- CDC TB Elimination
- Public Health Laws and Rules in Illinois
- Illinois Department of Public Health (IDPH) A-Z Topic List
- Target Audience: Madison County residents
- Eligibility or Criteria: Madison County residents
- For more information, call (618) 692-8954 ext. 2 or Deanne Vasiloff (618) 296-6081, Patty Gabel (618) 296-6090, Amanda Pruitt (618) 296-6085.
Tuberculosis Clinic Hours
Walk-in Clinic Hours
Monday 10:00 AM-11:30 AM, 1:00 PM-5:30 PM
Tuesday 8:30 AM-11:30 AM, 1:00 PM-4:00 PM
Wednesday 8:30 AM-11:30 AM, 1:00 PM-4:00 PM
Thursday No Clinic
Friday 8:30 AM-11:30 AM, 1:00 PM-4:00 PM
Clinic is closed daily from Noon - 1 PM for lunch.
- Monday - later walk-in clinic hours with sign-ins until 5:30 PM
- Tuesday - walk-in screenings for STDs are 1 PM to 3 PM
- Tuesday - we offer appointments - call (618) 692-8954, ext. 2 to schedule any clinic service
- Wednesday - clinics are not as busy
- Thursday - NO CLINICS
- Friday - TB skin tests cannot be given until after 10:30
- We now accept many medical insurance plans.
- Co-Pay and fees due at time of service.
- Payment options: cash, check, debit, credit (Visa, MasterCard, Discover)
- Using debit or credit card will incur a service fee.
- For clients living outside of Madison County, a minimal up charge will be charged.
- DAILY - Clinic CLOSES from Noon - 1 PM for lunch
Madison County Health Department provides screening services for tuberculosis during regular clinic hours. Targeted tuberculosis testing is done by determining if a person has had risk of being infected with the bacteria that causes tuberculosis and if a person has a condition associated with progression from tuberculosis infection to tuberculosis disease. If no risk is identified, the person will be issued a waiver and screening tests will not be done. Persons with identified risk are screened with either a skin test or a blood test.
The TB skin test (also called the Mantoux tuberculin skin test) is performed by injecting a small amount of fluid (called tuberculin) into the skin in the lower part of the arm. The person given the tuberculin skin test must return to the health department in 48 to 72 hours to have a trained health care worker look for a reaction on the arm. The health care worker will look for a raised, hard area, and if present, measure its size using a ruler. Redness by itself is not considered part of the reaction.
TB blood tests (also called interferon-gamma release assays or IGRAs) measure how the immune system reacts to the bacteria that cause TB.
A positive TB screening test means that the person has been infected with TB bacteria. Additional tests are needed to determine if the person has latent TB infection or TB disease. A health care worker will then provide treatment as needed.
A negative TB screening test means that the person's blood did not react to the test and that latent TB infection or TB disease is not likely.
An individual with a positive screening test will be evaluated by our physician and a chest x-ray will be done. If he/she determines the client does not have active TB disease but has latent TB infection, he may recommend treatment with a medicine called Isoniazid or Rifampin. Clients are assessed to determine which medicine is best for their circumstances. The client must return to the health department each month to be evaluated. The client will be treated and monitored for 9 months on Isoniazid or 4 months on Rifampin.
If a client is diagnosed with active tuberculosis, a nurse will make a home visit each day to give the client their medicine. Blood tests will be ordered as well as cultures on sputums and follow-up chest x-rays. The nurse will monitor and evaluate the patient until released from the physician (6 to 12 months).
The TB clinic has been in place since 1972 when the TB sanitarium closed.
The goal of the program is to treat active tuberculosis and stop the spread of this disease to the general public.