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Tuberculosis (TB)








Reported Tuberculosis in the United States, 2021										Related Pages
										Return to Main MenuState & Local DataOn This Page
			HighlightsData TablesState Local DataHighlightsReporting areas include:
50 U.S. states, New York City, and the District of Columbia (D.C.) unless otherwise specified
Five U.S. territories (American Samoa, Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands)
Three independent countries that are in compacts of free association with the United States (Federated States of Micronesia, Republic of the Marshall Islands, and Republic of Palau)Majority of TB Cases Occur in Four States, United States, 2020View LargerCloseMajority of TB Cases Occur in Four States, United States, 2020Download Image[PNG]
As in past years, four U.S. states combined reported nearly half of all U.S. TB cases in 2021:
California (22.2%)
Texas (12.7%)
New York, including New York City (8.7%)
Florida (6.3%)These states are also the most populous states in the United States, and represent about a third of the total U.S. population.
Majority of TB Cases Occur in Four States, United States, 2020View LargerCloseMajority of TB Cases Occur in Four States, United States, 2020Download Image[PNG]
In 2021, the reporting areas with TB incidence rates (cases per 100,000 persons) above the national incidence rate included:
Alaska, 7.9
Hawaii, 7.4
New York, including New York City*, 3.4
California, 4.5
Delaware, 4.1
Texas, 3.4
Maryland, 3.2
New Jersey, 3.2
District of Columbia, 2.7
Washington, 2.6*New York City, which is a distinct reporting area, had an incidence rate of 6.2 cases per 100,000 persons. When New York City is analyzed separately, the remainder of New York state has an incidence rate of 1.4 cases per 100,000 persons.
The TB incidence rates (cases per 100,000 persons) among the U.S. territories and freely associated states were:
Republic of the Marshall Islands, 280.6
Commonwealth of the Northern Mariana Islands, 67.8
Federated States of Micronesia, 62.8
Republic of Palau, 33.3
Guam, 34.4
American Samoa, 8.6
U.S. Virgin Islands, 1.9
Puerto Rico, 0.6*Source: TB by Reporting Areas: 2021 and 2020*
Learn more in the Executive Commentary.Data Tables
Open All Close AllState & Local DataTB by Reporting Areas: 2021 and 2020
TB by Site of Disease: Reporting Areas, 2021
Reason for TB Evaluation: Reporting Areas, 2021
TB by Metropolitan Statistical Areas, 2021 and 2020State & Local DemographicsTB by Age Group: Reporting Areas, 2021
TB by Race/Ethnicity: Reporting Areas, 2021
TB by Origin of Birth: Reporting Areas, 2021State & Local Risk FactorsTB Risk Factors: Reporting Areas, 2021
TB in Correctional Facilities: Reporting Areas, 2021
TB Social Risk Factors: Reporting Areas, 2021
TB by Primary Occupation: Reporting Areas, 2021
TB by HIV Status: Reporting Areas, 2021State & Local Drug-ResistanceDrug Resistance: Reporting Areas, 2021State & Local Treatment and Case OutcomesInitial Drug Regimens: Reporting Areas, 2021
Method of Administration: Reporting Areas, 2019
Completion of Therapy: Reporting Areas, 2019
Completion of Therapy ≤1 Year: Reporting Areas, 2014–2019State & Local GenotypingTB Genotyping Surveillance Coverage: Reporting Areas, 2021State & Local Estimates of Recent TransmissionEstimates of Recent Transmission Narrative
Estimated Recent and Extensive Recent TB Transmission: Reporting Areas, 2020–2021
Estimated Recent and Extensive Recent TB Transmission: Counties with >5% Extensive Recent Transmission, 2020–2021Top of Page
							
