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

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