Tuberculosis in the United States 1993–2018* › tb › statistics › surv › surv2018 › ... · 6/6/2019 · *Updated as of June 6, 2019. Reported Tuberculosis (TB) Cases and
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National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Tuberculosis in the United States1993–2018*
National Tuberculosis Surveillance System
Division of Tuberculosis Elimination
*Updated as of June 6, 2019
Reported Tuberculosis (TB) Cases and Rates United States, 1993–2018
Chart1
19931993
19941994
19951995
19961996
19971997
19981998
19991999
20002000
20012001
20022002
20032003
20042004
20052005
20062006
20072007
20082008
20092009
20102010
20112011
20122012
20132013
20142014
20152015
20162016
20172017
20182018
No. of Cases
Incidence Rate
Year
No. of Cases
Cases per 100,000 Population
25102
9.6576394144
24207
9.1997812712
22726
8.5346767133
21210
7.8732182751
19752
7.2445343002
18286
6.6288663953
17499
6.2711401464
16308
5.7796500754
15945
5.5953463422
15055
5.2342424678
14836
5.1139587417
14499
4.9517546639
14062
4.7584467497
13727
4.6005107743
13277
4.4075778643
12886
4.237505982
11512
3.7526298603
11088
3.5845667526
10491
3.3670324466
9928
3.163050493
9554
3.0228655033
9389
2.9489322976
9539
2.9740352011
9253
2.8640732857
9088
2.7950424325
9025
2.7585263881
Sheet1
YearNo. of CasesIncidence Rate
199325,1029.7
199424,2079.2
199522,7268.5
199621,2107.9
199719,7527.2
199818,2866.6
199917,4996.3
200016,3085.8
200115,9455.6
200215,0555.2
200314,8365.1
200414,4995.0
200514,0624.8
200613,7274.6
200713,2774.4
200812,8864.2
200911,5123.8
201011,0883.6
201110,4913.4
20129,9283.2
20139,5543.0
20149,3892.9
20159,5393.0
20169,2532.9
20179,0882.8
201890252.8
Total TB Case Rates andAnnual Percent Change in Rate, 2010–2018
-6.1 -2.4-4.4 -3.7+0.9 -1.3-2.4
-6.1
Year
Case
s per
100
,000
pop
ulat
ion
Chart1
2010
2011
2012
2013
2014
2015
2016
2017
2018
Series 1
3.586829737
3.369600005
3.16400629
3.024763891
2.951130884
2.976529412
2.864073286
2.796887751
2.759749004
Sheet1
Series 1
20103.586829737
20113.369600005
20123.16400629
20133.024763891
20142.951130884
20152.976529412
20162.864073286
20172.796887751
20182.759749004
Reported Tuberculosis (TB) Deaths* and Rates United States, 1993–2017
*National Vital Statistics System Multiple Causes of Death (accessed from CDC Wonder)
Chart1
19931993
19941994
19951995
19961996
19971997
19981998
19991999
20002000
20012001
20022002
20032003
20042004
20052005
20062006
20072007
20082008
20092009
20102010
20112011
20122012
20132013
20142014
20152015
20162016
20172017
No. of Deaths
Mortality Rate
Year
No. of Deaths
Deaths per 100,000 Population
1631
0.6275041783
1478
0.5617084611
1336
0.5017305328
1202
0.4461861559
1166
0.4276593253
1112
0.403111639
930
0.3332853498
776
0.2750189145
764
0.2680993795
784
0.2725769575
711
0.2450811988
657
0.2243811859
648
0.2192770227
652
0.2185133696
554
0.183911888
585
0.1923747477
529
0.1724410351
569
0.1839482758
539
0.1729892754
510
0.1624854705
555
0.1756008326
493
0.1548432871
470
0.146534914
528
0.1634313947
515
0.1583898385
Sheet1
YearNo. of DeathsMortality Rate
19931,6310.6
19941,4780.6
19951,3360.5
19961,2020.4
19971,1660.4
19981,1120.4
19999300.3
20007760.3
20017640.3
20027840.3
20037110.2
20046570.2
20056480.2
20066520.2
20075540.2
20085850.2
20095290.2
20105690.2
20115390.2
20125100.2
20135550.2
20144930.2
20154700.1
20165280.2
20175150.2
Percentage of TB Cases by State, United States, 2018
DC, District of Columbia
DC
12.56.5
23.2
8.3
TB Incidence Rate (per 100,000 persons)
5.3
8.53.9
NYC (6.7)
D.C. (5.1)
8.4
Map of U.S.-Affiliated Pacific Islands and Hawaiiby TB Case Rates*, 2018
Northern Mariana Islands
90.4
American Samoa
2.0
Guam 41.7
Palau94.4
Hawaii8.4
*Cases per 100,000 population
TB Cases and Rates Among U.S.-Born versus Non-U.S.–Born Persons, United States, 1993–2018
Case
s per
100
,000
Pop
ulat
ion
Chart1
1993199319931993
1994199419941994
1995199519951995
1996199619961996
1997199719971997
1998199819981998
1999199919991999
2000200020002000
2001200120012001
2002200220022002
2003200320032003
2004200420042004
2005200520052005
2006200620062006
2007200720072007
2008200820082008
2009200920092009
2010201020102010
2011201120112011
2012201220122012
2013201320132013
2014201420142014
2015201520152015
2016201620162016
2017201720172017
2018201820182018
Year
U.S.-born Cases
Non-U.S.–born Cases
U.S.-born Rate
Non-U.S.–born Rate
No. of cases
17433
7403
7.3859568104
34.0305231222
16181
7762
6.7930726176
36.0779536652
14663
8010
6.0869929806
38.013657771
13385
7752
5.573758215
32.0356471788
11925
7753
4.9361111783
30.8744887321
10609
7623
4.3716824981
28.8849215329
9783
7624
3.9965217719
28.135519913
8632
7634
3.5200139196
26.4711440604
7848
8034
3.1711672175
27.6426088003
7263
7737
2.922168965
25.5335689207
6842
7948
2.7062156925
23.8853184959
6601
7875
2.5944950695
23.2235482237
6287
7745
2.4513172852
22.2937226893
5858
7845
2.2739775757
21.6515821331
5427
7779
2.0890357346
20.8995579175
5235
7642
2.003575826
20.1756602493
4499
6996
1.7030557389
18.7765494532
4313
6766
1.6224410356
17.6385321477
3929
6557
1.4692386597
17.0179876262
3618
6307
1.34418128
15.976094676
3327
6218
1.2263553292
15.6810120018
3119
6264
1.1432011263
15.5350985841
3128
6406
1.1416222554
15.2483129203
2886
6361
1.0470051777
14.7539253536
2685
6395
0.970094389
14.7164653752
2666
6335
0.956903809
14.2839955034
Sheet1
U.S.-born CasesNon-U.S.–born CasesU.S.-born RateNon-U.S.–born Rate
199317,4337,4037.434.0
199416,1817,7626.836.1
199514,6638,0106.138.0
199613,3857,7525.632.0
199711,9257,7534.930.9
199810,6097,6234.428.9
19999,7837,6244.028.1
20008,6327,6343.526.5
20017,8488,0343.227.6
20027,2637,7372.925.5
20036,8427,9482.723.9
20046,6017,8752.623.2
20056,2877,7452.522.3
20065,8587,8452.321.7
20075,4277,7792.120.9
20085,2357,6422.020.2
20094,4996,9961.718.8
20104,3136,7661.617.6
20113,9296,5571.517.0
20123,6186,3071.316.0
20133,3276,2181.215.7
20143,1196,2641.115.5
20153,1286,4061.115.2
20162,8866,3611.014.8
20172,6856,3951.014.7
20182,6666,3351.014.3
Countries of Birth Among Non-U.S.–Born Persons Reported with TB, United States, 2018*
*Percentages are rounded.
