# Presentation: 715809

## Tuberculosis in the United States

**Centers for Disease Control and Prevention**

**Tuberculosis in the United States**

- National Surveillance System
- Highlights from 2003

## Reported TB Cases United States, 1982-2003

**Year**

**1983**

**1987**

**1991**

**1995**

**1999**

**2003**

**No. of Cases**

**12,000**

**16,000**

**20,000**

**24,000**

**28,000**

## TB MorbidityUnited States, 1999-2003

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

**1999****	****	****17,531****	****	****  6.4**
**2000****	****	****16,377****	****	****  5.8**
**2001****	****	****15,989****	****	****  5.6**
**2002****	****	****15,075****	****	****  5.2**
**2003****	****	****14,874****	****	****  5.1**

- *Cases per 100,000

## TB Case Rates,* United States, 2003

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

**3.6 - 5.1**

**> 5.1 (national average)**

**D.C.**

- *Cases per 100,000

## TB Case Rates* by Age Group United States, 1993-2003

**Age Group (years)**

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

- *Cases per 100,000.

## Reported TB Cases by Age Group United States, 2003

**25 - 44 yrs**
**    ****(34%)**

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

**15 - 24 yrs**
**(11%)**

**45 - 64 yrs**
**   ****(29%)**

**65+ yrs**
**  ****(20%)**

## TB Case Rates* by Age Group and Sex, United States, 2003

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

- *Cases per 100,000.

## TB Case Rates* by Race/Ethnicity** United States, 1993-2003

**TB Case Rates* by Race/Ethnicity** United States, 1993-2003**

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

- *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.

## Reported TB Cases by Race/Ethnicity* United States, 2003

**Hispanic or Latino**
**(28%)**

**Black or African American**
**(28%)**

**Asian**
**(23%)**

**White**
**(19%)**

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

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

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

## TB Case Rates* by Age Group and Race/Ethnicity,** United States, 2003

**Cases per 100,000**

**Age Group (yrs)**

- *Cases per 100,000.
- **All races are non-Hispanic. Persons reporting two or more races comprised less than 1% of all cases.

## Number of TB Cases inU.S.-born vs. Foreign-born Persons  United States, 1993-2003

**No. of Cases**

## Trends in TB Cases in Foreign-born Persons, United States, 1986-2003

**No. of Cases**

**Percentage**

**00**

**01**

**02**

**03**

## Reported TB Cases by Origin and Race/Ethnicity,* United States, 2003

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

**U.S.-born**

**Foreign-born****

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

**White (34%)**

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

**Hispanic or Latino (15%)**

**Asian (2%)**

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

**Hispanic or Latino (39%)**

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

**Asian (42%)**

**White (5%)**

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

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

**25% - 49%**

**<25%**

**1993**

**2003**

**DC**

**DC**

## TB Case Rates* in U.S.-born vs. Foreign-born Persons United States, 1993-2003	

**Cases per 100,000**

- *Cases per 100,000

## TB Case Rates* in U.S.-born vs. Foreign-born Persons United States, 1993-2003**	

**Cases per 100,000**

- *Cases per 100,000
- **Includes the same data as slide 15, but rates presented on a logarithmic scale.

## Countries of Birth for Foreign-born Persons Reported with TB United States, 2003

**Mexico**
**(26%)**

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

**Viet Nam**
**(8%)**

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

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

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

**S. Korea**
**(2%)**

**Other**
**Countries**
**(36%)**

## Length of U.S. Residence Prior to TB Diagnosis, United States, 2003

## Primary Anti-TB Drug Resistance  United States, 1993-2003

**% 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, 1993-2003

## Primary Isoniazid Resistance in U.S.-born vs. Foreign-born Persons United States, 1993-2003

**Percentage**

- 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, 1993-2003

**% 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, 1993-2002

- 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, 1993-2002**

## Estimated HIV Coinfection in Persons Reported with TB, United States,1993-2002

**% 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, 1993-2001

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

## Completion of TB Therapy United States, 1993-2001

- *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**

*****