Suzanne J. Keller, MA Division of Disease Prevention Virginia Department of Health

1
Suzanne J. Keller, MADivision of Disease
PreventionVirginia Department of Health

• Tuberculosis in Virginia
• and the United States, 2007

November 2008
2
Overview of Presentation

• Sketch trends in US and Virginia
• Describe the epidemiology of TB in Virginia
• Compare US and Virginia data on key variables

3
Key National Highlights in Tuberculosis, 2007

• 13,299 TB cases reported for a case rate of 4.4
  per 100,000
• 58 of all TB cases in the US occurred among
  foreign-born persons
• All racial and ethnic groups except whites have
  case rates higher than the national average

4
Reported TB Cases United States, 19822007
Number of Cases
Year
Updated as of April 23, 2008.
5
Reported TB Cases Virginia 1980-2007
309
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Key Virginia Highlights in Tuberculosis, 2007

• 309 cases reported in 2007 for a case rate of 4.0
  per 100,000
• 74.4 of cases reported among the foreign-born
• For the second year in a row, cases among the
  US-born declined substantially

7
TB Case Rates, United States, 2007
D.C.
lt 3.5 (year 2000 target)
3.64.4
gt 4.4 (national average)
Cases per 100,000.
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TB Case Rates by RegionVirginia, 2007
9.3
1.4
Total Rate 4.5
2.6
1.5
2.4
9
Percent of Reported TB Cases by Age Virginia,
1998-2007
10
Reported TB Cases by Age and SexVirginia, 2007
Number of Cases
Age Group
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Percent of TB Cases by Race/EthnicityVirginia,
2007
12
TB Cases By RegionVirginia, 2003-2007
13
Percentage of TB Cases Among Foreign-born
Persons, United States
1997
2007
DC
gt50
2549
lt25
Updated as of April 23, 2008.
14
Foreign vs. US Born TB Cases Virginia 1998-2007
15
Trends in TB Cases in Foreign-born Persons,
United States, 19872007
No. of Cases
Percentage
Updated as of April 23, 2008.
16
Foreign-born TB Cases Top Five Countries of
Birth US and Virginia
US (2007)
Virginia (2007)

• Mexico
• Philippines
• Vietnam
• India
• China

• El Salvador
• Philippines
• India
• Bolivia
• Mexico

17
Estimated HIV Coinfection in Persons Reported
with TB, United States,19932006
Coinfection
2006
Updated as of April 23, 2008. Note Minimum
estimates based on reported HIV-positive status
among all TB cases in the age group.
18
Number of Reported TB/AIDS CasesVirginia,
2003-2007
19
Primary MDR TBUnited States, 19932007
No. of Cases
Percentage
Updated as of April 23, 2008. Note Based on
initial isolates from persons with no prior
history of TB. MDR TB defined as resistance to
at least isoniazid and rifampin.
20
MDR Cases Percent of Cases with Resistance to
Any First Line Drugs VA, 2003-2007
21
Thanks

• National Data Slides from CDC