2020 State and City TB Report

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Goals for Health Equity in Tuberculosis Prevention and Control

The Centers for Disease Control and Prevention has launched an agency-wide CORE strategy to integrate health equity into all agency public health work with the goal to reduce health disparities. In an effort to incorporate this strategy, the Division of Tuberculosis Elimination developed three goals that focus on populations who experience health disparities related to TB disease. The goal is to reduce TB incidence in these populations by approximately 20% between 2019 and 2025.

• Goal 1: Decrease the TB incidence rate among non-U.S.–born Asian-Americans from 26.2 per 100,000 (2019) to 20.8 per 100,000 by December 31, 2025. This goal will reduce health inequities by bringing the incidence rate among non-U.S.–born Asian Americans closer to the TB rate for U.S.-born Asian populations (1.5 per 100,000 in 2019).
• Goal 2: Decrease the TB incidence rate among non-U.S.–born Hispanic/Latinos from 10.2 per 100,000 (2019) to 8.2 per 100,000 by December 31, 2025. This goal will reduce health inequities by bringing the incidence rate among non-U.S.–born Hispanics and Latinos closer to the TB rate for U.S.-born Hispanic/Latinos populations (1.5 per 100,000 in 2019).
• Goal 3: Decrease the TB incidence rate among U.S.-born non-Hispanic Blacks or African Americans from 2.6 per 100,000 (2019) to 2.0 per 100,000 by December 31, 2025. This goal will reduce health inequities by bringing the incidence rate among U.S.-born non-Hispanic Black or African American persons closer to the TB rate for U.S.-born white persons (0.4 per 100,000 in 2019).

Achieving these goals will reduce health inequities overall and bring the U.S. TB rate closer to the goal of TB elimination in the United States (<1 case per million annually).

TB Incidence Among Non-U.S.–born Non-Hispanic Asian American Persons in the United States In 2020

• 1 state and 1 city met the 2025 health equity goal but were above the national average of 20.8 cases per 100,000 non-U.S.-born Asian American persons.
• 16 states and 6 cities reported incidences above the 2025 health equity goal and national average.
• 29 states and 1 city were at or below the national average of 20.3 cases per 100,000 non-U.S.-born Asian American persons.
• 4 states and 1 city did not report any cases of TB among non-U.S.-born Asian American persons.

States/cities are grouped into thirds based on numbers of TB cases reported in 2020.

TB Incidence Among Non-U.S.–born Hispanic/Latino Persons in the United States In 2020

• 22 states met the 2025 health equity goal of 8.2 cases per 100,000 non-U.S.-born Hispanic/Latino persons and were below the national average of 8.3 cases per 100,000 non-U.S.-born Hispanic/Latino persons.
• 22 states and 9 cities were short of the 2025 health equity goal and national average for non-U.S.-born Hispanic/Latino persons.
• 6 states did not report any cases of TB among non-U.S.-born Hispanic/Latino persons.

States/cities are grouped into thirds based on numbers of TB cases reported in 2020.

TB Incidence Among U.S.-born Non-Hispanic Blacks or African American Persons in the United States In 2020

• 17 states and 3 cities reported incidences at or below the 2025 health equity goal and national average of 2.0 cases per 100,000 U.S.-born non-Hispanic Black or African American persons but above the national target.
• 13 states and 4 cities reported incidences above the 2025 health equity goal and national average.
• 7 states and 1 city met the 2025 national target of 1.0 cases per 100,000 U.S.-born non-Hispanic Black or African American persons.
• 13 states and 1 city did not report any cases of TB among U.S.-born non-Hispanic Black or African American persons.

States/cities are grouped into thirds based on numbers of TB cases reported in 2020.