To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Tuberculosis

Florida, 2018

Tuberculosis Control Section

Division of Disease Control and Health Protection

4052 Bald Cypress Way, Bin A-20

Tallahassee, FL 32399

http://www.floridahealth.gov/diseases-and-conditions/tuberculosis

1

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

2

1274

1164 11381084

1041 1074 10931032

988 957

822 828751

675 646590 601

639

549591

0

200

400

600

800

1000

1200

1400

99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Nu

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Cas

es

Year

Tuberculosis CasesFlorida, 1999-2018

Data as of 2/28/19

Sources: TIMS (1998-2008) and HMS (2009-2018)

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 2/28/19 3

8.2

7.37

6.56.1 6.2 6.1

5.75.3 5.1

4.4 4.44

3.5 3.43 3 3.2

2.7 2.8

0

1

2

3

4

5

6

7

8

9

99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Rat

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Year

Tuberculosis RatesFlorida, 1999-2018*

Sources: TIMS (1998-2008) and HMS (2009-2018)

Population estimates from Florida CHARTS.

2018 case rate is provisional until 2018 population

estimates are finalized.

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

TB Cases by Race/Ethnicity*

Florida, 2018 (n=591)

21%

31.5%

32.8%

14%

White, Non-Hispanic

Black, Non-Hispanic

Hispanic

Asian/Pacific Islander

*Race categories that

made up less than 1%

of the total cases

included: American

Indian/Alaskan native,

and multiple race.

Source: HMS

Data as of 2/28/19

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

TB and Gender

Florida, 1999-2018846

803775

702664

711 706681

611 617

522 525490

418387 370 370 379

342 363

428

361 363 382 377 363387

351377

340300 303

261 257 259220 231

260207 228

0

100

200

300

400

500

600

700

800

900

99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Num

ber

of C

ases

Year

Male Female

Data as of 3/15/18 5

Sources: TIMS (1998-2008) and HMS (2009-2017)

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

TB Cases by Age Group

Florida, 2018 (N=591)1% 3%

9%

31%

33%

23%

0-4

5-14

15-24

25-44

45-64

65+

Data as of 2/28/19

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 2/28/19 7

817

700650

601561 546

596545

512 492

411 405346 336

277 220 245 242214 221

457 464 488 483 480528

497 487 476 465411 428

407342 374 371 356

397335

370

0

200

400

600

800

1,000

99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18

Nu

mb

er

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Cas

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Year

Trends in TB cases in U.S.-born vs Foreign-born Persons, FL 1999-2018

U.S.-born Foreign-born

Sources: TIMS (1999-2008) and HMS (2009-2018)

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 2/28/19 8

36%40%

43% 44% 46%49%

45% 47% 48% 49% 50% 51%54%

50%

57%

63%59%

62% 61% 63%

0%

10%

20%

30%

40%

50%

60%

70%

0

200

400

600

800

1000

1200

1400

99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18

Pe

rce

nta

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f To

tal C

ase

s

Nu

mb

er

of

Cas

es

Year

TB Cases Among Foreign-born PersonsFlorida, 1999-2018

Total Cases Percentage of Total Cases

Sources: TIMS (1999-2008) and HMS (2009-2018)

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

9

23%

10%

8%

8%6%4%

4%3%

3%

3%2%

2%

23%

Foreign-born TB by Country of BirthFlorida, 2018 (N=370)

Haiti

Mexico

Philippines

Vietnam

Guatemala

Honduras

Cuba

India

Columbia

Peru

Nicaragua

Puerto Rico

OtherSource: HMS. Countries with 5 or fewer cases were

included in the Other category. Percentages have

been rounded and may not equal 100%.

Data as of 2/28/19

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

TB Cases Younger than 15

Florida, 2009 - 2018

2957 42 30 27 23 21 23 12 24

3.5%

6.9%

5.6%

4.4%4.2%

3.9%3.5% 3.6%

2.2%

4.1%

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

0

100

200

300

400

500

600

700

800

900

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Perc

ent

of Tota

l C

ases

Num

ber

of

Cases

Year

Pediatric Cases Total Cases % of Cases

Source: HMS

Data as of 3/1/19

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 2/28/19 11

23%

21%

23%

18%

20%

18% 18% 18%

15%

17%16%

12%

15%

12%13%

11% 10% 10% 11%

9%

0%

5%

10%

15%

20%

25%

0

200

400

600

800

1000

1200

1400

99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18

Per

cen

tage

Nu

mb

er o

f C

ase

s

Year

Tuberculosis/HIV Co-infectionFlorida, 1999-2018

TB/HIV All TB Cases %TB/HIVSources: TIMS (1999-2008) and HMS (2009-2018)

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

TB and Selected Risk Factors

Florida, 1999 - 2018

0

50

100

150

200

250

300

350

99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Nu

mb

er

of C

ase

s

Year

Excess alcohol use Drug use Homeless HIV infection

Data as of 3/1/19 12

Sources: TIMS (1998-2008) and HMS (2009-2017)

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

TB Cases with Diabetes*

Florida, 2009 - 2018

100 81 92 80 80 73 89 77 96 85

12%

9.7%

12.2%11.8%

12.3% 12.3% 14.8%

12.1%

17.5%

14%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

0

100

200

300

400

500

600

700

800

900

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Pe

rce

nt w

/Dia

be

tes

Nu

mb

er

of C

ase

s

Year

Cases w/Diabetes All Cases % Cases w/Diabetes

13

*Self-reported

Source: HMS

Data as of 3/1/19

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 3/1/1914

10% 10% 10%

7% 7%

5%

6%

7%

5% 5%

7%

5%

6% 6% 6%

8%

5%

7%

4%

5.3%

1.0% 0.9%0.5%

0.9% 0.8% 0.7% 0.9%0.5% 0.5% 0.4%

0.7% 0.7% 0.8% 1.0%1.5% 1.7%

0.8%0.5%

1.1%0.6%

0%

2%

4%

6%

8%

10%

12%

99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 2018

Pe

rce

nt

of

Tota

l Cas

es

Year

TB with Drug Resistance*Florida, 1999-2018

RESISTANT TO INH

RESISTANT TO INH AND RIF (MDR)

Sources: TIMS (1999-2008) and HMS (2009-2018)

*Based on Initial Drug Susceptibility Testing

2018 data is provisional