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Eight case patients (38%) had ≥1 health care visit during their infectious period, and 7 patients had estimated infectious periods of 12 months. Delayed diagnoses and prolonged infectiousness led to TB transmission in this rural community. TB education and awareness is critical to reducing transmission, morbidity, and mortality, especially in areas where health care providers have limited TB experience. Use of social media can help elucidate people at risk, especially when traditional TB investigation techniques are insufficient. Delayed diagnoses and p