Can Tuberculosis Contacts and Latent TB Patients Fly Safely? - Pulmonology

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Can individuals who have been in contact with tuberculosis (TB) or those with latent tuberculosis infection (LTBI) travel by airplane?


1.
Recently, an elderly family member at home was diagnosed with tuberculosis (TB).
However, due to my work schedule, I only spend less than five minutes with them each week.
After learning about their TB infection, I became very concerned, especially since I have upcoming travel plans abroad.
I would like to know if individuals with latent tuberculosis infection and those who have been in contact with tuberculosis patients are allowed to fly?
2.
Do individuals who have been in contact with tuberculosis patients or those with latent tuberculosis infection need to take medication? If medication is required and they are allowed to fly, should they inform the airline staff about carrying this medication? Or is it sufficient to obtain a doctor's note to carry with them and present it at customs?

vi vi an, 20~29 year old female. Ask Date: 2018/12/24

Dr. Yang Wenda reply Pulmonology


Hello: Many people around the world have been in contact with tuberculosis patients, and they can fly without informing anyone, as they are unlikely to transmit the infection to others.
Generally, only those with cumulative exposure time exceeding 40 hours will be listed by health department personnel for a chest X-ray or further evaluation for latent infection.

Reply Date: 2018/12/24

More Info


When it comes to flying with a history of exposure to tuberculosis (TB) or being a latent TB patient, there are several important considerations to keep in mind.
Firstly, it’s essential to understand the nature of tuberculosis transmission. TB is primarily spread through airborne droplets when an infected person coughs or sneezes. However, the risk of transmission is significantly lower in brief encounters, especially in well-ventilated areas. In your case, since you mentioned that your contact with your elderly relative was limited to less than five minutes per week, the risk of transmission is quite low. The Centers for Disease Control and Prevention (CDC) states that individuals who have had close contact with someone who has active TB should be monitored, but casual contact, especially for short durations, typically does not pose a significant risk.

Regarding your upcoming international travel, both latent TB patients and those who have been in contact with active TB patients can generally fly without restrictions. The key factor is whether the individual has active TB disease. If you are asymptomatic and have not been diagnosed with active TB, you should be safe to travel. However, if you have any symptoms such as persistent cough, fever, night sweats, or unexplained weight loss, it would be prudent to consult a healthcare provider before traveling.

As for medication, latent TB infection (LTBI) is often treated to prevent the development of active TB disease. If you have been diagnosed with LTBI, your healthcare provider may recommend a course of treatment, which typically involves taking antibiotics for several months. If you are currently on medication for LTBI, it is advisable to carry your medication with you while traveling. You do not need to inform airline personnel about carrying these medications unless they are in liquid form exceeding the allowed limits for carry-on luggage. It’s a good practice to have a doctor’s note or prescription with you, especially if you are traveling internationally, as this can help clarify the necessity of the medication if questioned by customs officials.

In summary, if you are a contact of someone with TB but have not developed symptoms or been diagnosed with active TB, you should be able to fly without concern. If you are on treatment for LTBI, carry your medication and consider having documentation from your healthcare provider. Always prioritize your health and consult with a medical professional if you have any doubts or if your health status changes. Safe travels!

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