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DOH Brochure on Bovine TB

CDC Weblink on Bovine TB:  https://www.cdc.gov/tb/publications/factsheets/general/mbovis.htm



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.

Latest at TB Control Branch as of April 2022:
Governor has lifted face mask mandate and the need to provide proof of COVID-19 vaccination to enter into State Offices.  However, the Department, is still strongly recommending the use of face masks.

If you notice that our TB Skin Test Office site is crowded and social distancing cannot be accommodated, please consider wearing a face mask.  We have a mix of Keiki (children under 5 years old) and Kupuna (seniors) waiting to in line for TB service and they are still “at-risk” for contracting COVID-19, so to protect all who visit we ask that face mask be worn.

If you need a TB Clearance immediately for school or employment, please come  come into our  office at the following address :

Lanakila Health Center – Ground Floor
1700 Lanakila Avenue
Honolulu, Hawaii 96817

Due to staffing shortage at this time, we are also experiencing delays in processing TB clearance request via the E– process, in the event that you don’t get a response to your request within a week, please come in to our main TB Office at Lanakila (address is above) and request in-person.  Also our Public Health Nursing partners on Oahu are also starting in-person TB Skin Test (TST).  Only Neighbor Island Public Health Nursing Offices are still requesting that appointments be made for TB Skin testing.

TB Clearances through the E-process can be done for the following requests:

  • Children entering childcare, preschool or school (K-12th grade) and school employees
  • Post-secondary school students and employees
  • Food handlers

The E-process cannot be done for the following requests:

  • New and annual TB clearance needed for healthcare workers and long-term care residents and employees.
  • New Immigrants to the U.S.
  • Emergency requests.  If request is urgent, please call 832-5731 and speak to a TB staff.

How to use the E-process, start with the following:

  1.  Send in your TB request using the e-mail address provided.
  2.  E-mail to:  [email protected]
  3.  In the e-mail message provide the following information:
    • Your Name(s) (first name, last name, (aka, your maiden name) of individuals seeking TB clearance
    • Indicate relationship: (for example, self, children (0-17 years of age).
    • Primary phone number: (needs to be a  contact number we can reach you during our office hours)
    • Date of Birth
    • Reason TB clearance is needed

    A response will be made as soon as possible by phone or by e-mail.  Upon telephone interview with you or review of TB-1 application, the TB staff will determine whether we are able to process your TB clearance request electronically or that we are unable to process your request and that you will need to be seen in our office.



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This page last updated:  July 11, 2022