Health Center Treatment ♦ Wellness ♦ Travel Dear Hope Student, Congratulations on your acceptance to Hope College! We look forward to meeting you! This letter is to inform you about the immunization and tuberculosis screening procedures we require for all incoming students. Tuberculosis screening is performed on all incoming students, not just international students. This screening is important to both identify active disease and past exposure to tuberculosis (TB). The Hope Health Center follows the U.S. Center for Disease Control guidelines for evaluation and treatment of tuberculosis. We require that you have this screening and testing done here at Hope College upon your arrival. Please do not have this test done in your home country before departing for the U.S. as we cannot accept these results. Please note that having received BCG vaccine in the past does not change the recommendations for screening, testing or follow-up for tuberculosis. If you should have a positive TB test, you will have a chest x-ray to rule out the possibility of active or infectious TB. Once active TB is ruled out, our public health physician will provide information to you regarding Latent Tuberculosis Infection (LTBI). To decrease the risk of developing active TB disease, you will be required to participate in treatment for LTBI. This involves taking a daily medication for 9 months. This medication will be provided to you without cost and you will be able to receive it at the Hope Health Center. Please note that LTBI treatment is a requirement to attend classes and continue your living arrangements at Hope College. Failure to do so will result in your withdrawal. Please refer to the Dear Health Care Provider information sheet regarding our immunization requirements. We are here to help you get off to a good start at Hope College! Feel free to email us questions! Sincerely, Cindy L. Sabo, BSN, RN-BC Director Hope College Health Center sabo@hope.edu