View
212
Download
0
Category
Preview:
Citation preview
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
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
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%)
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
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
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
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
Tuberculosis Cases by Verification Criteria: California, 2006
Provider Diagnosis199 (7.2%)
Positive Culture2,241 (80.6%)
Clinical Case326 (11.7%)
Positive Smear13 (0.5%)
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
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
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.
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
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
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%)
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
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
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.
Recommended