A recent active case of tuberculosis at a YMCA facility in Omaha has led to more than 500 potential exposures, prompting the Nebraska health department to launch an investigation.
The infected individual was part of the YMCA’s drop-in child care program, posing a risk primarily to young children who may have been exposed.
From May 30 through Oct. 30, anyone who had close contact with the infected person is urged to undergo testing for tuberculosis bacteria, which spread through the air via coughing, sneezing, or speaking for persons with active infections.
While millions in the U.S. have latent tuberculosis, only a small percentage of untreated cases will progress to active disease. Symptoms in adults typically include a prolonged cough or chest pain, while children may experience weakness, weight loss, or fever, among other symptoms.
The active case was confirmed over the weekend and subsequently linked to the YMCA on Tuesday, setting off a rapid response by the Douglas County Health Department.
Notably, children’s risk of transmission is generally low, bringing optimism to medical advisers despite the extensive and ongoing investigation.
Day care patient’s illness in August
While Nebraska historically sees few tuberculosis cases, the recent spread from the YMCA case represents a significant outbreak compared to previous instances in the state.
Last year identified 15 cases, and another 15 up to September of this year, which adds urgency to containing the current situation.
Since the patient began showing symptoms in August, the recommended testing window spans three months before and after, prompting children’s Nebraska to provide specialized testing and treatment for at-risk children under age 5.
Testing and treatment recommendations
With infants and young children at higher risk for severe tuberculosis, the health department’s strategy includes chest X-rays, tuberculosis tests, and preventative measures using rifampin for those under age 5 exposed in the last 10 weeks.
Special clinics are being held to facilitate testing and treatment, ensuring the prompt identification and care of affected individuals.
Close contacts and community members can take advantage of this outreach for free testing at specified dates and locations to prevent further spread of the disease.
