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To reduce this risk, health care facilities need to implement multiple steps. These steps should include offering updated periodic training of HCWs to maintain awareness about potential TB risks; optimizing the design, ventilation, and patient flow in clinical spaces; providing baseline, periodic, and postexposure TB testing of HCWs; using appropriate and effective respiratory protection; implementing active infection control procedures; and periodically updating the facilities-written TB control plans.2,3 Evolving diagnostic methodologies and treatment options highlight the need for occupational and environmental medicine physicians to stay current to provide quality medical care to HCWs.