Description

The World Health Organization (WHO) guidelines for spread of tuberculosis during air travel emphasizes that this is a rare event. Certain factors may increase the risk that a passenger or crew member may contract tuberculosis during a flight.


 

Assumptions of WHO guidelines:

(1) transmission is rare if flights are less than 8 hours

(2) air filtration on a plane is working as specified

(3) passengers are usually in their seats

 

Risk factors for a person exposed:

(1) immunosuppression

(2) frequent flier or flight attendant

 

Risk factors associated with the airplane

(1) defect in air handling (not running, poor filtration, etc)

 

Risk factors associated with the source person:

(1) untreated cavitary tuberculosis

(2) frequent, repetitive flights (commuting by air; air attendant) or a flight > 8 hours

(3) mobile within the plane

(4) more virulent strain

 

Risk factors associated with a population:

(1) high prevalence of untreated tuberculosis in the people flying on the airline

 


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