Chart1
Other countries
Haiti
Guatemala
China
Vietnam
India
Philippines
Mexico
Column1
0.396
0.021
0.032
0.06
0.08
0.099
0.123
0.189
Sheet1
SalesColumn1
Other countries0.396
Haiti0.021
Guatemala0.032
China0.06
Vietnam0.08
India0.099
Philippines0.123
Mexico0.189
TB Rates for Top 10 Countries of Birth*United States, 2014–2018
*The top 10 countries were selected based on their ranked 5-year rate of TB cases by country of birth in the United States. This list of top countries also includes the regions of Eastern Africa and Other Africa.
† The Eastern Africa region consists of British Indian Ocean Territory, Burundi, Comoros, Djibouti, Europa Island, Glorioso Islands, Juan De Nova Island, Madagascar, Malawi, Mayotte, Mozambique, Reunion, Rwanda, Mauritius, Seychelles, Tromelin Island, and South Sudan. Rwanda and South Sudan were removed from the Eastern Africa region in 2017.
§ The Other Africa region consists of Angola, Botswana, Central African Republic, Chad, Equatorial Guinea, Gabon, Lesotho, Namibia, Sao Tome & Principe, and Swaziland.
Chart1
50.80
51.70
520
63.20
67.70
71.40
81.30
84.20
90.80
100.40
156.80
160.40
Y-Values
Column1
U.S. Rate/100,000
[]
[]
[].0
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
Other Africa§
Eastern Africa†
[]
[]
[]
[]
[]
[]
[]
[]
[]
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
11
11
12
12
Sheet1
X-ValuesY-ValuesColumn1
Sierra Leone50.810
Other Africa351.720
Eastern Africa25230
Ethiopia63.240
Fed. States of Micronesia67.750
Nepal71.460
Guinea81.370
Myanmar84.280
Bhutan90.890
Somalia100.4100
Republic of Congo156.8110
Marshall Islands160.4120
Percentage of Non-US–Born TB Casesby Time in the United States at Diagnosis, 2018
Perc
enta
ge o
f TB
Case
s
Time in the United States
Chart1
Reported TB Cases by Race/Ethnicity,*United States, 2010–2018
* All races are non-Hispanic; multiple race indicates two or more races reported for a person, but does not include persons of Hispanic/Latino origin.
Tota
l No.
of C
ases
Chart1
20102010201017451549642
20112011201116381328156
20122012201215541346557
20132013201314121246251
20142014201412401179180
201520152015123514510244
20162016201611941117663
20172017201710579411260
201820182018107411759
Year
Asian
Hispanic/Latino
Black/African American
White
American Indian/Alaska Native
Native Hawaiian/Pacific Islander
Multiple race
3161
3220
2655
3158
3001
2405
3042
2788
2245
3095
2697
2087
3083
2748
2013
3296
2700
1999
3206
2597
1981
3262
2570
1914
3190
2617
1799
Sheet1
Column1AsianHispanic/LatinoBlack/African AmericanWhiteAmerican Indian/Alaska NativeNative Hawaiian/Pacific IslanderMultiple raceUnknown/missing
201031613220265517451549642
201131583001240516381328156
201230422788224515541346557
201330952697208714121246251
201430832748201312401179180
2015329627001999123514510244
201632062597198111941117663
201732622570191410579411260
2018319026171799107410411759
TB Case Rates by Race/Ethnicity,* United States, 2010–2018
* All races are non-Hispanic; multiple race indicates two or more races reported for a person, but does not include persons of Hispanic/Latino origin.† Asian race category reporting includes Pacific Islander from 1993–2002; Native Hawaiian/Other Pacific Islander race first reported separately in 2003.¶ Multiple race rates first reported in 2003.
Case
s per
100
,000
pop
ulat
ion
Chart1
2010201020102010201020102010
2011201120112011201120112011
2012201220122012201220122012
2013201320132013201320132013
2014201420142014201420142014
2015201520152015201520152015
2016201620162016201620162016
2017201720172017201720172017
2018201820182018201820182018
Year
American Indian/Alaska Native
Asian†
Black/African American
Native Hawaiian/Other Pacific Islander†
White
Multiple Race¶
Hispanic/Latino
6.7880373624
21.4127554856
6.9842810797
19.2042633465
0.8840517853
0.7437264022
6.3451437807
5.7662644697
20.753437855
6.2659833054
15.8568265596
0.8294665322
0.9615363153
5.7843828409
5.7995000312
19.3937273469
5.7919596712
12.4571426381
0.7863519739
0.9494578596
5.2632654016
5.3197924595
19.1463984975
5.33435014
11.626119014
0.7143433445
0.8245423911
4.9893151513
4.9769041869
18.4794344514
5.0965568391
16.7417284823
0.627007229
1.2556009612
4.9805139205
6.1202171031
19.1330421543
5.0133845329
18.3881522611
0.6243883964
0.6705963613
4.7903012793
4.6509834945
18.053174087
4.922568568
13.4278702514
0.6036585256
0.9333087216
4.5108126977
3.9125405666
17.8750304128
4.7165780177
19.4340863463
0.5346517214
0.865445571
4.3776380912
4.3021944087
17.0327051967
4.3982939509
19.9540885416
0.5436697211
0.8292729413
4.3710099919
Sheet1
American Indian/Alaska NativeAsian†Black/African AmericanNative Hawaiian/Other Pacific Islander†WhiteMultiple Race¶Hispanic/Latino
20106.821.47.019.20.90.76.3
20115.820.86.315.90.81.05.8
20125.819.45.812.50.80.95.3
20135.319.15.311.60.70.85.0
20145.018.55.116.70.61.35.0
20156.119.15.018.40.60.74.8
20164.718.14.913.40.60.94.5
20173.917.94.719.40.50.94.4
20184.317.04.420.00.50.84.4
Reported TB Cases by Origin and Race/Ethnicity*, United States, 2018†
Non-U.S.-born persons § U.S.–born persons
* All races are non-Hispanic; multiple race indicates two or more races reported for a person, but does not include persons of Hispanic/Latino origin.† Percentages are rounded.§ American Indian/Alaska Native accounted for
Reported TB Cases by Age Group, United States, 1993–2018
Tota
l No.
