Tuberculosis in the United States 2021 Slide Set

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NOTE: The slide set is in the public domain. You may reproduce these slides without permission; however it is requested that you include an attribution that the materials were developed by CDC (e.g., “Source: CDC” or “Slides developed by CDC”). No substantive changes should be made to the content.

Tuberculosis in the United States—National Tuberculosis Surveillance System, Highlights from 2021.
Slide - 1
This graph shows the annual number of TB cases in the United States for each year during 1982–2021
Slide - 2
During 2021, the United States reported 7,882 TB cases, an incidence rate of 2.4 cases per 100,000 persons.
Slide - 3
The top graph shows incidence rates (cases per 100,000 persons) since 2010.
Slide - 4
The National Vital Statistics System (NVSS) reported 600 TB-related deaths (0.2 deaths per 100,000 persons)
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Among U.S. states, close to half (49.9%) of TB cases continue to be reported from 4 states.
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Nine states and the District of Columbia had incidence rates higher than the national rate of 2.4 cases per 100,000 persons.
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This map shows each state shaded based on two scales, one representing TB case counts and one representing incidence rates.
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TB Incidence Rates* by U.S.-Affiliated Pacific Islands and Hawaii, 2020
Slide - 9
Among the U.S.-Affiliated Pacific Islands, incidence rates.
Slide - 10
The distribution of the origin of birth for persons with TB remained similar in 2021 to previous years.
Slide - 11
Incidence rates for U.S.-born persons are shown in the left figure in purple, and incidence rates for non-U.S.–born persons.
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The TB incidence rate among non-U.S.–born persons of 12.5 per 100,000 persons was 16 times the rate of 0.8 per 100,000.
Slide - 13
In 2021, five countries of birth accounted for 54% of countries of birth origin among non-U.S.–born persons.
Slide - 14
The countries of birth with the highest U.S. incidence rates of TB disease.
Slide - 15
This slide shows the percentage of TB cases among the non-U.S.–born by number of years.
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This graph shows overall TB case counts in the past decade by race/ethnicity.
Slide - 17
This 100% stacked bar chart shows percentage distributions over time by race/ethnicity.
Slide - 18
This bar chart shows the percentage of TB cases by race/ethnicity for 2021.
Slide - 19
TB incidence rates (number of cases per 100,000 persons) vary by race/ethnicity groups.
Slide - 20
The number of TB cases reported among U.S.-born persons has declined since 2011.
Slide - 21
In 2021, among U.S.-born persons, Native Hawaiian or Other Pacific Islander persons had the highest incidence rate.
Slide - 22
The number of TB cases reported among non-U.S.–born persons increased from 2020 (n=5,145) to 2021 (n=5,626).
Slide - 23
In 2021, among non-U.S.–born persons, persons who identify with more than one race had the highest incidence rate.
Slide - 24
These figures show TB incidence rates by race/ethnicity among non-U.S.–born persons and U.S.-born persons.
Slide - 25
The distribution of race/ethnicity among persons with TB disease continued to differ markedly by origin of birth in 2021.
Slide - 26
This slide shows TB incidence rates (cases per 100,000 persons) by race/ethnicity among non-U.S.–born persons compared with U.S.-born persons in 2021.
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The distribution of TB cases by age group in 2021 remained similar to past years.
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TB incidence rates are higher among adults than among children, and among persons 15 years and older, the incidence rates.
Slide - 29
The change in number of cases among U.S.-born persons by age from 1994 to 2021.
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Since 1994, each age group among U.S.-born persons has experienced a 72% or greater decline in incidence rate.
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The percentage of TB cases by age group among non-U.S.–born persons remained relatively the same from 2020 to 2021.
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From 1994 through 2020, each age group among non-U.S.–born persons has experienced a 50% or greater decline in incidence.
Slide - 33
This slide examines the percentage of TB cases by birth decade cohort.
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This slide examines the percentage of TB cases by birth decade cohort.
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Males continued to represent the majority (61.3%) of persons with TB disease overall.
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In contrast to overall U.S. TB cases, for which over two-thirds of cases were among non-U.S.–born persons.
Slide - 37
In 2021, the majority (80%) of children less than 15 years old with TB disease were U.S.-born, however, the incidence rate.
Slide - 38
In 2021, most TB cases continued to be verified by positive culture at 79.2% (n=6,244), with other laboratory-confirmation methods.
Slide - 39
Pediatric TB Cases by Age Group, United States, 1993–2020
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The vast majority of TB cases had pulmonary involvement (78.8%).
Slide - 41
Since the early 2000s, the percentage of patients started on the standard initial four-drug regimen.
Slide - 42
Of TB patients who were on therapy in 2021, 83.2% started on isoniazid, rifampin, pyrazinamide, and ethambutol.
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The percentage of people with TB disease receiving at least a portion of their medication by directly observed therapy.
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During 2019, the most recent year for which treatment completion data are available.
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Percentage of TB Cases* by Completion of TB Therapy,United States, 1993–2019†
Slide - 46
Successful therapy completion for people with TB disease is a major performance indicator for TB programs.
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TB Cases Resistant to Isoniazid* by Origin of Birth,† United States, 1993–2021
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Number and Percentage of Multidrug-Resistant (MDR)* TB Cases by History of TB, United States, 1993–2021
Slide - 49
Percentage of HIV Coinfection by Age Among Persons with TB,* United States, 2011–2021
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Percentage of Selected Risk Factors Among Persons with TB by Origin of Birth,* United States, 2021
Slide - 51
Percentage of Social and Behavioral Risk Factors Among Persons Aged ≥15 Years with TB, United States, 2021
Slide - 52
Number and Percentage of Correctional Facility* Residents Among Persons Aged ≥15 Years with TB, United States, 1993–2021
Slide - 53
TB Cases Among Correctional Facility Residents Aged ≥15 Years by Type of Facility, United States, 1993–2021
Slide - 54
TB Cases Among Correctional Facility Residents Aged ≥15 Years by Type of Facility, United States, 2021
Slide - 55
Percentage of TB Cases by Primary Occupation* Among Persons Aged ≥15 Years, United States, 2021 (N=5,795)
Slide - 56
Percentage of TB Cases by Statusand Cause of Death, United States, 2019* (N=8,898)
Slide - 57
National TB Genotyping Surveillance Coverage,* United States, 2004–2021
Slide - 58
National TB Genotyping Surveillance Coverage,* United States, 2004–2021
Slide - 59
Definitions for TB Genotyping in the United States
Slide - 60
Number of County-based TB Genotype Clusters* by Cluster Size, United States, 2019–2021
Slide - 61
TB Genotype Clusters by TB GIMS* Alert Levels,† United States, 2019–2021 (N=1,241)
Slide - 62
Genotyped TB Cases Estimated to be Attributed to Recent Transmission, United States, 2020–2021 (N=11,404)
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Genotyped Cases Estimated to be Attributed to Limited and Extensive Recent Transmission,* United States, 2018–2021
Slide - 64
Percentages of TB Cases Estimated to be Attributed and Not Attributed to Recent Transmission* by Origin of Birth,† 2020–2021
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Percentage of TB Cases Estimated to be Attributed to Recent Transmission* by Race/Ethnicity,† United States, 2018–2021
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Percentage of TB Cases Estimated to be Attributed to Extensive Recent Transmission* by Race/Ethnicity,† United States
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For more information, please contact Division of Tuberculosis Elimination at http://www.cdc.gov/tb/.
Slide - 68
National Tuberculosis Surveillance System Highlights from 2021