figure 1. number of tuberculosis cases: california, 1930-2013 california department of public...
Post on 24-Dec-2015
215 Views
Preview:
TRANSCRIPT
Figure 1. Number of Tuberculosis Cases: California, 1930-2013
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
0
1,000
2,000
3,000
4,000
5,000
6,000
California Department of Public Health, Tuberculosis Control Branch
Nu
mb
e r o
f Tu
ber
culo
s is
Cas
e s
1930 1940 1950 1960 1970 1980
2,000
4,000
6,000
8,000
10,000
12,000
Year
Figure 2. Number of Tuberculosis Cases and Case Rates: California, 2004-2013
2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
1,000
2,000
3,000
4,000
0
5
10
15
20
Year
Nu
mb
er o
f C
ases
Cas
e R
ate
per
100
,000
Number of CasesCase Rate per 100,000 PopulationNational Case Rate (3.0 per 100,000)
California Department of Public Health, Tuberculosis Control Branch
*
*
Figure 3. Tuberculosis in California, 2013
< 3.0 (national average)
> 5.7 (state average)
3.0- 5.7
< 5 cases
Tuberculosis Case Ratesper 100,000 Population:California, 2013
Note: The map illustrates tuberculosis case rates by reporting jurisdiction in 2013. Thirteen jurisdictions (including Long Beach, not represented) had tuberculosis case rates above the state average of 5.7 cases per 100,000 population. Seven jurisdictions had tuberculosis case rates below the 2013 national rate of 3.0 per 100,000 population. Thirteen jurisdictions (including Pasadena and Berkeley, not represented) had case rates between the national and state rates (3.0 to 5.7 cases per 100,000 population). Case rates were not calculated for 28 jurisdictions because there were fewer than five cases in these areas. California Department of Public Health, Tuberculosis Control Branch
Figure 4. Tuberculosis Cases by Race/Ethnicity: California, 2013
Asian/Pacific Islander1,063 (49.0%)
Hispanic783 (36.1%)
Black 137 (6.3%)
American Indian/Alaska Native
4 (0.2%)
White182 (8.4%)
California Department of Public Health, Tuberculosis Control Branch
Figure 5. Tuberculosis Case Rates by Race/Ethnicity: California, 2004-2013
2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
5
10
15
20
25
30
35
40Asian/Pacific IslanderBlackHispanicWhiteAmerican Indian/Alaska Na-tive
Year
Cas
es p
er 1
00,0
00
California Department of Public Health, Tuberculosis Control Branch
Figure 6. Tuberculosis Cases in Foreign-born and U.S.-born Persons: California, 2004-2013
2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
500
1,000
1,500
2,000
2,500
0
20
40
60
80
100
U.S.-born Foreign-born Percent Foreign-born
Nu
mb
er o
f C
ases
Per
cen
t o
f C
ases
California Department of Public Health, Tuberculosis Control Branch
Figure 7. Tuberculosis Cases by Country of Origin: California, 2013
U.S.-born469 (21.6%)
Foreign-born1,695 (78.1%)
Unknown5 ( 0.2%)
Philippines380 (22.4%)
Mexico454 (26.8%)
All Others422 (24.9%)
Vietnam199 (11.7%)
California Department of Public Health, Tuberculosis Control Branch
China147 (8.7%)
India93 (5.5%)
Figure 8. Tuberculosis Cases in Persons 0-4 Years of Age: California, 2004-2013
0
20
40
60
80
100
120
140
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
Nu
mb
er o
f C
ases
Per
cen
t o
f C
ases
Number of Cases Percent of Cases
California Department of Public Health, Tuberculosis Control Branch
Year
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Figure 9. Tuberculosis Cases by Verification Criteria: California, 2013
Provider Diagnosis80 (3.7%)
Positive Culture1,756 (81.0%)
Clinical Case279 (12.9%)
Positive Smear10 (0.5%)
California Department of Public Health, Tuberculosis Control Branch
NAAT*44 (2.0%)
*NAAT= Nucleic Acid Amplification Test
Figure 10. Deaths in Persons with Tuberculosis: California, 2002-2011
2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
100
200
300
0
2
4
6
8
10
12
Year
Per
cen
t o
f C
ases
Nu
mb
er o
f D
eath
s
California Department of Public Health, Tuberculosis Control Branch
Dead at Diagnosis
Died During Treatment Died Before Starting Treatment
