Tuberculosis Impact in Boston Residents: 2012

Transcription

1 Tuberculosis Impact in Boston Residents: 2012 BOSTON PUBLIC HEALTH COMMISSION Infectious Disease Bureau Communicable Disease Control Division

2 Number of TB Cases: Boston, Number of cases

3 Incidence of TB: Boston, Rate per 100,

4 Incidence of TB by Gender: Boston, Male Female Rate per 100,

5 Percent of Reported TB Cases by Age Group: Boston, Percent 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% < 25 years years years > 64 years Results may not equal 100% due to rounding

6 Incidence of TB by Age Group: Boston, < 20 years years years years years years >= 70 years 25 Rate per 100,

7 Percent of Reported Tuberculosis Cases by Race/Ethnicity: Boston, White Black Hispanic Asian Other 60% 50% Percent 40% 30% 20% 10% 0% Results may not equal 100% due to rounding

8 Incidence of TB by Race/Ethnicity: Boston, Rate per 100, White Black Hispanic Asian Other

9 Incidence of TB Among the Homeless: Boston, Rate per 100,

10 TB Cases by Birthplace: Boston, US Born Foreign Born 80 Percent Results may not equal 100% due to rounding

11 Length of US Residence for Foreign Born TB Cases Prior to TB Diagnosis: Boston, <1 year 1 5 years 6 10 years > 10 years Percent Results may not equal 100% due to rounding

12 Region of Birth for TB Cases: Boston, 2012 North America Europe Central/South America Carribean Asia Africa Percent

13 Primary Site of TB Disease: Boston, % 12% Pulmonary Lymphatic Pleural Other 17% 7%

14 Sputum Smear and Culture Results for Cases with Primary Pulmonary TB: Boston, Smear+/Culture+ Smear+/Culture Smear /Culture+ Smear /Culture 20 Number of cases * 2011** 2012*** *Sputum samples unavailable for 2 cases **Sputum samples unavailable for 3 cases ***Sputum samples unavailable for 1 case

15 Drug Resistance in TB Cases: Boston, 2012 Number One Drug Streptomycin 1

16 Completeness of HIV Testing * of TB Cases: Boston, Percent *Includes cases with negative, positive and indeterminate HIV test results

17 Percent TB Cases with HIV Infection:* Boston, Percent *Of those tested

18 What health care sites are diagnosing and initiating TB treatment for Boston cases? 2011** N= * N=40 Diagnosing site Inpatient 29(66%) 31(77%) Outpatient 15(34%) 9(22%) Initial treatment site* Inpatient 28(67%) 31(77%) TB clinic 10(24%) 7(17%) Hospital outpatient clinic 2(5%) 2(5%) Other 2(5%) 0(0%) *1 case died prior to identification of tuberculosis **2 case died prior to identification of tuberculosis Results may not equal 100% due to rounding

19 Who do Boston TB cases identify as their primary care site? 2011 N= N=41 Hospital outpatient clinic 17 (39%) 17 (41%) Community health center 13 (30%) 16 (39%) Private practices 1 (2%) 1 (2%) Other sites 6 (14%) 1 (2%) None identified 7 (16%) 6 (15%) Results may not equal 100% due to rounding

20 Boston Residents with Latent TB Infection (N=1,446) Evaluated at the BPHC TB Clinic, Incidence by Gender: 2012 Female Male Rate per 100,000

21 Boston Residents with Latent TB Infection (N=1,446) Evaluated at the BPHC TB Clinic, Incidence by Age Group: 2012 <10 Years years years years years years years >= 70 years Rate per 100,

22 Percent of Boston Residents with Latent TB Infection (N=1,446) Evaluated at the BPHC TB Clinic by Race/Ethnicity: % 9% 3% 4% 26% Asian Black Hispanic Other Unknown White 39%

23 Boston Residents with Latent TB Infection (N=1,446) Evaluated at the BPHC TB Clinic, Incidence by Neighborhood: Rate per 100,

24 For More Information: BOSTON PUBLIC HEALTH COMMISSION Communicable Disease Control Division 1010 Massachusetts Avenue Boston, MA Phone: Fax: Website: