Page 1
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
Tuberculosis
Florida, 2018
Tuberculosis Control Section
Division of Disease Control and Health Protection
4052 Bald Cypress Way, Bin A-20
Tallahassee, FL 32399
http://www.floridahealth.gov/diseases-and-conditions/tuberculosis
1
Page 2
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
2
1274
1164 11381084
1041 1074 10931032
988 957
822 828751
675 646590 601
639
549591
0
200
400
600
800
1000
1200
1400
99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Nu
mb
er
of
Cas
es
Year
Tuberculosis CasesFlorida, 1999-2018
Data as of 2/28/19
Sources: TIMS (1998-2008) and HMS (2009-2018)
Page 3
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
Data as of 2/28/19 3
8.2
7.37
6.56.1 6.2 6.1
5.75.3 5.1
4.4 4.44
3.5 3.43 3 3.2
2.7 2.8
0
1
2
3
4
5
6
7
8
9
99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Rat
e p
er
10
0,0
00
po
pu
lati
on
Year
Tuberculosis RatesFlorida, 1999-2018*
Sources: TIMS (1998-2008) and HMS (2009-2018)
Population estimates from Florida CHARTS.
2018 case rate is provisional until 2018 population
estimates are finalized.
Page 4
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
TB Cases by Race/Ethnicity*
Florida, 2018 (n=591)
21%
31.5%
32.8%
14%
White, Non-Hispanic
Black, Non-Hispanic
Hispanic
Asian/Pacific Islander
*Race categories that
made up less than 1%
of the total cases
included: American
Indian/Alaskan native,
and multiple race.
Source: HMS
Data as of 2/28/19
Page 5
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
TB and Gender
Florida, 1999-2018846
803775
702664
711 706681
611 617
522 525490
418387 370 370 379
342 363
428
361 363 382 377 363387
351377
340300 303
261 257 259220 231
260207 228
0
100
200
300
400
500
600
700
800
900
99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Num
ber
of C
ases
Year
Male Female
Data as of 3/15/18 5
Sources: TIMS (1998-2008) and HMS (2009-2017)
Page 6
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
TB Cases by Age Group
Florida, 2018 (N=591)1% 3%
9%
31%
33%
23%
0-4
5-14
15-24
25-44
45-64
65+
Data as of 2/28/19
Page 7
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
Data as of 2/28/19 7
817
700650
601561 546
596545
512 492
411 405346 336
277 220 245 242214 221
457 464 488 483 480528
497 487 476 465411 428
407342 374 371 356
397335
370
0
200
400
600
800
1,000
99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
Nu
mb
er
of
Cas
es
Year
Trends in TB cases in U.S.-born vs Foreign-born Persons, FL 1999-2018
U.S.-born Foreign-born
Sources: TIMS (1999-2008) and HMS (2009-2018)
Page 8
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
Data as of 2/28/19 8
36%40%
43% 44% 46%49%
45% 47% 48% 49% 50% 51%54%
50%
57%
63%59%
62% 61% 63%
0%
10%
20%
30%
40%
50%
60%
70%
0
200
400
600
800
1000
1200
1400
99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
Pe
rce
nta
ge o
f To
tal C
ase
s
Nu
mb
er
of
Cas
es
Year
TB Cases Among Foreign-born PersonsFlorida, 1999-2018
Total Cases Percentage of Total Cases
Sources: TIMS (1999-2008) and HMS (2009-2018)
Page 9
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
9
23%
10%
8%
8%6%4%
4%3%
3%
3%2%
2%
23%
Foreign-born TB by Country of BirthFlorida, 2018 (N=370)
Haiti
Mexico
Philippines
Vietnam
Guatemala
Honduras
Cuba
India
Columbia
Peru
Nicaragua
Puerto Rico
OtherSource: HMS. Countries with 5 or fewer cases were
included in the Other category. Percentages have
been rounded and may not equal 100%.
Data as of 2/28/19
Page 10
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
TB Cases Younger than 15
Florida, 2009 - 2018
2957 42 30 27 23 21 23 12 24
3.5%
6.9%
5.6%
4.4%4.2%
3.9%3.5% 3.6%
2.2%
4.1%
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
7.0%
8.0%
0
100
200
300
400
500
600
700
800
900
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Perc
ent
of Tota
l C
ases
Num
ber
of
Cases
Year
Pediatric Cases Total Cases % of Cases
Source: HMS
Data as of 3/1/19
Page 11
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
Data as of 2/28/19 11
23%
21%
23%
18%
20%
18% 18% 18%
15%
17%16%
12%
15%
12%13%
11% 10% 10% 11%
9%
0%
5%
10%
15%
20%
25%
0
200
400
600
800
1000
1200
1400
99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
Per
cen
tage
Nu
mb
er o
f C
ase
s
Year
Tuberculosis/HIV Co-infectionFlorida, 1999-2018
TB/HIV All TB Cases %TB/HIVSources: TIMS (1999-2008) and HMS (2009-2018)
Page 12
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
TB and Selected Risk Factors
Florida, 1999 - 2018
0
50
100
150
200
250
300
350
99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Nu
mb
er
of C
ase
s
Year
Excess alcohol use Drug use Homeless HIV infection
Data as of 3/1/19 12
Sources: TIMS (1998-2008) and HMS (2009-2017)
Page 13
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
TB Cases with Diabetes*
Florida, 2009 - 2018
100 81 92 80 80 73 89 77 96 85
12%
9.7%
12.2%11.8%
12.3% 12.3% 14.8%
12.1%
17.5%
14%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
0
100
200
300
400
500
600
700
800
900
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Pe
rce
nt w
/Dia
be
tes
Nu
mb
er
of C
ase
s
Year
Cases w/Diabetes All Cases % Cases w/Diabetes
13
*Self-reported
Source: HMS
Data as of 3/1/19
Page 14
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Division of Disease Control and Health Protection
Data as of 3/1/1914
10% 10% 10%
7% 7%
5%
6%
7%
5% 5%
7%
5%
6% 6% 6%
8%
5%
7%
4%
5.3%
1.0% 0.9%0.5%
0.9% 0.8% 0.7% 0.9%0.5% 0.5% 0.4%
0.7% 0.7% 0.8% 1.0%1.5% 1.7%
0.8%0.5%
1.1%0.6%
0%
2%
4%
6%
8%
10%
12%
99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 2018
Pe
rce
nt
of
Tota
l Cas
es
Year
TB with Drug Resistance*Florida, 1999-2018
RESISTANT TO INH
RESISTANT TO INH AND RIF (MDR)
Sources: TIMS (1999-2008) and HMS (2009-2018)
*Based on Initial Drug Susceptibility Testing
2018 data is provisional