2017 State and City TB Report

HIV Status

People living with HIV are more likely than others to become sick with TB if they are exposed and become infected. Untreated LTBI (see Treatment for Latent TB Infection section) may quickly progress to TB disease in people living with HIV because the immune system is already weakened. Without treatment, TB disease can progress from sickness to death rapidly. Measuring the number of TB patients who are also tested for HIV and have a known HIV status is not only important in terms of saving lives, but also in interrupting the spread of TB and HIV to others.

In 2017, 35 states and 5 cities performed above the national average (88.9%) and 11 states and 3 cities met the 2020 national target of having HIV status known among at least 98.0% of reported TB cases (Figure 10).

This horizontal bar graph shows percentages of TB cases with HIV status reported by individual state and city. States and cities are categorized into 3 groups based on numbers of TB cases reported in 2017. Within each group states and cities are ordered by decreasing percentage of TB cases who had HIV status reported. Vertical lines show the 2020 national target (98.0%26#37;) and the national average (88.9%26#37;). Among states/cities that reported 1-53 TB cases in 2017, percentages ranged from 100 in Wyoming, Vermont, North Dakota, South Dakota, Baltimore, Kansas, Utah, the District of Columbia, and Mississippi to 66.7 in Montana. The states and cities that achieved 100%26#37; were above the 2020 target; Nebraska, New Mexico, Iowa, Delaware, West Virginia, Rhode Island, Idaho, and New Hampshire had percentages that were below the 2020 target but were at or above the national average; Alaska, Maine, Wisconsin, and Montana had percentages that were below the national average. Among states/cities that reported 54-140 TB cases in 2017, percentages ranged from 100 in Oregon to 80.6 in Chicago. Oregon, Philadelphia, Kentucky, Hawaii, and Oklahoma had percentages at or above the 2020 target; Arkansas, Tennessee, Alabama, Colorado, South Carolina, San Francisco, Nevada, and Indiana had percentages that were below the 2020 target but were at or above the national average; Michigan, Louisiana, Pennsylvania, Missouri, Connecticut, and Chicago had percentages that were below the national average. Among states/cities that reported 141 or more TB cases in 2017, percentages ranged from 97.7 in Minnesota to 32.9 in Massachusetts. All states and cities in this category (Minnesota, North Carolina, Virginia, Illinois, Ohio, Georgia, Florida, San Diego, New York, Maryland, California, Arizona, Los Angeles, Texas, Washington, New York City, Houston, New Jersey, and Massachusetts) were below both the 2020 target and the national average.