In observance of World Tuberculosis Day on March 24, the Hawaii Department of Health is reminding residents that tuberculosis remains a public health concern in the state.
Although preventable and treatable, people in Hawaii still transmit tuberculosis; last year the state reported 116 active cases—nearly triple the national rate, according to the DOH.
Since 2020, the number of TB cases has been rising not only in Hawaii but across the U.S. and around the world.
The DOH notes an outbreak of TB in Kansas, which started in 2024, is a stark reminder that TB can reestablish in a community. Health officials emphasize the importance of remaining vigilant, both within public health systems and in the broader community, to prevent further spread.
To curb the transmission of TB, Hawaii state officials require TB testing in specific industries and conducts contact tracing efforts to identify those who may be at risk.
The DOH also provides free testing for TB at 17 locations across the state. The agency works with private and public partners to provide testing and treatment for high-risk groups, including immigrants, migrants, and individuals in communal living settings like homeless shelters and prisons.
When detected early, TB is treatable, preventing the severe and contagious form of the illness. Active TB can cause severe lung damage and is highly contagious if not treated. Symptoms include a persistent cough, weight loss, fever, night sweats, loss of appetite, and fatigue. The DOH urges anyone experiencing these symptoms to consult their primary care provider for evaluation and testing. Early diagnosis is key to avoiding complications and improving treatment outcomes.
For more information on tuberculosis or the DOH’s Tuberculosis Control Program, call 808-832-5731 or visit health.hawaii.gov/tb/.
