Tuberculosis in the United States

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Presentation transcript:

Tuberculosis in the United States National Surveillance System Highlights from 2002 Division of Tuberculosis Elimination Centers for Disease Control and Prevention

Reported TB Cases United States, 1982-2002 No. of Cases 1982 1986 1990 1994 1998 2002 Year

TB Morbidity United States, 1998-2002 Year Cases Rate* 1998 18,361 6.8 1999 17,531 6.4 2000 16,377 5.8 2001 15,989 5.6 2002 15,075 5.2 *Cases per 100,000

TB Case Rates, United States, 2002 D.C. < 3.5 (year 2000 target) 3.6 - 5.2 > 5.2 (national average) Rate: cases per 100,000

TB Case Rates by Age Group United States, 1992-2002 Cases per 100,000 Age Group (years)

Reported TB Cases by Age Group United States, 2002 <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, 2002 Cases per 100,000

TB Case Rates by Race/Ethnicity United States, 1992-2002 Cases per 100,000 Asian/Pacific Islander American Indian/Alaska Native Black, non-Hispanic White, non-Hispanic Hispanic

Reported TB Cases by Race/Ethnicity United States, 2002 White, non-Hispanic (20%) Hispanic (27%) American Indian/ Alaska Native (1%) Asian/Pacific Islander (22%) Black, non-Hispanic (30%)

TB Case Rates by Age Group and Race/Ethnicity, United States, 2002 Cases per 100,000 Age Group (yrs) American Indian/Alaska Native Asian/Pacific Islander Black, non-Hispanic Hispanic White, non-Hispanic

Number of TB Cases in U. S. -born vs Number of TB Cases in U.S.-born vs. Foreign-born Persons United States, 1992-2002 No. of Cases

Trends in TB Cases in Foreign-born Persons, United States, 1986-2002 No. of Cases Percentage

Percentage of TB Cases Among Foreign-born Persons United States 1992 2002 >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, 1992-2002 Cases per 100,000

TB Case Rates in U. S. -born vs TB Case Rates in U.S.-born vs. Foreign-born Persons, United States, 1992-2002 Cases per 100,000

Countries of Birth for Foreign-born Persons Reported with TB United States, 2002 Other Countries (38%) Mexico (25%) Philippines (11%) S. Korea (3%) Vietnam (8%) Haiti (3%) India (7%) China (5%)

Length of U.S. Residence Prior to TB Diagnosis, United States, 2002

Primary Anti-TB Drug Resistance United States, 1993-2002 % 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, 1993-2002 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, 1993-2002 Percentage Note: Based on initial isolates from persons with no prior history of TB.

Primary MDR TB in U. S. -born vs Primary MDR TB in U.S.-born vs. Foreign-born Persons, United States, 1993-2002 % 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, 1993-2001 % 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.) All 2001 cases from California have an unknown HIV status.

Estimated HIV Coinfection in Persons Reported with TB United States, 1993-2001 Note: Minimum estimates based on reported HIV-positive status among all TB cases in the age group. All 2001 cases from California have an unknown HIV status.

Mode of Treatment Administration in Persons Reported with TB United States, 1993-2000 Directly observed therapy (DOT); Self-administered therapy (SA)

Completion of TB Therapy United States, 1993-2000 * Percentage *Healthy People 2010 target: Completed in 1 yr or less Note: Persons with initial isolate resistant to rifampin and children under 15 years old with meningeal, bone or joint, or miliary disease excluded.