Reported TB Cases United States, 1953 - 1998 (Log Scale) Cases Year 100,000 70,000 * 50,000 (Log Scale) Cases * 30,000 20,000 10,000 53 60 70 80 90 98 Year *Change in case definition

Reported TB Cases United States, 1978-1998 18,000 20,000 22,000 24,000 26,000 28,000 30,000 78 80 82 84 86 88 90 92 94 96 98 Year Cases

TB Morbidity United States, 1993-1998 Case Rate (per 100,000) Year Cases 1993 25,287 9.8 1994 24,361 9.4 1995 22,860 8.7 1996 21,337 8.0 1997 19,851 7.4 1998 18,361 6.8

TB Case Rates by State United States, 1998 D.C. P.R. <3.5 (Year 2000 target) 3.6 - 6.8 >6.8 (National average)

Percentage of Counties with No Reported TB Cases United States, 1962-1998 50 40 30 Percentage 20 10 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98 Year

Reported TB Cases by State United States, 1997 and 1998 Change in Cases % State 1997 1998 Change New York 2,265 2,000 -265 -11.7 California 4,056 3,852 -204 -5.0 Texas 1,992 1,820 -172 -8.6 Illinois 974 850 -124 -12.7 Florida 1,400 1,302 -98 -7.0 All Others 9,164 8,537 -627 -6.8 Total 19,851 18,361 -1,490 -7.5

Change in TB Cases by State United States, 1985, 1992, and 1998 1985 vs. 1992 1992 vs. 1998 New York +84.4 -56.3 California +54.2 -28.4 Texas +32.7 -27.5 Florida +19.8 -23.7 Illinois +6.5 -33.1 All Others -4.2 -24.0

Reported TB Cases by Race/Ethnicity United States, 1998 Percentage White, non-Hispanic 4,495 24.5 Black, non-Hispanic 5,831 31.8 Hispanic* 4,099 22.3 Asian/Pacific Islander 3,623 19.7 American Indian/Alaskan Native 253 1.4 Unknown 60 0.3 Total 18,361 100.0 *Persons of Hispanic origin may be of any race.

Reported TB Cases by Race/Ethnicity United States, 1998 White, non-Hispanic Black, non-Hispanic 24% 32% Unknown <1% American Indian/ Alaskan Native 1% Asian/Pacific Islander Hispanic* 20% 22% *Persons of Hispanic origin may be of any race.

Reported TB Cases by Race/Ethnicity United States, 1997 and 1998 Change % Race/Ethnicity 1997 1998 in Cases Change White, non-Hispanic 4,872 4,495 -377 -7.7 Black, non-Hispanic 6,610 5,831 -779 -11.8 Hispanic* 4,228 4,099 -129 -3.1 Asian/Pacific Islander 3,833 3,623 -210 -5.5 American Indian/ Alaskan Native 264 253 -11 -4.2 Unknown 44 60 -- -- Total 19,851 18,361 -1,490 -7.5 *Persons of Hispanic origin may be of any race.

Change in TB Cases by Race/Ethnicity United States, 1985, 1992, and 1998 % Change Race/Ethnicity 1985 vs. 1992 1992 vs. 1998 White, non-Hispanic -9.9 -41.0 Black, non-Hispanic +26.8 -39.4 Hispanic* +73.5 -24.6 Asian/Pacific Islander +46.4 -0.7 American Indian/ -23.3 -15.4 Alaskan Native *Persons of Hispanic origin may be of any race.

Reported TB Cases by Age United States, 1997 and 1998 Change % Age (yrs) 1997 1998 in Cases Change 0-14 1,265 1,082 -183 -14.5 15-24 1,681 1,548 -133 -7.9 25-44 6,912 6,365 -547 -7.9 45-64 5,297 4,973 -324 -6.1 65+ 4,691 4,393 -298 -6.4 Unknown 5 -- -- Total 19,851 18,361 -1,490 -7.5

Change in TB Cases by Age United States, 1985, 1992, and 1998 Age (yrs) 1985 vs. 1992 1992 vs. 1998 0-14 +35.4 -36.6 15-24 +18.1 -21.6 25-44 +54.5 -39.1 45-64 +5.7 -23.3 65+ -5.2 -27.1

Trends in TB Cases in Foreign-born Persons, United States*, 1986-1998 45 Percentage of Cases 16,000 Number of Cases 40 14,000 P e r c n t a g o f T B C s 35 12,000 N u 30 m 10,000 b e 25 r 8,000 o f 20 C a 6,000 s 15 e s 4,000 10 5 2,000 86 87 88 89 90 91 92 93 94 95 96 97 98 Year * Comprises the 50 states, the District of Columbia, and New York City

Country of Origin of Foreign-born Persons with TB, United States, 1998 Other* 36% Mexico 23% South Korea 3% Haiti 4% Republic of China 5% Philippines India 7% 13% Vietnam 10% *Includes 149 countries

Change in TB Cases by Country of Origin United States, 1986, 1992, and 1998 % Change Country of Origin 1986 vs. 1992 1992 vs. 1998 Foreign-born +47.6 +4.4 U.S.-born +8.5 -44.5

Primary Isoniazid Resistance Among TB Cases, 1993 - 1998 D.C. <4% >4%

MDR TB Cases, 1993 - 1998 D.C. None > 1 case