2. TUBERCULOSIS IN VIRGINIA
Wendy Heirendt, MPA
Division of Tuberculosis Control
Virginia Department of Health
September 10, 2001

3. Number of Reported Tuberculosis Cases Virginia, 1910-2000
This depiction kinda resembles the topography of Virginia. The mountains are in the west and then flatten out the closer you get to the ocean.

4. Number of Reported TB Cases Virginia, 1995-2000

5. Percent of TB Cases By Age Virginia, 1995-2000
Chart 6

6. Percent of TB Cases By Race Virginia, 1995-2000

7. Percent of TB Cases By Sex Virginia, 2000
Chart 3

8. TB Cases By Disease Site Virginia, 1995-2000

9. TB Cases Diagnosed at Time of Death Virginia, 1995-2000

10. Percent of Foreign-born vs. US Born TB Cases Virginia, 1995-2000

11. Percent TB Cases with Drug Resistance* Virginia, 1994-2000
*Culture confirmed cases with drug susceptibility tests performed

12. Number of TB Cases* with Drug Resistance Virginia, 1994-2000
*Culture confirmed cases with drug susceptibility tests performed

13. Percent of Drug Resistance Among Foreign-Born & US Born Virginia, 1993-2000

14. Number of Reported TB/AIDS Cases Virginia, 1995-2000

15. Percent of TB Cases on DOT vs. Self-administered Virginia, 1995-2000

16. Completion of Therapy Rates Virginia, 1994-1999

18. VA Code 18.2-322 Anti-Spitting Law of 1906
No person shall spit, expectorate, or deposit any sputum, saliva, mucus, or any form of saliva or sputum upon the floor, stairways, or upon any part of any public building or place where the public assemble, or upon the floor of any part of any public conveyance, or upon any sidewalk abutting on any public street, alley, or lane of any town or city.

19. Evaluation Criteria Completion of Therapy (COT)
COT in Pulmonary cases with DOT
COT for LTBI by contacts
Contributing or Complicating Factors
Completion of treatment for cases Weight Factor: 30%
Proportion of reported tuberculosis cases that complete an adequate and appropriate drug regimen within 365 days.
Completion of treatment using DOT Weight Factor: 20%
Proportion of pulmonary cases that receive Directly Observed Treatment (DOT) and complete therapy within 365 days.
Completion of treatment for LTBI by contacts Weight Factor: 30%Proportion of contacts to known cases who complete an adequate and appropriate course of treatment for latent TB infection within 365 days. This measure does not include reactors or converters identified through other screening activities.
Contributing factors Weight Factor: 20%
Proportion of cases with at least one documented factor that may make the investigation more difficult or of greater public health significance. The five factors are homelessness (currently without a home or was homeless within the 12 months prior to diagnosis), HIV co-infection (as evidenced by medical documentation), drug abuse (injecting or non-injecting illicit drugs), MDR-TB (defined as resistance to INH and rifampin), and foreign birth (with arrival to the US within the last five years).

20. Regional Breakdown of TB Cases Virginia, 1990 and 2000

21. Spittoon Score by Region 2001
State North NW SW Cent East
Regional Average
Winner's
North= Loudoun 100
NW= Cent Shen 64.9
SW= Roanoke 90
Cent= Henrico 83.7
East= Norfolk 86.5

22. COT Index by Region Virginia, 1999

23. Pulmonary Cases who Complete Rx with DOT Virginia, 1999

24. Completion of Therapy by Contacts Virginia, 1999

25. Proportion of Cases with Complicating Factors

26. The Travelling Spittoon