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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.

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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
Reported TB Cases* United States, 1982–2009

No. of Cases

Year

*Updated as of July 1, 2010.

tb morbidity united states 2003 2009
TB MorbidityUnited States, 2003–2009

Year No. Rate*

*Cases per 100,000, updated as of July 1, 2010.

tb case rates united states 2009
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.

tb case rates by age group united states 1993 2009
TB Case Rates* by Age Group United States, 1993–2009

Cases per 100,000

Age Group (years)

*Updated as of July 1, 2010.

reported tb cases by age group united states 2009
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%)

tb case rates by race ethnicity united states 1993 2009

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.

tb case rates by age group and race ethnicity united states 2009

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.

reported tb cases by race ethnicity united states 2009
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.

number of tb cases in u s born vs foreign born persons united states 1993 2009
Number of TB Cases inU.S.-born vs. Foreign-born Persons United States, 1993–2009*

No. of Cases

*Updated as of July 1, 2010.

trends in tb cases in foreign born persons united states 1989 2009
Trends in TB Cases in Foreign-born Persons, United States, 1989–2009*

No. of Cases

Percentage

*Updated as of July 1, 2010.

reported tb cases by origin and race ethnicity united states 2009
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.

percentage of tb cases among foreign born persons united states

DC

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

1999

2009

DC

>50%

25%–49%

<25%

*Updated as of July 1, 2010.

tb case rates in u s born vs foreign born persons united states 1993 2009
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.

tb case rates in u s born vs foreign born persons united states 1993 200916
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.

countries of birth of foreign born persons reported with tb united states 2009
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%)

percent of foreign born with tb by time of residence in u s prior to diagnosis 2009
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.

primary anti tb drug resistance united states 1993 2009
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.

primary mdr tb united states 1993 2009
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.

primary isoniazid resistance in u s born vs foreign born persons united states 1993 2009
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.

primary mdr tb in u s born vs foreign born persons united states 1993 2009
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.

xdr tb case count defined on initial dst by year 1993 2009
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.

reporting of hiv test results in persons with tb by age group united states 1993 2009
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)

estimated hiv coinfection in persons reported with tb united states 1993 2009
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.

mode of treatment administration in persons reported with tb united states 1993 2007
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)

completion of tb therapy united states 1993 2007
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.