World TB Day 2015 TB Epidemiology 2005-2014 Suzanne J. Keller.

World TB Day 2015

TB Epidemiology 2005-2014Suzanne J. Keller

Global TB: We are all connected

• In 2013, there were an estimated 9 million new cases of TB

• An estimated 1.5 million deaths occurred in 2013, including 360,000 that were associated with HIV

• Globally in 2013, MDR-TB was seen in nearly 315,000 cases

TB Rates by Race/Ethnicity 2014

White

Black

Hispanic

Asian

0 2 4 6 8 10 12 14 16 18 20

0.6

5.1

5

17.9

Source: US Centers for Disease Control and Prevention

Proportion of TB Cases by National Origin 2014

Foreign-born 66%

US-born 34%

Source: US Centers for Disease Control and Prevention

TB Case Rate per 100,000 VA and US: 2010-2014

Year Virginia TB Cases

Virginia TB Rate

US TB Cases US TB Rate

2010 268 3.4 11,181 3.6

2011 221 2.7 10,521 3.4

2012 235 2.9 9,951 3.2

2013 179 2.2 9,582 3.0

2014 198 2.4 9,412 3.0

TB in Virginia: 2005-2014

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

50

100

150

200

250

300

350

400

VA TB Cases by Age Group: 2005-2014

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

20

40

60

80

100

120

140

0-1415-2425-4445-64>64

Year

Num

ber o

f Cas

es

VA TB Cases Sex: 2005-2014

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

20406080

100120140160180

FemaleMale

Year

Num

ber o

f Cas

es

VA TB Cases by Race/Ethnicity: 2005-2014

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

20

40

60

80

100

120

140

Asian/PIBlackHispanicWhite

Year

Num

ber o

f Cas

es

VA TB Cases by Region: 2005-2014

0

20

40

60

80

100

120

140

160

180

200

Nu

mb

er o

f C

ases

Northwest Southwest Central Eastern Northern

2005200620072008200920102011201220132014

VA Foreign vs. US Born TB Cases: 2005-2014

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

50100150200250300350400

Foreign BornUS Born

Year

Num

ber o

f Cas

es

VA Foreign Born TB Cases by Years in US at Start Treatment: 2005-2014

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

50

100

150

200

250

>10 years6 to 10 years3 to 5 years<=2 years

Year

Num

ber o

f Cas

es

VA TB Cases Top Five Countries of Origin: 2005-2014

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Viet Nam Viet Nam Philippines India Ethiopia Ethiopia India India Ethiopia India

India Mexico El Salvador Viet Nam Viet Nam Viet Nam Ethiopia Mexico India Viet Nam

Mexico Ethiopia India Philippines India India Philippines Philippines Viet Nam S. Korea

Philippines Philippines Bolivia Ethiopia Philippines Philippines Viet NamSouth Korea Philippines Ethiopia

South Korea India Mexico Mexico Nepal

South Korea

Mex,ChinaNepal Viet Nam El Salvador

El Salvador& Philippines

Thoughts for World TB Day 2015 The global burden of TB is still huge, yet we are seeing

some advances in technology that may have an impact for early treatment and treating X-DR TB

The decline of TB nationally in 2014 was the smallest

decline in 10 years

Central Region reported the lowest number of cases in recent memory