Reported Tuberculosis in the United States, 2020

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Table 35. Tuberculosis Risk Factors1: Reporting Areas, 2020

See Surveillance Slide #58.

Reporting area Total cases Contact2 Non-HIV immunosuppression3 Diabetes mellitus Post-organ transplantation TNF-α inhibitors Other4 None Unknown/missing
No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%)
United States 7,174 532 (7.4) 662 (9.2) 1,615 (22.5) 65 (0.9) 51 (0.7) 1,735 (24.2) 3,185 (44.4) 325 (4.5)
Alabama 73 8 (11.0) 7 (9.6) 10 (13.7) 0 (0.0) 0 (0.0) 12 (16.4) 38 (52.1) 0 (0.0)
Alaska 58 22 (37.9) 2 (3.4) 7 (12.1) 0 (0.0) 0 (0.0) 11 (19.0) 19 (32.8) 0 (0.0)
Arizona 136 0 (0.0) 18 (13.2) 48 (35.3) 2 (1.5) 4 (2.9) 47 (34.6) 0 (0.0) 59 (43.4)
Arkansas 59 13 (22.0) 6 (10.2) 16 (27.1) 0 (0.0) 0 (0.0) 15 (25.4) 16 (27.1) 4 (6.8)
California 1,705 59 (3.5) 208 (12.2) 502 (29.4) 22 (1.3) 11 (0.6) 481 (28.2) 650 (38.1) 42 (2.5)
Colorado 52 6 (11.5) 3 (5.8) 9 (17.3) 0 (0.0) 0 (0.0) 11 (21.2) 29 (55.8) 0 (0.0)
Connecticut 54 1 (1.9) 6 (11.1) 10 (18.5) 0 (0.0) 3 (5.6) 13 (24.1) 36 (66.7) 0 (0.0)
Delaware 17 2 (11.8) 1 (5.9) 3 (17.6) 0 (0.0) 0 (0.0) 2 (11.8) 9 (52.9) 1 (5.9)
District of Columbia 19 2 (10.5) 2 (10.5) 1 (5.3) 1 (5.3) 0 (0.0) 1 (5.3) 14 (73.7) 0 (0.0)
Florida 412 31 (7.5) 49 (11.9) 73 (17.7) 2 (0.5) 0 (0.0) 96 (23.3) 161 (39.1) 26 (6.3)
Georgia 221 28 (12.7) 9 (4.1) 41 (18.6) 0 (0.0) 1 (0.5) 53 (24.0) 120 (54.3) 5 (2.3)
Hawaii 92 10 (10.9) 10 (10.9) 37 (40.2) 0 (0.0) 0 (0.0) 16 (17.4) 32 (34.8) 0 (0.0)
Idaho 8 0 (0.0) 1 (12.5) 0 (0.0) 0 (0.0) 1 (12.5) 0 (0.0) 3 (37.5) 3 (37.5)
Illinois 216 23 (10.6) 25 (11.6) 38 (17.6) 2 (0.9) 0 (0.0) 54 (25.0) 95 (44.0) 0 (0.0)
Indiana 92 14 (15.2) 9 (9.8) 16 (17.4) 1 (1.1) 2 (2.2) 27 (29.3) 33 (35.9) 0 (0.0)
Iowa 39 4 (10.3) 0 (0.0) 6 (15.4) 0 (0.0) 0 (0.0) 8 (20.5) 23 (59.0) 0 (0.0)
Kansas 37 2 (5.4) 3 (8.1) 5 (13.5) 0 (0.0) 0 (0.0) 4 (10.8) 23 (62.2) 0 (0.0)
Kentucky 67 15 (22.4) 4 (6.0) 9 (13.4) 1 (1.5) 0 (0.0) 34 (50.7) 20 (29.9) 0 (0.0)
Louisiana 99 16 (16.2) 8 (8.1) 10 (10.1) 0 (0.0) 0 (0.0) 11 (11.1) 53 (53.5) 7 (7.1)
Maine 17 2 (11.8) 2 (11.8) 3 (17.6) 0 (0.0) 0 (0.0) 2 (11.8) 7 (41.2) 2 (11.8)
Maryland 149 6 (4.0) 11 (7.4) 20 (13.4) 1 (0.7) 1 (0.7) 30 (20.1) 66 (44.3) 24 (16.1)
Massachusetts 142 5 (3.5) 21 (14.8) 24 (16.9) 1 (0.7) 2 (1.4) 50 (35.2) 90 (63.4) 0 (0.0)
Michigan 101 0 (0.0) 19 (18.8) 24 (23.8) 0 (0.0) 1 (1.0) 32 (31.7) 0 (0.0) 47 (46.5)
Minnesota 117 8 (6.8) 14 (12.0) 27 (23.1) 1 (0.9) 1 (0.9) 83 (70.9) 21 (17.9) 0 (0.0)
Mississippi 41 5 (12.2) 4 (9.8) 5 (12.2) 0 (0.0) 0 (0.0) 34 (82.9) 6 (14.6) 0 (0.0)
Missouri 72 8 (11.1) 10 (13.9) 9 (12.5) 0 (0.0) 1 (1.4) 6 (8.3) 20 (27.8) 23 (31.9)
Montana 4 0 (0.0) 1 (25.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 3 (75.0) 0 (0.0)
Nebraska 36 7 (19.4) 1 (2.8) 1 (2.8) 0 (0.0) 0 (0.0) 4 (11.1) 15 (41.7) 8 (22.2)
Nevada 57 1 (1.8) 5 (8.8) 14 (24.6) 0 (0.0) 1 (1.8) 11 (19.3) 33 (57.9) 0 (0.0)
New Hampshire 12 1 (8.3) 1 (8.3) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 10 (83.3) 0 (0.0)
New Jersey 245 11 (4.5) 24 (9.8) 57 (23.3) 2 (0.8) 1 (0.4) 41 (16.7) 132 (53.9) 1 (0.4)
