2011 tb slides
TRANSCRIPT
-
7/28/2019 2011 Tb Slides
1/29
Tuberculosis in the United States
National Tuberculosis Surveillance SystemHighlights from 2011
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB PreventionDivision of Tuberculosis Elimination
-
7/28/2019 2011 Tb Slides
2/29
Reported TB CasesUnited States, 19822011*
*Updated as of June 25, 2012.
0
5,000
10,000
15,000
20,000
25,000
30,000
No.o
f
Cases
Year
-
7/28/2019 2011 Tb Slides
3/29
Year No. Rate*
2006 13,727 4.6
2007 13,278 4.4
2008 12,895 4.2
2009 11,528 3.8
2010 11,171 3.6
2011 10,528 3.4
*Cases per 100,000. Updated as of June 25, 2012.
TB MorbidityUnited States, 20062011
-
7/28/2019 2011 Tb Slides
4/29
TB Case Rates,* United States, 2011
*Cases per 100,000.
< 3.4 (2011 national average)
>3.4
D.C.
-
7/28/2019 2011 Tb Slides
5/29
TB Case Rates* by Age GroupUnited States, 19932011
* Updated as of June 25, 2012.
0.0
5.0
10.0
15.0
20.0
0- 14 15 - 24 25 - 44 45-65 >65
Casesper100,0
00
-
7/28/2019 2011 Tb Slides
6/29
Reported TB Cases by Age Group,United States, 2011
-
7/28/2019 2011 Tb Slides
7/29
TB Case Rates by Age Group and Sex,United States, 2011
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
Under 5 5 - 14 15 - 24 24 - 44 45-64 65
Male Female
Casesper1
00,0
00
-
7/28/2019 2011 Tb Slides
8/29
TB Case Rates by Race/Ethnicity*United States, 20032011**
*All races are non-Hispanic.
**Updated as of June 25, 2012.
Casesper100,0
00
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
2003 2004 2005 2006 2007 2008 2009 2010 2011
Hispanic or Latino American Indian or Alaska Native
Asian Black or African American
Native Hawaiian or Other Pacific Islander White
-
7/28/2019 2011 Tb Slides
9/29
TB Case Rates by Age Group and Race/Ethnicity*United States, 2011
*All races are non-Hispanic. Persons reporting two or more races accounted for less than 1% of all cases.
0.0
10.0
20.0
30.0
40.0
50.0
60.0
Under 5 5 - 14 15 - 24 24 - 44 45-64 65
Hispanic or Latino American Indian or Alaska Native
Asian Black or African American
Native Hawaiian or Other Pacific Islander White
Casesp
er100,0
00
-
7/28/2019 2011 Tb Slides
10/29
Reported TB Cases by Race/Ethnicity*United States, 2011
*All races are non-Hispanic. Persons reporting two or more races accounted for less than 1% of all cases.
Hispanic orLatino(29%)
Native Hawaiianor Other Pacific
Islander
(1%)White(16%)
Asian(30%)
American Indianor Alaska Native
(1%)
Black or AfricanAmerican
(23%)
-
7/28/2019 2011 Tb Slides
11/29
Number of TB Cases inU.S.-born vs. Foreign-born Persons
United States, 19932011*
0
5,000
10,000
15,000
20,000
U.S.-born Foreign-born
*Updated as of June 25, 2012.
No.o
fCases
-
7/28/2019 2011 Tb Slides
12/29
Trends in TB Cases in Foreign-born PersonsUnited States, 1991 2011*
*Updated as of June 25, 2012.
No. of Cases Percentage
0
10
20
30
40
50
60
70
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
Number of Cases Percentage of Total Cases
-
7/28/2019 2011 Tb Slides
13/29
Reported TB Cases by Origin and Race/Ethnicity,*United States, 2011
*All races are non-Hispanic. Persons reporting two or more races accounted for less than 1% of all cases.
** American Indian or Alaska Native and Native Hawaiian or Other Pacific Islander accounted for less than 1%
of foreign-born cases and are not shown.
Hispanicor Latino
(19%)AmericanIndian or
Alaska
Native(3%)
Asian(3%)
Black orAfrican
American(39%)
NativeHawaiian
or OtherPacific
Islander(2%)
White(33%)
Hispanicor Latino
(34%)
Asian(46%)
Black orAfrican
American(13%)
White(5%)
U.S.-born Foreign-born**
-
7/28/2019 2011 Tb Slides
14/29
>50%
25%49%
-
7/28/2019 2011 Tb Slides
15/29
TB Case Rates in U.S.-born vs. Foreign-bornPersons, United States, 1993 2011*
*Updated as of June 25, 2012.
Casesp
er100,0
00
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
U.S. Overall U.S.-born Foreign-born
-
7/28/2019 2011 Tb Slides
16/29
TB Case Rates in U.S.-born vs. Foreign-bornPersons, United States*, 1993 2011**
*Includes the same data as slide 15, but rates presented on a logarithmic scale.
