The Kansas City metro region is grappling with the largest documented tuberculosis outbreak in U.S. history, according to local health officials. The outbreak, wich began in January 2024, has seen 79 active cases and 213 latent cases reported across Wyandotte and Johnson counties, with the majority concentrated in Wyandotte. This alarming surge has prompted a coordinated response from the Kansas Department of Health and Environment (KDHE) and the Centers for Disease Control and Prevention (CDC).
Gil Brunaj, Director of Communications at the Kansas City Public Health Department, described the situation as unprecedented. “It is indeed still an outbreak of the disease, which means that there might potentially be more cases,” Brunaj told Medscape medical News. The outbreak has already claimed two lives in 2024, underscoring the severity of the situation.
Key statistics at a Glance
| Metric | details |
|————————–|—————————————————————————–|
| Active TB Cases | 79 (77 in Wyandotte,2 in Johnson) |
| Latent TB Cases | 213 |
| Deaths Linked to Outbreak| 2 |
| Treatment Duration | Up to 9 months |
The KDHE and local health departments are working tirelessly to manage the outbreak. “According to the standard practices in investigations for infectious diseases, local health departments work with each patient to identify potential mixers and conduct tuberculosis tests for free,” stated the Kansas Ministry of Health. Patients testing positive for active TB are further examined for latent TB, with treatment provided by their local health department.
Dr. Sherine Mazumdar, an infectious disease specialist at the University of Tennessee, emphasized the public health implications of the outbreak. “The spread of active tuberculosis has significant effects on public health,” she said. TB is transmitted through the air when an infected person coughs, sings, or talks, making crowded places like hospitals, homeless shelters, and prisons high-risk environments. Travel to regions where TB is endemic, such as parts of Africa, Asia, and Latin america, also increases the risk of transmission.
Symptoms of active TB include persistent coughing, chest pain, fever, night sweats, and weight loss. “Individuals with weak immunity, children, and adults are at greater risk of active tuberculosis,” Mazumdar noted. Treatment for TB can take up to nine months and involves a combination of medications tailored to the patient’s medical history.
While the risk to the general public remains low, healthcare providers are urged to maintain a high index of suspicion for TB in patients presenting with symptoms or risk factors. The KDHE and CDC continue to monitor the situation closely, with final case counts expected to be confirmed by the end of March 2025.
This outbreak serves as a stark reminder of the persistent threat posed by tuberculosis, even in developed nations. For more information on TB prevention and treatment, visit the CDC’s official guidelines.