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Tuberculosis in North Dakota2011
Craig Steffens, MPH
TB/HIV Surveillance Coordinator
2011 ND TB Cases
• 8 total active cases– 5 pulmonary
• 2 were smear positive• One with PZA resistant, though not M. bovis
– 3 extra-pulmonary– 3 male, 5 female
U.S.-born and Foreign-born TB Cases
2002-2006 2007-20110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
US Born Foreign Born
U.S.-born and Foreign-born TB Cases
Race/ethnicity of TB Cases, 2007-2011
35%
18%
32%
15%
Asian American IndianBlack White
Mean and Median Ages of TB Cases 2007-2011
2007 2008 2009 2010 20110
10
20
30
40
50
60
49
4138 37
23MeanMedianAg
e
TB Disease Rate: U.S. vs. ND
2007 2008 2009 2010 20110
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
4.4
4.2
3.8
3.6
3.4
1.1
0.5
0.8
1.8
1.0
US
ND
Reporting Year
Rat
e p
er 1
00,0
00
National TB Rates per 100,000, 2010
Possible Causes of National Decrease
• Better identification of active/ltbi cases• More stringent overseas TB screening
requirements for immigrants/refugees• Limited resources, missing cases
– Medical care less available, not enough health professionals
– Not seeking medical care because of cost
Program Updates
• Website updated: www.ndhealth.gov/disease/tb
• Blood tests for infection (IGRA) have become more available
• New treatment (3HP) to be made available for latent TB infection
HIV/AIDS in North Dakota2011
Craig Steffens, HIV Surveillance/TB
Coordinator
Cumulative HIV/AIDS cases reported in ND as of 12/31/2011, n=531
Died Moved Living in ND0
50
100
150
200
250
300
186
101
244
Status
Num
ber o
f Cas
es
Annual Number of HIV/AIDS Cases Reported in ND, 1984-2011, n=531
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
0
5
10
15
20
25
30
35
40
45
HIV AIDS
Year
Nu
mb
er o
f C
ases
New HIV/AIDS diagnosis, 1984-2011, n=304
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
0
5
10
15
20
25
HIV AIDS
Nu
mb
er o
f C
ases
Annual Number of New HIV/AIDS Diagnoses in ND, 2007-2011, n=65
2007 2008 2009 2010 20110
2
4
6
8
10
12
14
16
18
9 9 910 10
34
7
3 1
HIV HIV
Nu
mb
er o
f C
ases
New HIV/AIDS Diagnoses in ND by Gender, 2007-2011, n=65
2007 2008 2009 2010 20110
2
4
6
8
10
12
14
16
18
Male Female
Dia
gn
ose
d C
ases
New HIV/AIDS Diagnoses in ND by Race/Ethnicity, 2007-2011, n=65
4
13
4
143
AI Black Hispanic Asian/PI White
New HIV/AIDS Diagnoses in ND by Age Group, 2007-2011, n=65
≤12 13-19 20-29 30-39 40-49 50-59 60+0
5
10
15
20
25
30
1 2
15
25
9 9
4
Age at Diagnosis
Dia
gnos
ed C
ases
Risk Factors Identified by New HIV/AIDS Diagnoses, 2007-2011, n=65
21
31
33 2 5
Heterosexual contactMSMIDUMSM/IDUOtherNIR
Risk Factors Identified by New HIV/AIDS Diagnoses, 2002-2006, n=60
17
34
5 11 2
Heterosexual contactMSMIDUMSM/IDUOtherNIR
Program Updates
• New media campaign– Online risk assessment survey
www.ndhealth.gov/knowyourrisk
Program Updates
You need to know. Get tested.
