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Liberia currently lacks a purpose-built facility for the management of infectious disease outbreaks and other high-risk communicable diseases. Existing infrastructure, including the TB Annex Hospital, is outdated and was not designed to meet modern requirements for infection prevention and control (IPC), patient isolation, surge capacity, or emergency response. While the TB Annex Hospital has historically supported tuberculosis care, it no longer provides the functional space or specialized infrastructure required to manage drug-susceptible TB, drug-resistant TB, and other infectious diseases safely…