Key Points: Following the events of Hurricane Harvey,
several TB patients ended up being displaced as a result. The state of Texas
uses both state and federal funds to not only prevent TB from spreading but
monitoring the existing patients. Throughout their treatment, direct
observation of patients is relied on to keep patients accountable for their
treatment to ensure proper medication. This includes devices with video
capability to reach those patients who do not have the option of being in
direct contact with a health care provider. However, while many of these
patients were displaced through the hurricane, the availability to keep these
patients under direct observation for taking medications was temporarily unavailable.

Health Departments in the state very quickly got into contact with all the departments
to find out where and how the TB patients were doing. In a broader sense,
natural disasters like Harvey have led to the increased planning and development
of emergency preparedness to ensure adequate patient care under these

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