of C
ases
Chart1
199319931993199319931993
199419941994199419941994
199519951995199519951995
199619961996199619961996
199719971997199719971997
199819981998199819981998
199919991999199919991999
200020002000200020002000
200120012001200120012001
200220022002200220022002
200320032003200320032003
200420042004200420042004
200520052005200520052005
200620062006200620062006
200720072007200720072007
200820082008200820082008
200920092009200920092009
201020102010201020102010
201120112011201120112011
201220122012201220122012
201320132013201320132013
201420142014201420142014
201520152015201520152015
201620162016201620162016
201720172017201720172017
201820182018201820182018
Year
0-4 yrs
5-14 yrs
15-24 yrs
25-44 yrs
45-64 yrs
>65 yrs
1014
646
1821
9589
6195
5820
995
664
1832
9044
6126
5540
894
642
1697
8200
5960
5328
770
586
1637
7564
5572
5076
734
517
1675
6884
5278
4663
638
439
1543
6335
4954
4377
602
436
1518
6062
4860
4019
544
420
1618
5576
4635
3515
543
386
1597
5610
4515
3293
556
388
1498
5288
4182
3142
547
364
1573
5074
4284
2994
549
403
1603
4939
4193
2811
474
377
1540
4737
4126
2808
482
321
1532
4689
4039
2663
467
310
1580
4310
4036
2573
494
289
1443
4238
3927
2495
403
244
1279
3885
3419
2282
365
270
1186
3649
3415
2203
350
226
1028
3362
3286
2239
261
226
1019
3118
3112
2191
294
188
978
2963
2952
2179
263
195
961
2821
2957
2192
244
196
936
2858
3022
2283
223
163
935
2831
2843
2255
227
202
846
2757
2758
2294
186
186
874
2728
2694
2354
Sheet1
0-4 yrs5-14 yrs15-24 yrs25-44 yrs45-64 yrs>65 yrs
199310146461821958961955820
19949956641832904461265540
19958946421697820059605328
19967705861637756455725076
19977345171675688452784663
19986384391543633549544377
19996024361518606248604019
20005444201618557646353515
20015433861597561045153293
20025563881498528841823142
20035473641573507442842994
20045494031603493941932811
20054743771540473741262808
20064823211532468940392663
20074673101580431040362573
20084942891443423839272495
20094032441279388534192282
20103652701186364934152203
20113502261028336232862239
20122612261019311831122191
2013294188978296329522179
2014263195961282129572192
2015244196936285830222283
2016223163935283128432255
2017227202846275727582294
2018186186874272826942354
TB Case Rates by Age Group, United States, 1993–2018
Case
s per
100
,000
pop
ulat
ion
Year
Chart1
199319931993199319931993
199419941994199419941994
199519951995199519951995
199619961996199619961996
199719971997199719971997
199819981998199819981998
199919991999199919991999
200020002000200020002000
200120012001200120012001
200220022002200220022002
200320032003200320032003
200420042004200420042004
200520052005200520052005
200620062006200620062006
200720072007200720072007
200820082008200820082008
200920092009200920092009
201020102010201020102010
201120112011201120112011
201220122012201220122012
201320132013201320132013
201420142014201420142014
201520152015201520152015
201620162016201620162016
201720172017201720172017
201820182018201820182018
5–14 yrs
0–4 yrs
15–24 yrs
25–44 yrs
45–64 yrs
≥65 yrs
5.1540452113
1.7482791426
5.0358514739
11.607382988
12.4969042677
17.7363796185
5.050733732
1.7721430272
5.0701835733
10.9051313261
12.0397654231
16.681463687
4.5770646363
1.6917333503
4.6897119906
9.8456373363
11.4107730295
15.8480344823
3.9913947602
1.5243237062
4.5201459204
9.0467056632
10.3741498973
14.948239512
3.8430830448
1.3307249066
4.5722838634
8.237172363
9.5198919025
13.640322795
3.3597944353
1.120741174
4.1455806485
7.6103857318
8.6546158566
12.7292993368
3.1780988655
1.1039307785
4.018689075
7.3258160052
8.2106462584
11.6357761756
2.8365402489
1.0218593227
4.1053879995
6.5620581702
7.424548328
10.0229349845
2.8137314447
0.9379850914
3.9712962565
6.6372251506
7.0009157632
9.3311783686
2.8616733007
0.9432623331
3.666703505
6.2959655041
6.270285656
8.8451711348
2.7918923446
0.8870216163
3.8005401164
6.0840786819
6.2241297801
8.3483139654
2.7747053013
0.9861518585
3.8213877182
5.9458148825
5.9110258239
7.764481483
2.3798286925
0.9285337841
3.6281248374
5.7234901788
5.6414364519
7.6617066211
2.4173871726
0.7910724443
3.5757762539
5.6740777778
5.3698486944
7.1655159103
2.3203859771
0.764381725
3.6620005903
5.2236286954
5.236908271
6.8022515162
2.4369636676
0.7111875486
3.3255367204
5.1432064426
4.9950704366
6.4341234342
1.990662361
0.5974086713
2.9350391166
4.725636192
4.2592319819
5.7592557891
1.8079317682
0.6583459701
2.7150337646
4.4395345012
4.1763167814
5.4423574306
1.7392943822
0.5506080955
2.3460006337
4.0782488092
3.968511324
5.4143659742
1.3065635646
0.5493804544
2.3181243221
3.7647852947
3.7563362222
5.0792677574
1.4811669621
0.4561041928
2.2230491096
3.5567850212
3.5543934904
4.8814344598
1.3234467
0.4735178581
2.1874869328
3.3629907152
3.5477843601
4.7476937569
1.2250161348
0.4770988882
2.1391546618
3.3815767275
3.6060824803
4.7894070651
1.1193450175
0.3970469838
2.1497180444
3.3216534954
3.3785227487
4.5811001401
1.1411641694
0.4918344404
1.9597398096
3.2037343574
3.2768700972
4.5162882969
0.9389067037
0.4528283256
2.0339393262
3.1365096135
3.2107995374
4.4896937592
Sheet1
year0–4 yrs5–14 yrs15–24 yrs25–44 yrs45–64 yrs≥65 yrs
19935.21.75.011.612.517.7
19945.11.85.110.912.016.7
19954.61.74.79.811.415.8
19964.01.54.59.010.414.9
19973.81.34.68.29.513.6
19983.41.14.17.68.712.7
19993.21.14.07.38.211.6
20002.81.04.16.67.410.0
20012.80.94.06.67.09.3
