On May 9, Sheboygan County, Wis., public health officials announced that three more Sheboygan Area School District students have active TB, in addition to a case confirmed in April. All four students are from the same family. Sheboygan County Health Officer Dale Hippensteel stated that the students’ extended family has eight active and infectious TB cases. The individuals are receiving treatment, and health officials are working to identify any other possible cases. Hippensteel noted that, on average, Sheboygan County has three or fewer cases of active TB per year. According to health officials, the initial student’s case marked the first of 2013.