2018 State and City TB Report

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Incidence1

Elimination of TB is defined as reducing TB disease incidence in the United States to less than 1 case per million persons per year. Therefore, measuring the number of new cases occurring each year remains the best overall indicator of progress toward TB elimination. In 2018, overall TB incidence in the United States was 2.8 TB cases (including U.S.-born and non-U.S.–born persons) per 100,000 persons (28 cases per million). Overall, TB incidence remained the same from 2017 to 2018; however, the nation has not yet achieved the 2025 national target of <1.3 TB cases per 100,000 (Figure 1image icon, Figure 2image icon, Footnotes).

 

 

Overall TB Incidence in the United States, 2018

In 2018, 42 states and 1 city reported incidences at or below the national average of 2.8 cases per 100,000 (including U.S.-born and non-U.S.-born persons). Incidences in 8 states and 8 cities were above the national average.

States/cities are grouped into thirds based on numbers of TB cases reported in 2018.

Figure1

Figure 1: Overall TB Incidence in the United States, 2018

Figure2

Figure 2: Overall TB Incidence in the United States, 2018

TB Incidence Among U.S.-born Persons in the United States, 2018

In 2018, a total of 14 states met the 2025 national target of 0.4 cases per 100,000 U.S.-born persons; 18 states were short of the 2025 target, but reported incidences at or below the national average of 0.9 cases per 100,000 U.S.-born persons.  Sixteen states and all selected cities were above the national average of 0.9 cases per 100,000 U.S.-born persons.

States/cities are grouped into thirds based on numbers of TB cases reported in 2018.

Figure3

Figure 3: TB Incidence Among U.S.-born Persons in the United States, 2018

Figure4

Figure 4: TB Incidence Among U.S.-born Persons in the United States, 2018

TB Incidence Among Non-U.S.–born Persons in the United States, 2018

In 2018,  a total of 6 states met the 2025  target of 8.8 cases per 100,000 non-U.S.-born persons;  17 states and 2 cities were short  of the 2025  target, but still reported incidences at or below the national average of 14.3 cases per 100,000 non-U.S.-born  persons.  The remaining 25 states and 7 cities were above the 2025 target and national average.

States/cities are grouped into thirds based on numbers of TB cases reported in 2018.

Figure5

Figure 5: TB Incidence Among Non-U.S.–born Persons in the United States, 2018

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Figure 6: TB Incidence Among Non-U.S.–born Persons in the United States, 2018

TB Incidence Among U.S.-born Non-Hispanic Blacks or African Americans, United States, 2018

In 2018, 5 states met the 2025 national target of 1.0 cases per 100,000 U.S.-born non-Hispanic black persons; 23 states and 3 cities were short of the 2025 target, but reported incidences at or below the national average of 2.6 cases per 100,000 U.S.-born non-Hispanic black persons.  Ten states and 6 cities reported incidences above the 2025 target and national average.  Twelve states did not report any cases of TB among U.S.-born non-Hispanic black persons.

States/cities are grouped into thirds based on numbers of TB cases reported in 2018.

Figure5

Figure 7: TB Incidence Among U.S.-born Non-Hispanic Blacks or African Americans, United States, 2018

Figure8

Figure 8: TB Incidence Among U.S.-born Non-Hispanic Blacks or African Americans, United States, 2018

Footnotes

1Centers for Disease Control and Prevention (CDC). Reported Tuberculosis in the United States, 2018. Atlanta, GA: US Department of Health and Human Services, CDC; 2019. https://www.cdc.gov/tb/statistics/reports/2018/default.htm

Figures 1 and 2: Overall TB Incidence*, United States, 2018

Data source: National Tuberculosis Surveillance System as of June 6, 2019; population data from the U.S. Census Bureau’s American Community Survey, 2017.

*Numbers of TB cases per 100,000 persons

Figures 3 and 4: TB Incidence,* U.S.-born Persons, United States, 2018

Data source: National Tuberculosis Surveillance System as of June 6, 2019; population data from the U.S. Census Bureau’s American Community Survey, 2017.

*Numbers of TB cases per 100,000 U.S.-born persons

Figures 5 and 6: TB Incidence,* Non-U.S.–born Persons, United States, 2018

Data source: National Tuberculosis Surveillance System as of June 6, 2019; population data from the U.S. Census Bureau’s American Community Survey, 2017.

*Numbers of TB cases per 100,000 non-U.S.-born persons

Figures 7 and 8: TB Incidence,* U.S.-born Non-Hispanic Blacks or African Americans, United States, 2018

Data source: National Tuberculosis Surveillance System as of June 6, 2019; population data from the U.S. Census Bureau’s American Community Survey, 2017.

*Numbers of TB cases per 100,000 U.S.-born non-Hispanic black persons

Page last reviewed: March 9, 2020