20022.90.93.76.36.38.8
20032.80.93.86.16.28.3
20042.81.03.85.95.97.8
20052.40.93.65.75.67.7
20062.40.83.65.75.47.2
20072.30.83.75.25.26.8
20082.40.73.35.15.06.4
20092.00.62.94.74.35.8
20101.80.72.74.44.25.4
20111.70.62.34.14.05.4
20121.30.52.33.83.85.1
20131.50.52.23.63.64.9
20141.30.52.23.43.54.7
20151.20.52.13.43.64.8
20161.10.42.13.33.44.6
20171.10.52.03.23.34.5
20180.90.52.03.13.24.5
Distribution of Sex by Age Group, United States, 2018
Males Females
=65
45-64
25-44
15-24
5-14
=6565%35%15192354.0
45-6465%35%17432694.0
25-4458%42%15732728.0
15-2458%42%504874.0
5-1444%56%82186.0
=65
45-64
25-44
15-24
5-14
=6535%8282354.0
45-6435%9482694.0
25-4442%11462728.0
15-2442%369874.0
5-1456%104186.0
Pediatric TB Cases by Age Group, 1993–2018
Chart1
1993199319931993
1994199419941994
1995199519951995
1996199619961996
1997199719971997
1998199819981998
1999199919991999
2000200020002000
2001200120012001
2002200220022002
2003200320032003
2004200420042004
2005200520052005
2006200620062006
2007200720072007
2008200820082008
2009200920092009
2010201020102010
2011201120112011
2012201220122012
2013201320132013
2014201420142014
2015201520152015
2016201620162016
2017201720172017
2018201820182018
Year
Number of U.S. Pediatric TB Cases among U.S.-Born and Non-U.S.–Born* Children, 1993–2018
*Non-U.S.–born refers to persons born outside the United States or its territories or not born to a U.S. citizen
Chart1
19931993
19941994
19951995
19961996
19971997
19981998
19991999
20002000
20012001
20022002
20032003
20042004
20052005
20062006
20072007
20082008
20092009
20102010
20112011
20122012
20132013
20142014
20152015
20162016
20172017
20182018
Year
Non-U.S.–born
U.S.-born
Total No. of Cases
413
1231
389
1249
354
1180
314
1039
287
960
254
817
270
757
258
704
273
655
251
688
269
642
283
668
244
606
203
600
210
566
205
578
147
500
156
479
121
455
137
349
99
383
110
348
99
341
101
285
94
335
82
290
Sheet1
Column119931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018
Non-U.S.–born41338935431428725427025827325126928324420321020514715612113799110991019482
U.S.-born1231124911801039960817757704655688642668606600566578500479455349383348341285335290
Number of U.S. Pediatric TB Cases among U.S.-Born Children by Parent/Guardian Status, 2010–2018
*At least one parent/guardian was non-U.S.–born
Chart1
201020102010
201120112011
201220122012
201320132013
201420142014
201520152015
201620162016
201720172017
201820182018
Year
U.S.-born with Non-US–born parents/guardians*
U.S.-born with US-born parents/guardians
US-born with parents/guardians with unknown origin
Total No. of Cases
301
132
46
267
143
45
215
108
26
234
122
27
225
106
17
217
102
22
165
90
30
221
84
30
175
83
32
Sheet1
Column1201020112012201320142015201620172018
U.S.-born with Non-US–born parents/guardians*301267215234225217165221175
U.S.-born with US-born parents/guardians132143108122106102908483
US-born with parents/guardians with unknown origin464526271722303032
479455349383348341285335290
U.S.-born with U.S.-born parents/guardians
Number of U.S. TB Cases by Case Verification Criteria, 1993–2018
Chart1
19931993199319931993
19941994199419941994
19951995199519951995
19961996199619961996
19971997199719971997
19981998199819981998
19991999199919991999
20002000200020002000
20012001200120012001
20022002200220022002
20032003200320032003
20042004200420042004
20052005200520052005
20062006200620062006
20072007200720072007
20082008200820082008
20092009200920092009
20102010201020102010
20112011201120112011
20122012201220122012
20132013201320132013
20142014201420142014
20152015201520152015
20162016201620162016
20172017201720172017
20182018201820182018
Year
Positive Culture
Positive NAA Test
Positive Smear
Clinical Case
Provider Diagnosis
Total No. of Cases
20306
0
185
3088
1523
19508
0
189
2917
1593
18265
0
189
2749
1523
17154
0
131
2607
1318
15980
0
155
2411
1206
14789
0
155
2253
1089
13994
0
172
2103
1230
13013
0
148
1950
1197
12750
0
123
1886
1186
11974
0
104
1822
1155
11684
0
116
1783
1253
11327
0
80
1824
1268
10954
0
96
1797
1213
10744
0
93
1629
1261
10422
0
69
1496
1290
10017
18
60
1547
1244
8878
57
73
1778
726
8401
107
69
1866
645
8073
121
61
1674
562
7619
118
38
1640
513
7361
149
47
1509
488
7221
161
45
1495
467
7412
173
44
1465
445
7177
187
36
1411
442
7132
202
36
1319
399
7062
277
37
1252
397
Sheet1
Positive CulturePositive NAA TestPositive SmearClinical CaseProvider Diagnosis
199320,30601853,0881,523
199419,50801892,9171,593
199518,26501892,7491,523
199617,15401312,6071,318
199715,98001552,4111,206
199814,78901552,2531,089
199913,99401722,1031,230
200013,01301481,9501,197
200112,75001231,8861,186
200211,97401041,8221,155
200311,68401161,7831,253
200411,3270801,8241,268
200510,9540961,7971,213
200610,7440931,6291,261
200710,4220691,4961,290
200810,01718601,5471,244
20098,87857731,778726
20108,401107691,866645
20118,073121611,674562
20127,619118381,640513
20137,361149471,509488
20147,221161451,495467
20157,412173441,465445
20167,177187361,411442
20177,132202361,319399
20187,062277371,252397
U.S. TB Cases by Site of Disease, 2018
*Any extrapulmonary involvement which includes cases that are extrapulmonary only and both pulmonary and extrapulmonary.Patients may have more than one disease site but are counted in mutually exclusive categories for surveillance purposes. Note: Percentages are rounded.
