California Tuberculosis Risk Assessment

The California Tuberculosis Risk Assessment is a product developed jointly by the Tuberculosis Control Branch at the California Department of Public Health (CDPH), the California Tuberculosis Controllers Association (CTCA), and the Curry International tuberculosis Center (CITC).  The tool is designed to help clinicians select adults for LTBI testing who are at high-risk for TB exposure or progression to TB disease.


The Risk Assessment tool calls out 3 groups for testing:

1) Foreign-born

2) Immunosuppressed (e.g., HIV, TNF alpha inhibitor use, steroids, organ transplant)

3) Contacts 


The accompanying California Tuberculosis Risk Assessment Fact Sheet answers many anticipated questions on using this tool.

The product is available in both PDF and Microsoft Word format so that the materials could be modified for use in different settings. We are interested in recieving your feedback and hearing about how you use this product. Please send any comments to:

It’s important to note that certain populations are mandated for testing by statute, regulation, or policy. Examples of these populations include: healthcare workers, residents or employees of correctional institutions, substance abuse treatment facilities, homeless shelters, and others. The tool does not modify legal requirements or other testing mandates.

California Tuberculosis Risk Assessment and User Guide UPDATED 9.2018

CDPH has also developed related risk assessment tools for the pediatric population, school staff and volunteers, and College and University students. These versions are also available on the CDPH website.

Please note:  This product contains information about the treatment of latent tuberculosis infection (LTBI). It was produced prior to the release of updated guidelines from the CDC in February 2020. For the most current guidance available regarding LTBI treatment, please see: Guidelines for the Treatment of Latent Tuberculosis Infection: Recommendations from the National Tuberculosis Controllers Association and CDC, 2020

Date of Updates: September 2018

Date of Original Release: December 2015