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TB skin testing

post #1 of 10
Thread Starter 

Just a word to the wise....I've been wresting with this whole skin test for tb they told me was mandatory this last year.  After doing considerable research, I wanted to let everyone know who thinks there is a certain sanctity about your body and who thinks that it's wrong for the government to forcibly inject anything into your body, that the law--the statute which requires all children entering school for the first time, and seventh graders to have the tb skin test (that the school district is always quoting), doesn't exist!  The law was repealed I believe in 2004.  If you look under the state statute webpage (not the www.touchngo.com one), but the actual updated http://www.legis.state.ak.us/basis/folio.asp that you can look up under the court system, you will not find anything about a required tb test.  You will find plenty on vaccinations and what's required if you don't vaccinate, but not one word on tb testing.  The administrative code is still in effect, but unless there's a statute (the actual law) to back the code (how they enforce the law) they can't legally make you do it for your child to attend school.  We are being fed a line!  Don't buy it.  Some company is making a ton of money off the manufacturing of the protein tests and another company is making even more money for producing the six month round of antibiotics they force you to take when your test results are "positive".  It's amazing how many people are allergic to the protein (surprise, surprise) but since they can't tell the difference between an allergic reaction and an actual positive result, your kid gets the "benefit" of the doubt!  Make everyone aware!  There is no law!  Even OSHA requires that an exemption be provided for tb testing and the hep b vaccine if people don't want to take either.  They will tell you all day long its the law, you don't need to cite them any webpages or give them any information, just tell them to provide you the statute that says it's mandatory.  They have the burden of proof.

 

post #2 of 10

Thank you for that.  I refused that test for all of my children when I was in CA.  

 

People who are born abroad should know that if they received the BCG at any time they will respond as a false positive to the Mantoux Skin test because the BCG exposes the person to tuberculosis and the person will carry the presence of the disease for the rest of their life thereby causing them to react as a positive to the skin test.  

 

School officials NEVER tell parents that there are options as a chest Xray, a sputum test, or the Quadriferon gold blood test; they do not see that as part of their job, so it is up to you, the parent, to be informed about all of your options, and bring in lots of documentation because these people do not think well on their feet.

 

I have worked with the schools since 1971, and I have never been informed of my right to choose a tuberculosis screening test.  Most schools now set up a nurse with the Mantoux skin test packs at a table during the first week of school and tell the parent volunteers that they can save a trip to the doctor by getting their test here, never admitting that there would be another way of doing this.  

 

And in the end, the test is not very accurate.  So much for healthcare and healthy children. 

post #3 of 10

I didn't even know schools were doing tb testing routinely (we are HSers)

post #4 of 10

Yes, Ardruinna, all students, teachers, office staff, and volunteers need to have an up to date tb test on record.  

 

I waived it for my children who went to school - parents can do that, yes.

 

I got mine until I knew there were other options and tests.  There was a principal at one school who would throw the test results out every year even though the tests results are good for three years.  When I called her on it, she acted like it was no big deal.  As a parent with little ones and making time and money to go for a test like that and for the follow up a few days later, it is certainly a big deal!  

 

The nurses sit at a table in the school hallway near the front door of the office with all of the mantoux skin test prongs ready to go.  No advising is given as to side effects or problems with the test or options to the test.  No consent forms either.  MMMM....

 

 

post #5 of 10

At my work they switched to blood test.  I am pro-TB test in public school and work . TB sucks and is not easy to treat. It kills. The blood test is very easy.

post #6 of 10
Quote:
Originally Posted by Alenushka View Post

At my work they switched to blood test.  I am pro-TB test in public school and work . TB sucks and is not easy to treat. It kills. The blood test is very easy.



I am in favor of informed consent.  

post #7 of 10

And I am against conspiracy-theories.

 

Many kids do not like blood test. It is possible that skin test is cheaper than blood test and this is why school districts do it this way.

 

If you think TB test is bad, think how bad it is to take pretty serious pills, plus B vitamins for 9 months if kids in your school  were exposed to active TB.  Those pillls can have pretty bad side effects.

 

So, yeh, I am pro testing and prevention. If you do not like a skin test, you can always ask your doctor for a blood test.

post #8 of 10

I have and always at my own expense.

 

I have asked nurses about the Mantoux skin test and I have never met one who knew enough about the test to tell me anything about it. 

 

http://www.webmd.com/a-to-z-guides/tuberculin-skin-tests

 

So why is it the mommy/housewife person knows more than the professional in the white robe?

 

I am against coercing people to queue up for a skin test in which tuberculin antigens, PPD's,  are injected into their skin layers, without full informed consent. 

post #9 of 10


 

Quote:
Originally Posted by miriam View Post

I have asked nurses about the Mantoux skin test and I have never met one who knew enough about the test to tell me anything about it. 

 

http://www.webmd.com/a-to-z-guides/tuberculin-skin-tests

 

So why is it the mommy/housewife person knows more than the professional in the white robe?


hmmmm...as an RN it's not my scope to know all the ins and outs of the medications I'm administering.  If you would like better information on the TB test, instead of criticizing nurses, ask for a pharmacist.  That's within their scope.  I think you're being unfair and hard on nurses.  As for TB testing, everyone where I work is tested annually, including myself.  It's actually a pretty benign test and I know of no one who has had a negative reaction.

 

As for this conspiracy theory that drug companies are raking it in because of the six months of treatment.  TB is serious.  It's a disease that was supposed to be eradicated by now but has resurged.  It can kill you, and the treatment is long and brutal.  If you get a + PPD you don't get treated for TB automatically - you will be tested, forced to cough up some sputum, and that will be grown out to see if there is any mycobacterium in it.  You will get an x-ray.  I have worked with people who have ended up with a diagnosis of active TB so it's out there in the community.  

 

To each their own.  I do agree with prevention and being educated about one's risk factors.  If your school has an immigrant population, a homeless kid population, anyone whose parent has been in jail, families living in crowded conditions, those are all risk factors.  

post #10 of 10

Disco, I had been put in a queue for a tb test and told to simply get the skin test without any one telling me that there were any side effects to this stuff they were injecting into me nor if the skin test was accurate nor if there were any other tests available. NONE of those people administering the skin test were nurses.  They were office workers. This was done under the auspices of the local school district. When the queue formed, I got out of the queue, and went to my own doctor and paid for it out of my own pocket.

 

Where is the informed consent?  

 

The attitude was get in line, roll up your sleeve and shut up - we know better than you. 

 

I have known many immigrants who got the BCG at birth and were never told that they should NOT get the skin test. 

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