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A tuberculosis outbreak in Kansas City, Kansas, has emerged as the largest documented outbreak in United States history. The Kansas Department of Health and Environment (KDHE) reports that as of January 24, 2025, there are 67 active cases within Wyandotte County (60 cases) and Johnson County (7 cases), tracing back to January 2024.
In addition to active cases, KDHE has identified 79 latent, or asymptomatic, tuberculosis (TB) infections in the last year. This includes 77 cases in Wyandotte County and two in Johnson County. The total number highlights a concerning trend that local health officials are taking very seriously.
KDHE is collaborating closely with local health departments to manage the outbreak. They are following recommended treatment and prevention guidelines from the Centers for Disease Control and Prevention (CDC).
According to a statement from KDHE, the outbreak remains active, indicating the potential for additional cases to surface. Tragically, two deaths linked to this outbreak were reported in 2024.
For context, the CDC noted that there were only 46 active TB cases reported across Kansas in 2023, showcasing the unprecedented nature of the current outbreak. The rise in cases in this specific area has raised alarm and called for targeted interventions.
To provide effective care for those affected, KDHE has taken the lead in coordinating and distributing testing, treatment, and medical consultation efforts particularly in Wyandotte County. This proactive approach aims to mitigate the spread of the disease.
Tuberculosis is a contagious disease primarily affecting the lungs, as outlined by KDHE. It is caused by bacteria that spreads through the air when an infected person coughs, speaks, or sings. Importantly, TB is not transmitted through casual contact methods such as kissing, shaking hands, sharing food or drink, or touching surfaces.
Common symptoms of TB include:
KDHE has reassured the public that there is a very low risk of TB infection for most community members, which is crucial for easing public anxiety.
In an interview, Dr. Wendy Thanassi, senior medical director of TB and Infectious Diseases at QIAGEN North America, emphasized the broader implications of this outbreak. She stated, “Kansas is not alone in its battle against TB, which kills more than a million individuals annually. Every undetected case is an outbreak waiting to happen; however, we can stop TB before it escalates.”
Dr. Thanassi advocates for proactive measures, urging community leaders, employers, and healthcare providers to organize widespread testing. She pointed out that a simple blood test can detect latent TB before it develops into a more severe form.
Dr. Thanassi highlighted that one course of antibiotics can effectively stop the spread of TB. “A person with active TB will generally no longer be infectious shortly after beginning antibiotic treatment, which is vital for reducing community spread,” she explained.
In 2023, the CDC recorded 9,633 cases of TB disease in the U.S., reflecting a 15.6% increase compared to the previous year. This statistic emphasizes the need for ongoing vigilance against such infectious diseases. The current outbreak in Kansas City serves as a reminder of the persistent threat tuberculosis poses and the importance of extensive public health strategies to address it.
As the situation evolves, the community remains hopeful that these concerted efforts will contain the outbreak and prevent future occurrences.