Sindecuse Health Center

Tuberculosis Testing

Incoming students from countries identified as high-risk for tuberculosis exposure will be required to have testing done at WMU’s health center. Sindecuse Health Center offers the highly-reliable Quantiferon Gold (QFG) test for M. tuberculosis exposure. 

The American College Health Association publishes an updated list of countries at high-risk for incidence of TB on an annual basis. The list is published at the end of this page.

International students will be asked to review this list before they arrive at Orientation. The plan international students are required to buy, GeoBlue, covers TB testing as a benefit with no out-of-pocket expense.

Students who are required to have this testing completed will be notified by email a few weeks into the semester they enter WMU.

If you have TB infection

Most people diagnosed with TB infection have inactive, latent TB, which cannot be transmitted and does not cause symptoms. Treatment with antibiotics is recommended in order to prevent active TB. Students can attend school normally. Active TB can be transmitted and is very serious, possibly causing permanent damage and even death. It is curable with appropriate medicine, and treatment with antibiotics is required. Students will not be allowed to attend school until you have a release from your medical provider.

Visit the Centers for Disease Control and Prevention web site to learn more.

TB Screening Questionnaire

Tuberculosis Screening Questionnaire (to be completed by incoming students)

Please answer the following questions:

1. Have you ever had close contact with people who are known or suspected to have active TB disease?

❑ Yes  ❑ No

2. Were you born in one of the countries or territories listed at the end of this page that have a high incidence of active TB disease? 

❑ Yes  ❑ No

3. Have you resided in or traveled to one or more of the countries or territories listed for a cumulative period of at least one month (If yes, CHECK the countries or territories, above)

❑ Yes  ❑ No

4. Have you been a resident, volunteer, and/or employee of high-risk congregate settings (e.g., correctional facilities, long-term care facilities, and homeless shelters)?

❑ Yes  ❑ No

5. Have you been a volunteer or health care worker who served clients who are at increased risk for active TB disease?

❑ Yes ❑ No

6. Have you ever been a member of any of the following groups that may have an increased incidence of inactive TB infection or active TB disease: medically underserved, low-income, or abusing drugs or alcohol?

❑ Yes ❑ No

If you answered YES to any of the above questions, WMU requires that you receive TB testing at the start of your first enrolled term. The significance of any travel exposure should be reviewed with a health care provider. If the answer to all of the above questions is NO, no further testing or further action is required.

High-incidence Country List 

The list was updated in June 2026  and includes countries with a 3-year average incidence greater than or equal to 20 cases per 100,000  population for the years 2022 to 2024, n=12,926.

French Polynesia, Latvia, Syrian Republic, and Trinidad and Tobago were added to the high-incidence countries list in 2026 because their average incidence rose above the cutoff. Anguilla and Belarus were removed from the high-incidence country list in 2026 because their average incidence dropped below the cutoff. Here is the list:

  • Afghanistan
  • Algeria
  • Angola
  • Argentina
  • Armenia
  • Azerbaijan
  • Bangladesh
  • Belize
  • Benin
  • Bhutan
  • Bolivia
  • Bosnia and Herzegovina
  • Botswana
  • Brazil
  • Brunei
  • Darussalam
  • Burkina Faso
  • Burundi
  • Cabo Verde
  • Cambodia
  • Cameroon
  • Central African
  • Republic
  • Chad
  • China
  • China, Hong Kong SAR
  • China, Macao SAR
  • Colombia
  • Comoros
  • Congo
  • Congo (Democratic Republic of)
  • Cote d'Ivoire
  • Djibouti
  • Dominican Republic
  • Ecuador
  • El Salvador
  • Equatorial Guinea
  • Eritrea
  • Eswatini
  • Ethiopia
  • Fiji
  • French Polynesia
  • Gabon
  • Gambia
  • Georgia
  • Ghana
  • Greenland
  • Guam
  • Guatemala
  • Guinea
  • Guinea-Bissau
  • Guyana
  • Haiti
  • Honduras
  • India
  • Indonesia
  • Iraq
  • Kazakhstan
  • Kenya
  • Kiribati
  • Korea (Democratic People’s Republic of)
  • Korea (Republic of)
  • Kyrgyzstan
  • Lao
  • People's Democratic Republic Latvia
  • Lesotho
  • Liberia
  • Libya
  • Lithuania
  • Madagascar
  • Malawi
  • Malaysia
  • Maldives
  • Mali
  • Marshall Islands
  • Mauritania
  • Mexico
  • Micronesia
  • Moldova
  • Mongolia
  • Morocco
  • Mozambique
  • Myanmar
  • Namibia
  • Nauru
  • Nepal
  • Nicaragua
  • Niger
  • Nigeria
  • Niue
  • Northern Mariana Islands
  • Pakistan
  • Palau
  • Panama
  • Papua New Guinea
  • Paraguay
  • Peru
  • Philippines
  • Qatar
  • Romania
  • Russian Federation
  • Rwanda
  • Sao Tome and Principe
  • Senegal
  • Sierra Leone
  • Singapore
  • Solomon Islands
  • Somalia
  • South Africa
  • South Sudan
  • Sri Lanka
  • Sudan
  • Suriname
  • Syrian Arab Republic
  • Tajikistan
  • Tanzania
  • Thailand
  • Timor-Leste
  • Togo
  • Trinidad and Tobago
  • Tunisia
  • Turkmenistan
  • Tuvalu
  • Uganda
  • Ukraine
  • Uruguay
  • Uzbekistan
  • Vanuatu
  • Venezuela
  • Viet Nam
  • Yemen
  • Zambia
  • Zimbabwe