Now, there are weekly screenings at shelters, said David Holland, the chief clinical officer for communicable disease at the Fulton County Department of Health and Wellness. Shelter users have cards that show their tests are up-to-date. Staff members know to seek help if someone is coughing a lot, and to look for other signs of the disease.

“We’re not letting up,” Holland said. “Now, everybody’s thinking about TB, and they know about it.”

The outbreak came as the county health department was under fire for having not spent available CDC grant money to prevent HIV. The two crises led to change in state law that will make the Fulton health director a state employee.

Fulton commission chairman John Eaves said there was a “convergence of challenges” at the health department. Now, he said, the county is more responsive to any crisis it might face.

“It was a full-court strategy, all hands on deck,” Eaves said.