Reported Tuberculosis in the United States, 2018
Table 36. Primary Reason for Tuberculosis Evaluation1: Reporting Areas, 2018
| Reporting Area | Total Cases | TB Symptoms | Abnormal Chest Radiograph | Contact Investigation | Targeted Testing | Healthcare Worker | Administrative Testing | Immigrant Medical Exam | Incidental Lab Result | Unknown/Missing | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No. | (%) | No. | (%) | No. | (%) | No. | (%) | No. | (%) | No. | (%) | No. | (%) | No. | (%) | No. | (%) | ||
| United States | 9,025 | 5,074 | (56.2) | 1,772 | (19.6) | 339 | (3.8) | 380 | (4.2) | 27 | (0.3) | 60 | (0.7) | 215 | (2.4) | 999 | (11.1) | 159 | (1.8) |
| Alabama | 91 | 44 | (48.4) | 26 | (28.6) | 8 | (8.8) | 0 | (0.0) | 1 | (1.1) | 0 | (0.0) | 0 | (0.0) | 12 | (13.2) | 0 | (0.0) |
| Alaska | 63 | 21 | (33.3) | 10 | (15.9) | 18 | (28.6) | 6 | (9.5) | 0 | (0.0) | 0 | (0.0) | 2 | (3.2) | 6 | (9.5) | 0 | (0.0) |
| Arizona | 178 | 89 | (50.0) | 19 | (10.7) | 4 | (2.2) | 45 | (25.3) | 1 | (0.6) | 1 | (0.6) | 1 | (0.6) | 18 | (10.1) | 0 | (0.0) |
| Arkansas | 78 | 28 | (35.9) | 30 | (38.5) | 10 | (12.8) | 1 | (1.3) | 0 | (0.0) | 2 | (2.6) | 0 | (0.0) | 7 | (9.0) | 0 | (0.0) |
| California | 2,092 | 1319 | (63.0) | 397 | (19.0) | 43 | (2.1) | 61 | (2.9) | 7 | (0.3) | 17 | (0.8) | 45 | (2.2) | 187 | (8.9) | 16 | (0.8) |
| Colorado | 64 | 54 | (84.4) | 3 | (4.7) | 2 | (3.1) | 2 | (3.1) | 0 | (0.0) | 0 | (0.0) | 1 | (1.6) | 2 | (3.1) | 0 | (0.0) |
| Connecticut | 51 | 36 | (70.6) | 4 | (7.8) | 2 | (3.9) | 1 | (2.0) | 0 | (0.0) | 1 | (2.0) | 2 | (3.9) | 1 | (2.0) | 4 | (7.8) |
| Delaware | 22 | 10 | (45.5) | 7 | (31.8) | 3 | (13.6) | 1 | (4.5) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (4.5) | 0 | (0.0) |
| District of Columbia | 36 | 26 | (72.2) | 2 | (5.6) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 8 | (22.2) | 0 | (0.0) |
| Florida | 591 | 235 | (39.8) | 203 | (34.3) | 14 | (2.4) | 7 | (1.2) | 1 | (0.2) | 1 | (0.2) | 5 | (0.8) | 122 | (20.6) | 3 | (0.5) |
| Georgia | 272 | 117 | (43.0) | 74 | (27.2) | 15 | (5.5) | 14 | (5.1) | 0 | (0.0) | 0 | (0.0) | 12 | (4.4) | 38 | (14.0) | 2 | (0.7) |
| Hawaii | 120 | 73 | (60.8) | 11 | (9.2) | 6 | (5.0) | 0 | (0.0) | 3 | (2.5) | 4 | (3.3) | 10 | (8.3) | 12 | (10.0) | 1 | (0.8) |
| Idaho | 15 | 9 | (60.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (6.7) | 3 | (20.0) | 2 | (13.3) |
| Illinois | 319 | 202 | (63.3) | 58 | (18.2) | 18 | (5.6) | 2 | (0.6) | 2 | (0.6) | 4 | (1.3) | 14 | (4.4) | 19 | (6.0) | 0 | (0.0) |
| Indiana | 116 | 58 | (50.0) | 24 | (20.7) | 6 | (5.2) | 7 | (6.0) | 1 | (0.9) | 0 | (0.0) | 7 | (6.0) | 13 | (11.2) | 0 | (0.0) |
| Iowa | 49 | 33 | (67.3) | 5 | (10.2) | 4 | (8.2) | 0 | (0.0) | 0 | (0.0) | 5 1 | (0.2) | 1 | (2.0) | 1 | (2.0) | 0 | (0.0) |
| Kansas | 28 | 17 | (60.7) | 3 | (10.7) | 0 | (0.0) | 1 | (3.6) | 0 | (0.0) | 1 | (3.6) | 0 | (0.0) | 6 | (21.4) | 0 | (0.0) |
