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Suzanne J. Keller, MA Division of Disease Prevention Virginia Department of Health Tuberculosis in Virginia and the United States, 2007 November 2008.

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Presentation on theme: "Suzanne J. Keller, MA Division of Disease Prevention Virginia Department of Health Tuberculosis in Virginia and the United States, 2007 November 2008."— Presentation transcript:

1 Suzanne J. Keller, MA Division of Disease Prevention Virginia 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, 1982–2007 Year Number of Cases *Updated as of April 23, 2008.

5 Reported TB Cases Virginia 1980-2007 309

6 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 < 3.5 (year 2000 target) 3.6–4.4 > 4.4 (national average) D.C. *Cases per 100,000.

8 TB Case Rates by Region Virginia, 2007 1.4 9.3 1.52.4 2.6 Total Rate: 4.5

9 Percent of Reported TB Cases by Age Virginia, 1998-2007

10 Reported TB Cases by Age and Sex Virginia, 2007 Number of Cases Age Group

11 Percent of TB Cases by Race/Ethnicity Virginia, 2007

12 TB Cases By Region Virginia, 2003-2007

13 Percentage of TB Cases Among Foreign-born Persons, United States* >50% 25%–49% <25% 19972007 DC *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, 1987–2007* No. of CasesPercentage *Updated as of April 23, 2008.

16 Foreign-born TB Cases Top Five Countries of Birth: US and Virginia Mexico Philippines Vietnam India China El Salvador Philippines India Bolivia Mexico US (2007)Virginia (2007)

17 Estimated HIV Coinfection in Persons Reported with TB, United States, 1993–2006 * % Coinfection *Updated as of April 23, 2008. Note: Minimum estimates based on reported HIV-positive status among all TB cases in the age group. 2006

18 Number of Reported TB/AIDS Cases Virginia, 2003-2007

19 Primary MDR TB United States, 1993–2007* *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. No. of Cases Percentage

20 MDR Cases & Percent of Cases with Resistance to Any First Line Drugs: VA, 2003-2007

21 Thanks National Data Slides from CDC


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