TB Logo (wood)



Per the Pediatric Red book an alternative 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 Hawaii Administrative Rules (HAR) 11.164.2 the State’s Tuberculosis (TB) Clearance requirement took effect. 

View a signed copy of the Hawaii Administrative Rules 11-164.2-2, click link:   11-164.2

The 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 located to the left-side of this web page, you will be able to find new application forms, if you are seeking a TB Clearance certificate, download, print and fill-in application and bring with you to any of the TB skin test site listed with days and times also located on the left-side under “TB Testing and Location.”

View a sample of the new Tuberculosis (TB) Clearance Certificate: click link:  Sample of TB certificate.

If you are a private healthcare provider, you can also click on “Forms” link located to the left-side of this webpage for additional information and forms on the new HAR requirement and additional forms for reporting an active TB disease case (per Hawaii Revised Statutes 325-71).

View a sample of the new Tuberculosis (TB) Clearance Certificate that private healthcare provider’s must use (per HAR 11.164.2) as a TB Clearance Certificate.   Copy of test results will not suffice as a TB clearance without certificate :  click link:   Private Healthcare TB Clearance Certificate- Sample

Links to presentation 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.

Return to top of page


This page last updated: October 2, 2019