Spread of Mycobacterium tuberculosis in a community implementing recommended elements of tuberculosis control.

Abstract
During the past decade, the application of molecular epidemiology to the field of tuberculosis (TB) has advanced our understanding of the dynamics of TB transmission. Numerous descriptions of TB outbreaks have identified hospitals, prisons, congregate living settings, and homeless shelters as sites for TB transmission, to name only a few such settings.1-4 Population-based studies have identified the characteristics of cases associated with the clustering of patients with the same strain of Mycobacterium tuberculosis, which is believed to indicate the recent transmission of M tuberculosis.5-8

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