![]() That is why it’s important to take a test, even if you do not feel sick. “TB can live inside someone for years without showing signs of its presence. Meera Sreenivasan, deputy health officer for Contra Costa County. “We are making this recommendation now because there is new evidence that TB may have spread among people who spent time at the casino from 2018 to 2023,” said Dr. CCH is working closely with casino management to ensure prompt, appropriate testing, health advice and screening for all its staff. The 11th case has not yet been genetically tested.ĬCH has so far not identified a current or ongoing source of transmission at the casino. Of the 11 confirmed TB cases, 10 are genetically linked and the majority are associated with staff or customers at the casino. Contra Costa Health (CCH) recommends that anyone who has spent time inside California Grand Casino in Pacheco since 2018 consider a tuberculosis (TB) test, after recent genetic testing revealed several related cases among staff and customers over the past five years.
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