Chart1
Pulmonary Involvement
Extrapulmonary Only
Column1
[]79.6%
[] []%
79.6
20.4
Sheet1
Column1
Pulmonary Involvement79.6
Extrapulmonary Only20.4
Chart1
Other
Meningeal
Genitourinary
Peritoneal
Bone & Joint
Pleura
Lymphatic
Percent
0.221
0.038
0.048
0.058
0.096
0.169
0.369
Sheet1
Extrapulmonary sitePercent
Other0.221
Meningeal0.038
Genitourinary0.048
Peritoneal0.058
Bone & Joint0.096
Pleura0.169
Lymphatic0.369
Percentage of Tuberculosis Cases*, by Initial Drug Regimen, United States, 1993–2018
*Alive at diagnosis†Isoniazid, Rifampin, Pyrazinamide and Ethambutol
Chart1
199319931993
199419941994
199519951995
199619961996
199719971997
199819981998
199919991999
200020002000
200120012001
200220022002
200320032003
200420042004
200520052005
200620062006
200720072007
200820082008
200920092009
201020102010
201120112011
201220122012
201320132013
201420142014
201520152015
201620162016
201720172017
201820182018
Year
†
IRZE†
Other 4+ drug regimen
Not on a 4+ drug regimen
Percentage of Cases
40.3
4.9
54.8
55.7
5.5
38.8
62.7
4.8
32.5
67.3
4.4
28.3
71.9
4.3
23.8
74.3
4.3
21.4
76.9
4.7
18.4
78.5
4.2
17.3
79.8
3.9
16.3
80.3
4.3
15.4
81.3
4.7
14
82.4
4.9
12.7
83.7
5
11.3
83.3
6.6
10.1
83.8
6.5
9.7
84.2
7.6
8.2
84.3
7.8
7.9
84.5
8.1
7.4
85.2
8.1
6.7
85.4
9
5.6
84.6
9.5
5.9
85.3
9.2
5.5
85.4
9.2
5.4
85
10.1
4.9
83.4
10.4
6.2
81.5
11.9
6.6
Sheet1
IRZE†Other 4+ drug regimenNot on a 4+ drug regimen
199340.34.954.8
199455.75.538.8
199562.74.832.5
199667.34.428.3
199771.94.323.8
199874.34.321.4
199976.94.718.4
200078.54.217.3
200179.83.916.3
200280.34.315.4
200381.34.714
200482.44.912.7
200583.7511.3
200683.36.610.1
200783.86.59.7
200884.27.68.2
200984.37.87.9
201084.58.17.4
201185.28.16.7
201285.495.6
201384.69.55.9
201485.39.25.5
201585.49.25.4
20168510.14.9
201783.410.46.2
201881.511.96.6
Mode of Treatment Administration Among Persons Reported with TB, United States, 1993–2016*
Perc
enta
ge o
f All
Trea
tmen
tMod
es†
YearDOT, directly observed therapy; SA, self-administered therapy.* Data available through 2016 only.† Percentage of total cases among persons alive at diagnosis, with an initial regimen of one or more drugs prescribed and excluding cases with unknown
mode of treatment administration.
Chart1
199319931993
199419941994
199519951995
199619961996
199719971997
199819981998
199919991999
200020002000
200120012001
200220022002
200320032003
200420042004
200520052005
200620062006
200720072007
200820082008
200920092009
201020102010
201120112011
201220122012
201320132013
201420142014
201520152015
201620162016
2016
DOT only
DOT + SA
SA only
21.67
14.38
63.95
28.02
20.49
51.49
37.16
21.43
41.41
42.41
22.38
35.21
46.9
23.78
29.33
47.6
26.54
25.86
49.39
27.59
23.01
52.45
25.8
21.75
53.58
27.49
18.93
55.3
27.72
16.98
56.46
28.45
15.09
58.85
27.71
13.44
57.87
29.58
12.55
57.48
30.36
12.16
56.29
32.89
10.82
56.34
33.5
10.17
59.64
30.26
10.1
59.33
31
9.67
62.23
29.15
8.62
61.79
29.11
9.09
63.21
28.83
7.96
63.79
29.12
7.09
65.03
28.48
6.49
64.02
30.3
5.68
Sheet1
Year)DOT onlyDOT + SASA only
1993(21.7)(14.4)(64.0)36.0563.95
1994(28.0)(20.5)(51.5)48.5151.49
1995(37.2)(21.4)(41.4)58.5941.41
1996(42.4)(22.4)(35.2)64.7935.21
1997(46.9)(23.8)(29.3)70.6829.32
1998(47.6)(26.5)(25.9)74.1425.86
1999(49.4)(27.6)(23.0)76.9823.02
2000(52.5)(25.8)(21.8)78.2521.75
2001(53.6)(27.5)(18.9)81.0718.93
2002(55.3)(27.7)(17.0)83.0216.98
2003(56.5)(28.5)(15.1)84.9115.09
2004(58.9)(27.7)(13.4)86.5613.44
2005(57.9)(29.6)(12.6)87.4512.55
2006(57.5)(30.4)(12.2)87.8412.16
2007(56.3)(32.9)(10.8)89.1810.82
2008(56.3)(33.5)(10.2)89.8410.16
2009(59.6)(30.3)(10.1)89.910.1
2010(59.3)(31.0)(9.7)90.339.67
2011(62.2)(29.2)(8.6)91.388.62
2012(61.8)(29.1)(9.1)90.99.1
2013(63.2)(28.8)(8.0)92.047.96
2014(63.8)(29.1)(7.1)92.917.09
2015(65.0)(28.5)(6.5)93.516.49
2016(64.0)(30.3)(5.7)94.325.68
Completion of TB Therapy,United States, 1993–2016*
*Data available through 2016 only.Note: Includes persons eligible to complete therapy within one year of diagnosis.
2016
Chart1
199319931993
199419941994
199519951995
199619961996
199719971997
199819981998
199919991999
200020002000
200120012001
200220022002
200320032003
200420042004
200520052005
200620062006
200720072007
200820082008
200920092009
201020102010
201120112011
201220122012
201320132013
201420142014
201520152015
201620162016
Year
Completed in ≤1 year
Completed
Did Not Complete
Percentage Completing Therapy
63.4
22.6
14
68.6
18.2
13.2
74.1
15.1
10.8
76.8
13.4
9.8
78.7
12.3
9
81.2
11
7.8
81.4
10.8
7.8
82.2
10.3
7.5
82.5
10.2
7.3
83
9.5
7.5
83.6
9.2
7.2
84.3
8.2
7.5
84
8.5
7.5
84.8
8.4
6.8
85.6
8.3
6.1
86.1
7.2
6.7
88.8
6.8
4.4
89.7
6.4
3.9
89.7
6.7
3.6
90.1
6.3
3.6
89.9
6.4
3.7
90.3
6.5
3.2
90
6.3
3.7
89.2
6.4
4.4
Sheet1
Completed in ≤1 yearCompletedDid Not Complete
1993(63.4)(22.6)14.0
1994(68.6)(18.2)13.2
1995(74.1)(15.1)10.8
1996(76.8)(13.4)9.8
1997(78.7)(12.3)9.0
1998(81.2)(11.0)7.8
1999(81.4)(10.8)7.8
2000(82.2)(10.3)7.5
2001(82.5)(10.2)7.3
2002(83.0)(9.5)7.5
2003(83.6)(9.2)7.2
2004(84.3)(8.2)7.5
2005(84.0)(8.5)7.5
2006(84.8)(8.4)6.8
2007(85.6)(8.3)6.1
2008(86.1)(7.2)6.7
2009(88.8)(6.8)4.4
2010(89.7)(6.4)3.9
2011(89.7)(6.7)3.6
2012(90.1)(6.3)3.6
2013(89.9)(6.4)3.7
2014(90.3)(6.5)3.2
2015(90.0)(6.3)3.7
2016(89.2)(6.4)4.4
Isoniazid Resistance Among U.S.-Born versus Non-U.S.–Born Persons, United States, 1993–2018
Chart1
19931993
19941994
19951995
19961996
19971997
19981998
19991999
20002000
20012001
20022002
20032003
20042004
20052005
20062006
20072007
20082008
20092009
20102010
20112011
20122012
20132013
20142014
20152015
20162016
20172017
20182018
US-Born
Non-US-Born
Year
No. of Cases
872
639
789
725
631
709
563
711
470
714
404
703
309
669
291
679
269
617
229
676
229
655
229
636
206
619
182
653
176
605
201
629
199
553
178
509
182
565
154
532
140
531
167
517
157
526
126
515
102
518
100
498
Sheet1
Column2US-BornNon-US-Born
1993872639
1994789725
1995631709
1996563711
1997470714
1998404703
1999309669
2000291679
2001269617
2002229676
2003229655
2004229636
2005206619
2006182653
2007176605
2008201629
2009199553
2010178509
2011182565
2012154532
2013140531
2014167517
2015157526
2016126515
2017102518
2018100498
Cases of MDR TB* by History of TB, United States, 1993–2018
* Multidrug-resistant TB (MDR TB) is defined as resistance to at least isoniazid and rifampin.
