1. Contact investigation
Bangladesh, Kenya, Myanmar, Macedonia, Japan, Mexico, Latvia, Brazil, Philippines, Domenican Republic, United States, Netherlands
Facilitators: Dr. Peter Gondrie and Dr. S. Ottmani
Rapparteur. Dr. Mary Reichler

2. What is the current situation?
Variation in policies and practices between countries
Most countries have policies
In intermediate and high incidence settings, implementation is lacking
Yield 3-5% new active TB cases among all contacts
Considerably higher yield among child contacts

3. Global policy document in progress Universal contact investigation
- at least housholds of smear+ index
- source case investigation for child TB
priority for investigation to:
symptomatic patients
children < 5 yrs
immunocompromised
index case MDR/XDR

4. Main Conclusions of the Group
Contact investigation is likely to contribute to early and increased case detection
Operational research is needed to facilitate implementation
- what is epidemiologic impact
- what is the cost-effectiveness
- feasibility
- barriers
- resource needs
3) Experience in pilot projects in selected countries in an operational research setting is needed
4) In the meantime, all countries should start collecting data in a standardized fashion to permit monitoring and evaluation