Reported Tuberculosis in the United States, 2019
Table 36. Primary Reason for Tuberculosis Evaluation1: Reporting Areas, 2019
| 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 | 8,916 | 4,976 | (55.8) | 1,814 | (20.3) | 362 | (4.1) | 416 | (4.7) | 20 | (0.2) | 47 | (0.5) | 178 | (2.0) | 965 | (10.8) | 138 | (1.5) |
| Alabama | 87 | 42 | (48.3) | 20 | (23.0) | 4 | (4.6) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 2 | (2.3) | 19 | (21.8) | 0 | (0.0) |
| Alaska | 58 | 32 | (55.2) | 10 | (17.2) | 8 | (13.8) | 4 | (6.9) | 0 | (0.0) | 0 | (0.0) | 4 | (6.9) | 0 | (0.0) | 0 | (0.0) |
| Arizona | 183 | 101 | (55.2) | 19 | (10.4) | 12 | (6.6) | 41 | (22.4) | 0 | (0.0) | 0 | (0.0) | 2 | (1.1) | 8 | (4.4) | 0 | (0.0) |
| Arkansas | 64 | 10 | (15.6) | 33 | (51.6) | 8 | (12.5) | 3 | (4.7) | 1 | (1.6) | 0 | (0.0) | 0 | (0.0) | 9 | (14.1) | 0 | (0.0) |
| California | 2,113 | 1342 | (63.5) | 416 | (19.7) | 45 | (2.1) | 53 | (2.5) | 2 | (0.1) | 10 | (0.5) | 38 | (1.8) | 189 | (8.9) | 18 | (0.9) |
| Colorado | 66 | 47 | (71.2) | 6 | (9.1) | 7 | (10.6) | 2 | (3.0) | 0 | (0.0) | 0 | (0.0) | 1 | (1.5) | 3 | (4.5) | 0 | (0.0) |
| Connecticut | 67 | 61 | (91.0) | 3 | (4.5) | 1 | (1.5) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 2 | (3.0) | 0 | (0.0) | 0 | (0.0) |
| Delaware | 19 | 7 | (36.8) | 5 | (26.3) | 3 | (15.8) | 1 | (5.3) | 1 | (5.3) | 0 | (0.0) | 0 | (0.0) | 1 | (5.3) | 1 | (5.3) |
| District of Columbia | 24 | 14 | (58.3) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (4.2) | 0 | (0.0) | 0 | (0.0) | 9 | (37.5) | 0 | (0.0) |
| Florida | 558 | 274 | (49.1) | 175 | (31.4) | 21 | (3.8) | 10 | (1.8) | 0 | (0.0) | 0 | (0.0) | 10 | (1.8) | 66 | (11.8) | 2 | (0.4) |
| Georgia | 299 | 123 | (41.1) | 91 | (30.4) | 21 | (7.0) | 15 | (5.0) | 0 | (0.0) | 1 | (0.3) | 7 | (2.3) | 39 | (13.0) | 2 | (0.7) |
| Hawaii | 99 | 56 | (56.6) | 18 | (18.2) | 3 | (3.0) | 1 | (1.0) | 0 | (0.0) | 3 | (3.0) | 4 | (4.0) | 13 | (13.1) | 1 | (1.0) |
| Idaho | 7 | 3 | (42.9) | 1 | (14.3) | 1 | (14.3) | 1 | (14.3) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (14.3) |
| Illinois | 326 | 213 | (65.3) | 61 | (18.7) | 8 | (2.5) | 3 | (0.9) | 1 | (0.3) | 2 | (0.6) | 12 | (3.7) | 26 | (8.0) | 0 | (0.0) |
| Indiana | 108 | 66 | (61.1) | 22 | (20.4) | 7 | (6.5) | 3 | (2.8) | 1 | (0.9) | 2 | (1.9) | 2 | (1.9) | 5 | (4.6) | 0 | (0.0) |
| Iowa | 52 | 40 | (76.9) | 5 | (9.6) | 4 | (7.7) | 1 | (1.9) | 0 | (0.0) | 1 | (1.9) | 0 | (0.0) | 1 | (1.9) | 0 | (0.0) |
| Kansas | 38 | 23 | (60.5) | 2 | (5.3) | 1 | (2.6) | 3 | (7.9) | 0 | (0.0) | 1 | (2.6) | 1 | (2.6) | 7 | (18.4) | 0 | (0.0) |
| Kentucky | 66 | 39 | (59.1) | 12 | (18.2) | 2 | (3.0) | 1 | (1.5) | 0 | (0.0) | 1 | (1.5) | 1 | (1.5) | 10 | (15.2) | 0 | (0.0) |
