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TB Case Rates (1997 - 2006) National and State 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 C ase R ate U nited States Maryland G oal Cases per 100,000 Population MD DHMH OCT 2007

TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

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Page 1: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

TB Case Rates (1997 - 2006)National and State

33.5

44.5

55.5

66.5

77.5

8

Ca

se

Ra

te

United States Maryland Goal

Cases per 100,000 Population

MD DHMHOCT 2007

Page 2: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

TB Case Rates (1997 - 2006)State, Counties and City

3

5

7

9

11

13

15

Ca

se

Ra

te

Maryland Counties City

Cases per 100,000 Population

MD DHMHOCT 2007

Page 3: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

TB Case Rates,* United States, 2006

< 3.5 (year 2000 target)

3.6–4.6

> 4.6 (national average)

D.C.

*Cases per 100,000.

Page 4: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

New TB Cases by JurisdictionMaryland 2006

n = 253

MD DHMHOCT 2007

17 - 72 cases

No TB

1 - 3 cases

4 - 8 cases

Page 5: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

Proportion of Cases by OriginMaryland 1997 to 2006

0%

20%

40%

60%

80%

100%

Pe

rce

nta

ge

Foreign-Born US-Born

MD DHMHOCT 2007

Page 6: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

Country of OriginMaryland Foreign-born TB Cases, 2006

171 Cases

30%Americas

Mexico

33%Africa

Ethiopia

11%SE Asia

India

20% W Pacific

Philippines

5%EuropeRussia

Page 7: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

MD DHMHOCT 2007

0%

10%

20%

30%

40%

Pe

rce

nta

ge

of

FB

Ca

se

s

Africa

Americas

W Pacific

SE Asia

Proportion of Foreign-Born TB CasesBy World Region (WHO)Maryland 1997 - 2006

Page 8: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

English 49%

Spanish 23%

Amharic 9% Cambodian 1%

Vietnamese 5% Chinese 1%

Korean 4% Mandarin 1%

Creole 2% Portuguese 1%

French 2% Russian 1%

Burmese 1% Tagalog 1%

Primary Languages SpokenForeign-Born TB Cases

Maryland 2006

MD DHMHOCT 2007

Page 9: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

0

10

20

30

40

Cas

e R

ates

Foreign-Born US-Born State

TB Cases per 100,000 population

Tuberculosis Case Rates by OriginMaryland 1997 - 2006

MD DHMHOCT 2007

Page 10: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

0

10

20

30

40

50

Cas

e R

ates

Asian

Hispanic

Black

White

TB Cases per 100,000 population

TB Case Rates by Race / Ethnicity Maryland 1997 to 2006

MD DHMHJULY 2006

Page 11: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

TB Cases by Race / Ethnicity Maryland 2006

MD DHMHOCT 2007

All Cases 253

US-Born Cases 82

Page 12: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

0

2

4

6

8

10

Cas

e R

ates Male

Female

State

TB Cases per 100,000 population

MD DHMHOCT 2007

TB Case Rates By Sex Maryland, 1997 - 2006

Page 13: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

0

5

10

15

20

Cas

e R

ates

Age 65 +

Age 35-64

Age 15-34

Age 0-14

TB Cases per 100,000 population

TB Case Rates By Age Group Maryland, 1997 - 2006

MD DHMHOCT 2007

Page 14: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

0

10

20

30

40

50

60

Age Groups

Ca

se

s

TB Cases by Age Group Maryland 2006

MD DHMHOCT 2007

n = 253

Page 15: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

Proportion of Cases

City Counties State National *

Homeless 9% 1% 2% 6%

Corrections 3% 0% 0% 4%

LTCF 9% 4% 5% 2%

Other High-Risk PopulationsMaryland TB Cases, 2006

Congregate Living

* 2005 National Data MD DHMHOCT 2007

Page 16: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

Proportion of Cases

City Counties State National *

Health Care 0% 4% 4% 3%

Corrections 0% 0% 0% 0%

Migrant 0% 0% 0% 1%

Unemployed 54% 38% 40% 57%

Other High-Risk PopulationsMaryland TB Cases, 2006

Occupational Risk

* 2005 National Data MD DHMHOCT 2007

Page 17: TB Case Rates (1997 - 2006) National and State Cases per 100,000 Population MD DHMH OCT 2007

Proportion of INH And Multi-drug Resistance In TB Cases with Susceptibility Testing

Maryland (Baltimore City Included), 2002 - 2006

0%

5%

10%

15%

2002 2003 2004 2005 2006

Foreign Born US Born Statewide

MD DHMHOCT 2007

0%

1%

2%

3%

4%

5%

2002 2003 2004 2005 2006

Foreign Born US Born

INH Resistance MDR