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Dr Rastegar correctly noted that smoking has been associated with tuberculosis in countries other than the United States and that smoking is more prevalent among persons with substance abuse disorders than the general population. To our knowledge, the association between smoking and tuberculosis has not been confirmed in the United States in population-based studies. Nevertheless, we agree that such an association is likely and deserves investigation. Unfortunately, we were not able to include smoking in our current analysis because data on smoking behaviors are not captured by the National Tuberculosis Surveillance System of the Centers for Disease Control and Prevention.
Oeltmann JE, Kammerer JS, Pevzner ES, Moonan PK. Tuberculosis and Substance Abuse—Reply. Arch Intern Med. 2009;169(13):1241-1247. doi:10.1001/archinternmed.2009.184