| Louisiana | 89 | 53 | (59.6) | 14 | (15.7) | 8 | (9.0) | 4 | (4.5) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 10 | (11.2) | 0 | (0.0) |
| Maine | 18 | 13 | (72.2) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (5.6) | 1 | (5.6) | 2 | (11.1) | 1 | (5.6) |
| Maryland | 210 | 132 | (62.9) | 47 | (22.4) | 3 | (1.4) | 7 | (3.3) | 1 | (0.5) | 1 | (0.5) | 5 | (2.4) | 14 | (6.7) | 0 | (0.0) |
| Massachusetts | 178 | 114 | (64.0) | 45 | (25.3) | 4 | (2.2) | 1 | (0.6) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 11 | (6.2) | 3 | (1.7) |
| Michigan | 131 | 69 | (52.7) | 34 | (26.0) | 6 | (4.6) | 4 | (3.1) | 0 | (0.0) | 1 | (0.8) | 2 | (1.5) | 15 | (11.5) | 0 | (0.0) |
| Minnesota | 148 | 126 | (85.1) | 4 | (2.7) | 9 | (6.1) | 3 | (2.0) | 0 | (0.0) | 1 | (0.7) | 3 | (2.0) | 2 | (1.4) | 0 | (0.0) |
| Mississippi | 56 | 7 | (12.5) | 28 | (50.0) | 8 | (14.3) | 1 | (1.8) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 12 | (21.4) | 0 | (0.0) |
| Missouri | 70 | 17 | (24.3) | 3 | (4.3) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 50 | (71.4) |
| Montana | 2 | 1 | (50.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (50.0) | 0 | (0.0) |
| Nebraska | 17 | 15 | (88.2) | 0 | (0.0) | 1 | (5.9) | 1 | (5.9) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Nevada | 52 | 37 | (71.2) | 9 | (17.3) | 2 | (3.8) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (1.9) | 3 | (5.8) | 0 | (0.0) |
| New Hampshire | 6 | 1 | (16.7) | 1 | (16.7) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 4 | (66.7) | 0 | (0.0) |
| New Jersey | 311 | 172 | (55.3) | 52 | (16.7) | 12 | (3.9) | 0 | (0.0) | 0 | (0.0) | 4 | (1.3) | 5 | (1.6) | 66 | (21.2) | 0 | (0.0) |
| New Mexico | 41 | 19 | (46.3) | 10 | (24.4) | 0 | (0.0) | 5 | (12.2) | 0 | (0.0) | 0 | (0.0) | 2 | (4.9) | 5 | (12.2) | 0 | (0.0) |
| New York State2 | 188 | 87 | (46.3) | 46 | (24.5) | 3 | (1.6) | 4 | (2.1) | 1 | (0.5) | 4 | (2.1) | 1 | (0.5) | 39 | (20.7) | 3 | (1.6) |
| New York City | 566 | 345 | (61.0) | 97 | (17.1) | 4 | (0.7) | 27 | (4.8) | 1 | (0.2) | 1 | (0.2) | 7 | (1.2) | 80 | (14.1) | 4 | (0.7) |
| North Carolina | 185 | 70 | (37.8) | 60 | (32.4) | 7 | (3.8) | 2 | (1.1) | 0 | (0.0) | 0 | (0.0) | 1 | (0.5) | 45 | (24.3) | 0 | (0.0) |
| North Dakota | 18 | 9 | (50.0) | 1 | (5.6) | 1 | (5.6) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 7 | (38.9) | 0 | (0.0) |
| Ohio | 150 | 86 | (57.3) | 29 | (19.3) | 4 | (2.7) | 1 | (0.7) | 0 | (0.0) | 2 | (1.3) | 2 | (1.3) | 26 | (17.3) | 0 | (0.0) |
| Oklahoma | 73 | 36 | (49.3) | 17 | (23.3) | 4 | (5.5) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 2 | (2.7) | 13 | (17.8) | 1 | (1.4) |
| Oregon | 70 | 40 | (57.1) | 10 | (14.3) | 4 | (5.7) | 0 | (0.0) | 0 | (0.0) | 2 | (2.9) | 1 | (1.4) | 6 | (8.6) | 7 | (10.0) |
