17
2,500 3,000 3,500 4,000 4,500 5,000 5,500 6,000 Year 1980 1982 198 4 1986 198 8 1990 199 2 1994 1996 1998 2000 2002 200 4 2006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases 2,000 4,000 6,000 8,000 10,000 12,000 1930 1940 1950 1960 1970 1980

1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Embed Size (px)

Citation preview

Page 1: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

2,500

3,000

3,500

4,000

4,500

5,000

5,500

6,000

Year1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006

Number of Tuberculosis Cases: California, 1930-2006

Nu

mb

er o

f T

ub

ercu

losi

s C

ases

2,000

4,000

6,000

8,000

10,000

12,000

1930 1940 1950 1960 1970 1980

Page 2: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Number of Tuberculosis Cases and Case Rates: California, 1997-2006

0

1,000

2,000

3,000

4,000

5,000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Year

0

5

10

15

20

Nu

mb

er

of

Ca

ses

Ca

se

Ra

te p

er

100

,00

0

Number of CasesCase Rate per 100,000 Population

Page 3: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Tuberculosis Cases by Race/Ethnicity: California, 2006

Asian/Pacific Islander1,223 (44.0%)

Hispanic1,068 (38.4%)

Unknown4 (0.1%)Black

208 (7.5%)

American Indian/Alaska Native

9 (0.3%)

White267 (9.6%)

Page 4: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Tuberculosis Case Rates by Race/Ethnicity: California, 1997-2006

05

10

1520253035

404550

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Year

Cas

es p

er 1

00,0

00

Asian/Pacific Islander

Black

Hispanic

American Indian/Alaska Native

White

Page 5: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Tuberculosis Cases in Foreign-born and U.S.-born Persons: California, 1997-2006

0

500

1,000

1,500

2,000

2,500

3,000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

40

50

60

70

80

U.S.-born Foreign-born Percent Foreign-born

Nu

mb

er o

f C

ases

Per

cen

t o

f C

ases

Page 6: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Tuberculosis Cases by Country of Origin: California, 2006

U.S.-born630 (22.7%)

Foreign-born2,136 (76.9%)

Unknown13 (0.5%)

Philippines427 (20.0%)

Mexico670 (31.4%)

All Others770 (36.0%)

Vietnam269 (12.6%)

67

Page 7: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Tuberculosis Cases in Persons 0-4 Years of Age: California, 1997-2006

0

50

100

150

200

250

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Year

0

1

2

3

4

5

Nu

mb

er o

f C

ases

Per

cen

t o

f C

ases

Number of Cases Percent of Cases

Page 8: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Tuberculosis Cases by Verification Criteria: California, 2006

Provider Diagnosis199 (7.2%)

Positive Culture2,241 (80.6%)

Clinical Case326 (11.7%)

Positive Smear13 (0.5%)

Page 9: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Deaths in Persons with Tuberculosis: California, 1996-2004

0

100

200

300

400

500

1996 1997 1998 1999 2000 2001 2002 2003 2004

Year

0

2

4

6

8

10

12

Per

cen

t o

f C

ases

Nu

mb

er o

f D

eath

s

Dead at Diagnosis

Died During Treatment Died Before Starting Treatment

Percent Dying with Tuberculosis

Page 10: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Tuberculosis Cases by AIDS Diagnosis*: California, 1995-2004

0

100

200

300

400

500

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year

0

2

4

6

8

10

Nu

mb

er o

f C

ases

wit

h A

IDS

Per

cen

t o

f C

ases

wit

h A

I DS

* Match found in AIDS Case Registry, California Office of AIDS.

Number of Tuberculosis Cases with AIDSPercent of Tuberculosis Cases with AIDS

Page 11: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

AIDS-associated Tuberculosis* by Race/Ethnicity: California, 1995-2004

0

25

50

75

100

125

150

175

200

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year

Nu

mb

er o

f C

ases

wit

h A

IDS Hispanic

Black

White

Asian/Pacific IslanderAmerican Indian/Alaska Native

* Match found in AIDS Case Registry, California Office of AIDS.

Page 12: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

0

10

20

30

40

50

60

70

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Initial Susceptibility Test Final Susceptibility Test

Tuberculosis Cases with Multidrug-resistance (MDR) on Initial or Final Drug Susceptibility

Testing*: California, 1995-2004N

um

ber

of

MD

R T

ub

ercu

losi

s C

ases

*Cases with resistance to at least isoniazid and rifampin reported on the Initial Drug Susceptibility Report (Follow-up 1) or on the Case Completion Report (Follow-up 2).

58

48 47

3942

3539

43

3440

Page 13: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Tuberculosis Cases with Initial Multidrug-resistance (MDR)*: California, 2002-2006

*Cases with initial drug resistance to at least isoniazid and rifampin.

Long Beach

Pasadena

Berkeley

San Francisco

25 Cases

15-24 Cases

5-14 Cases

1-4 Cases

None

Initial MDR Cases:2002-2006

Page 14: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Tuberculosis Cases1 by Outcome of Therapy in Reporting Jurisdiction: California, 2004

Completed Therapy 12 Months2,075 (71.5%)

Completed Therapy >12 Months313 (10.8%)

Moved2

234 (8.1%)

Died183 (6.3%)

Lost3

49 (1.7%) Refused10 (0.3%)

Other18 (0.6%)

1 Patient alive at diagnosis and started on an initial drug regimen of one or more drugs.2 Patient moved to another jurisdiction with a known forwarding address before treatment was completed.3 Patient could not be located prior to the completion of treatment.

No Info22 (0.8%)

Page 15: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Completed Therapy 12 Months18 (20.2%)

Completed Therapy >12 Months38 (42.7%)

Moved3

13 (14.6%)

Died10 (11.2%)

Lost4

4 (4.5%)

NoInformation 5 (5.6%)

1Treatment in the jurisdiction reporting the case. 2Includes cases with rifampin resistant disease, cases with meningeal disease, and cases less than 15 years of age with disseminated tuberculosis disease.

3 Patient moved to another jurisdiction with a known forwarding address before treatment was completed.4 Patient could not be located prior to the completion of treatment.

Refused1 (1.1%)

Outcome in Tuberculosis Cases1 for Whom Greater than One Year of Treatment

was Indicated2: California, 2004

Page 16: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Completed Therapy 12 Months18 (20.2%)

Completed Therapy >12 Months38 (42.7%)

Moved3

13 (14.6%)

Died10 (11.2%)

Lost4

4 (4.5%)

NoInformation 5 (5.6%)

1Treatment in the jurisdiction reporting the case.2Includes cases with rifampin resistant disease, cases with meningeal disease, and cases less than 15 years of age with disseminated tuberculosis disease.

3 Patient moved to another jurisdiction with a known forwarding address before treatment was completed.4 Patient could not be located prior to the completion of treatment.

Refused1 (1.1%)

Outcome in Tuberculosis Cases1 for Whom Greater than One Year of Treatment

was Indicated2: California, 2004

Page 17: 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

Completion of Tuberculosis Therapy: California,1995-2004

0

20

40

60

80

100

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004Per

cen

t o

f C

ases

Co

mp

leti

ng

Th

erap

y

CompletedCompleted in 1 year or less

Note: Excludes cases with rifampin resistant disease, cases with meningeal disease, cases less than 15 years of age with disseminated tuberculosis disease, and those that died during treatment.