Epidemiology of TB in Maryland - Prevention and Health … · 2020-03-11 · Prevention and Health...
Transcript of Epidemiology of TB in Maryland - Prevention and Health … · 2020-03-11 · Prevention and Health...
Epidemiology of TB in Maryland
TB Annual Meeting
March 9, 2017
Alexandra Pyan, MPH, Epidemiologist Center for TB Control and Prevention
Prevention and Health Promotion Administration Maryland Department of Health and Mental Hygiene
Prevention and Health Promotion Administration
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Tuberculosis Globally
• Estimated 10.4 million new cases globally in 2015
• 1.4 million deaths from TB
• Six countries account for 60% of new cases: India,
Indonesia, China, Nigeria, Pakistan and South Africa
• 9th leading cause of death
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World Health Organization, Global Tuberculosis Report 2016
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TB Case Rates 2015
National and Statewide
CDC, as of June 9, 2016
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Maryland TB, 2009-2016
0
1
2
3
4
5
0
50
100
150
200
250
2009 2010 2011 2012 2013 2014 2015 2016
Ca
se
Ra
te p
er
10
0,0
00
Cases
Cases Case Rate Linear (Cases)
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Maryland Case Rates, 2016
<3.7/100,000
>3.7 /100,000
No reported cases
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TB Rates among US and Foreign
Born, 2012-2016
0
2
4
6
8
10
12
14
16
18
20
22
24
2012 2013 2014 2015 2016
Case R
ate
per
10
0,0
00
MD US-Born MD Foreign-Born
US US-Born US Foreign-Born
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Percent of TB Cases by Origin
Maryland, 2014-2016
0
50
100
150
200
250
2014 2015 2016
Cases
Foreign-Born US-Born
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Top Countries of Origin-MD, 2015
El Salvador, 5%
Ethiopia, 10%
India, 11%
Nigeria, 7%
Philippines, 8%
Vietnam, 8%
Others, 51%
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Foreign-born TB Case Numbers, by Time
from U.S. Arrival to Diagnosis, 2014-2016
0 20 40 60 80 100
2014
2015
2016
>10 years >5-10 years 1-5 years <1 year
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TB Cases by Race and Origin, 2015
Hispanic
0%
White 34%
Asian 3% Black/Africa
n American 63%
U.S Born
Hispanic 20%
White 1%
Asian 46%
Black 31%
Multi-race 2%
Foreign Born
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Cases by Age Group 2014-2016
0
10
20
30
40
50
60
70
80
90
2014 2015 2016
<5 5-14 15-24 25-44 45-64 65+
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Numbers of TB HIV Co-Infection,
Origin of Birth, 2013-2016
0
2
4
6
8
10
12
14
2013 2014 2015 2016
Cases
U.S Born Foreign Born
6%
6%
17%
7%
5%
8%
8%
8%
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TB and Diabetes, 2011-2016
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
0
5
10
15
20
25
30
35
2012 2013 2014 2015 2016
Perc
enta
ge
Cases
Cases Percentage Linear (Cases)
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MDR/XDR TB in Maryland,
2012-2016
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
0
1
2
3
2012 2013* 2014 2015 2016
Perc
enta
ge
Cases
Cases Percentage *One XDR Case
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LTBI Reporting
• CTBCP is currently working to amend COMAR
regulations
• CDC voluntary reporting in 2020
• Any positive TST or IGRA
• All reports and data management will be handled by
CTBCP
• Early stages, feedback welcome!
http://phpa.dhmh.maryland.gov
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Prevention and
Health Promotion
Administration