Chart1
199319931993
199419941994
199519951995
199619961996
199719971997
199819981998
199919991999
200020002000
200120012001
200220022002
200320032003
200420042004
200520052005
200620062006
200720072007
200820082008
200920092009
201020102010
201120112011
201220122012
201320132013
201420142014
201520152015
201620162016
201720172017
201820182018
No previous TB
Previous TB
Percentage
Year
No. of Cases
407
76
0.025
353
74
0.022
254
70
0.016
207
43
0.013
155
44
0.011
132
23
0.01
127
28
0.01
120
26
0.01
115
33
0.01
132
26
0.012
94
21
0.009
100
27
0.01
98
23
0.01
103
20
0.01
101
19
0.01
88
19
0.009
95
19
0.012
87
17
0.011
101
27
0.013
77
12
0.011
83
12
0.012
70
24
0.01
72
16
0.01
78
18
0.012
101
26
0.016
79
17
0.013
Sheet1
No previous TBPrevious TBPercentageNo. of casesTotal cases%
1993407762.5%407166012.5
1994353742.2%353164172.2
1995254701.6%254160231.6
1996207431.3%207153601.3
1997155441.1%155144491.1
1998132231.0%132134201.0
1999127281.0%127126591.0
2000120261.0%120118291.0
2001115331.0%115115141.0
2002132261.2%132108201.2
200394210.9%94107520.9
2004100271.0%100104821.0
200598231.0%98100651.0
2006103201.0%10399071.0
2007101191.0%10196461.0
200888190.9%8893060.9
200995191.2%9077391.2
201087171.1%8777691.1
2011101271.3%10175541.3
201277121.1%7770831.1
201383121.2%8368661.2
201470241.0%7067461.0
201572161.0%7269611.0
201678181.2%7866871.2
2017101261.6%9762161.6
201879171.3%
HIV Coinfection by Age Among Persons Reported with TB, United States, 2011–2018
Chart1
20112011
20122012
20132013
20142014
20152015
20162016
20172017
20182018
Year
All ages
Ages 25–44 yrs
Percentage of TB Caseswith HIV Coinfection
7.4
10.8
7.2
11.4
6.4
9.2
5.9
8.6
5.4
7.5
5.5
8.5
5.5
9.1
5.1
8.3
Sheet1
All agesAges 25–44 yrs
2011(7.4)(10.8)
2012(7.2)(11.4)
2013(6.4)(9.2)
2014(5.9)(8.6)
2015(5.4)(7.5)
2016(5.5)(8.5)
2017(5.5)(9.1)
2018(5.1)(8.3)
Reported TB Case Percentages* by Risk Factor, United States, 2018
Non-HIV immunosuppression
Contact to Infectious TB
Diabetes Mellitus
Contact to Infectious TB Diabetes Mellitus
Comparison of Selected Risk Factors by Origin of BirthMost Common Risk Factors Reported Among TB Patients
*Percentages are rounded
Chart1
0.1980.1980.198
non-HIV immunosuppression
Contact with Infectious TB
Diabetes Mellitis
0.073
0.077
0.198
Sheet1
Column1
non-HIV immunosuppression7%
Contact with Infectious TB8%
Diabetes Mellitis20%
Chart1
0.0420.042
0.220.22
US-Born
Non-US-Born
[]
[]
0.159
0.042
0.146
0.22
Sheet1
US-BornNon-US-Born
Contact with Infectious TB16%4%
Diabetes Mellitis15%22%
*Correctional facilities include federal prisons, state prisons, local jails, juvenile correctional facilities, other correctional facilities, or unknown type of correctional facility.
TB Cases among Residents of Correctional Facilities Ages ≥15, 1993–2018*
Chart1
19931993
19941994
19951995
19961996
19971997
19981998
19991999
20002000
20012001
20022002
20032003
20042004
20052005
20062006
20072007
20082008
20092009
20102010
20112011
20122012
20132013
20142014
20152015
20162016
20172017
20182018
Number of TB cases
Percentage of TB cases
Year
No. of Cases
Percentage of TB Cases
950
4.0554962647
1117
4.9551947476
937
4.42294076
782
3.9397450753
747
4.0378378378
657
3.8177697716
576
3.4996050793
587
3.8255995829
522
3.4765234765
460
3.2600992204
476
3.4183123878
495
3.6542152665
537
4.0647944894
508
3.9309757796
481
3.8483078646
496
4.0981574816
464
4.2705936493
491
4.6972161102
423
4.2662632375
391
4.1419491525
364
4.012345679
377
4.2212518195
334
3.6707330476
329
3.7116425993
268
3.0964760254
310
3.5838150289
Sheet1
YearNumber of TB casesTotal TB Cases >15 yrsPercentage of TB cases
1993950234254.1
19941117225425.0
1995937211854.4
1996782198493.9
1997747185004.0
1998657172093.8
1999576164593.5
2000587153443.8
2001522150153.5
2002460141103.3
2003476139253.4
2004495135463.7
2005537132114.1
2006508129233.9
2007481124993.8
2008496121034.1
2009464108654.3
2010491104534.7
201142399154.3
201239194404.1
201336490724.0
201437789314.2
201533490993.7
201632988643.7
201726886553.1
201831086503.6
TB Cases among Residents of Correctional Facilities Ages ≥15 by Type of Facility, 2010–2018
*Includes Immigration and Customs Enforcement (ICE) detention centers, tribal jails operated by Indian reservations, police lockups (temporary holding facilities for person who have not been formally charged in court), military stockades and jails, or federal park facilities
Chart1
199319931993199319931993
199419941994199419941994
199519951995199519951995
199619961996199619961996
199719971997199719971997
199819981998199819981998
199919991999199919991999
200020002000200020002000
200120012001200120012001
200220022002200220022002
200320032003200320032003
200420042004200420042004
200520052005200520052005
200620062006200620062006
200720072007200720072007
200820082008200820082008
200920092009200920092009
201020102010201020102010
201120112011201120112011
201220122012201220122012
201320132013201320132013
201420142014201420142014
201520152015201520152015
201620162016201620162016
201720172017201720172017
201820182018201820182018
Federal Prison
State Prison
Local Jail
