Abstract: Objective To assess the feasibility and impact of mass recommendation for case detection so as to develop standard working procedure for case detection through mass recommendation of suspects. Method Following the 7 criteria as clue to detect TB suspects,new smearpositive TB cases were detected through mass recommendation of indoor investigation by village doctors,fluoroscopy screening in township hospitals and diagnosis in city TB dispensary. Result During the three months of the study 166 active TB cases was detected by mass recommendation out of the total city population of 755 944,including 86 smear positive cases.The screening rate of suspects with cough,cough with sputum or cough with blood was highest to 13%,and the rate for new smear positive TB patients was 7.6%. Conclusion The approach of mass recommendation through indoor investigation by village doctors,fluoroscopy screening in township hospitals and diagnosis in city TB dispensary is not only an effective method to increase case detection but also an effective approach for health promotion activities.

Key words: Pulmonary tuberculosis/prevention and control