• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

Disease Prevention and Control, San Francisco Department of Public HealthPopulation Health Division SF Department of Public HealthPopulation Health Division SF Department of Public Health

  • Infectious Diseases A to Z
  • About
  • Contact
  • Home
  • Communicable Disease
    • 24/7 Disease Reporting
      • Disease Reporting: Additional Information for Medical Providers
      • Influenza Reporting
      • Frequently Requested Phone Numbers 
    • Healthy Habits
      • How to Put on and Remove a Face Mask 
    • Publications, Data, and Reports
    • Infection Control
      • Infection Prevention and Control for Health Care Settings
      • Infection Prevention and Control for Long-Term Care Facilities
    • Infectious Diseases A to Z
  • Immunizations
    • Vaccines You Need
      • Adults
      • Children & Adolescents
      • Vaccines for Gay and Bisexual Men
    • Where to Get Immunized
    • Influenza (Flu)
    • Vaccine Safety
    • Immunization Programs
      • Flu Vaccine Programs: Ordering Information for Health Care Providers
      • Hepatitis Programs
        • Hepatitis Education
        • Hepatitis Vaccine Distribution Program
        • Perinatal Hep B Program
        • Programs for Asian and Pacific Islanders
      • California Immunization Registry (CAIR)
      • Vaccines for Children
      • San Francisco Immunization Coalition
      • Emergency Mass Prophylaxis Clinic Planning
    • Schools and Child Care
    • Resources & Materials
      • Vax Facts: Vaccine Updates
      • Immunization Links
      • Request Materials
      • Vaccine Management Plan
    • Information for Medical Providers
    • Provider Spotlight
  • AITC Immunization & Travel Clinic
    • International Travelers
      • Promoting Travelers’ Health
      • Yellow Fever Vaccine FAQ (Frequently Asked Questions)
    • Immunization & Testing
    • Services for Businesses
    • Contact, Location, Hours, and Payments
    • Plan Your Visit
    • Prices
      • Low-Cost or Free Vaccines at AITC
    • Forms
    • Links
    • About AITC
  • Health Alerts & Emergencies
    • Prepare
    • Health Alerts
      • Sign Up For Health Alerts
    • Infectious Disease Plan
      • Emergency Exercises
    • Clinician Emergency Guide
    • Recognizing Bioterrorism
    • Programs and Activities
  • Tuberculosis Control
    • Tuberculosis Services
    • Tuberculosis Information For Medical Providers
      • LTBI Referral (Specific to Civil Surgeons)
      • Tuberculosis Screening Guidelines
        • Tuberculosis Testing
      • Tuberculosis Clinic Referrals Criteria
      • Managing Positive Reactions
      • Suspected/Confirmed Active TB Reporting
      • LTBI Risk Assessment Tools and Treatment Guidelines
      • Hospital Discharge
      • QuantiFERON Information
      • Infection Control Guidelines
      • Shelter Client Screening Guidelines
      • TB Resources for the Public
    • Publications
    • Reports
    • Links
    • San Francisco Tuberculosis Prevention and Control Program (SFTBPCP) Supplemental Information
  • Public Health Laboratory
    • Laboratory Contact Information
    • Check COVID-19 and Influenza Test Results Online
    • Non-Diagnostic General Health Assessments (NGHA)
    • General Specimen Submission Guidelines
    • Forms for Specimen and Culture Submission
    • Laboratory Test Menu
  • STD Services
  • Infectious Diseases A to Z
  • About

Shelter Client Screening Guidelines

City Policy

All clients receiving San Francisco shelter services for more than 3 days (cumulative within a 30-day period) are required to complete tuberculosis screening and evaluation within 10 working days of entering the shelter system.

Screening includes a tuberculin skin test (TST) or QuantiFERON-TB blood test (QFT), symptom review and a history of TB treatment and diagnosis. Documentation of prior TST results should be obtained whenever possible.