Juvenile Correction Facility
Other*
Unknown
Year
Total No. of Cases
28
457
410
10
31
14
31
470
571
4
30
11
24
331
540
8
21
13
28
295
409
4
40
6
30
220
446
9
30
12
32
187
383
8
39
8
33
163
343
4
20
13
40
174
327
5
30
11
38
141
283
8
44
8
41
122
242
5
39
11
63
83
255
7
58
10
58
130
242
4
50
11
35
134
277
2
71
18
42
109
249
0
99
9
64
103
216
4
89
5
51
107
215
3
115
5
42
99
219
4
88
12
55
116
203
5
94
18
45
107
199
0
63
9
66
78
180
4
62
1
58
47
180
6
66
7
64
74
116
0
117
6
46
66
93
1
125
3
41
59
102
2
120
5
37
41
88
2
98
2
37
54
80
7
126
6
Sheet1
Federal PrisonState PrisonLocal JailJuvenile Correction FacilityOther*UnknownColumn1
199328457410103114950
199431470571430111117
19952433154082113937
1996282954094406782
19973022044693012747
1998321873838398657
19993316334342013576
20004017432753011587
2001381412838448522
20024112224253911460
2003638325575810476
20045813024245011495
20053513427727118537
2006421092490999508
2007641032164895481
20085110721531155496
2009429921948812464
20105511620359418491
2011451071990639423
201266781804621391
201358471806667364
2014647411601176377
201546669311253334
2016415910221205329
20173741882982268
201837548071266310
112939676868116176523414079
TB Cases Ages ≥15 with Other Selected Risk Factors, 2018
Risk Factor
Chart1
Resident of Long-term Care Facility
Experiencing homelessness
Percentage of TB cases
Column1
0.017
0.043
Sheet1
SalesColumn1
Resident of Long-term Care Facility0.017
Experiencing homelessness0.043
Substance Misuse Among TB Patients ≥15 years, United States, 2018
Chart1
Injection Drug Use
Noninjection Drug Use
Excess Alcohol Use
Series 1
Percent of TB patients aged ≥15 years
0.013
0.068
0.093
Sheet1
Series 1
Injection Drug Use1.3%
Noninjection Drug Use6.8%
Excess Alcohol Use9.3%
Primary Occupation Among U.S. TB Patients Age ≥15 years, 2018
Perc
enta
ge o
f TB
Case
s
Occupation
Chart1
Unemployed
Retired
Not Seeking Employment
Healthcare Worker
Migrant Worker
Correctional Employee
Other
Series 1
0.218
0.18
0.157
0.037
0.012
0.001
0.395
Sheet1
Series 1
Unemployed21.8%
Retired18.0%
Not Seeking Employment15.7%
Healthcare Worker3.7%
Migrant Worker1.2%
Correctional Employee0.1%
Other39.5%
TB Cases by Reason Therapy Stopped, 2016*
*Data available through 2016 only.
Outcomes for patients that did not complete treatment
Chart1
Completed Therapy
Did Not Complete Therapy
Column1
[]87.2%
[] []%
87.2
12.8
Sheet1
Column1
Completed Therapy87.2
Did Not Complete Therapy12.8
Chart1
Other
Adverse Event
Lost to Follow-Up
Died
Percent
0.045
0.003
0.013
0.067
Sheet1
Extrapulmonary sitePercent
Other0.045
Adverse Event0.003
Lost to Follow-Up0.013
Died0.067
Deaths Attributed to TB Disease or TB Treatment, 2016*9 of every 100 TB patients diagnosed in 2016 died
before diagnosis or during treatmentMore than 3 of the 9
deaths were attributed to TB disease or TB treatment
*Data available through 2016 only.
Sputum Culture Conversion, United States, 2016
Chart1
Documented
Not Documented
Column1
[]82.4%
[] []%
82.4
15.8
Sheet1
Column1
Documented82.4
Not Documented15.8
Chart1
Unknown
Other
Refused
Lost to follow-up
Could Not Produce
Sputum Not Collected
Died
Percent
0.368
0.108
0.004
0.026
0.048
0.143
0.303
Sheet1
Reasons not ConvertingPercent
Unknown0.368
Other0.108
Refused0.004
Lost to follow-up0.026
Could Not Produce0.048
Sputum Not Collected0.143
Died0.303
National Tuberculosis Genotyping Surveillance Coverage* by Year: United States†, 2004–2018
* The proportion of positive cultures with at least one genotyped isolate.† Includes 50 states and the District of Columbia.§ For the year 2020, the national goal for TB genotyping surveillance coverage will change to 100%.
National Goal, 94%§
Chart1
20042004
20052005
20062006
20072007
20082008
20092009
20102010
20112011
20122012
20132013
20142014
20152015
20162016
20172017
20182018
Coverage (%)
National Goal
Proportion of culture confirmed TB cases genotyped (%)
52.6
94
68.4
94
70.1
94
80.8
94
81.6
94
86.9
94
91.6
94
94.2
94
94.9
94
95.9
94
96.7
94
97.1
94
97.4
94
97.4
94
96.3
94
Sheet1
Coverage (%)National Goal
200452.694
200568.494
200670.194
200780.894
200881.694
200986.994
201091.694
201194.294
201294.994
201395.994
201496.794
201597.194
201697.494
201797.494
201896.394
Definition for Tuberculosis Genotypingin the United States
Initial 12-locus MIRU-VNTR1: 223325173533
Spoligotype: 000000000003771
PCRType:PCR00002
Additional 12-locus MIRU-VNTR (MIRU2): 4445344234282
+
GENType:G00010
Sequentially assigned for each unique spoligotype and initial 12-locus MIRU-VNTR combination
Sequentially assigned for each unique spoligotype and 24-locus MIRU-VNTR combination
1 Mycobacterial interspersed repetitive unit–variable number tandem repeat.2 The complete set of 24 loci is referred to as 24-locus MIRU-VNTR and is used for GENType designation for genotype in the United States.
Number of County-based Tuberculosis Genotype Clusters* by Cluster Size, United States, 2016–2018
*Genotype cluster is defined as two or more cases with matching spoligotype and 24-locus MIRU-VNTR (GENType) within a county during the specified 3-year time period.
