Reported Tuberculosis in the United States, 2021

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Table 34. Tuberculosis Cases and Incidence Rates per 100,000 Population: Reporting Areas, 2021 and 2020

See Surveillance Slides #6, #7, #8, and #9.

Tuberculosis cases and incidence rates by reporting area.
Reporting area Cases Incidence rates Population estimates
2021 2020 Percentage change 2021 2020 Percentage change July 1, 2021
United States1 7,882 7,171 9.9 2.4 2.2 9.8 331,893,745
Alabama 92 72 27.8 1.8 1.4 27.4 5,039,877
Alaska 58 58 0.0 7.9 7.9 0.0 732,673
Arizona 129 136 -5.1 1.8 1.9 -6.4 7,276,316
Arkansas 69 59 16.9 2.3 2.0 16.4 3,025,891
California 1,752 1,704 2.8 4.5 4.3 3.5 39,237,836
Colorado 58 52 11.5 1.0 0.9 11.0 5,812,069
Connecticut 54 54 0.0 1.5 1.5 -0.1 3,605,597
Delaware 41 17 141.2 4.1 1.7 138.4 1,003,384
District of Columbia 18 19 -5.3 2.7 2.8 -2.4 670,050
Florida 500 412 21.4 2.3 1.9 20.2 21,781,128
Georgia 223 221 0.9 2.1 2.1 0.2 10,799,566
Hawaii 106 92 15.2 7.4 6.3 16.0 1,441,553
Idaho 5 8 -37.5 0.3 0.4 -39.2 1,900,923
Illinois 254 216 17.6 2.0 1.7 18.6 12,671,469
Indiana 127 92 38.0 1.9 1.4 37.6 6,805,985
Iowa 49 39 25.6 1.5 1.2 25.5 3,193,079
Kansas 43 37 16.2 1.5 1.3 16.3 2,934,582
Kentucky 57 66 -13.6 1.3 1.5 -13.7 4,509,394
Louisiana 86 99 -13.1 1.9 2.1 -12.6 4,624,047
Maine 14 17 -17.6 1.0 1.2 -18.2 1,372,247
Maryland 195 148 31.8 3.2 2.4 31.9 6,165,129
Massachusetts 151 142 6.3 2.2 2.0 6.9 6,984,723
Michigan 137 101 35.6 1.4 1.0 35.9 10,050,811
Minnesota 134 117 14.5 2.3 2.1 14.5 5,707,390
Mississippi 46 43 7.0 1.6 1.5 7.2 2,949,965
Missouri 78 79 -1.3 1.3 1.3 -1.5 6,168,187
Montana 3 4 -25.0 0.3 0.4 -26.2 1,104,271
Nebraska 22 33 -33.3 1.1 1.7 -33.4 1,963,692
Nevada 61 57 7.0 1.9 1.8 6.0 3,143,991
New Hampshire 12 12 0.0 0.9 0.9 -0.8 1,388,992
New Jersey 292 245 19.2 3.2 2.6 19.3 9,267,130
New Mexico 24 29 -17.2 1.1 1.4 -17.2 2,115,877
New York State2 154 161 -4.3 1.4 1.4 -4.2 11,368,400
New York City 529 444 19.1 6.2 5.1 23.4 8,467,513
North Carolina 178 159 11.9 1.7 1.5 11.0 10,551,162
North Dakota 15 10 50.0 1.9 1.3 50.8 774,948
Ohio 150 130 15.4 1.3 1.1 15.5 11,780,017
Oklahoma 69 67 3.0 1.7 1.7 2.3 3,986,639
Oregon 76 67 13.4 1.8 1.6 13.3 4,246,155
Pennsylvania 166 157 5.7 1.3 1.2 5.9 12,964,056
Rhode Island 17 7 142.9 1.6 0.6 143.0 1,095,610
South Carolina 87 67 29.9 1.7 1.3 28.4 5,190,705
South Dakota 12 16 -25.0 1.3 1.8 -25.7 895,376
Tennessee 84 113 -25.7 1.2 1.6 -26.3 6,975,218
Texas 1,000 881 13.5 3.4 3.0 12.3 29,527,941
Utah 17 29 -41.4 0.5 0.9 -42.4 3,337,975
Vermont 3 3 0.0 0.5 0.5 -0.5 645,570
Virginia 161 169 -4.7 1.9 2.0 -4.8 8,642,274
Washington 199 163 22.1 2.6 2.1 21.8 7,738,692
West Virginia 6 13 -53.8 0.3 0.7 -53.7 1,782,959
Wisconsin 66 35 88.6 1.1 0.6 88.5 5,895,908
Wyoming 3 0 0.5 0.0 578,803
American Samoa 4 3 33.3 8.6 6.3 36.3 46,366
Federated States of Micronesia 71 84 -15.5 62.8 74.9 -16.2 113,131
Guam 58 57 1.8 34.4 33.8 1.6 168,801
Republic of the Marshall Islands 118 149 -20.8 280.6 343.2 -18.2 42,050
Northern Mariana Islands 35 38 -7.9 67.8 73.3 -7.6 51,659
Puerto Rico 18 27 -33.3 0.6 0.8 -33.0 3,263,584
Republic of Palau 6 9 -33.3 33.3 50.1 -33.5 18,024
U.S. Virgin Islands 2 4 -50.0 1.9 3.8 -49.8 105,870

1American Samoa, Federated States of Micronesia, Guam, Republic of the Marshall Islands, Northern Mariana Islands, Puerto Rico, Republic of Palau, and U.S. Virgin Islands are not included in the U.S. totals and percentages.
2Excludes New York City.

Note:
Denominators for computing 2020 and 2021 incidence rates for states, the District of Columbia, and Puerto Rico were obtained from U.S. Census Annual Estimates of the Resident Population for the United States, Regions, States, the District of Columbia and Puerto Rico (April 1, 2020 to July 1, 2021).

Totals for U.S. territories (excluding Puerto Rico) were obtained from the International Data Base and totals for freely associated states were obtained from the United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019, Online Edition. Total Population (both sexes combined) by region, subregion and country, annually for 1950-2100 (thousands) Estimates, 1950 – 2020; accessed July 13, 2022.

Ellipses (…) indicate that the percentage cannot be calculated, and the denominator is 0.

See Technical Notes.