![]() ![]() ![]() These conditions include other communicable diseases of public health significance, as defined in the Department of Health and Human Service's (HHS) regulations at 42 CFR part 34 mental and physical disorders with associated harmful behaviors and drug abuse or drug addiction. The screening for TB is one part of the medical examination only the civil surgeon has to screen an applicant for other conditions that render an applicant inadmissible to the United States. The update supplements the Tuberculosis Component of the Technical Instructions for the Medical Examination of Aliens (May 2008) (TB Component of the Technical Instructions) it does NOT replace it. The update to the TB Component of the Technical Instructions is effective and applies to the completion of any medical assessment made on or after November 1, 2009. The civil surgeon is required to comply with the Technical Instructions for the Medical Examination of Aliens in the United States (Technical Instructions), and any updates, issued by the CDC. USCIS anticipated this change and made the necessary amendments to Form I-693, Report of Medical Examination and Vaccination Record. On November 1, 2009, the Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC) updated the Tuberculosis Component of the Technical Instructions for the Medical Examination of Aliens in the United States (May 2008) (available on CDC's website at This update makes the traditional Tuberculin Skin Test (TST), and as of November 1, 2009, the QuantiFERON®-TB Gold (QFT-G) Test, the QuantiFERON®- TB Gold in Tube (QFT-G IT) test, and the T-Spot TB test available for TB testing. These Questions and Answers only provide information about the assessment by the civil surgeon to determine whether an applicant has been infected with TB and address the most recent updates to the Tuberculin (TB) Component of the Technical Instructions for the Medical Examination of Aliens in the United States.
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