2018 State and City TB Report

National TB Indicators are key process and outcome measures for TB control programs in the United States. These indicators are selected by CDC in cooperation with partners in state and local health departments. Data for calculating these indicators are derived from existing surveillance systems such as the National Tuberculosis Surveillance System (NTSS) and the Aggregate Reports for Program Evaluation (ARPE). CDC publishes TB indicator data to assist in:

  • Evaluating progress toward achievement of national objectives through monitoring of TB program performance
  • Assessment of needs for education and technical assistance
  • Identification of areas that need improvement.

State and City Grouping

The 2018 State & City Report provides key process and outcome measures for TB control programs for 50 states and 9 cities.

The 2018 State & City TB Report provides key process and outcome measures for TB control programs for 50 states and 9 cities.

For the purposes of this report, states and cities were categorized into 3 groups based on the numbers of TB cases reported to NTSS. The cutoffs for the groups were determined by the numbers of cases that fell within the 33rd and 66th percentiles. City results for Baltimore, MD; Chicago, IL; District of Columbia; Houston, TX; Los Angeles, CA; New York City, NY; Philadelphia, PA; San Diego, CA; and San Francisco, CA are not included in the respective state results (e.g., percentage of known HIV results for Texas are exclusive of known HIV results for Houston).

Indicator Year

Data are presented for the relevant year for each indicator:

  • 2018 for TB incidence and known HIV status
  • 2017 for LTBI positive contacts of smear positive cases who started and completed preventive treatment
  • 2016 for completion of treatment of newly diagnosed TB cases

Background & Data Sources

Figure 11: Percentage of Contacts (to Sputum Acid-Fast Bacilli Smear-Positive TB Patients) Newly Diagnosed with Latent TB Infection Who Began Treatment, United States, 2017

State and cities report new case data via the RCVT form – the national TB surveillance data reporting form. This report collects patient information, such as latent TB infection treatment completion.

The Centers for Disease Control and Prevention (CDC) provides funding for tuberculosis (TB) control activities in 50 U.S. states and 9 cities (Baltimore, MD; Chicago, IL; District of Columbia; Houston, TX; Los Angeles, CA; New York City, NY; Philadelphia, PA; San Diego, CA; and San Francisco, CA) through the Tuberculosis Elimination and Laboratory Cooperative Agreement (agreement number PS15-1501).  Information about each newly reported case of TB in the 50 states and 9 cities is submitted to CDC’s NTSS with a standard form, the Report of Verified Case of Tuberculosis (RVCT)pdf icon. The initial case report includes:

  • a patient’s demographic data, occupation, initial drug regimen
  • information on HIV status, substance use, housing status, and residence in correctional or long-term care facilities

Follow-up reports collect drug susceptibility test results for Mycobacterium tuberculosis isolates and treatment status, among other items.

CDC also collects information from states and cities about their contact investigation activities: finding and examining persons who have had contact with TB cases and treating those found to have TB disease or latent TB infection (LTBI). Data for contact investigation are reported by each TB control jurisdiction annually through the ARPE.

Data in this report are based on the final 2018 dataset from the National TB Surveillance System (NTSS).

For More Information:

For more information about TB disease and TB prevention and control activities in the United States, visit the National TB Controllers Association websiteexternal icon.

For additional state-specific data not available in this report, you can contact your state TB control office.

For more information about the National TB Program Objectives and Performance Targets for 2025, please visit http://www.cdc.gov/tb/programs/evaluation/indicators/default.htm.

Page last reviewed: February 1, 2019