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Clackamas County health officer: TB work remains central despite low U.S. rates

Clackoworks · April 28, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Dr. Sarah Preston explains why Clackamas County maintains an active tuberculosis program, describing latent infection, treatment regimens, directly observed therapy (including video verification), isolation practices and the county's typical case count of about 5 to 10 per year.

Dr. Sarah Preston, Clackamas County health officer and family physician, told Clackoworks host Dylan Blaylock that tuberculosis remains a priority for the county's infectious disease work despite its relative rarity in the United States.

Preston said TB is "one of our oldest diseases" and remains a leading cause of death globally, even though U.S. rates dropped substantially in the 20th century. She described latent tuberculosis as an infection that many people carry without symptoms that can activate later: "It's anticipated or is it, estimated…

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