					
							Last Reviewed:  November 29, 2022						Source: 	Division of Tuberculosis Elimination, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention
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        Syndicate homeTuberculosisBasic TB Factsplus iconHow TB SpreadsLatent TB Infection and TB DiseaseSigns & SymptomsTB Risk FactorsExposure to TBTB PreventionVaccinesTB & HIV CoinfectionTB and DiabetesTB TermsPersonal StoriesTesting & Diagnosisplus iconWho Should be TestedTesting for TB InfectionTesting in BCG-Vaccinated PersonsTB Screening and Testing of Health Care PersonnelTesting During PregnancyDiagnosing latent TB infection and TB diseaseTreatmentplus iconDeciding When to Treat Latent TB InfectionTreatment Regimens for Latent TB Infection (LTBI)Treatment for TB DiseaseAdverse EventsTB Treatment of Persons Living with HIVTB Treatment and PregnancyTB Treatment for ChildrenFrequently Asked QuestionsDrug-Resistant TBResearchplus iconTB Epidemiologic Studies Consortiumplus iconResearch ProjectsPublicationsTB Trials Consortiumplus iconStudy DescriptionsBackgroundBehavioral & Social Science ResearchHealth Care Settingsplus iconTB Infection Control in Health Care SettingsResources for TB Screening and Testing of Health Care Personnelplus iconFrequently Asked QuestionsTB in Specific Populationsplus iconHealth DisparitiesAsian PersonsBlack or African American PersonsHispanic or Latino PersonsChildrenPregnancyCorrectional FacilitiesPeople Experiencing HomelessnessInternational TravelersLaboratory Informationplus iconDrug Susceptibility TestingFalse-Positive Investigation ToolkitInterim Laboratory Biosafety Guidance for XDR  tuberculosis strainsModel Performance Evaluation Program (MPEP)Rapid Molecular Testing to Detect Drug-Resistant TB in the USplus iconExecutive SummaryIntroductionBackground on Tests for Molecular Detection of DRGeneral Considerations and Principles for a Molecular DR Testing ServicePossible Scenarios and Scope of Testing for a Molecular DR Testing ServiceResearch NeedsGeneral Recommendations of the Expert PanelCommunication Plan for the ReportRecommendationsReferencesPanel Members and CDC ParticipantsAppendix 1Appendix 2Appendix 3The Uses of Nucleic Acid Amplification Tests for the Diagnosis of TBplus iconGeneral ConsiderationsGeneral Recommendations of the Expert PanelRecommendations to ACET, CDC, DTBEData & Statisticsplus iconTB Incidence in the United StatesReported TB in the US, 2022 Surveillance Reportplus iconNational DataReporting Area DataRisk FactorsDemographicsTB Treatment and Case OutcomesDrug-Resistant TBMolecular SurveillanceTuberculosis in the United States, 2022 (Slide Set)Archived Surveillance Reports and Slide Sets2021 State and City ReportArchived State and City ReportsProfessional Resources & Toolsplus iconTools for Healthcare ProvidersResources for TB Programsplus iconStrengthening Civil Surgeons’ Capacity to Improve LTBI Surveillance and Outcomes Among Status AdjustersNotice of Funding Opportunity (NOFO)Program EvaluationTB Centers of ExcellenceTB Elimination AllianceTB Genotypingplus iconConventional TB GenotypingWhole Genome SequencingTB GIMSAnalytic ToolsLatent Tuberculosis Infection ResourcesPublications & Productsplus iconPatient and Public MaterialsFact SheetsGuidelinesplus iconControl & EliminationDrug-Resistant TBInfection Control & PreventionLaboratory & GenotypingTB & HIVTB in Specific PopulationsTesting & DiagnosisTreatmentVaccines & ImmunizationsArchived TB GuidelinesGuides & Toolkitsplus iconAggregate ReportsCDC TB Surveillance TrainingCore CurriculumEffective TB Interviewing for Contact InvestigationEthnographic GuidesFalse-Positive Investigation ToolkitForging Partnerships to Eliminate TuberculosisGuide to Application of GenotypingLTBI: A Guide for Primary Health Care ProvidersMantoux Tuberculin Skin Testing ProductsReport of Verified Case of Tuberculosis (RVCT)Self-Study ModulesTB Contact Investigation Interviewing Skills CourseTB eDOT ToolkitUnderstanding the TB Cohort Review ProcessNewslettersplus iconTB Notes, No. 4, 2023TB Notes, No. 3, 2023TB Notes. No. 2, 2023TB Notes. No. 1, 2023TB Notes, No. 4, 2022TB Notes, No. 3, 2022TB Notes, No. 2, 2022TB Notes, No. 1, 2022TB Notes, No. 4, 2021TB Notes, No. 3, 2021TB Notes, No. 2, 2021TB Notes, No. 1, 2021Pamphlets, Brochures, Bookletsplus iconQuestions and AnswersPatient Education SeriesTuberculosis - Get the FactsTuberculosis - The Connection between TB and HIV12-Dose Regimen for Latent TB Infection-Patient Education BrochurePostersplus iconMantoux Tuberculin Skin Test Wall ChartWorld TB DayThink TBStop TBTake on TBReports & Articlesplus iconDTBE Authored Journal ArticlesTuberculosis Laboratory Aggregate ReportsSlide Setsplus iconIntroduction to TuberculosisEpidemiology of Tuberculosis Among Non-U.S.​–Born Persons in the United States, 1993–2016Self-Study Modules on Tuberculosis, 1-5 Slide SetsThe Tuberculosis (TB) in Correctional Settingsplus iconFacilitator GuideIntroduction to TB GenotypingEpidemiology of Tuberculosis in Correctional Facilities, United States, 1993-2017Prevention and Control of Tuberculosis in Correctional and Detention FacilitiesGuidelines for Preventing the Transmission of M. TB in Health care SettingsInvestigation of Contacts of Persons with Infectious TBEpidemiology of Pediatric Tuberculosis in the United StatesTargeted Tuberculosis Testing and Treatment of Latent Tuberculosis InfectionElectronic Tools & ResourcesWeb-Based Courses & Webinarsplus iconTB 101 for Health Care WorkersContent SyndicationInfographicsplus iconSocial Media GraphicsCustomizable Take on TB Infographic with InstructionsEventsWorld TB Dayplus iconU.S. TB ChampionsHistoryFeaturesplus iconTB Risk FactorsTreating Latent TB Infection with Short-Course RegimensWorld Tuberculosis (TB) Day 2021World Tuberculosis (TB) Day 2020Linksplus iconState TB Control OfficesAbout Usplus iconMission Statement and Activitiesplus iconDTBE Strategic PlanNational TB Program ObjectivesOrganization ChartAdvisory Groupsplus iconFederal TB Task Force To receive email updates about this page, enter your email address: Email Address			What's this?				Submit


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