TB Facts logo

TB Statistics United States – National, drug resistance & state

National TB statistics United States 2016 & 2015

The preliminary TB statistics for the United States for 2016 show a total of 9,287 TB cases reported, compared with a total of 9,546 for 2,015. This is a very slight decline and a much higher rate of decline is needed if the goal of the elimination of TB in the United States is to be reached in the foreseeable future. This was a decrease in incidence from 3.0 per 100,000 to 2.0 per 100,000.

The incidence in 2016 ranged from 0.2 cases per 100,000 in Wyoming to 8.3 in Hawaii. Alaska, Arkansas, California, Florida, Georgia, Hawaii, Maryland, Minnesota, New Jersey, New York, North Dakota, and Texas, as well as Washington DC, all reported incidences that exceeded the overall national incidence. Four states, California (2,130), Texas (1,333), New York (763) and Florida (602)  accounted for 50.9% of all cases.1“TB in the United States: Better, but still a long way to go”, May 1, 2017, AHC Media, https://www.ahcmedia.com/articles/140610-tb-in-the-united-states-better-but-still-a-long-way-to-go  Among the individuals for whom the information was available, 5.7% were HIV infected, 4.6% had been homeless at some point in the previous year, 1.8% resided in a long term care facility and 3.5% were confined to a correctional facility.

Country of birth

Among the 9,287 cases of TB reported in 2016, 2,935 (31.6%) occurred among U.S. born people, and 6,307 (66.2%) TB cases were among foreign born people. So foreign born people in the United States continue to be disproportionately affected. The top five countries of origin of foreign born people with TB were Mexico, the Philippines, India, Vietnam and China. These five countries accounted for 54.9% of all cases among foreign born people.

TB cases for U.S. born people and foreign born people 2015

TB cases for U.S. born and foreign born people 2015

In 2015 of those people born in the U.S. 36% were Black/African American, 31% were White, and 21% Hispanic/Latino. Of those people who were foreign born 48% were Asian, 32% Hispanic/Latino and 13% Black/African American.

Drug resistance

The most recent year for which information about drug resistance, that is drug susceptibility data, is available is 2015. In 2015 there were 88 cases of multidrug resistant TB. Among the 88 cases 72 occurred in people with no reported history of TB disease. This means that they were cases of transmitted or primary drug resistant TB. One case of extensively drug-resistant TB was reported.

National no. of TB cases by year

In 2015 the number of U.S. TB cases increased compared with the previous year. This was the first time since 1992 that this had happened.

2015 2014 2013 2012 2011 2010 2009 2008 2007
No. of TB cases 9,557 9,406 9,550 9,942 10,510 11,159 11,520 12,893 13,282
Rate per 100,000 population 3.0 2.9 3.0 3.2 3.4 3.6 3.8 4.2 4.4
Deaths Not known 493 555 510 539 569 529 585 554
Rate per 100,000 population Not known 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2

These figures are very different to those of the 1950s which are shown below. This is when the statistics for TB first started to be collected. The decrease in both the number of cases and deaths, is not only due to improved TB control, but also to the development of TB drugs.

1961 1960 1959 1958 1957 1956 1955 1954 1953
No. of TB cases 53,726 55,494 57,535 63,534 67,149 69,895 77,368 79,775 84,304
Rate per 100,000 population 29.2 30.7 32.4 36.3 39.0 41.4 46.6 48.9 52.6
Deaths 9,938 10,866 11,474 12,417 13,390 14,137 15,016 16,527 19,707
Rate per 100,000 population Not known 6.0 6.5 7.1 7.8 8.4 9.1 10.2 12.4

TB statistics United States by state

TB Statistics United States cases per 100,000 2015

TB Statistics United States cases per 100,000 2015

Cases of TB for each state in 2015, 2014 & 2013  & number of U.S. born people & foreign born people for 2015

State Population Cases 2015 Cases 2014 Cases 2013 No. of U.S.
born people 2015
No. of foreign born people 2015
Alabama 4,858,979 119 133 108 90 29
Alaska 738,432 68 62 71 55 8
Arizona 6,828,065 198 193 184 57 141
Arkansas 2,978,204 90 93 72 72 18
California 39,144,818 2,133 2,134 2,166 406 1,718
Colorado 5,456,574 73 64 74 15 58
Connecticut 3,590,886 70 60 62 13 57
Delaware 945,934 22 22 19 8 13
District of Columbia 672,228 33 32 37 15 18
Florida 20,271,272 602 595 651 260 342
Georgia 10,214,860 324 335 338 176 148
Hawaii 1,431,603 127 136 115 45 82
Idaho 1,654,930 11 11 11 1 9
Illinois 12,859,995 343 320 327 100 243
Indiana 6,619,680 116 108 94 49 67
Iowa 3,123,899 38 54 47 7 31
Kansas 2,911,641 36 40 36 10 26
Kentucky 4,425,092 67 80 59 34 33
Louisiana 4,670,724 119 121 139 80 39
Maine 1,329,328 18 14 15 4 14
Maryland 6,006,401 176 198 175 42 134
Massachusetts 6,794,422 192 199 201 25 163
Michigan 9,922,576 131 105 141 47 84
Minnesota 5,489,594 150 147 151 22 128
Mississippi 2,992,333 74 74 65 64 10
Missouri 6,083,672 92 79 104 37 55
Montana 1,032,949 9 6 6 7 2
Nebraska 1,896,190 33 38 21 8 25
Nevada 2,890,845 85 74 92 26 59
New Hampshire 1,330,608 13 11 15 2 11
New Jersey 8,958,013 326 308 320 61 265
New Mexico 2,085,109 47 50 50 23 24
New York 19,795,791 765 787 865 148 616
North Carolina 10,042,802 199 195 216 107 92
North Dakota 756,927 9 15 12 1 8
Ohio 11,613,423 143 156 148 54 89
Oklahoma 3,911,338 67 59 70 42 25
Oregon 4,028,977 76 77 73 24 52
Pennsylvania 12,802,503 200 209 214 79 121
Rhode Island 1,056,298 30 21 27 4 26
South Carolina 4,896,146 104 79 112 79 25
South Dakota 858,469 17 8 9 12 5
Tennessee 6,600,299 131 151 143 72 59
Texas 27,469,114 1,334 1,269 1,222 570 764
Utah 2,995,919 37 31 33 9 28
Vermont 626,042 7 2 5 3 4
Virginia 8,382,993 212 198 179 44 168
Washington 7,170,351 208 195 209 48 160
West Virginia 1,844,128 13 13 13 7 3
Wisconsin 5,771,337 69 47 49 20 49
Wyoming 586,107 4 2 0 2 2

Major Source for TB statistics United States

Reported Tuberculosis in the United States 2015, Centers for Disease Control and Prevention, Atlanta, 2015 www.cdc.gov/tb/statistics/reports/2015/default.htm

   [ + ]

1. “TB in the United States: Better, but still a long way to go”, May 1, 2017, AHC Media, https://www.ahcmedia.com/articles/140610-tb-in-the-united-states-better-but-still-a-long-way-to-go