Reported Tuberculosis in the United States, 2020

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Table 36. Primary Reason for Tuberculosis Evaluation:1 Reporting Areas, 2020

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 7,174 4,066 (56.7) 1,350 (18.8) 307 (4.3) 249 (3.5) 16 (0.2) 26 (0.4) 82 (1.1) 709 (9.9) 369 (5.1)
Alabama 73 38 (52.1) 8 (11.0) 6 (8.2) 0 (0.0) 0 (0.0) 0 (0.0) 1 (1.4) 20 (27.4) 0 (0.0)
Alaska 58 18 (31.0) 14 (24.1) 16 (27.6) 8 (13.8) 0 (0.0) 0 (0.0) 1 (1.7) 1 (1.7) 0 (0.0)
Arizona 136 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 136 (100.0)
Arkansas 59 19 (32.2) 24 (40.7) 8 (13.6) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 8 (13.6) 0 (0.0)
California 1,705 1076 (63.1) 352 (20.6) 32 (1.9) 32 (1.9) 2 (0.1) 7 (0.4) 25 (1.5) 172 (10.1) 7 (0.4)
Colorado 52 39 (75.0) 8 (15.4) 3 (5.8) 1 (1.9) 0 (0.0) 0 (0.0) 0 (0.0) 1 (1.9) 0 (0.0)
Connecticut 54 46 (85.2) 1 (1.9) 2 (3.7) 3 (5.6) 0 (0.0) 0 (0.0) 2 (3.7) 0 (0.0) 0 (0.0)
Delaware 17 10 (58.8) 3 (17.6) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 1 (5.9) 3 (17.6) 0 (0.0)
District of Columbia 19 15 (78.9) 0 (0.0) 0 (0.0) 1 (5.3) 0 (0.0) 0 (0.0) 0 (0.0) 3 (15.8) 0 (0.0)
Florida 412 246 (59.7) 102 (24.8) 10 (2.4) 6 (1.5) 1 (0.2) 1 (0.2) 3 (0.7) 43 (10.4) 0 (0.0)
Georgia 221 105 (47.5) 62 (28.1) 10 (4.5) 4 (1.8) 0 (0.0) 0 (0.0) 2 (0.9) 35 (15.8) 3 (1.4)
Hawaii 92 50 (54.3) 6 (6.5) 9 (9.8) 1 (1.1) 1 (1.1) 2 (2.2) 2 (2.2) 21 (22.8) 0 (0.0)
Idaho 8 3 (37.5) 2 (25.0) 0 (0.0) 2 (25.0) 0 (0.0) 0 (0.0) 0 (0.0) 1 (12.5) 0 (0.0)
Illinois 216 157 (72.7) 30 (13.9) 4 (1.9) 3 (1.4) 1 (0.5) 0 (0.0) 2 (0.9) 19 (8.8) 0 (0.0)
Indiana 92 76 (82.6) 2 (2.2) 9 (9.8) 1 (1.1) 0 (0.0) 1 (1.1) 1 (1.1) 2 (2.2) 0 (0.0)
Iowa 39 33 (84.6) 3 (7.7) 3 (7.7) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)
Kansas 37 22 (59.5) 4 (10.8) 1 (2.7) 10 (27.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)
Kentucky 67 44 (65.7) 9 (13.4) 6 (9.0) 0 (0.0) 0 (0.0) 0 (0.0) 2 (3.0) 6 (9.0) 0 (0.0)
Louisiana 99 49 (49.5) 22 (22.2) 16 (16.2) 2 (2.0) 0 (0.0) 0 (0.0) 1 (1.0) 8 (8.1) 1 (1.0)
Maine 17 12 (70.6) 2 (11.8) 0 (0.0) 2 (11.8) 0 (0.0) 0 (0.0) 0 (0.0) 1 (5.9) 0 (0.0)
Maryland 149 97 (65.1) 32 (21.5) 6 (4.0) 2 (1.3) 0 (0.0) 1 (0.7) 2 (1.3) 6 (4.0) 3 (2.0)
Massachusetts 142 107 (75.4) 30 (21.1) 3 (2.1) 0 (0.0) 0 (0.0) 0 (0.0) 1 (0.7) 1 (0.7) 0 (0.0)
Michigan 101 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 101 (100.0)
Minnesota 117 103 (88.0) 4 (3.4) 6 (5.1) 3 (2.6) 0 (0.0) 0 (0.0) 0 (0.0) 1 (0.9) 0 (0.0)
Mississippi 41 7 (17.1) 16 (39.0) 4 (9.8) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 14 (34.1) 0 (0.0)
Missouri 72 45 (62.5) 1 (1.4) 7 (9.7) 2 (2.8) 0 (0.0) 1 (1.4) 2 (2.8) 3 (4.2) 11 (15.3)
Montana 4 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 4 (100.0) 0 (0.0)
Nebraska 36 20 (55.6) 2 (5.6) 4 (11.1) 2 (5.6) 0 (0.0) 0 (0.0) 0 (0.0) 3 (8.3) 5 (13.9)
Nevada 57 37 (64.9) 12 (21.1) 4 (7.0) 1 (1.8) 0 (0.0) 0 (0.0) 1 (1.8) 2 (3.5) 0 (0.0)
New Hampshire 12 7 (58.3) 2 (16.7) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 3 (25.0) 0 (0.0)
