# Presentation: 704165

## Tuberculosis in the United States

**Centers for Disease Control and Prevention**

**Tuberculosis in the United States**

- National Tuberculosis Surveillance System
- Highlights from 2007

## Reported TB Cases* United States, 1982–2007

**Year**

**No. of Cases**

- *Updated as of April 23, 2008.

## TB MorbidityUnited States, 2002–2007

** ****Year****	****	****    No.        ****	**** Rate***

**2002****	****	****15,056****	****	****  5.2**
**2003****	****	****14,837****	****	****  5.1**
**2004****	****	****14,501****	****	****  4.9**
**2005****	****	****14,065****	****	****  4.7**
**               ****13,754             ****4.6**
**              ****13,299            4.4**

- *Cases per 100,000, updated as of April 23, 2008.

## TB Case Rates,* United States, 2007

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

**3.6–4.4**

**> 4.4 (national average)**

**D.C.**

- *Cases per 100,000.

## TB Case Rates* by Age Group United States, 1993–2007

**Age Group (years)**

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

- *Updated as of April 23, 2008.

## Reported TB Cases by Age Group, United States, 2007

**25–44 yrs    (32%)**

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

**15–24 yrs**
**(12%)**

**45–64 yrs**
**   ****(30%)**

_**>**_**65 yrs**
**  ****(19%)**

## TB Case Rates by Age Group and Sex, United States, 2007

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

## TB Case Rates by Race/Ethnicity* United States, 1993–2007**

**TB Case Rates by Race/Ethnicity* United States, 1993–2007****

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

- *All races are non-Hispanic. In 2003, Asian/Pacific Islander category includes persons who reported race as Asian only and/or Native Hawaiian or Other Pacific Islander only.**Updated as of April 23, 2008.

## TB Case Rates by Age Group and Race/Ethnicity,* United States, 2007

**Cases per 100,000**

**Age Group (yrs)**

- *All races are non-Hispanic. Persons reporting two or more races accounted for less than 1% of all cases.

## Reported TB Cases by Race/Ethnicity* United States, 2007

**Hispanic or Latino**
**(29%)**

**Black or**
**African-American**
**(26%)**

**Asian**
**(26%)**

**White**
**(17%)**

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

**Native Hawaiian or**
**Other Pacific Islander (<1%)**

- *All races are non-Hispanic. Persons reporting two or more races accounted for less than 1% of all cases.

## Number of TB Cases inU.S.-born vs. Foreign-born Persons  United States, 1993–2007*

**No. of Cases**

- *Updated as of April 23, 2008.

## Trends in TB Cases in Foreign-born Persons, United States, 1987–2007*

**No. of Cases**

**Percentage**

- *Updated as of April 23, 2008.

## Reported TB Cases by Origin and Race/Ethnicity,* United States, 2007

- *All races are non-Hispanic. Persons reporting two or more races accounted for less than 1% of all cases.
- **American Indian or Alaska Native and Native Hawaiian or Other Pacific Islander accounted for less than 1% of foreign-born cases and are not shown.

**U.S.-born**

**Foreign-born****

**Native Hawaiian/Other**
**Pacific Islander (<1%)**

**White (33%)**

**Black or African American (45%)**

**Hispanic or Latino (17%)**

**Asian (2%)**

**American Indian or Alaska Native (3%)**

**Hispanic or Latino (38%)**

**Asian (43%)**

**White (5%)**

**Black or African**
**American (13%)**

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

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

**25%–49%**

**<25%**

**1997**

**2007**

**DC**

- *Updated as of April 23, 2008.

## TB Case Rates in U.S.-born vs. Foreign-born Persons United States, 1993–2007*	

**Cases per 100,000**

- *Updated as of April 23, 2008.

## TB Case Rates in U.S.-born vs. Foreign-born Persons United States,* 1993–2007**	

**Cases per 100,000**

- *Includes the same data as slide 15, but rates presented on a logarithmic scale.
- **Updated as of April 23, 2008.

## Countries of Birth of Foreign-born Persons Reported with TB United States, 2007

**Mexico**
**(24%)**

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

**Viet Nam**
**(7%)**

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

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

**Haiti**
**(2%)**

**Rep. Korea**
**(3%)**

**Other**
**Countries**
**(39%)**

## Percent of Foreign-born with TB by Time of Residence in U.S. Prior to Diagnosis, 2007

- * Foreign-born TB patients for whom information on length of residence in the U.S. prior to diagnosis is unknown or missing.

## Primary Anti-TB Drug Resistance  United States, 1993–2007*

**% Resistant**

- *Updated as of April 23, 2008.
- Note: Based on initial isolates from persons with no prior history of TB.
- Multidrug resistant TB (MDR TB) is defined as resistance to at least isoniazid and rifampin.

## Primary MDR TBUnited States, 1993–2007*

- *Updated as of April 23, 2008.
- 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, 1993–2007*

**% Resistant**

- *Updated as of April 23, 2008.
-  Note: Based on initial isolates from persons with no prior history of TB.

## Primary MDR TB inU.S.-born vs. Foreign-born Persons, United States, 1993–2007*

**% Resistant**

- *Updated as of April 23, 2008.
- Note: Based on initial isolates from persons with no prior history of TB.
- MDR TB defined as resistance to at least isoniazid and rifampin.

## XDR TB Case Count defined on Initial DST† by Year, 1993–2007*

**Case Count**

**Year of Diagnosis**

- †Drug susceptibility test.
- *Reported incident cases as of April 23, 2008.
- Extensively drug-resistant TB (XDR TB) is defined as resistance to isoniazid and rifampin,
- plus resistance to any fluoroquinolone and at least one of three injectable second-line anti-TB drugs.

## Reporting of HIV Test Results in Persons with TB by Age GroupUnited States, 1993–2006*

- *Updated as of  April 23, 2008.
- Note:  Includes TB patients with positive, negative, or indeterminate HIV test results. Persons from California reported with AIDS only through 2004.
- (HIV test results are not reported from California)

**Reporting of HIV Test Results ****in Persons with TB by Age Group****United States, 1993–2006***

**2006**

## Estimated HIV Coinfection in Persons Reported with TB, United States,1993–2006*

**% Coinfection**

- *Updated as of  April 23, 2008.
- Note: Minimum estimates based on reported HIV-positive status
- among all TB cases in the age group.

**2006**

## Mode of Treatment Administration in Persons Reported with TB United States, 1993–2005*

- *Updated as of April 23, 2008.
- Directly observed therapy (DOT); Self-administered therapy (SA)

## Completion of TB Therapy United States, 1993–2005*

- *Updated as of April 23, 2008.
- **Healthy People 2010 target: 90% completed in 1 yr or less.
- Note: Persons with initial isolate resistant to rifampin and children under 15 years old with meningeal, bone or joint, or miliary disease excluded.

**Percentage**

******