Chart1
2 case cluster
3 case cluster
4 case cluster
5 case cluster
6 case cluster
7 case cluster
8 case cluster
9 case cluster
≥10 case cluster
Number of clusters
Number of Persons in Cluster
Number of clusters
893
224
90
42
33
21
5
12
29
Sheet1
Number of Persons in ClusterNumber of clusters
2 case cluster893
3 case cluster224
4 case cluster90
5 case cluster42
6 case cluster33
7 case cluster21
8 case cluster5
9 case cluster12
≥10 case cluster29
Tuberculosis Genotype Clusters by TB GIMS* Alert Levels†, United States, 2016–2018
*Tuberculosis Genotyping Information Management System†Alert level is determined by the log likelihood ratio statistic (LLR) for a given cluster, identifying higher than expected geospatial concentrations for a TB genotype cluster in a specific county, compared to the national distribution of that genotype; TB GIMS generates alert level notifications based on this statistic: “No alert” is indicated if LLR is between 0 –
Genotyped Tuberculosis Cases Estimated to be Attributed to Recent Transmission, United States, 2017–2018
Recent Transmission*12.6% (n=1,712)
Not Recent Transmission§
(n=11,889)
8.3% (n=1,123)
4.3% (n=589)Limited Recent Transmission
Extensive Recent Transmission†
* A TB case is designated as attributed to recent transmission if a plausible source case can be identified in a person who i) has the same M. tuberculosis genotype, ii) has an infectious form of TB disease, iii) resides within 10 miles of the TB case, iv) is 10 years of age or older, and v) was diagnosed within 2 years before the TB case.† A TB case is designated as attributed to extensive recent transmission when the criteria above for recent transmission are met, and furthermore the case belongs to a plausible transmission chain of six or more cases. Otherwise, the case is designated as attributed to limited recent transmission.§ Cases not attributed to recent transmission may be misclassified in children
Genotyped Cases Estimated to be Attributed to Limited and Extensive Recent Transmission, United States, 2015–2018
n=1,712
* A TB case is designated as attributed to recent transmission if a plausible source case can be identified in a person who i) has the same M. tuberculosis genotype, ii) has an infectious form of TB disease, iii) resides within 10 miles of the TB case, iv) is 10 years of age or older, and v) was diagnosed within 2 years before the TB case.† A TB case is designated as attributed to extensive recent transmission when the criteria above for recent transmission are met, and furthermore the case belongs to a plausible transmission chain of six or more cases. Otherwise, the case is designated as attributed to limited recent transmission.
Chart1
2015–20162015–2016
2017–20182017–2018
n=1,894
Extensive Recent Transmission†
Limited Recent Transmission
Cases Attributed toRecent Transmission*
n=690 (36.4%)
n=[](34.4%)
n=[](63.6%)
n=[](65.6%)
690
1204
589
1123
Sheet1
Extensive Recent Transmission†Limited Recent Transmission
2015–20166901,204
2017–20185891,123
Percentages of Tuberculosis Cases Estimated to be Attributed and Not Attributed to Recent Transmission, by Origin of Birth*, 2017–2018
* Cases with unknown origin of birth not shown (n=21).† A TB case is designated as attributed to recent transmission if a plausible source case can be identified in a person who i) has the same M. tuberculosisgenotype, ii) has an infectious form of TB disease, iii) resides within 10 miles of the TB case, iv) is 10 years of age or older, and v) was diagnosed within 2 years before the TB case.§ Cases not attributed to recent transmission may be misclassified in children
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Division of Tuberculosis Elimination National Center for HIV/AIDS, Viral Hepatitis, STD, and TB PreventionCenters for Disease Control and Prevention 1600 Clifton Road NEUS 12-4Atlanta, GA 30329Phone: 404-639-8120Internet Address: http://www.cdc.gov/tb/
http://www.cdc.gov/tb/
Tuberculosis in the United States�1993–2018*�Reported Tuberculosis (TB) Cases and Rates �United States, 1993–2018Total TB Case Rates and�Annual Percent Change in Rate, 2010–2018 Reported Tuberculosis (TB) Deaths* and Rates �United States, 1993–2017Percentage of TB Cases by State, United States, 2018Slide Number 6Map of U.S.-Affiliated Pacific Islands and Hawaii�by TB Case Rates*, 2018TB Cases and Rates Among U.S.-Born versus �Non-U.S.–Born Persons, United States, 1993–2018Countries of Birth Among Non-U.S.–Born Persons Reported with TB, United States, 2018*TB Rates for Top 10 Countries of Birth*�United States, 2014–2018Percentage of Non-US–Born TB Cases�by Time in the United States at Diagnosis, 2018Reported TB Cases by Race/Ethnicity,*�United States, 2010–2018TB Case Rates by Race/Ethnicity,* �United States, 2010–2018Reported TB Cases by Origin and Race/Ethnicity*, United States, 2018†Reported TB Cases by Age Group, �United States, 1993–2018TB Case Rates by Age Group, �United States, 1993–2018Distribution of Sex by Age Group, �United States, 2018��Pediatric TB Cases by Age Group, 1993–2018�Number of U.S. Pediatric TB Cases among U.S.-Born and Non-U.S.–Born* Children, 1993–2018Number of U.S. Pediatric TB Cases among U.S.-Born Children by Parent/Guardian Status, 2010–2018Number of U.S. TB Cases by Case Verification Criteria, 1993–2018U.S. TB Cases by Site of Disease, 2018Percentage of Tuberculosis Cases*, by Initial Drug Regimen, United States, 1993–2018Mode of Treatment Administration Among Persons Reported with TB, United States, 1993–2016*Completion of TB Therapy,�United States, 1993–2016*Isoniazid Resistance Among U.S.-Born versus Non-U.S.–Born Persons, United States, 1993–2018Cases of MDR TB* by History of TB, United States, 1993–2018HIV Coinfection by Age Among Persons �Reported with TB, United States, 2011–2018Reported TB Case Percentages* by Risk Factor, United States, 2018TB Cases among Residents of Correctional Facilities Ages ≥15, 1993–2018*TB Cases among Residents of Correctional Facilities Ages ≥15 by Type of Facility, 2010–2018TB Cases Ages ≥15 with Other Selected Risk Factors, 2018Substance Misuse Among TB Patients ≥15 years, United States, 2018 Primary Occupation Among U.S. TB Patients Age ≥15 years, 2018 TB Cases by Reason Therapy Stopped, 2016*Deaths Attributed to TB Disease or TB Treatment, 2016*Sputum Culture Conversion, United States, 2016National Tuberculosis Genotyping Surveillance Coverage* by Year: United States†, 2004–2018Definition for Tuberculosis Genotyping�in the United StatesNumber of County-based Tuberculosis Genotype Clusters* by Cluster Size, United States, 2016–2018Tuberculosis Genotype Clusters by TB GIMS* Alert Levels†, United States, 2016–2018Genotyped Tuberculosis Cases Estimated to be Attributed to Recent Transmission, United States, 2017–2018Genotyped Cases Estimated to be Attributed to Limited and Extensive Recent Transmission, United States, 2015–2018Percentages of Tuberculosis Cases Estimated to be Attributed and Not Attributed to Recent Transmission, by Origin of Birth*, 2017–2018Slide Number 45
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