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TB Screening Form

Drury University > Forms > TB Screening Form

If the answer is YES to any question, Drury University requires that a healthcare provider complete a TB risk assessment as a condition of employment.


If the answer to all of the following questions is NO, no further testing or further action is required.

  • Afghanistan
  • Algeria
  • Angola
  • Argentina
  • Armenia
  • Azerbaijan
  • Bahrain
  • Bangladesh
  • Belarus
  • Belize
  • Benin
  • Bhutan
  • Bolivia (Plurinational State of)
  • Bosnia and Herzegovina
  • Botswana
  • Brazil
  • Brunei
  • Bulgaria
  • Burkina Faso
  • Burundi
  • Cambodia
  • Cameroon
  • Cape Verde
  • Central African Republic
  • Chad
  • China
  • Colombia
  • Comoros
  • Congo
  • Cote d'Ivoire
  • Croatia
  • Democratic People's Republic of Korea
  • Democratic Republic of the Congo
  • Djibouti
  • Dominican Republic
  • Ecuador
  • El Salvador
  • Eritrea
  • Estonia
  • Ethiopia
  • Fiji
  • Gabon
  • Equatorial Guinea
  • Gambia
  • Georgia
  • Ghana
  • Guam
  • Guatemala
  • Guinea
  • Guinea-Bissau
  • Guyana
  • Haiti
  • Honduras
  • India
  • Indonesia
  • Iraq
  • Japan
  • Kazakhstan
  • Kenya
  • Kiribati
  • Kuwait
  • Kyrgyzstan
  • Lao People's Democratic Republic
  • Latvia
  • Lesotho
  • Liberia
  • Libyan Arab Jamahiriya
  • Lithuania
  • Madagascar
  • Malawi
  • Malaysia
  • Maldives
  • Mali
  • Marshall Islands
  • Mauritania
  • Mauritius
  • Micronesia (Federated States of)
  • Mongolia
  • Morocco
  • Mozambique
  • Myanmar
  • Namibia
  • Nepal
  • Nicaragua
  • Niger
  • Nigeria
  • Pakistan
  • Palau
  • Panama
  • Papua New Guinea
  • Paraguay
  • Peru
  • Philippines
  • Poland
  • Portugal
  • Qatar
  • Republic of Korea
  • Republic of Moldova
  • Romania
  • Russian Federation
  • Rwanda
  • Saint Vincent and the Grenadines
  • Sao Tome and Principe
  • Senegal
  • Seychelles
  • Sierra Leone
  • Singapore
  • Solomon Islands
  • Somalia
  • South Africa
  • Sri Lanka
  • Sudan
  • Suriname
  • Swaziland
  • Syrian Arab Republic
  • Tajikistan
  • Thailand
  • The former Yugoslav Republic of Macedonia
  • Timor-Leste
  • Togo
  • Tunisia
  • Turkey
  • Turkmenistan
  • Tuvalu
  • Uganda
  • Ukraine
  • United Republic of Tanzania
  • Uruguay
  • Uzbekistan
  • Vanuatu
  • Venezuela (Bolivarian Republic of)
  • Vietnam
  • Yemen
  • Zambia
  • Zimbabwe

Source: World Health Organization Global Health Observatory, Tuberculosis Incidence 2010. Countries with incidence rates of > 20 cases per 100,000 population.