Percent Dying with Tuberculosis
Figure 11. Tuberculosis Cases by HIV/AIDS Diagnosis*: California, 2003-2012
2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
50
100
150
200
250
300
0
2
4
6
8
Year
Nu
mb
er o
f C
ases
wit
h H
IV/A
IDS
Per
cen
t o
f C
ases
wit
h H
I V/A
IDS
* Match found in HIV/AIDS Registry, California Office of AIDS
Number of Tuberculosis Cases with HIV/AIDSPercent of Tuberculosis Cases with HIV/AIDS
California Department of Public Health, Tuberculosis Control Branch
Figure 12. HIV/AIDS-associated Tuberculosis* by Race/Ethnicity: California, 2003-2012
2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
25
50
75
100
125
150HispanicBlackAsian/Pacific IslanderWhiteAmerican Indian/Alaska Na-tive
Year
Nu
mb
er o
f C
ases
wit
h H
IV/A
IDS
* Match found in HIV/AIDS Registry, California Office of AIDS
California Department of Public Health, Tuberculosis Control Branch
2002 2003 2004 2005 2006 2007 2008 2009 2010 201105
101520253035404550
Figure 13. Tuberculosis Cases with Multidrug Resistance (MDR) on Initial or Final Drug
Susceptibility Testing*: California, 2002-2011N
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)
California Department of Public Health, Tuberculosis Control Branch
Initial Susceptibility Test Final Susceptibility Test
43
34
41
36 37
2832 33
24
36
Figure 14. Tuberculosis Cases with Initial Multidrug Resistance (MDR)*: California, 2009-2013
*Cases with initial drug resistance to at least isoniazid and rifampinCalifornia Department of Public Health, Tuberculosis Control Branch
Long Beach
Pasadena
Berkeley
San Francisco
³ 25 Cases
15-24 Cases
5-14 Cases
1-4 Cases
None
Initial MDR Cases:2009-2013
Figure 15. Tuberculosis Cases1 by Outcome of Therapy: California, 2011
Adverse EffectOf Therapy
7 (0.3%)
Completed Therapy £ 12 Months1,669 (73.8%)
Completed Therapy >12 Months271 (12.0%)
Died171 (7.6%)
Lost3
22 (1.0%)Refused
18 (0.8%)
Other/Unk85 (3.8%)
1 Patient was alive at diagnosis and started on an initial drug regimen of two or more drugs.2 Patient moved to another jurisdiction with a known forwarding address before treatment was completed;
final outcome not available.3 Patient could not be located prior to the completion of treatment.
NoInformation18 (0.8%)
California Department of Public Health, Tuberculosis Control Branch
Figure 16. Outcome in Tuberculosis Cases for Whom One Year or Less of Treatment was
Indicated1: California, 2011
Completed Therapy £ 12 Months1,669 (75.1%)
Completed Therapy >12 Months239 (10.8%)
Died170 (7.7%)
Lost3
22 (1.0%)Refused18 (0.8%)
Other/Unk81 (3.6%)
NoInformation 16 (0.7%)
1 Excludes cases with rifampin resistant disease, cases with meningeal disease, and cases less than 15 years of age with disseminated tuberculosis disease.2 Patient moved to another jurisdiction with a known forwarding address before treatment was completed; final outcome not available.3 Patient could not be located prior to the completion of treatment.
California Department of Public Health, Tuberculosis Control Branch
Adverse EffectOf Therapy7 (0.3%)
Figure 17. Outcome in Tuberculosis Cases for Whom Greater than One Year of
Treatment was Indicated1: California, 2011
Completed Therapy >12 Months32 (82.1%)
Died1 (2.6%)
NoInformation 2 (5.1%)
1 Includes cases with rifampin resistant disease, cases with meningeal disease, and cases less than 15 years of age with disseminated tuberculosis disease.
2 Patient moved to another jurisdiction with a known forwarding address before treatment was completed; final outcome not available.
California Department of Public Health, Tuberculosis Control Branch
Other/Unk4 (10.3%)
Figure 18. Completion of Tuberculosis Therapy: California, 2002-2011
2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
20
40
60
80
100
Per
cen
t o
f C
ases
Co
mp
leti
ng
T
her
apy
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.
California Department of Public Health, Tuberculosis Control Branch
top related