1. Tuberculosis in the United States
National Surveillance System
Highlights from 1999
Division of Tuberculosis Elimination
National Center for HIV, STD, and TB Prevention
Centers for Disease Control and Prevention

2. Reported TB Cases United States, 1979-1999
30000
28000
26000
Cases
24000
22000
20000
18000 79 81 83 85 87 89 91 93 95 97 99
Year

3. TB Morbidity United States, 1995-1999
Year Cases Rate* , , , , ,
*Cases per 100,000

4. TB Case Rates, 1999 < 3.5 (year 2000 target) 3.6 - 6.4
D.C.
< 3.5 (year 2000 target)
> 6.4 (national average)
Rate: cases per 100,000

5. Reported TB Cases by Age Group United States, 1999
<15 yrs
15-24 yrs
65+ yrs
25-44 yrs
45-64 yrs

6. TB Case Rates by Age Group and Sex, United States, 1999
Cases per 100,000

7. Reported TB Cases by Race/Ethnicity, 1999
Hispanic
White, non-Hispanic
American Indian/
Alaskan Native
Asian/Pacific
Islander
Black, non-Hispanic

8. TB Case Rates by Age Group and Race/Ethnicity United States, 1999
Cases per 100,000
American Indian/Alaskan Native
Hispanic
Asian/Pacific Islander
White, non-Hispanic
Black, non-Hispanic

9. Number of TB Cases in US-born vs
Number of TB Cases in US-born vs. Foreign-born Persons United States,
No. of Cases

10. Percentage of TB Cases Among Foreign-born Persons
1992
1999
>50%
25%-49%
<25%

11. Countries of Birth for Foreign-born Persons Reported with TB United States, 1999
Other
Countries
Mexico
Philippines
S. Korea
Vietnam
Haiti
India
China

12. TB Case Rates in US-born vs
TB Case Rates in US-born vs. Foreign-born Persons United States,
Cases per 100,000

13. Length of US Residence Prior to TB Diagnosis, United States, 1999

14. Primary Anti-TB Drug Resistance United States, 1993-1999
% 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.

15. Primary MDR TB in US-born vs
Primary MDR TB in US-born vs. Foreign-born Persons United States,
% 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.

16. Estimated HIV Coinfection in Persons Reported with TB United States, 1993-1998
Note: Minimum estimates based on reported HIV-positive status
among all TB cases in the age group.

17. Mode of Treatment Administration in Persons Reported with TB United States, 1993-1997
Directly observed therapy (DOT); Self-administered therapy (SA)

18. Completion of TB Therapy United States, 1993-1997
Percentage
Note: Persons with initial isolate resistant to rifampin and
children under 15 years old with meningeal, bone or joint, or
miliary disease excluded.