# Presentation: 712347

## Tuberculosis in the United States

**National Center for HIV, STD, and TB Prevention**
**Centers for Disease Control and Prevention**

**Tuberculosis in the United States**

- National Surveillance System
- Highlights from 2001

## Reported TB Cases United States, 1981-2001

**Year**

**1981**

**1985**

**1989**

**1993**

**1997**

**2001**

**No. of Cases**

## TB MorbidityUnited States, 1997-2001

** ****Year****	****	**** Cases****	****	**** Rate***

**1997****	****	****19,851****	****	****  7.4**
**1998****	****	****18,361****	****	****  6.8**
**1999****	****	****17,531****	****	****  6.4**
**2000****	****	****16,377****	****	****  5.8**
**2001****	****	****15,989****	****	****  5.6**

- *Cases per 100,000

## TB Case Rates, United States, 2001

_**<**_** 3.5 (year 2000 target)**

**3.6 - 5.6**

**> 5.6 (national average)**

**D.C.**

- Rate: cases per 100,000

## TB Case Rates by Age Group United States, 1991-2001

**Age Group (years)**

** ****Cases per 100,000**

- Note: Case rates based on an extrapolation to the July 2001 population from the U.S. Census July 2000 estimate.

## Reported TB Cases by Age Group United States, 2001

**25-44 yrs**
**    ****(35%)**

**<15 yrs ****(6%)**

**15-24 yrs ****(10%)**

**45-64 yrs**
**   ****(28%)**

**65+ yrs**
**  ****(21%)**

## TB Case Rates by Age Group and Sex, United States, 2001

** ****Cases per 100,000**

- Note: Case rates based on an extrapolation to the July 2001 population from the U.S. Census July 2000 estimate.

## TB Case Rates by Race/Ethnicity United States, 1991-2001

**TB Case Rates by Race/Ethnicity**** United States, 1991-2001**

** ****Cases per 100,000**

- Note: Case rates based on an extrapolation to the July 2001 population   from the U.S. Census July 2000 estimate.

## Reported TB Cases by Race/Ethnicity United States, 2001

**Hispanic**
**(25%)**

**Black, non-Hispanic**
**(30%)**

**Asian/Pacific Islander**
**(22%)**

**White, non-Hispanic**
**(21%)**

**American Indian/**
**  ****Alaska Native ****(1%)**

## TB Case Rates by Age Group and Race/Ethnicity, United States, 2001

**American Indian/Alaska Native**

**Asian/Pacific Islander**

**Black, non-Hispanic**

**Hispanic**

**White, non-Hispanic**

**Cases per 100,000**

- Note: Case rates based on an extrapolation to the July 2001 population from the U.S. Census July 2000 estimate.

## Number of TB Cases inU.S.-born vs. Foreign-born Persons  United States, 1991-2001

**No. of Cases**

## Trends in TB Cases in Foreign-born Persons, United States, 1986-2001

**No. of Cases**

**Percentage**

## Percentage of TB CasesAmong Foreign-born Persons United States

_**>**_**50%**

**25%-49%**

**<25%**

**1991**

**2001**

## TB Case Rates in U.S.-born vs. Foreign-born Persons, United States, 1991-2001	

**Cases per 100,000**

- Note: Case rates for 2000 and 2001 based on an extrapolation from the March 2000 U.S. Census Bureau Current Population Reports.

## TB Case Rates in U.S.-born vs. Foreign-born Persons, United States, 1991-2001	

**Cases per 100,000**

- Note: Case rates for 2000 and 2001 based on an extrapolation from the March 2000 U.S. Census Bureau Current Population Reports.

## Countries of Birth for Foreign-born Persons Reported with TB United States, 2001

**Mexico**
**(23%)**

**Philippines**
**(12%)**

**Vietnam**
**(8%)**

**India**
**(8%)**

**China**
**(5%)**

**Haiti**
**(3%)**

**S. Korea**
**(3%)**

**Other**
**Countries**
**(38%)**

## Length of U.S. Residence Prior to TB Diagnosis, United States, 2001

## Primary Anti-TB Drug Resistance  United States, 1993-2001

**% 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.

## Primary MDR TB United States, 1993-2001

- Note: Based on initial isolates from persons with no prior history of TB.
- MDR TB defined as resistance to at least isoniazid and rifampin.

**No. of Cases**

**Percentage**

## Primary Isoniazid Resistance in U.S.-born vs. Foreign-born Persons United States, 1993-2001

**Percentage**

- Note: Based on initial isolates from persons with no prior history of TB.
- MDR TB defined as resistance to at least isoniazid and rifampin.

## Primary MDR TB inU.S.-born vs. Foreign-born Persons, United States, 1993-2001

**% 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.

## Completeness of HIV Test Results in Persons with TB by Age GroupUnited States, 1993-2000

- Note:  Includes cases with positive, negative, or indeterminate HIV test results and cases from California in persons reported with AIDS.
- (HIV test results are not reported from California.)

**Completeness of HIV Test Results ****in Persons with TB by Age Group****United States, 1993-2000**

## Estimated HIV Coinfection in Persons Reported with TBUnited States, 1993-2000

**% Coinfection**

- Note: Minimum estimates based on reported HIV-positive status
- among all TB cases in the age group.

## Mode of Treatment Administration in Persons Reported with TB United States, 1993-1999

- Directly observed therapy (DOT); Self-administered therapy (SA)

## Completion of TB Therapy United States, 1993-1999

- Note: Persons with initial isolate resistant to rifampin and children under 15 years old with meningeal, bone or joint, or miliary disease excluded.

**Percentage**