Tuberculin skin testing (Alaska regulations 7 AAC 27.213)


Tuberculosis (TB) risk assessment shall be conducted on ALL New-to- District Preschool through 12th grade (students who have attended then left ASD and returned less than 2 years later are NOT new to district). ANY YES Answers on TB risk assessment mean student is at risk for TB and Alaska State law requires PPD (purified protein derivative) tuberculin skin testing (TST) or Interferon Gamma Release Assay (IGRA) blood test for all students of any age who are new to our school district with positive TB risk assessment.

Exemption from PPD testing is permitted if parents provide documentation to the nurse within 60 days of enrollment a negative PPD skin test done or negative IGRA blood test within the past six months prior to school entry. If student had a previous positive PPD test with a reading of 10 mm or more or a positive IGRA blood test, a skin test is not required but parents/guardian must provide medical information about the health clearance of a previous positive PPD skin test to the nurse.
A BCG vaccination is not an exemption from tuberculin testing, and there is no exemption from tuberculin skin testing for religious belief or personal objection.
PPD TB skin test provided by the school nurse for free
 OR if at your healthcare provider (cost to parent)
 OR if a blood test at a laboratory called IGRA (Interferon Gamma Release Assay) (cost to parent)


How a PPD Test is Given

Administration of a PPD test requires placement of a needle underneath the top layer of the skin on the forearm. A PPD can be administered by the school nurse with parent permission at no cost. If your student is not able to tolerate this short procedure, please have the PPD given by their medical provider.

Download the TB Risk Assessment form.

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