1. Tuberculosis in North Dakota 2011 Craig Steffens, MPH TB/HIV Surveillance Coordinator

2. 2011 ND TB Cases 8 total active cases –5 pulmonary 2 were smear positive One with PZA resistant, though not M. bovis –3 extra-pulmonary –3 male, 5 female

3. U.S.-born and Foreign-born TB Cases

5. Race/ethnicity of TB Cases, 2007-2011

6. Mean and Median Ages of TB Cases 2007-2011

7. TB Disease Rate: U.S. vs. ND

8. National TB Rates per 100,000, 2010

9. Possible Causes of National Decrease Better identification of active/ltbi cases More stringent overseas TB screening requirements for immigrants/refugees Limited resources, missing cases –Medical care less available, not enough health professionals –Not seeking medical care because of cost

10. Program Updates Website updated: www.ndhealth.gov/disease/tb www.ndhealth.gov/disease/tb Blood tests for infection (IGRA) have become more available New treatment (3HP) to be made available for latent TB infection

11. TB Questions? csteffens@nd.gov 701.328.2377 www.ndhealth.gov/disease/tb

12. HIV/AIDS in North Dakota 2011 Craig Steffens, HIV Surveillance/TB Coordinator

13. Cumulative HIV/AIDS cases reported in ND as of 12/31/2011, n=531

14. Annual Number of HIV/AIDS Cases Reported in ND, 1984-2011, n=531

15. New HIV/AIDS diagnosis, 1984-2011, n=304

17. Annual Number of New HIV/AIDS Diagnoses in ND, 2007-2011, n=65

18. New HIV/AIDS Diagnoses in ND by Gender, 2007-2011, n=65

19. New HIV/AIDS Diagnoses in ND by Race/Ethnicity, 2007-2011, n=65

20. New HIV/AIDS Diagnoses in ND by Age Group, 2007-2011, n=65

21. Risk Factors Identified by New HIV/AIDS Diagnoses, 2007-2011, n=65

22. Risk Factors Identified by New HIV/AIDS Diagnoses, 2002-2006, n=60

23. Program Updates New media campaign –Online risk assessment survey www.ndhealth.gov/knowyourrisk

24. Program Updates

25. You need to know. Get tested.

26. HIV/AIDS Questions? csteffens@nd.gov 701.328.2377 1.800.70.NDHIV www.ndhealth.gov/hiv