| Kentucky | 65 | 35 | (53.8) | 13 | (20.0) | 10 | (15.4) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 7 | (10.8) | 0 | (0.0) |
| Louisiana | 105 | 50 | (47.6) | 37 | (35.2) | 4 | (3.8) | 6 | (5.7) | 0 | (0.0) | 0 | (0.0) | 1 | (1.0) | 5 | (4.8) | 2 | (1.9) |
| Maine | 14 | 12 | (85.7) | 0 | (0.0) | 1 | (7.1) | 1 | (7.1) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Maryland | 208 | 116 | (55.8) | 53 | (25.5) | 2 | (1.0) | 11 | (5.3) | 0 | (0.0) | 4 | (1.9) | 4 | (1.9) | 16 | (7.7) | 2 | (1.0) |
| Massachusetts | 200 | 140 | (70.0) | 48 | (24.0) | 3 | (1.5) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 7 | (3.5) | 2 | (1.0) |
| Michigan | 108 | 65 | (60.2) | 30 | (27.8) | 5 | (4.6) | 1 | (0.9) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 7 | (6.5) | 0 | (0.0) |
| Minnesota | 172 | 135 | (78.5) | 3 | (1.7) | 11 | (6.4) | 4 | (2.3) | 5 | (2.9) | 4 | (2.3) | 7 | (4.1) | 3 | (1.7) | 0 | (0.0) |
| Mississippi | 80 | 15 | (18.8) | 30 | (37.5) | 7 | (8.8) | 2 | (2.5) | 0 | (0.0) | 1 | (1.3) | 3 | (3.8) | 22 | (27.5) | 0 | (0.0) |
| Missouri | 81 | 19 | (23.5) | 1 | (1.2) | 3 | (3.7) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 2 | (2.5) | 56 | (69.1) |
| Montana | 5 | 1 | (20.0) | 1 | (20.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 2 | (40.0) | 1 | (20.0) |
| Nebraska | 27 | 15 | (55.6) | 2 | (7.4) | 0 | (0.0) | 1 | (3.7) | 0 | (0.0) | 1 | (3.7) | 1 | (3.7) | 0 | (0.0) | 7 | (25.9) |
| Nevada | 69 | 38 | (55.1) | 15 | (21.7) | 3 | (4.3) | 1 | (1.4) | 0 | (0.0) | 0 | (0.0) | 6 | (8.7) | 6 | (8.7) | 0 | (0.0) |
| New Hampshire | 12 | 8 | (66.7) | 3 | (25.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (8.3) | 0 | (0.0) |
| New Jersey | 291 | 162 | (55.7) | 54 | (18.6) | 8 | (2.7) | 6 | (2.1) | 0 | (0.0) | 0 | (0.0) | 6 | (2.1) | 55 | (18.9) | 0 | (0.0) |
| New Mexico | 41 | 23 | (56.1) | 7 | (17.1) | 1 | (2.4) | 5 | (12.2) | 0 | (0.0) | 0 | (0.0) | 1 | (2.4) | 4 | (9.8) | 0 | (0.0) |
| New York State2 | 191 | 90 | (47.1) | 50 | (26.2) | 5 | (2.6) | 4 | (2.1) | 2 | (1.0) | 0 | (0.0) | 1 | (0.5) | 31 | (16.2) | 8 | (4.2) |
| New York City | 559 | 314 | (56.2) | 103 | (18.4) | 12 | (2.1) | 34 | (6.1) | 0 | (0.0) | 0 | (0.0) | 7 | (1.3) | 80 | (14.3) | 9 | (1.6) |
| North Carolina | 196 | 87 | (44.4) | 60 | (30.6) | 5 | (2.6) | 3 | (1.5) | 0 | (0.0) | 2 | (1.0) | 0 | (0.0) | 39 | (19.9) | 0 | (0.0) |
| North Dakota | 13 | 6 | (46.2) | 0 | (0.0) | 1 | (7.7) | 0 | (0.0) | 0 | (0.0) | 1 | (7.7) | 1 | (7.7) | 4 | (30.8) | 0 | (0.0) |
| Ohio | 178 | 95 | (53.4) | 34 | (19.1) | 7 | (3.9) | 6 | (3.4) | 0 | (0.0) | 1 | (0.6) | 10 | (5.6) | 24 | (13.5) | 1 | (0.6) |
| Oklahoma | 74 | 37 | (50.0) | 14 | (18.9) | 9 | (12.2) | 3 | (4.1) | 0 | (0.0) | 1 | (1.4) | 2 | (2.7) | 8 | (10.8) | 0 | (0.0) |
