1who gets tb in nyc

Who gets TB in NYC?: 

Who gets TB in NYC? Tracy Agerton Director, Epidemiology Office Bureau of TB Control NYC Department of Health and Mental Hygiene

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Tuberculosis Cases and Rates New York City, 1980 – 2005 52.0 12.3 Number of Cases Rate/100,000 * Rates since 2000 are based on 2000 Census data. 17.2

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Tuberculosis Cases by Race & Ethnicity New York City, 1985-2005 Number of Cases

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Tuberculosis Cases by Area of Birth and Borough, New York City, 2005 *Rate per 100,000 based on 2000 Census 11.9* 13.6* 13.1* 11.9* 3.8* Number of Cases

Ongoing TB Transmission in Brooklyn: 

Ongoing TB Transmission in Brooklyn One unique strain of M.tb 48 cases identified since 2001(excludes one relapse case) 71% male 83% US-born 83% Non-Hispanic Black 42% HIV 48% substance abusers (predominantly alcohol use) 24 have associations to one another (4 linked to a single transitional housing facility)

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Ongoing transmission in Brooklyn

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HIV-Infected TB Cases by Country of Birth New York City, 1994-2005

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PLWHA: Persons living with HIV/AIDS Age-adjusted TB case rate per 100,000 PLWHA, New York City, 2001 – 2004

Transmission in Facilities for HIV Homeless 2005-2006: 

Transmission in Facilities for HIV Homeless 2005-2006 3 TB outbreaks, 2 of MDR-TB* 1 in Brooklyn, 2 in Bronx 15 cases, 5 in each 7/15 (47%) died while on treatment for TB Over 160 HIV-infected persons exposed to TB Multi-drug resistant tuberculosis=resistant to the 2 best TB drugs, isoniazid and rifampin

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US* and Non-US Born TB Cases New York City, 1980 – 2005 * Puerto Rico and U.S. Virgin Islands are included as U.S.-born * There were 11 cases with unknown country of birth in 2003 3,132 1,010 Number of Cases

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US and Non-US Born TB Rate New York City, 1992 – 2005 Rate is per 100,000, based on 2000 census Puerto Rico and U.S. Virgin Islands are included as U.S.-born Numbers include only cases with a known country of birth 24.0 5.7

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Cumulative TB Cases From Selected Countries New York City, 1999-2004

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Drug Resistance by Area of Birth New York City 1992-2005

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TB cases in Targeted Neighborhoods NYC, 2000-2004

Conclusions: 

Conclusions Although TB has decreased in NYC since its peak in 1993, TB rates remain higher than national average and extremely high in certain subpopulations including HIV-infected and minorities TB transmission still occurring in NYC TB rates 4x higher in non US-born persons in NYC than in US-born Need to maintain funding to maintain progress on TB control and elimination Need to continue to work with community groups to increase and maintain TB awareness, screening activities and treatment for LTBI in communities with high TB burden