Our Location: 1221 Fulton Mall, Third Floor
Phone: (559) 445-3413 Fax: (559) 445-3598
P O Box 11867, Fresno CA 93775-1867
If you need a map to our location follow this link.
Clinic Hours: Monday - Friday 8:00 am - 5:00 pm
Skin test not performed on Thursdays.
FAQ's - Frequently Asked Questions

The Chest Clinic provides services for the detection, prevention, education and treatment of TB, specifically, skin testing, chest X-rays, preventive treatment, and diagnosis of active TB disease. The clinic also operates a Directly Observed Therapy outreach unit which monitors and ensures patient compliance with the prescribed treatment plan.

• Preliminary figures indicate that 44 cases of tuberculosis disease were recognized in Fresno County during 2007. This represents 4.8 cases per 100,000 people, and continues the downward trend since a 2003 peak incidence (See Figure 1). In 2006 TB affected 4.6/100,000 people in the US, 7.4/100,000 in California, and 6.9/100,000 in Fresno County. The current public health goal for reducing TB disease (Healthy People 2010) is 1/100,000.
• Referral for TB disease in Fresno County came from hospitals (20), private medical providers (12 ), Department of Community Health contact investigations (3), immigration B Notifications (2), school screenings (3), Department of Community Health targeted testing (2), county jail diagnosis (1), and self referral after listening to a radio program (1) (see Figure 4).

• Mission
• Goals
• Links to tuberculosis websites
• Reporting Requirements
• TB Laws in The State of California

1. To eliminate TB by initiating prompt treatment and ensuring completion of effective therapy to cure disease.
2. To reduce further transmission through timely case finding and contact follow-up. To prevent the development of drug-resistance TB.

The goal of the Fresno County Human Services System (FCHSS) and the Community Health Department (CHD) is to eliminate Tuberculosis (TB) among the residents of Fresno County. To achieve this goal, the following objectives have been adopted:

1. Provide consultation and oversight for the TB control activities of local facilities and practitioners, and insure that these efforts reflect current standards of care and public health practice.
2. Conduct disease surveillance and investigate exposure case contact to prevent the spread of disease.
3. Provide direct observed therapy (DOT) and other adherence promoting methods to ensure all patients with TB disease complete therapy.
4. Provide TB patients case management, regardless of the patient's ability to pay, to initiate prompt treatment and ensure completion of effective therapy to cure disease, reduce transmission, and prevent the development of drug-resistant disease.
5. Serve as and educational resource and consultant for health care providers and community on current TB treatment and control activities.
6. To provide services to the community in a collaborative effort with private and managed care providers in order to control tuberculosis.

CDHS / CTCA JOINT GUIDELINES
Targeted Testing and Treatment of Latent Tuberculosis Infection in Adults and Children.

Additional information about LTBI treatment click here for slideshow
Targeted Testing and Treatment of Latent TB Infection
L. Masae Kawamura, M.D. Director, TB Control Section
San Francisco Department of Public Health
Francis J. Curry National TB Center
University of California, San Francisco

Center for Disease Control and Prevention, Division of Tuberculosis Elimination
Highlights include Tuberculosis Guidelines, online ordering system for educational materials, self-paced interactive TB study modules and epidemiological reports.

World Health Organization
Highlights include international epidemiological reports, TB fact sheets, and information on how to advocate for strengthening the fight against TB.

Ethnomed, Ethnic Medicine Guide, Harborview Medical Center, University of Washington
Highlights include information about cultural beliefs, medical issues and other related issues pertinent to the health care of recent immigrants.

The Francis J. Curry National Tuberculosis Center
This is one of three Model Tuberculosis Centers funded by the Division of Tuberculosis Elimination, Centers for Disease Control and Prevention. These centers develop and disseminate methods and materials for TB control and TB education.

The National Jewish Medical and Research Center
This is a long-established major referral center for management of complicated tuberculosis, as well as for clinical and research laboratory, consultation and education services.

The TB section of the CDC National Prevention Information Network (NPIN)
This site is designed to facilitate the sharing of information and resources on tuberculosis for individuals searching for prevention information.