
01/08/2025
Everything you need to know about Tuberculosis clearance for schools in the state of Hawaii:
Acceptable Clearance for Child Care Attendees or School Students
🏫 On or after the first birthday (12 months of age or older):
• Negative Risk Screen
• Negative TB test (TB skin test for any age or T-spot / Quantiferon Gold In-Tube blood tests
for 5yrs and older)
• Positive TB test and Negative Chest X-ray
Parents who do not want skin tests for children under 5 years of age need a physician letter stating the
skin test is medically contraindicated.
🩺For high school students, taking college classes on college campuses, new TB clearance needed on or
after 16th birthday.
TB clearance not needed for students taking online or off campus classes only.
👩‍⚕️ Acceptable Clearance for School Employees and Post-Secondary
Students/Employees
On or after the 16th birthday or within 12 months of attending:
• Negative Risk Screen
• Negative TB Test (TB skin test, T-Spot or Quantiferon Gold In-Tube)
• Positive TB Test and Negative Chest X-ray
TB clearance not needed for students taking online or off campus classes only or for school volunteers
anticipated to work for 30 days or less in 12 months.
TB clearance not needed for post-secondary school students whose planned course of study is 120 days
or less.
🧑‍🏫 Acceptable Clearance for Child Care Employees/Volunteers
Within 12 months of employment:
• Negative Risk Screen
• Negative TB Test (TB skin test, T-Spot or Quantiferon Gold In-Tube)
• Positive TB test and Negative Chest X-ray