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Tuberculosis (TB) tests (also knowns as “IGRAs”) can be used for TB clearance for children 2 years of age and older.


On Saturday, March 17, 2018 the updated rule concerning State’s Tuberculosis (TB) Clearance requirement will take effect.  The Governor had signed the revised Hawaii Administrative Rules (HAR) 11.164.2, on March 7, 2018.

View signed copy with Governor’s signature, pending official filing:  11-164.2-2

This updated rule has significantly changed Tuberculosis disease screening practices conducted in the State of Hawaii.  If you have any questions or concerns regarding this matter, please call (808) 832-5731 and, if you go to our “Forms” link we have posted new forms and instructional manual for the private healthcare providers use.

View a sample of the new Tuberculosis (TB) Clearance Certificate:  certificate-Sample

View a sample of the new Tuberculosis (TB) Clearance Certificate that private healthcare providers use (per HAR 11.164.2):  Private Healthcare TB Clearance – Sample

Links to videos, if you are:



To reduce the incidence of tuberculosis in the state by providing effective prevention, detection, treatment, and educational services.

Program Services and Activities

  • Offer diagnosis and treatment of TB.
  • Ensure that all cases and suspected cases of TB are identified and that appropriate therapy is provided.
  • Provide preventive therapy for patients at high risk of developing TB disease including contacts of active cases, persons who are HIV positive, and those with evidence of untreated TB.
  • Conduct direct TB services including chest X-ray, sputum smear and culture for mycobacteria, tuberculin skin testing, treatment with anti-tuberculosis therapy, and directly observed therapy (DOT) through TB clinics on the four most heavily populated islands.

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This page last updated: August 15, 2018