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Tuberculosis in the United States

NOTE: The slide set is in the public domain. You may reproduce these slides without permission. You are also free to adapt and revise these slides; however, you must remove the CDC name and logo if changes are made.

  • Slide 1 (title slide). Tuberculosis in the United States—National Tuberculosis Surveillance System, Highlights from 2014. This slide set was prepared by the Division of Tuberculosis Elimination, Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (DHHS). It provides trends for the recent past and highlights data collected through the National Tuberculosis Surveillance System for 2014. Since 1953, through the cooperation of state and local health departments, CDC has collected information on newly reported cases of tuberculosis (TB) disease in the United States. The data presented here were collected via the revised TB case report introduced in 2009. Currently, each individual TB case report (Report of Verified Case of Tuberculosis or RVCT) is submitted electronically to CDC. The data for this slide set are based on updates received by CDC as of June 5, 2015. All case counts and rates for years 1993–2014 have been updated.
  • Slide 2. Reported TB Cases, United States, 1982–2014. The resurgence of TB in the mid-1980s was marked by several years of increasing case counts until its peak in 1992. Case counts began decreasing again in 1993, and 2014 marked the twenty-second year of decline in the total number of TB cases reported in the United States since the peak of the resurgence. From 1992 until 2002, the total number of TB cases decreased 5%–7% annually. From 2002 to 2003, however, the total number of TB cases decreased by only 1.4%. An unprecedented decrease occurred in 2009, when the total number of TB cases decreased by more than 10% from 2008 to 2009. In 2014, a total of 9,421 cases were reported from the 50 states and the District of Columbia (DC). This represents a decline of 1.5% from 2013 and 64.7% from 1992.
  • Slide 3. TB Morbidity, United States, 2009-2014. This slide provides the total number of reported U.S. TB cases and the associated rates for each of the past 6 years. Rate is defined as cases per 100,000 population. The number of TB cases decreased from 11,523 in 2009 to 9,421 in 2014, and the TB rate decreased from 3.8 in 2009 to 3.0 in 2014.
  • Slide 4. TB Case Rates, United States, 2014. This map shows TB rates for 2014. Forty-one states reported a rate less than or equal to 3.0 TB cases per 100,000, the 2014 national average. Ten states and DC reported a rate above 3.0 TB cases per 100,000; these accounted for 57% of the national total in 2014 and have experienced substantial overall decreases in cases and rates from 1992 through 2014.
  • Slide 5. Map of U.S.-Affiliated Pacific Islands by TB Case Rates, 2014. This map of the Pacific region shows the case rates by jurisdiction.
  • Slide 6. TB Case Rates, U.S.-Affiliated Pacific Islands, 2014. This bar chart shows TB rates for the U.S. Pacific Islands for reported cases in 2014. These case rates range from 1.8 per 100,000 in American Samoa to 212.7 per 100,000 in the Republic of the Marshall Islands. The overall case rate for the United States (3.0 per 100,000) and for Hawaii (9.6 per 100,000) are also shown.
  • Slide 7. TB Case Rates by Age Group, United States, 1993–2014. This slide shows the last 22 years’ declining trend in TB rates by age group. In 2014, case rates in all age groups declined by more than 50% from 1993 values: persons 65 years and older (from 17.7 per 100,000 in 1993 to 4.8 in 2014); adults aged 45 to 64 years (from 12.4 to 3.5); adults aged 25 to 44 years (from 11.5 to 3.4); those 15 to 24 years of age (from 5.0 to 2.2); and in children under 15 years of age (from 2.9 to 0.8).
  • Slide 7. TB Case Rates by Age Group, United States, 1993–2014. This slide shows the last 22 years’ declining trend in TB rates by age group. In 2014, case rates in all age groups declined by more than 50% from 1993 values: persons 65 years and older (from 17.7 per 100,000 in 1993 to 4.8 in 2014); adults aged 45 to 64 years (from 12.4 to 3.5); adults aged 25 to 44 years (from 11.5 to 3.4); those 15 to 24 years of age (from 5.0 to 2.2); and in children under 15 years of age (from 2.9 to 0.8).
  • Slide 9. TB Case Rates by Age Group and Sex, United States, 2014. This slide graphs the TB rates in 2014 by age group and sex. It shows that rates tended to increase with age, ranging from a low of less than 1 per 100,000 in children aged 5 to 14 to a high of 6.9 per 100,000 in men 65 years and older. As age increased, the case rate in men increased faster than women; the rates in men 45 years and older were approximately more than twice those in same-age women.
  • Slide 10. TB Case Rates by Race/Ethnicity, United States, 2003–2014. This slide shows the declining trend in TB rates by race/ethnicity during the last 12 years. Asians had the highest TB rates, which declined from 29.9 per 100,000 in 2003 to 17.8 in 2014, and had a percent decline over the time period of 40.5%. Rates also declined in the following racial/ethnic groups: among non-Hispanic blacks or African-Americans, from 11.7 in 2003 to 5.1 in 2014 (-56%); among Hispanics, from 10.3 to 5.0 (-51%); among American Indians and Alaska Natives, from 8.2 to 5.0 (-39%); and among non-Hispanic whites, from 1.4 to 0.6 (-57%). Rates increased among Native Hawaiian or Other Pacific Islanders, from 16.2 to 16.9 (+4.3%).
  • Slide 11. TB Case Rates by Age Group and Race/Ethnicity, United States, 2014. This slide presents TB rates in 2014 by age group and race/ethnicity. After infancy (age under 5), risk typically increased with age across all racial and ethnic groups; excepting the Native Hawaiian/Other Pacific Islander race/ethnicity group which does not display a pattern. Rates were consistently higher in minority racial and ethnic groups than in non-Hispanic whites. Rates were the highest in Asians and Native Hawaiians and Other Pacific Islanders, particularly in adult age groups.
  • Data Statistic Slide 12
  • Slide 13. Number of TB Cases in U.S.-born vs. Foreign-born Persons, United States, 1993–2014. This graph plots the number of U.S.-born vs. foreign-born persons reported with TB each year, from 1993 through 2014. It illustrates the increase in the percentage of cases occurring in foreign-born persons during this period, from 29% in 1993 to 66% in 2014. Overall, the number of cases in foreign-born persons remained virtually level, with approximately 7,600–8,000 cases each year before 2009, until 2009 when the number dropped to 6,961. That decreasing trend continued until 2013 with the number of foreign-born cases dropping to 6,189. However in 2014 the number of foreign-born cases increased to 6,215. The number in U.S.-born persons decreased from more than 17,000 in 1993 to 3,188 in 2014.
  • Slide 14. Trends in TB Cases in Foreign-born Persons, United States, 1993–2014. This slide shows trends in the past 22 years of TB cases in foreign-born persons in the United States from 1993 through 2014. The percentage of TB cases accounted for by foreign-born persons increased from 29% in 1992 to 66% in 2014.
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National Tuberculosis Surveillance System Highlights from 2014

This slide series was developed as an accompaniment to the document Reported Tuberculosis in the United States, 2014

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