The Hawaiʻi Department of Health (DOH) is observing World Tuberculosis Day on March 24, 2025, by drawing attention to tuberculosis (TB) as an ongoing public health issue in the state. In 2024, Hawaiʻi recorded 116 cases of active TB disease, with a population-adjusted rate nearly three times higher than the national average. The trend of decreasing TB case rates from 2015 to 2020 has reversed since then, with increases noted in Hawaiʻi and beyond. A significant outbreak in Kansas beginning in 2024 underscores the importance of vigilance and preventive public health measures.
Symptoms of active TB include a persistent cough lasting over three weeks, unexplained weight loss, fever, night sweats, loss of appetite, and fatigue. Individuals experiencing these symptoms are encouraged to seek evaluation from their healthcare provider or visit a DOH TB clinic for testing. Early diagnosis and treatment with oral medications can prevent the development of more severe forms of TB disease.
The DOH emphasizes protecting Hawaiʻi's workforce against infectious pathogens like TB by requiring clearances for employees in specific sectors. Free testing for TB clearance is available at 17 locations statewide. The department collaborates with various partners to promote community testing and identify those at high risk for developing infectious TB.
High-risk groups include individuals from countries with high TB rates or those who travel there frequently; people living in group settings such as shelters or correctional facilities; and individuals with chronic health conditions like diabetes or weakened immune systems.
Through collaboration with community partners, the DOH aims to prevent late diagnoses and transmission of this airborne infection while striving toward the global goal: "END TB for All."
The DOH Tuberculosis Control Program operates under the Communicable Disease and Public Health Nursing Division. Its mission is reducing tuberculosis incidence through prevention, detection, treatment, and education services provided free of charge.
For further information about tuberculosis or program services and activities offered by DOH call 808-832-5731 or visit https://health.hawaii.gov/tb/.