Tuberculosis in North Dakota 2011 Craig Steffens, MPH TB/HIV Surveillance Coordinator.

Tuberculosis in North Dakota2011

Craig Steffens, MPH

TB/HIV Surveillance Coordinator

2011 ND TB Cases

• 8 total active cases– 5 pulmonary

• 2 were smear positive• One with PZA resistant, though not M. bovis

– 3 extra-pulmonary– 3 male, 5 female

U.S.-born and Foreign-born TB Cases

2002-2006 2007-20110%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Born Foreign Born

U.S.-born and Foreign-born TB Cases

Race/ethnicity of TB Cases, 2007-2011

35%

18%

32%

15%

Asian American IndianBlack White

Mean and Median Ages of TB Cases 2007-2011

2007 2008 2009 2010 20110

10

20

30

40

50

60

49

4138 37

23MeanMedianAg

e

TB Disease Rate: U.S. vs. ND

2007 2008 2009 2010 20110

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

4.4

4.2

3.8

3.6

3.4

1.1

0.5

0.8

1.8

1.0

US

ND

Reporting Year

Rat

e p

er 1

00,0

00

National TB Rates per 100,000, 2010

Possible Causes of National Decrease

• Better identification of active/ltbi cases• More stringent overseas TB screening

requirements for immigrants/refugees• Limited resources, missing cases

– Medical care less available, not enough health professionals

– Not seeking medical care because of cost

Program Updates

• Website updated: www.ndhealth.gov/disease/tb

• Blood tests for infection (IGRA) have become more available

• New treatment (3HP) to be made available for latent TB infection

TB Questions?

csteffens@nd.gov701.328.2377

www.ndhealth.gov/disease/tb

HIV/AIDS in North Dakota2011

Craig Steffens, HIV Surveillance/TB

Coordinator

Cumulative HIV/AIDS cases reported in ND as of 12/31/2011, n=531

Died Moved Living in ND0

50

100

150

200

250

300

186

101

244

Status

Num

ber o

f Cas

es

Annual Number of HIV/AIDS Cases Reported in ND, 1984-2011, n=531

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

0

5

10

15

20

25

30

35

40

45

HIV AIDS

Year

Nu

mb

er o

f C

ases

New HIV/AIDS diagnosis, 1984-2011, n=304

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

0

5

10

15

20

25

HIV AIDS

Nu

mb

er o

f C

ases

Annual Number of New HIV/AIDS Diagnoses in ND, 2007-2011, n=65

2007 2008 2009 2010 20110

2

4

6

8

10

12

14

16

18

9 9 910 10

34

7

3 1

HIV HIV

Nu

mb

er o

f C

ases

New HIV/AIDS Diagnoses in ND by Gender, 2007-2011, n=65

2007 2008 2009 2010 20110

2

4

6

8

10

12

14

16

18

Male Female

Dia

gn

ose

d C

ases

New HIV/AIDS Diagnoses in ND by Race/Ethnicity, 2007-2011, n=65

4

13

4

143

AI Black Hispanic Asian/PI White

New HIV/AIDS Diagnoses in ND by Age Group, 2007-2011, n=65

≤12 13-19 20-29 30-39 40-49 50-59 60+0

5

10

15

20

25

30

1 2

15

25

9 9

4

Age at Diagnosis

Dia

gnos

ed C

ases

Risk Factors Identified by New HIV/AIDS Diagnoses, 2007-2011, n=65

21

31

33 2 5

Heterosexual contactMSMIDUMSM/IDUOtherNIR

Risk Factors Identified by New HIV/AIDS Diagnoses, 2002-2006, n=60

17

34

5 11 2

Heterosexual contactMSMIDUMSM/IDUOtherNIR

Program Updates

• New media campaign– Online risk assessment survey

www.ndhealth.gov/knowyourrisk

Program Updates

You need to know. Get tested.

HIV/AIDS Questions?

csteffens@nd.gov701.328.2377

1.800.70.NDHIVwww.ndhealth.gov/hiv