2020 State and City TB Report
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 2020, overall TB incidence in the United States was 2.2 TB cases (including U.S.-born and non-U.S.–born persons) per 100,000 persons (22 cases per million). Overall, TB incidence decreased from 2019 to 2020; however, the nation has not yet achieved the 2025 national target of <1.3 TB cases per 100,000 (Figure 1image icon and Figure 2image icon).
Overall TB Incidence in the United States, 2020
- 43 states reported incidences at or below the national average of 2.2 cases per 100,000 (including U.S.-born and non-U.S.-born persons).
- 6 states and 9 cities reported incidences above the national average.
- 1 state did not report any TB cases in 2020.
States/cities are grouped into thirds based on numbers of TB cases reported in 2020.
Figure 1: Overall TB Incidence in the United States, 2020
Figure 2: Overall TB Incidence in the United States, 2020
TB Incidence Among U.S.-born Persons in the United States, 2020
- 21 states and 1 city met the 2025 national target of 0.4 cases per 100,000 U.S.-born persons.
- 14 states were short of the 2025 target but reported incidences at or below the national average of 0.7 cases per 100,000 U.S.-born persons.
- 14 states and 8 cities were above the national average of 0.7 cases per 100,000 U.S.-born persons.
- 1 state reported 0 TB cases among U.S.-born persons.
States/cities are grouped into thirds based on numbers of TB cases reported in 2020.
Figure 3: TB Incidence Among U.S.-born Persons in the United States, 2020
Figure 4: TB Incidence Among U.S.-born Persons in the United States, 2020
TB Incidence Among Non–U.S.–born Persons in the United States, 2020
- 11 states met the 2025 target of 8.8 cases per 100,000 non-U.S.-born persons.
- 13 states and 1 city were short of the 2025 target, but still reported incidences at or below the national average of 11.5 cases per 100,000 non-U.S.-born persons.
- 25 states and 8 cities were above the 2025 target and national average.
- 1 state reported 0 TB cases among non–U.S.–born persons.
States/cities are grouped into thirds based on numbers of TB cases reported in 2020.
Figure 5: TB Incidence Among Non-U.S.–born Persons in the United States, 2020
Figure 6: TB Incidence Among Non-U.S.–born Persons in the United States, 2020
1Centers for Disease Control and Prevention (CDC). Reported Tuberculosis in the United States, 2020. Atlanta, GA: US Department of Health and Human Services, CDC; 2021.
Figures 1 and 2: Overall TB Incidence*, United States, 2020
Data source: National Tuberculosis Surveillance System as of June 14, 2021; population data from the U.S. Census Bureau’s American Community Survey, 2019.
*Numbers of TB cases per 100,000 persons
Figures 3 and 4: TB Incidence,* U.S.-born Persons, United States, 2020
Data source: National Tuberculosis Surveillance System as of June 14, 2021; population data from the U.S. Census Bureau’s American Community Survey, 2019.
*Numbers of TB cases per 100,000 U.S.-born persons
Figures 5 and 6: TB Incidence,* Non-U.S.–born Persons, United States, 2020
Data source: National Tuberculosis Surveillance System as of June 14, 2021; population data from the U.S. Census Bureau’s American Community Survey, 2019.
*Numbers of TB cases per 100,000 non-U.S.–born persons
