Tuberculosis in the United States

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Presentation transcript:

Tuberculosis in the United States National Surveillance System Highlights from 2001 Division of Tuberculosis Elimination National Center for HIV, STD, and TB Prevention Centers for Disease Control and Prevention SAFER HEALTHIER PEOPLE

Reported TB Cases United States, 1981-2001 No. of Cases 1981 1985 1989 1993 1997 2001 Year

TB Morbidity United States, 1997-2001 Year Cases Rate* 1997 19,851 7.4 1998 18,361 6.8 1999 17,531 6.4 2000 16,377 5.8 2001 15,989 5.6 *Cases per 100,000

TB Case Rates, United States, 2001 D.C. < 3.5 (year 2000 target) 3.6 - 5.6 > 5.6 (national average) Rate: cases per 100,000

TB Case Rates by Age Group United States, 1991-2001 Cases per 100,000 Age Group (years) Note: Case rates based on an extrapolation to the July 2001 population from the U.S. Census July 2000 estimate.

Reported TB Cases by Age Group United States, 2001 <15 yrs (6%) 65+ yrs (21%) 15-24 yrs (10%) 25-44 yrs (35%) 45-64 yrs (28%)

TB Case Rates by Age Group and Sex, United States, 2001 Cases per 100,000 Note: Case rates based on an extrapolation to the July 2001 population from the U.S. Census July 2000 estimate.

TB Case Rates by Race/Ethnicity United States, 1991-2001 Cases per 100,000 Asian/Pacific Islander American Indian/Alaska Native Black, non-Hispanic White, non-Hispanic Hispanic Note: Case rates based on an extrapolation to the July 2001 population from the U.S. Census July 2000 estimate.

Reported TB Cases by Race/Ethnicity United States, 2001 White, non-Hispanic (21%) Hispanic (25%) American Indian/ Alaska Native (1%) Asian/Pacific Islander (22%) Black, non-Hispanic (30%)

TB Case Rates by Age Group and Race/Ethnicity, United States, 2001 Cases per 100,000 American Indian/Alaska Native Hispanic Asian/Pacific Islander White, non-Hispanic Black, non-Hispanic Note: Case rates based on an extrapolation to the July 2001 population from the U.S. Census July 2000 estimate.

Number of TB Cases in U. S. -born vs Number of TB Cases in U.S.-born vs. Foreign-born Persons United States, 1991-2001 No. of Cases

Trends in TB Cases in Foreign-born Persons, United States, 1986-2001 Percentage No. of Cases

Percentage of TB Cases Among Foreign-born Persons United States 1991 2001 >50% 25%-49% <25%

TB Case Rates in U. S. -born vs TB Case Rates in U.S.-born vs. Foreign-born Persons, United States, 1991-2001 Cases per 100,000 Note: Case rates for 2000 and 2001 based on an extrapolation from the March 2000 U.S. Census Bureau Current Population Reports.

TB Case Rates in U. S. -born vs TB Case Rates in U.S.-born vs. Foreign-born Persons, United States, 1991-2001 Cases per 100,000 Note: Case rates for 2000 and 2001 based on an extrapolation from the March 2000 U.S. Census Bureau Current Population Reports.

Countries of Birth for Foreign-born Persons Reported with TB United States, 2001 Other Countries (38%) Mexico (23%) Philippines (12%) S. Korea (3%) Vietnam (8%) Haiti (3%) India (8%) China (5%)

Length of U.S. Residence Prior to TB Diagnosis, United States, 2001

Primary Anti-TB Drug Resistance United States, 1993-2001 % Resistant Note: Based on initial isolates from persons with no prior history of TB. MDR TB defined as resistance to at least isoniazid and rifampin.

Primary MDR TB United States, 1993-2001 No. of Cases Percentage Note: Based on initial isolates from persons with no prior history of TB. MDR TB defined as resistance to at least isoniazid and rifampin.

Primary Isoniazid Resistance in U. S. -born vs Primary Isoniazid Resistance in U.S.-born vs. Foreign-born Persons United States, 1993-2001 Percentage Note: Based on initial isolates from persons with no prior history of TB. MDR TB defined as resistance to at least isoniazid and rifampin.

Primary MDR TB in U. S. -born vs Primary MDR TB in U.S.-born vs. Foreign-born Persons, United States, 1993-2001 % Resistant Note: Based on initial isolates from persons with no prior history of TB. MDR TB defined as resistance to at least isoniazid and rifampin.

Completeness of HIV Test Results in Persons with TB by Age Group United States, 1993-2000 % with Test Results Note: Includes cases with positive, negative, or indeterminate HIV test results and cases from California in persons reported with AIDS. (HIV test results are not reported from California.)

Estimated HIV Coinfection in Persons Reported with TB United States, 1993-2000 Note: Minimum estimates based on reported HIV-positive status among all TB cases in the age group.

Mode of Treatment Administration in Persons Reported with TB United States, 1993-1999 Directly observed therapy (DOT); Self-administered therapy (SA)

Completion of TB Therapy United States, 1993-1999 Percentage Note: Persons with initial isolate resistant to rifampin and children under 15 years old with meningeal, bone or joint, or miliary disease excluded.