1 / 27

Tuberculosis in the United States

Tuberculosis in the United States. National Tuberculosis Surveillance System Highlights from 2009. Division of Tuberculosis Elimination Centers for Disease Control and Prevention. Reported TB Cases* United States, 1982–2009. No. of Cases. Year. *Updated as of July 1, 2010.

cade
Download Presentation

Tuberculosis in the United States

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Tuberculosis in the United States National Tuberculosis Surveillance System Highlights from 2009 Division of Tuberculosis Elimination Centers for Disease Control and Prevention

  2. Reported TB Cases* United States, 1982–2009 No. of Cases Year *Updated as of July 1, 2010.

  3. TB MorbidityUnited States, 2003–2009 Year No. Rate* *Cases per 100,000, updated as of July 1, 2010.

  4. TB Case Rates,* United States, 2009 D.C. < 3.5 (year 2000 target) 3.6–3.8 > 3.8 (national average) *Cases per 100,000.

  5. TB Case Rates* by Age Group United States, 1993–2009 Cases per 100,000 Age Group (years) *Updated as of July 1, 2010.

  6. Reported TB Cases by Age Group, United States, 2009 <15 yrs (6%) >65 yrs (20%) 15–24 yrs (11%) 45–64 yrs (30%) 25–44 yrs (34%)

  7. TB Case Rates by Age Group and Sex, United States, 2009 Cases per 100,000

  8. Asian/Pacific Islander American Indian/Alaska Native Black or African-American White Hispanic TB Case Rates by Race/Ethnicity* United States, 1993–2009** 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 July 1, 2010.

  9. American Indian/Alaska Native Hispanic or Latino Asian Native Hawaiian/Other Pacific Islander Black or African-American White TB Case Rates by Age Group and Race/Ethnicity,* United States, 2009 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.

  10. Reported TB Cases by Race/Ethnicity* United States, 2009 White (16%) Asian (28%) Native Hawaiian or Other Pacific Islander (1%) American Indian or Alaska Native (1%) Hispanic or Latino (29%) Black or African-American (25%) *All races are non-Hispanic. Persons reporting two or more races accounted for less than 1% of all cases.

  11. Number of TB Cases inU.S.-born vs. Foreign-born Persons United States, 1993–2009* No. of Cases *Updated as of July 1, 2010.

  12. Trends in TB Cases in Foreign-born Persons, United States, 1989–2009* No. of Cases Percentage *Updated as of July 1, 2010.

  13. Reported TB Cases by Origin and Race/Ethnicity,* United States, 2009 U.S.-born Foreign-born** American Indian or Alaska Native (2%) White (5%) Hispanic or Latino (19%) Hispanic or Latino (36%) Native Hawaiian/ Other Pacific Islander (<1%) Asian (44%) Black or African American (42%) White (32%) Black or African American (14%) Asian (3%) *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.

  14. DC Percentage of TB Cases Among Foreign-born Persons, United States* 1999 2009 DC >50% 25%–49% <25% *Updated as of July 1, 2010.

  15. TB Case Rates in U.S.-born vs. Foreign-born Persons United States, 1993–2009* Cases per 100,000 *Updated as of July 1, 2010.

  16. TB Case Rates in U.S.-born vs. Foreign-born Persons United States,* 1993–2009** Cases per 100,000 *Includes the same data as slide 15, but rates presented on a logarithmic scale. **Updated as of July 1, 2010.

  17. Countries of Birth of Foreign-born Persons Reported with TB United States, 2009 Mexico (23%) Other Countries (38%) Philippines (12%) Haiti (3%) India (8%) Guatemala (3%) China (5%) Vietnam (8%)

  18. Percent of Foreign-born with TB by Time of Residence in U.S. Prior to Diagnosis, 2009 * Foreign-born TB patients for whom information on length of residence in the U.S. prior to diagnosis is unknown or missing.

  19. Primary Anti-TB Drug Resistance United States, 1993–2009* % Resistant *Updated as of July 1, 2010. Note: Based on initial isolates from persons with no prior history of TB. Multidrug resistant TB (MDR TB) isdefined as resistance to at least isoniazid and rifampin.

  20. Primary MDR TBUnited States, 1993–2009* Percentage No. of Cases *Updated as of July 1, 2010. Note: Based on initial isolates from persons with no prior history of TB. MDR TB defined as resistance to at least isoniazid and rifampin.

  21. Primary Isoniazid Resistance in U.S.-born vs. Foreign-born Persons United States, 1993–2009* % Resistant *Updated as of July 1, 2010. Note: Based on initial isolates from persons with no prior history of TB.

  22. Primary MDR TB inU.S.-born vs. Foreign-born Persons, United States, 1993–2009* % Resistant *Updated as of July 1, 2010. Note: Based on initial isolates from persons with no prior history of TB. MDR TBdefined as resistance to at least isoniazid and rifampin.

  23. XDR TB Case Count defined on Initial DST† by Year, 1993–2009* Case Count Year of Diagnosis †Drug susceptibility test. *Reported incident cases as of July 1, 2010. 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.

  24. Reporting of HIV Test Results in Persons with TB by Age GroupUnited States, 1993–2009* % with Test Results *Updated as of July 1, 2010. 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)

  25. Estimated HIV Coinfection in Persons Reported with TB, United States,1993–2009* % Coinfection *Updated as of July 1, 2010. Note: Minimum estimates based on reported HIV-positive status among all TB cases in the age group.

  26. Mode of Treatment Administration in Persons Reported with TB United States, 1993–2007* ** *Updated as of July 1, 2010. **Percentage of total cases in persons alive at diagnosis, with an initial regimen of one or more drugs prescribed, and excluding cases with missing or unknown mode of treatment administration. Directly observed therapy (DOT); Self-administered therapy (SA)

  27. Completion of TB Therapy United States, 1993–2007* ** Percentage *Updated as of July 1, 2010. **Healthy People 2010 target: 90% completed in 1 yr or less. Note: Excludes persons with initial isolate rifampin resistant, or patient with meningeal disease, or pediatric patient (aged <15) with miliary disease or positive blood culture.

More Related