New Jersey 245 141 (57.6) 42 (17.1) 12 (4.9) 3 (1.2) 0 (0.0) 1 (0.4) 1 (0.4) 45 (18.4) 0 (0.0)
New Mexico 29 12 (41.4) 6 (20.7) 1 (3.4) 3 (10.3) 0 (0.0) 0 (0.0) 0 (0.0) 7 (24.1) 0 (0.0)
New York State2 161 76 (47.2) 44 (27.3) 3 (1.9) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 26 (16.1) 12 (7.5)
New York City 445 249 (56.0) 107 (24.0) 9 (2.0) 24 (5.4) 0 (0.0) 1 (0.2) 2 (0.4) 49 (11.0) 4 (0.9)
North Carolina 159 63 (39.6) 58 (36.5) 9 (5.7) 1 (0.6) 1 (0.6) 0 (0.0) 0 (0.0) 27 (17.0) 0 (0.0)
North Dakota 10 8 (80.0) 1 (10.0) 0 (0.0) 0 (0.0) 0 (0.0) 1 (10.0) 0 (0.0) 0 (0.0) 0 (0.0)
Ohio 130 82 (63.1) 24 (18.5) 3 (2.3) 2 (1.5) 2 (1.5) 2 (1.5) 2 (1.5) 10 (7.7) 3 (2.3)
Oklahoma 67 26 (38.8) 11 (16.4) 7 (10.4) 2 (3.0) 0 (0.0) 0 (0.0) 0 (0.0) 21 (31.3) 0 (0.0)
Oregon 67 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 67 (100.0)
Pennsylvania 157 77 (49.0) 50 (31.8) 2 (1.3) 3 (1.9) 0 (0.0) 1 (0.6) 2 (1.3) 22 (14.0) 0 (0.0)
Rhode Island 8 2 (25.0) 4 (50.0) 0 (0.0) 0 (0.0) 1 (12.5) 0 (0.0) 0 (0.0) 1 (12.5) 0 (0.0)
South Carolina 67 26 (38.8) 23 (34.3) 3 (4.5) 1 (1.5) 1 (1.5) 1 (1.5) 0 (0.0) 12 (17.9) 0 (0.0)
South Dakota 16 10 (62.5) 6 (37.5) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)
Tennessee 113 71 (62.8) 18 (15.9) 6 (5.3) 0 (0.0) 0 (0.0) 0 (0.0) 1 (0.9) 17 (15.0) 0 (0.0)
Texas 884 457 (51.7) 148 (16.7) 63 (7.1) 119 (13.5) 4 (0.5) 2 (0.2) 18 (2.0) 59 (6.7) 14 (1.6)
Utah 29 24 (82.8) 0 (0.0) 2 (6.9) 1 (3.4) 1 (3.4) 0 (0.0) 1 (3.4) 0 (0.0) 0 (0.0)
Vermont 3 2 (66.7) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 1 (33.3) 0 (0.0)
Virginia 169 108 (63.9) 28 (16.6) 9 (5.3) 2 (1.2) 0 (0.0) 3 (1.8) 5 (3.0) 14 (8.3) 0 (0.0)
Washington 163 120 (73.6) 18 (11.0) 7 (4.3) 2 (1.2) 1 (0.6) 1 (0.6) 1 (0.6) 12 (7.4) 1 (0.6)
West Virginia 13 8 (61.5) 3 (23.1) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 2 (15.4) 0 (0.0)
Wisconsin 35 23 (65.7) 6 (17.1) 2 (5.7) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 3 (8.6) 1 (2.9)
Wyoming 0 0 — 0 — 0 — 0 — 0 — 0 — 0 — 0 — 0 —
American Samoa3 3 1 (33.3) 1 (33.3) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 1 (33.3) 0 (0.0)
Fed. States of Micronesia3 84 59 (70.2) 0 (0.0) 21 (25.0) 2 (2.4) 0 (0.0) 2 (2.4) 0 (0.0) 0 (0.0) 0 (0.0)
Guam3 57 30 (52.6) 14 (24.6) 3 (5.3) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 10 (17.5) 0 (0.0)
Marshall Islands3 149 117 (78.5) 7 (4.7) 7 (4.7) 17 (11.4) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 1 (0.7)
Northern Mariana Islands3 39 23 (59.0) 12 (30.8) 1 (2.6) 0 (0.0) 0 (0.0) 1 (2.6) 1 (2.6) 0 (0.0) 1 (2.6)
Puerto Rico3 27 14 (51.9) 11 (40.7) 2 (7.4) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)
Palau3 9 8 (88.9) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 1 (11.1) 0 (0.0) 0 (0.0) 0 (0.0)
U.S. Virgin Islands3 4 2 (50.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 2 (50.0)

1Each TB patient has only one primary reason for TB evaluation.
2Excludes New York City.
3Not included in U.S. totals.
Ellipses (…) indicate that the percentage cannot be calculated, and the denominator is 0.

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