A baseline chest x-ray (within one month prior to enrollment) is required for all newly enrolled HIV+ clients regardless of prior or current TST results.

Initial Screening for Newly Enrolled Clients

Test: TST or QFT unless documentation of a prior positive result can be provided

Symptom review: chronic cough (>3 weeks), weight loss, night sweats, fever, hemopytsis (coughing up blood)

History: asess prior TB disease and treatment for active or latent TB infection

If the client is TST or QFT positive and asymptomatic, the following are required (may refer to TB Clinic for the following):

  • CXR (within 6 months if HIV-, or within 30 days if HIV+)
  • Medical evaluation and risk factor assessment (diabetes, end stage renal disease, cancer, chemotherapy or immune
    modulating drug intake, HIV, etc.)

See the San Francisco Tuberculosis Screening Procedures for Homeless Shelter Clients (below) for more information.

If the client is symptomatic, with a chronic cough (>3 weeks) or has two or more TB-like symptoms, an urgent medical evaluation and CXR should be obtained.

  • Referral to TB Clinic is appropriate, and if necessary, call (628) 206-8524 for assistance.
  • All clients should be referred to the TB Clinic with documentation of the most recent TST or QFT result and a detailed symptom
    review.

Follow-up Screening

All clients with an initial negative TST or QFT will require a repeat TST or QFT and TB symptom review annually. Certain types of patients will require specific evaluations. See the San Francisco Tuberculosis Screening Procedures for Homeless Shelter Clients (below) for more information.

If the client is symptomatic, with a chronic cough (>3 weeks) or has two or more TB-like symptoms, an urgent medical evaluation and CXR should be obtained.

  • Referral to TB Clinic is appropriate, and if necessary, call (628) 206-8524 for assistance.
  • All clients should be referred to the TB Clinic with documentation of the most recent TST or QFT result and a detailed symptom
    review.

Initial and Follow-up Screening Documentation

All clients cleared for active TB should have shelter clearance entered into the LCR. If a symptomatic client or TB suspect is lost, enter a clinical alert and contact Sheila Davis-Jackson, TOPS Program Manager, at (628) 206-8524 for assistance.

Additional Resources

San Francisco Tuberculosis Screening Procedures for Homeless Shelter Clients

Primary Sidebar

Tuberculosis Control

  • Tuberculosis Services
    • Tuberculosis Testing Sites
  • Tuberculosis Information For Medical Providers
    • Tuberculosis Screening Guidelines
      • Tuberculosis Testing
    • Tuberculosis Clinic Referrals Criteria
    • Managing Positive Reactions
    • LTBI Risk Assessment Tools and Treatment Guidelines
    • QuantiFERON Information
    • TB Resources for Trainees
    • Sputum Collection for Primary Care Providers
    • Recommendations for Latent TB Infection Screening and Treatment during Pregnancy
    • TB Risk and Targeted Immunotherapy/Biologics Recommendations
  • Tuberculosis Control Guidelines and Protocols
    • LTBI Referral (Specific to Civil Surgeons)
    • Suspected/Confirmed Active TB Reporting
    • Hospital Discharge
    • Shelter Client Screening Guidelines
    • Infection Control Guidelines
  • TB Resources for the Public
  • Publications
  • Reports
  • Links
  • San Francisco Tuberculosis Prevention and Control Program (SFTBPCP) Supplemental Information

CMR Forms

Medical providers: download the Confidential Morbidity Report (CMR) form to report a communicable disease

CMR Form

or download the COVID-19 CMR form to report COVID-19 hospitalizations, deaths and POC testing by HCPs

COVID-19 CMR Form

Footer

Contact

SF Dept of Public Health
101 Grove Street
San Francisco, CA 94102
(415) 554-2500

Web Links

  • SF Dept. of Public Health
  • City and County of San Francisco

Privacy Policy | Sitemap | Contact Us
Website by MIGHTYminnow

© Copyright 1998 - 2023, Department of Public Health, City and County of San Francisco