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TB Statistics for the United States – National & state statistics

Preliminary TB statistics for the United States for 2015

The preliminary TB statistics for 2015 show a total of 9,563 TB cases reported, compared with a total of 9,421 for 2014. Among the 9,563 TB cases reported, 3,201 (33.5%) occurred among U.S. born persons, corresponding to an annual TB incidence of 1.2 per 100,000 persons. The 6,335 TB cases among foreign born persons in the United States (66.2% of the total U.S. cases) corresponded to an annual incidence of 15.1 per 100,000 persons. Overall national TB incidence remained approximately 3.0 cases per 100,000 persons during 2013 – 2015.

After 2 decades of declining incidence, progress towards TB elimination in the United States appears to have stalled.1Salinas JL, Mindra G, Haddad MB, Pratt R, Price SF, Langer AJ. “Leveling of Tuberculosis Incidence — United States, 2013–2015.” MMWR Morb Mortal Wkly Rep 2016;65:273–278. DOI: http://dx.doi.org/10.15585/mmwr.mm6511a2.

There is more about TB in the United States  & the goal of TB elimination, as well as the problems of MDR-TB.

National TB statistics for the United States

The national TB statistics reported by the Centers for Disease Control and Prevention, show that in 2014 a total of 9,421 new TB cases were reported in the United States. This was a decline of 1.5% from 2013. The reported case rate was 3.0 cases per 100,000 population, which is 2.2% lower than the rate in 2013. These are the lowest rates recorded since national reporting began in 1953, although the declines are small.

Foreign born and U.S. born people

Foreign born people continued to be disproportionately affected. In 2014, 66% of TB cases occurred in foreign born people. The top five countries of origin of foreign born persons with TB were Mexico, the Philippines, India, Vietnam and China.

As shown in the table below there is considerable variation among the states as to the extent that foreign born people are more affected than U.S. born people. For example in 2014 in California 77.4% of TB cases were in foreign born people, whereas in Louisiana just 28.1% were among foreign born people.

Racial and ethnic minorities

In 2014 Asians had the highest TB case rate at 17.8 cases per 100,000, this was a slight decrease from 18.5 in 2013. Native Hawaiians or Other Pacific Islanders had the second highest TB case rate at 16.9 cases per 100,000 which is an increase compared to 11.4 cases per 100,000 reported in 2013.

Blacks or African Americans born in the United States represented 37% of TB cases in US born persons, and accounted for 13% of the national total.

United States state TB statistics

The TB statistics for each state in 2014 and 2013 are given below.

