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Immigrant and Refugee Health

Tuberculosis Screening and Treatment Technical Instructions(TB TIs) using Cultures and Directly Observed Therapy (DOT) Implementation


The following table displays when panel physicians began screening applicants for U.S. immigration according to the Cultures and Directly Observed Therapy (DOT) Tuberculosis Technical Instructions by country, population, and start date. Note: All other applicants for U.S. immigration began being screened as of October 1, 2013.

Country Population Start date
Afghanistan All applicants July 15, 2013
Albania All applicants May 1, 2013
Argentina All applicants June 18, 2012
Armenia All applicants August 15, 2013
Australia All applicants August 1, 2013
Austria All applicants May 1, 2013
Azerbaijan All applicants September 14, 2012
Bahamas All applicants January 1, 2011
Bangladesh All applicants June 15, 2011
Barbados All applicants May 15, 2103
Belize All applicants October 1, 2007
Bermuda All applicants January 1, 2013
Bosnia and Herzegovina All applicants February 1, 2013
Botswana All applicants March 3, 2008
Bolivia All applicants October 1, 2012
Brazil All applicants August 1, 2013
Burma All applicants August 1, 2013
Burundi All applicants April 1, 2009
Cambodia All applicants February 1, 2010
Cameroon All applicants December 12, 2011
Canada All applicants April 1, 2012
Central African Republic All applicants December 12, 2011
Chad All applicants December 12, 2011
Chile All applicants June 1, 2012
China All applicants July 1, 2009
Colombia All applicants August 15, 2011
Comoros Islands All applicants April 1, 2009
Costa Rica All applicants June 1, 2012
Cote d’Ivoire All applicants May 1, 2013
Croatia All applicants January 1, 2013
Cyprus All applicants January 1, 2008
Denmark All applicants April 1, 2013
Djibouti All applicants June 1, 2013
Dominican Republic All applicants February 2, 2009
Ecuador All applicants July 1, 2012
Egypt All applicants November 15, 2009
El Salvador All applicants January 1, 2012
Eritrea All applicants April 1, 2009
Ethiopia Refugees (Eritreans) March 10, 2009
All applicants April 1, 2009
Equatorial Guinea All applicants December 12, 2011
Fiji All applicants January 1, 2009
Finland All applicants October 1, 2007
France All applicants June 1, 2012
Gabon All applicants February 27, 2013
The Gambia All applicants September 22, 2012
Georgia All applicants January 1, 2011
Ghana All applicants October 1, 2010
Guatemala All applicants May 2, 2011
Guinea All Applicants February 1, 2013
Guyana All applicants September 1, 2012
Haiti All applicants September 26, 2009
Honduras All applicants June 1, 2012
Hong Kong SAR All applicants November 3, 2008
Iceland All applicants February 13, 2013
India All applicants October 1, 2010
Indonesia All applicants November 1, 2012
Ireland All applicants January 1, 2010
Israel (including Palestinian territories) All applicants May 1, 2013
Jamaica All applicants May 1, 2013
Japan All applicants June 1, 2009
Jordan All applicants April 5, 2009
Kenya Refugees (includes Ethiopians, Somalis, and Sudanese) January 1, 2008
All applicants April 1, 2009
Kosovo All Applicants April 1, 2013
Kuwait All Applicants January 1, 2013
Latvia All Applicants September 25, 2012
Lesotho All applicants March 3, 2008
Macau SAR All applicants November 3, 2008
Macedonia All applicants April 1, 2013
Malawi All applicants July 1, 2013
Malaysia Refugees (Burmese) January 1, 2009
All applicants November 1, 2011
Marshall Islands All applicants January 1, 2013
Mauritania All applicants December 3, 2012
Mauritius All applicants April 1, 2009
Mexico All applicants October 1, 2007
Moldova All Applicants February 27, 2013
Monaco All applicants June 1, 2012
Mongolia All applicants January 1, 2013
Mozambique All applicants March 3, 2008
Namibia All applicants March 3, 2008
Nepal Refugees (Bhutanese) December 13, 2007
All applicants August 2, 2010
Netherlands All applicants January 1, 2013
New Zealand All applicants August 1, 2013
Nicaragua All applicants June 1, 2012
Nigeria All applicants October 1, 2010
Norway All applicants April 1, 2013
Panama All applicants February 4, 2013
Philippines All applicants October 1, 2007
Qatar All applicants October 1, 2007
Rwanda All applicants April 1, 2009
Samoa All applicants August 1, 2013
Senegal All applicants January 1, 2009
Serbia All Applicants February 1, 2013
Seychelles All applicants April 1, 2009
Singapore All applicants November 1, 2011
Slovakia All applicants December 1, 2012
Slovenia All applicants January 28, 2013
Somalia All applicants April 1, 2009
South Africa All applicants March 3, 2008
South Korea All applicants May 2, 2011
South Sudan All applicants July 9, 2011
Spain All applicants January 1, 2013
Suriname All applicants September 1, 2012
Swaziland All applicants March 3, 2008
Sweden All applicants April 1, 2013
Switzerland All applicants April 1, 2013
Syria All applicants January 1, 2012
Taiwan All applicants April 1, 2009
Tanzania Refugees (Burundian) January 1, 2008
All applicants June 5, 2008
Thailand Refugees (includes Burmese and Hmong refugees) April 9, 2007
All applicants April 25, 2011
Tonga All applicants January 1, 2009
Turkey All applicants February 4, 2008
Turkmenistan All applicants March 15, 2013
Uganda All applicants March 2, 2009
Ukraine All applicants April 1, 2013
Uruguay All applicants October 1, 2012
United Kingdom All applicants April 1, 2012
Uzbekistan All applicants February 1, 2013
Vietnam All applicants February 1, 2008
Zambia All applicants May 1, 2013
Zimbabwe All Applicants August 1, 2012

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