Update: tuberculosis elimination - United States

Article Abstract:

A plan was published in April 1989 by the Centers for Disease Control (CDC) committee for the Elimination of Tuberculosis. The plan set a goal of reducing the rate of tuberculosis cases in the US to 3.5 per 100,000 people by the year 2000. Three major sources have been used to monitor the progress of this program: individual-case surveillance, tuberculosis mortality data from CDC statistics, and follow-up data for existing cases. The most recent statistics (as of 1988) put the rate of tuberculosis at 9.1 per 100,000 people in the US. This represents an overall decrease of 0.4 percent from the previous year. When compared with 1985 reports, an increased incidence of tuberculosis occurred among blacks and Hispanics of all age groups. Conversely, a decline in the incidence of this infection has occurred among all age groups in non-Hispanic whites, Asians, and Native Americans. Approximately 75 percent of the reported cases in 1988 included follow-up information. The majority of these patients (76 percent) were currently complying with their drug therapy regimen. Also, of the individuals who were reported to have begun drug therapy, most continued on medication for six months. Overall, the treatment participation rates were higher in 1988 than they were in 1987. Over 90 percent of reported tuberculosis cases were followed-up with treatment. In 1987, 1,755 people died from tuberculosis, which is a curable disease. There has also been an increased occurrence of human immunodeficiency virus (HIV) infection observed in individuals testing positive for tuberculosis. It is recommended that an HIV evaluation be performed on all persons testing positive for tuberculosis. Continued monitoring and implementation of prevention strategies is stressed for the further reduction of this infectious disease nationwide. (Consumer Summary produced by Reliance Medical Information, Inc.)

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Tuberculosis morbidity - United States, 1994

Article Abstract:

Tuberculin screening programs and preventive therapy apparently have brought down the incidence of tuberculosis in the U.S. The number of tuberculosis cases in the U.S. had increased 20% between 1985 and 1992, but the Centers for Disease Control and Prevention's latest report shows the number of TB cases decreased 8.7% between 1992 and 1994, following federally funded preventive treatment programs for people at high risk. In 1994, the number of TB cases reported was 24,361, with a substantial proportion of those foreign-born people who recently immigrated to the U.S. Prevention and control efforts must continue to insure prompt diagnosis and treatment, with a focus on the high-risk population which includes intravenous drug users, homeless, the foreign born, institutionalized people, and people with HIV or AIDS.

Diseases, Aliens

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Progress Toward the Elimination of Tuberculosis--United States, 1998

Article Abstract:

Significant progress is being made to eliminate tuberculosis (TB) from the US. In 1998, 18,361 cases of TB occurred in the US, down 8% from 1997 and 31% from 1992. About half of all TB cases occurred in California, Florida, Illinois, New York, and Texas, but these states accounted for 68% of the drop in the number of cases between 1992-1998. New York, Los Angeles, Chicago and Houston had the highest number of TB cases at the metropolitan level but they accounted for 41% of the drop in TB cases between 1992-1998.

Statistical Data Included

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