Common symptoms of active TB include coughing, chest pains, fever, fatigue and coughing up blood or phlegm. The airborne respiratory illness is usually transmitted during prolonged close contact with an infected person.

Health officials in Kansas say they are battling an “unprecedented” tuberculosis outbreak that’s infected at least 146 people in the state’s northeast. As of Friday, there have been 67 confirmed active cases of the bacterial disease,

A yearlong outbreak of tuberculosis in the Kansas City, Kansas area has taken local experts aback, even if it does not appear to be the largest outbreak of the disease in U.S. history as a state health official claimed last week.