New Mexico 29 5 (17.2) 2 (6.9) 9 (31.0) 0 (0.0) 0 (0.0) 7 (24.1) 11 (37.9) 0 (0.0)
New York State5 161 14 (8.7) 21 (13.0) 25 (15.5) 0 (0.0) 2 (1.2) 31 (19.3) 76 (47.2) 2 (1.2)
New York City 445 11 (2.5) 33 (7.4) 105 (23.6) 2 (0.4) 3 (0.7) 61 (13.7) 261 (58.7) 11 (2.5)
North Carolina 159 16 (10.1) 17 (10.7) 32 (20.1) 6 (3.8) 0 (0.0) 74 (46.5) 76 (47.8) 0 (0.0)
North Dakota 10 1 (10.0) 1 (10.0) 2 (20.0) 1 (10.0) 0 (0.0) 1 (10.0) 6 (60.0) 0 (0.0)
Ohio 130 10 (7.7) 4 (3.1) 16 (12.3) 2 (1.5) 2 (1.5) 22 (16.9) 72 (55.4) 4 (3.1)
Oklahoma 67 16 (23.9) 7 (10.4) 19 (28.4) 1 (1.5) 0 (0.0) 21 (31.3) 23 (34.3) 0 (0.0)
Oregon 67 0 (0.0) 5 (7.5) 14 (20.9) 0 (0.0) 1 (1.5) 0 (0.0) 0 (0.0) 50 (74.6)
Pennsylvania 157 5 (3.2) 6 (3.8) 23 (14.6) 2 (1.3) 0 (0.0) 19 (12.1) 105 (66.9) 0 (0.0)
Rhode Island 8 0 (0.0) 0 (0.0) 2 (25.0) 0 (0.0) 0 (0.0) 4 (50.0) 3 (37.5) 0 (0.0)
South Carolina 67 4 (6.0) 5 (7.5) 13 (19.4) 0 (0.0) 1 (1.5) 7 (10.4) 39 (58.2) 1 (1.5)
South Dakota 16 0 (0.0) 4 (25.0) 5 (31.3) 0 (0.0) 0 (0.0) 7 (43.8) 5 (31.3) 0 (0.0)
Tennessee 113 15 (13.3) 11 (9.7) 21 (18.6) 0 (0.0) 0 (0.0) 20 (17.7) 58 (51.3) 0 (0.0)
Texas 884 89 (10.1) 35 (4.0) 210 (23.8) 13 (1.5) 5 (0.6) 193 (21.8) 462 (52.3) 3 (0.3)
Utah 29 2 (6.9) 2 (6.9) 7 (24.1) 0 (0.0) 1 (3.4) 11 (37.9) 12 (41.4) 0 (0.0)
Vermont 3 0 (0.0) 0 (0.0) 1 (33.3) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 2 (66.7)
Virginia 169 14 (8.3) 11 (6.5) 33 (19.5) 1 (0.6) 4 (2.4) 33 (19.5) 85 (50.3) 0 (0.0)
Washington 163 15 (9.2) 13 (8.0) 44 (27.0) 1 (0.6) 2 (1.2) 17 (10.4) 93 (57.1) 0 (0.0)
West Virginia 13 1 (7.7) 0 (0.0) 2 (15.4) 0 (0.0) 0 (0.0) 5 (38.5) 6 (46.2) 0 (0.0)
Wisconsin 35 4 (11.4) 1 (2.9) 7 (20.0) 0 (0.0) 0 (0.0) 13 (37.1) 15 (42.9) 0 (0.0)
Wyoming 0 0 0 0 0 0 0 0 0
American Samoa6 3 0 (0.0) 0 (0.0) 2 (66.7) 0 (0.0) 0 (0.0) 1 (33.3) 1 (33.3) 0 (0.0)
Fed. States of Micronesia6 84 29 (34.5) 0 (0.0) 12 (14.3) 0 (0.0) 0 (0.0) 29 (34.5) 19 (22.6) 0 (0.0)
Guam6 57 7 (12.3) 6 (10.5) 24 (42.1) 1 (1.8) 0 (0.0) 6 (10.5) 21 (36.8) 1 (1.8)
Marshall Islands6 149 74 (49.7) 0 (0.0) 36 (24.2) 0 (0.0) 0 (0.0) 3 (2.0) 40 (26.8) 1 (0.7)
Northern Mariana Islands6 39 3 (7.7) 1 (2.6) 16 (41.0) 0 (0.0) 0 (0.0) 4 (10.3) 13 (33.3) 3 (7.7)
Puerto Rico6 27 4 (14.8) 0 (0.0) 7 (25.9) 0 (0.0) 0 (0.0) 0 (0.0) 17 (63.0) 0 (0.0)
Palau6 9 2 (22.2) 0 (0.0) 5 (55.6) 0 (0.0) 0 (0.0) 3 (33.3) 1 (11.1) 0 (0.0)
U.S. Virgin Islands6 4 1 (25.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 1 (25.0) 2 (50.0)

1Includes the number of risk factors reported (which may be more than one per case) and the number of cases with no information on additional risk factors. The sum of risk factors is greater than the total number of cases because more than one risk factor may be selected per case.
2Includes risk factor responses of MDR patient contact, missed contact, and infectious TB patient contact.
3Includes risk factor responses of end-stage renal disease and non-HIV immunosuppression.
4Includes risk factor responses of incomplete LTBI therapy and Other.
5Excludes New York City.
6Not included in U.S. totals.
Zero % (0.0) denotes <0.05%.
Ellipses (…) indicate that the percentage cannot be calculated, and the denominator is 0.