| Pennsylvania | 198 | 103 | (52.0) | 50 | (25.3) | 1 | (0.5) | 5 | (2.5) | 1 | (0.5) | 0 | (0.0) | 9 | (4.5) | 28 | (14.1) | 1 | (0.5) |
| Rhode Island | 14 | 4 | (28.6) | 5 | (35.7) | 0 | (0.0) | 0 | (0.0) | 1 | (7.1) | 0 | (0.0) | 2 | (14.3) | 2 | (14.3) | 0 | (0.0) |
| South Carolina | 80 | 21 | (26.3) | 34 | (42.5) | 6 | (7.5) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (1.3) | 18 | (22.5) | 0 | (0.0) |
| South Dakota | 16 | 9 | (56.3) | 5 | (31.3) | 0 | (0.0) | 1 | (6.3) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (6.3) | 0 | (0.0) |
| Tennessee | 128 | 68 | (53.1) | 33 | (25.8) | 9 | (7.0) | 0 | (0.0) | 0 | (0.0) | 1 | (0.8) | 2 | (1.6) | 13 | (10.2) | 2 | (1.6) |
| Texas | 1,159 | 537 | (46.3) | 174 | (15.0) | 82 | (7.1) | 201 | (17.3) | 6 | (0.5) | 2 | (0.2) | 39 | (3.4) | 80 | (6.9) | 38 | (3.3) |
| Utah | 27 | 16 | (59.3) | 4 | (14.8) | 2 | (7.4) | 1 | (3.7) | 0 | (0.0) | 1 | (3.7) | 0 | (0.0) | 3 | (11.1) | 0 | (0.0) |
| Vermont | 4 | 3 | (75.0) | 1 | (25.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Virginia | 192 | 109 | (56.8) | 38 | (19.8) | 13 | (6.8) | 2 | (1.0) | 1 | (0.5) | 4 | (2.1) | 4 | (2.1) | 20 | (10.4) | 1 | (0.5) |
| Washington | 223 | 142 | (63.7) | 38 | (17.0) | 12 | (5.4) | 4 | (1.8) | 1 | (0.4) | 1 | (0.4) | 2 | (0.9) | 22 | (9.9) | 1 | (0.4) |
| West Virginia | 10 | 7 | (70.0) | 3 | (30.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Wisconsin | 51 | 14 | (27.5) | 23 | (45.1) | 1 | (2.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 12 | (23.5) | 1 | (2.0) |
| Wyoming | 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) |
| 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 | 91 | 53 | (58.2) | 2 | (2.2) | 32 | (35.2) | 2 | (2.2) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 2 | (2.2) |
| Guam3 | 79 | 38 | (48.1) | 23 | (29.1) | 11 | (13.9) | 0 | (0.0) | 1 | (1.3) | 1 | (1.3) | 2 | (2.5) | 3 | (3.8) | 0 | (0.0) |
| Marshall Islands3 | 226 | 193 | (85.4) | 3 | (1.3) | 9 | (4.0) | 16 | (7.1) | 0 | (0.0) | 1 | (0.4) | 0 | (0.0) | 0 | (0.0) | 4 | (1.8) |
| N. Mariana Islands3 | 51 | 22 | (43.1) | 20 | (39.2) | 6 | (11.8) | 0 | (0.0) | 0 | (0.0) | 3 | (5.9) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Puerto Rico3 | 36 | 14 | (38.9) | 20 | (55.6) | 1 | (2.8) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (2.8) | 0 | (0.0) |
| Republic of Palau3 | 6 | 6 | (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) |
| U.S. Virgin Islands3 | 1 | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (100.0) |
1Each TB patient has only one primary reason for TB evaluation.
2Excludes New York City.
3Not included in U.S. totals.
Zero % (0.0) denotes <0.05%.