1. TB Epidemiology 2005-2014 Suzanne J. Keller
World TB Day 2015
TB Epidemiology
Suzanne J. Keller

2. Global TB: We are all connected
In 2013, there were an estimated 9 million new cases of TB
An estimated 1.5 million deaths occurred in 2013, including 360,000 that were associated with HIV
 Globally in 2013, MDR-TB was seen in nearly 315,000 cases

7. TB Rates by Race/Ethnicity 2014
Source: US Centers for Disease Control and Prevention

8. Proportion of TB Cases by National Origin 2014
Source: US Centers for Disease Control and Prevention

9. TB Case Rate per 100,000 VA and US: 2010-2014
Year
Virginia TB Cases
Virginia TB Rate
US TB Cases
US TB Rate
2010
268
3.4
11,181
3.6
2011
221
2.7
10,521
2012
235
2.9
9,951
3.2
2013
179
2.2
9,582
3.0
2014
198
2.4
9,412

10. TB in Virginia:
Second year in a row with less than 200 cases!!

11. VA TB Cases by Age Group: 2005-2014
There was a spike this year among those older than 64.
The decline in continues to track lower number of cases among Central Americans.

12. VA TB Cases Sex:
Decline in tracks decline in Hispanic cases

13. VA TB Cases by Race/Ethnicity: 2005-2014

14. VA TB Cases by Region: 2005-2014 High Low
Northwest 27 (2006) 12 (2013)
Southwest 22 (2004) 9 (2013)
Central 52 (2005) 29 (2011)
Eastern 82 (2005) 22 (2013)

15. VA Foreign vs. US Born TB Cases: 2005-2014
FB are now 82.8% of Virginia cases compared to 65% in the US

16. VA Foreign Born TB Cases by Years in US at Start Treatment: 2005-2014
Will not add up to total FB as some people did not start treatment.

17. VA TB Cases Top Five Countries of Origin: 2005-2014
2006
2007
2008
2009
2010
2011
2012
2013
2014
Viet Nam
Philippines
India
Ethiopia
Mexico
El Salvador
S. Korea
Bolivia
South Korea
Nepal
Mex,ChinaNepal
& Philippines
ES and Philipaine each had 9
India 17
Viet Name 16
S. Korea 10

18. Thoughts for World TB Day 2015
The global burden of TB is still huge, yet we are seeing some advances in technology that may have an impact for early treatment and treating X-DR TB
The decline of TB nationally in 2014 was the smallest decline in 10 years
Central Region reported the lowest number of cases in recent memory