| Oregon | 81 | 55 | (67.9) | 3 | (3.7) | 13 | (16.0) | 0 | (0.0) | 0 | (0.0) | 2 | (2.5) | 1 | (1.2) | 2 | (2.5) | 5 | (6.2) |
| Pennsylvania | 212 | 116 | (54.7) | 51 | (24.1) | 5 | (2.4) | 2 | (0.9) | 0 | (0.0) | 1 | (0.5) | 7 | (3.3) | 29 | (13.7) | 1 | (0.5) |
| Rhode Island | 20 | 6 | (30.0) | 9 | (45.0) | 0 | (0.0) | 0 | (0.0) | 1 | (5.0) | 1 | (5.0) | 0 | (0.0) | 3 | (15.0) | 0 | (0.0) |
| South Carolina | 86 | 30 | (34.9) | 26 | (30.2) | 6 | (7.0) | 1 | (1.2) | 0 | (0.0) | 0 | (0.0) | 1 | (1.2) | 22 | (25.6) | 0 | (0.0) |
| South Dakota | 12 | 7 | (58.3) | 1 | (8.3) | 1 | (8.3) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 3 | (25.0) | 0 | (0.0) |
| Tennessee | 139 | 66 | (47.5) | 36 | (25.9) | 5 | (3.6) | 2 | (1.4) | 0 | (0.0) | 0 | (0.0) | 7 | (5.0) | 23 | (16.5) | 0 | (0.0) |
| Texas | 1,129 | 667 | (59.1) | 125 | (11.1) | 44 | (3.9) | 136 | (12.0) | 3 | (0.3) | 0 | (0.0) | 34 | (3.0) | 84 | (7.4) | 36 | (3.2) |
| Utah | 18 | 9 | (50.0) | 5 | (27.8) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (5.6) | 0 | (0.0) | 3 | (16.7) | 0 | (0.0) |
| Vermont | 5 | 4 | (80.0) | 1 | (20.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Virginia | 205 | 159 | (77.6) | 22 | (10.7) | 3 | (1.5) | 1 | (0.5) | 0 | (0.0) | 2 | (1.0) | 9 | (4.4) | 9 | (4.4) | 0 | (0.0) |
| Washington | 188 | 105 | (55.9) | 36 | (19.1) | 8 | (4.3) | 2 | (1.1) | 0 | (0.0) | 2 | (1.1) | 3 | (1.6) | 32 | (17.0) | 0 | (0.0) |
| West Virginia | 6 | 3 | (50.0) | 1 | (16.7) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 2 | (33.3) | 0 | (0.0) |
| Wisconsin | 49 | 13 | (26.5) | 22 | (44.9) | 4 | (8.2) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 2 | (4.1) | 7 | (14.3) | 1 | (2.0) |
| Wyoming | 1 | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (100.0) | 0 | (0.0) |
| American Samoa3 | 1 | 1 | (100.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Fed. States of Micronesia3 | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Guam3 | 70 | 32 | (45.7) | 18 | (25.7) | 14 | (20.0) | 1 | (1.4) | 0 | (0.0) | 0 | (0.0) | 3 | (4.3) | 2 | (2.9) | 0 | (0.0) |
| Marshall Islands3 | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| N. Mariana Islands3 | 47 | 22 | (46.8) | 19 | (40.4) | 6 | (12.8) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Puerto Rico3 | 28 | 15 | (53.6) | 11 | (39.3) | 1 | (3.6) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (3.6) | 0 | (0.0) |
| Republic of Palau3 | 17 | 12 | (70.6) | 0 | (0.0) | 2 | (11.8) | 0 | (0.0) | 0 | (0.0) | 1 | (5.9) | 1 | (5.9) | 1 | (5.9) | 0 | (0.0) |
| U.S. Virgin Islands3 | 0 | 0 | … | 0 | … | 0 | … | 0 | … | 0 | … | 0 | … | 0 | … | 0 | … | 0 | … |
1Each tuberculosis patient has only one primary reason for TB evaluation.
2Excludes New York City.
3Not included in U.S. totals.
Note: Ellipses (…) indicate that the percentage cannot be calculated, and the denominator is 0.
Emdashes (—) indicate that data are not available.