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Over 70% of people with TB in the United States were born or lived outside of the country in settings with a high incidence of TB, with over 90% of these diagnoses attributed to reactivation of asymptomatic or latent TB infection (LTBI) acquired before immigration. The aim of the study was to characterize the LTBI care cascade" (screening, testing, and treatment) in the community healthcare clinics where immigrants typically receive primary care. "Systematic reviews have highlighted large gaps in TB infection testing and treatment for persons migrating from high to low-TB incidence settings with a wide range of barriers to guideline-directed care," the study authors wrote. "However, there are limited data on the gaps in care for non-U.S.-born persons from geographically diverse primary care clinics in the U.S." Only 1 in 3 tested for TB A total of 8,460 non–US-born adults were included in the analysis, with a median of 702 per site."