1. Last Update: March 31, 2004 Division of Tuberculosis Control Virginia Department of Health Epidemiology of Tuberculosis in Virginia, 2002

2. Last Update: March 31, 2004 Tuberculosis (TB): A Disease of Public Health Significance Potentially fatal disease transmitted by prolonged contact 19 deaths in 2002 Long, multidrug treatment regimens increase risk of nonadherence Serious impact of improper/inadequate treatment on community Disproportionate impact on disenfranchised

3. Last Update: March 31, 2004 TB Control Challenges in Virginia Rising morbidity in Northern Virginia Increasing proportion of TB patients born outside the United States 38 different countries of origin 15 different primary languages (other than English) High incidence of drug-resistant cases

4. Last Update: March 31, 2004 Number of Reported TB Cases in Virginia, 1980-2002 315 cases in 2002

5. Last Update: March 31, 2004 TB Case Rates in Virginia, 1994-2002 Year# of CasesVA RateUS Rate 19943725.89.4 19953505.58.7 19963495.38.0 19973495.37.4 19983395.26.8 19993344.96.4 20002924.15.8 20013064.35.6 20023154.55.2

6. Last Update: March 31, 2004 Percent of Reported TB Cases by Virginia Region, 1992 and 2002 19922002

7. Last Update: March 31, 2004 Number of Reported TB Cases By Virginia Region, 1998-2002

8. Last Update: March 31, 2004 Number of Reported TB Cases by Age and Sex: Virginia, 2002

9. Last Update: March 31, 2004 Percent of Reported TB Cases by Age: Virginia, 1995-2002

10. Last Update: March 31, 2004 Number of Reported Foreign- vs. US-Born TB Cases: Virginia, 1993-2002

11. Last Update: March 31, 2004 Percent of Reported TB Cases with Resistance to Any First Line Drugs* Virginia, 1994-2002

12. Last Update: March 31, 2004 Number of Reported TB/AIDS Cases in Virginia, 1995-2002

13. Last Update: March 31, 2004 Directly Observed Therapy (DOT) DOT is the standard of treatment Patients are observed taking their medications In 2002, 75% of TB cases were on DOT

14. Last Update: March 31, 2004 Percent of Reported TB Cases on DOT vs. Self-Administered: VA, 1995-2002