**Updated as of June 25, 2012.
Casesp
er100,0
00
1.0
10.0
100.0
U.S. Overall U.S.-born Foreign-born
-
7/28/2019 2011 Tb Slides
17/29
Countries of Birth of Foreign-born PersonsReported with TB, United States, 2011
Mexico(22%)
Philippines(11%)
India(8%)
Vietnam(8%)
China(6%)
Guatemala(3%)
Haiti(3%)
OtherCountries
39%
-
7/28/2019 2011 Tb Slides
18/29
Percent of Foreign-born with TB by Time ofResidence in U.S. Prior to Diagnosis, 2011
*Foreign-born TB patients for whom information on length of residence in the U.S. prior to diagnosis is
unknown or missing
0
20
40
60
80
100
Mexico Philippines Vietnam All Foreign-born
Unknown*
-
7/28/2019 2011 Tb Slides
19/29
Primary Anti-TB Drug ResistanceUnited States, 1993 2011*
*Updated as of June 25, 2012.
Note: Based on initial isolates from persons with no prior history of TB. Multidrug resistant TB (MDR TB) is
defined as resistance to at least isoniazid and rifampin
%R
esistant
0
5
10
Isoniazid MDR TB
-
7/28/2019 2011 Tb Slides
20/29
Primary MDR TBUnited States, 1993 2011*
*Updated as of June 25, 2012.
Note: Based on initial isolates from persons with no prior history of TB. MDR TB defined as resistance to at
least isoniazid and rifampin.
No. of Cases Percentage
0
1
2
3
0
100
200
300
400
500
No. of Cases Percentage
-
7/28/2019 2011 Tb Slides
21/29
Primary Isoniazid Resistance inU.S.-born vs. Foreign-born Persons
United States, 1993 2011*
*Updated as of June 25, 2012.
Note: Based on initial isolates from persons with no prior history of TB.
%Re
sistant
0
2
4
6
8
10
12
14
U.S.-born Foreign-born
-
7/28/2019 2011 Tb Slides
22/29
*Updated as of June 25, 2012.
Note: Based on initial isolates from persons with no prior history of TB. MDR TB defined as resistance to at
least isoniazid and rifampin.
Primary MDR TB inU.S.-born vs. Foreign-born Persons
United States, 1993 2011*
%Re
sistant
0
1
2
3
U.S.-born Foreign-born
-
7/28/2019 2011 Tb Slides
23/29
XDR TB Case Count Defined on Initial DST*by Year, 1993 2011**
* Drug susceptibility test
** Updated as of June 25, 2012.
Note: Extensively drug-resistant TB (XDR TB) is defined as resistance to isoniazid and rifampin, plus resistance
to any fluoroquinolone and at least one of three injectable second-line anti-TB drugs
CaseC
ount
Year of Diagnosis
0
2
4
6
8
10
12
-
7/28/2019 2011 Tb Slides
24/29
Reporting of HIV Test Resultsin Persons with TB by Age Group
United States, 1993 2011*
*Updated as of June 25, 2012.
Note: Includes TB patients with positive, negative, or indeterminate HIV test results. HIV test results not
reported from California after 2004. HIV test results not reported from Rhode Island for years 1993-1997. HIV
test results not reported from Vermont after 2007.
%w
ithTestResults
0
10
20
30
4050
60
70
80
90
100
All Ages Aged 25 - 44
-
7/28/2019 2011 Tb Slides
25/29
Estimated HIV Coinfection in PersonsReported with TB, United States, 1993 2011*
*Updated as of June 25, 2012
Note: Minimum estimates based on reported HIV-positive status among all TB cases in the age group
%C
oinfection
0
5
10
15
20
25
30
Aged 25-44 All Ages
-
7/28/2019 2011 Tb Slides
26/29
TB Cases by Residence in Correctional Facilities,Age 15, United States, 1993-2011*
*Updated as of June 25, 2012
Note: Resident of correctional facility at time of TB diagnosis
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
0
200
400
600
800
1000
1200
No. of Cases Percent of Total Cases
-
7/28/2019 2011 Tb Slides
27/29
TB Cases Reported as Homeless in the12 Months Prior to Diagnosis,
Age 15, United States, 1993-2011*
*Updated as of June 25, 2012
Note: Homeless within past 12 months of TB diagnosis
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
7.0%
8.0%
0
200
400
600
800
1000
1200
1400
1600
No. of Cases Percent of Total Cases
-
7/28/2019 2011 Tb Slides
28/29
Mode of Treatment Administrationin Persons Reported with TBUnited States, 1993 2009*
*Updated as of June 25, 2012. Data available through 2009 only.
**Percentage of total cases in persons alive at diagnosis, with an initial regimen of one or more drugs
prescribed, and excluding cases with unknown mode of treatment administration.
Directly observed therapy (DOT); Self-administered therapy (SA)
Percentage**
0
20
40
60
80
100
DOT only DOT + SA SA only
-
7/28/2019 2011 Tb Slides
29/29
Completion of TB TherapyUnited States, 1993 2009*
* Updated as of June 25, 2012. Data available through 2009 only.
Note: Includes persons alive at diagnosis, with initial drug regimen of one or more drugs prescribed, who did
not die during therapy. Excludes persons with initial isolate rifampin resistant, or patient with meningeal
disease, or pediatric patient (aged