State Population Cases 2014 Cases 2013 Case Rate 2014 Case Rate 2013 2014 U.S. Born Persons (No.) 2014 U.S. Born Persons (%) 2014 Foreign Born Persons (No.) 2014 Foreign Born Persons (%)
Alabama 4,849,377 133 108 2.7 2.2 111 83.5 22 16.5
Alaska 736,732 62 71 8.4 9.6 50 80.6 12 19.4
Arizona 6,731,484 193 184 2.9 2.8 47 24.4 146 75.6
Arkansas 2,966,369 93 72 3.1 2.4 77 82.8 16 17.2
California 38,802,500 2,145 2,166 5.5 5.6 468 21.8 1,661 77.4
Colorado 5,355,866 64 74 1.2 1.4 11 17.2 53 82.8
Connecticut 3,596,677 60 62 1.7 1.7 14 23.3 46 76.7
Delaware 9935,614 22 19 2.4 2.1 7 31.8 15 68.2
District of Columbia 658,893 32 37 4.9 5.7 15 46.9 17 53.1
Florida 19,893,297 595 651 3.0 3.3 237 39.8 358 60.2
Georgia 10,097,343 335 338 3.3 3.4 184 54.9 151 45.1
Hawaii 1,419,561 136 115 9.6 8.2 29 21.3 107 78.7
Idaho 1,634,464 11 11 0.7 1 3 27.3 8 72.7
Illinois 12,880,580 320 327 2.5 2.5 104 32.5 216 67.5
Indiana 6,596,855 108 94 1.6 1.4 49 45.4 59 54.6
Iowa 3,1077,126 54 47 1.7 1.5 19 35.2 35 64.8
Kansas 2,904,021 40 36 1.4 1.2 12 30.0 28 70
Kentucky 4,413,457 80 59 1.8 1.3 40 50.0 40 50
Louisiana 4,649,676 121 139 2.6 3.0 87 71.9 34 28.1
Maine 1,330,089 14 15 1.1 1.1 1 7.1 13 92.9
Maryland 5,976,407 198 175 3.3 2.9 38 19.2 160 80.8
Massachusetts 6,745,408 199 201 3.0 3.0 33 16.6 166 83.4
Michigan 9,909,877 105 141 1.1 1.4 42 40.0 62 59.0
Minnesota 5,457,173 147 151 2.7 2.8 39 26.5 108 73.5
Mississippi 2,994,079 74 65 2.5 2.2 63 85.1 11 14.9
Missouri 6,063,589 79 104 1.3 1.7 36 45.6 43 54.4
Montana 1,023,579 6 6 0.6 0.6 6 100.0 0 0.0
Nebraska 1,881,503 38 21 2.0 1.1 7 18.4 31 81.6
Nevada 2,830,099 74 92 2.6 3.3 24 32.4 50 67.6
New Hampshire 1,326,813 11 15 0.8 1.1 3 27.3 8 72.7
New Jersey 8,938,175 308 320 3.4 3.6 56 18.2 252 81.8
New Mexico 2,085,572 50 50 2.4 2.4 21 42.0 29 58.0
New York 19,746,227 787 865 4.0 4.4 134 17.0 652 82.8
North Carolina 9,943,964 195 216 2.0 2.2 111 56.9 84 43.1
North Dakota 739,482 15 12 2.0 1.7 8 53.3 7 46.7
Ohio 11,594,163 156 148 1.3 1.3 71 45.5 85 54.5
Oklahoma 3,878,051 59 70 1.5 1.8 31 52.5 28 47.5
Oregon 3,970,239 77 73 1.9 1.9 26 33.8 51 66.2
Pennsylvania 12,787,209 209 214 1.6 1.7 76 36.4 133 63.6
Rhode Island 1,055,173 21 27 2.0 2.6 5 23.8 16 76.2
South Carolina 4,832,482 79 112 1.6 2.3 62 78.5 17 21.5
South Dakota 853,175 8 9 0.9 1.1 4 50.0 4 50.0
Tennessee 6,549,352 151 143 2.3 2.2 85 56.3 66 43.7
Texas 26,956,958 1,269 1,222 4.7 4.6 505 39.8 764 60.2
Utah 2,942,902 31 33 1.1 1.1 4 12.9 27 87.1
Vermont 626,562 2 5 0.3 0.8 1 50.0 1 50.0
Virginia 8,326,289 198 179 2.4 2.2 51 25.8 147 74.2
Washington 7,061,530 195 209 2.8 3.0 55 28.2 140 71.8
West Virginia 1,850,326 13 13 0.7 0.7 10 76.9 3 23.1
Wisconsin 5,757,564 47 49 0.8 0.9 14 29.8 33 70.2
Wyoming 584,153 2 0 0.3 0 2 100.0 0 0.0

Major Source for TB statistics United States

Reported Tuberculosis in the United States 2014, Centers for Disease Control and Prevention, Atlanta, 2014 www.cdc.gov/tb/statistics/reports/2014/default.htm

References

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1. Salinas JL, Mindra G, Haddad MB, Pratt R, Price SF, Langer AJ. “Leveling of Tuberculosis Incidence — United States, 2013–2015.” MMWR Morb Mortal Wkly Rep 2016;65:273–278. DOI: http://dx.doi.org/10.15585/mmwr.mm6511a2.