying new TB infections and using chemoprophylaxis often
       prevents infection from progressing to active disease. Given the route
       by which tuberculosis is transmitted, it is necessary for both dentists
       and allied dental personnel to be aware of the risks they may face in
       day-to-day practice, and the means by which they can protect themselves
       and their patients.
 DE    Air Microbiology  Canada/EPIDEMIOLOGY  Dental Care for Chronically
       Ill/*METHODS  *Dentistry  Disease Transmission,
       Patient-to-Professional/*PREVENTION &  CONTROL  Human  *Occupational
       Exposure  *Tuberculosis, Pulmonary/EPIDEMIOLOGY/PREVENTION & CONTROL/
       TRANSMISSION  Universal Precautions  JOURNAL ARTICLE  REVIEW  REVIEW,
       TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

