Tuberculosis Impact in Boston Residents: 2012 BOSTON PUBLIC HEALTH COMMISSION Infectious Disease Bureau Communicable Disease Control Division
Number of TB Cases: Boston, 1995-2012 200 180 160 140 Number of cases 120 100 80 60 40 93 87 79 89 77 82 75 67 64 70 57 61 49 61 57 58 44 41 20 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Incidence of TB: Boston, 2000-2012 Rate per 100,000 20 18 16 14 12 10 8 6 4 2 0 13.9 12.7 11.4 10.9 11.9 9.7 10.4 10.4 9.7 9.8 8.3 7.1 6.6 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Incidence of TB by Gender: Boston, 2010-2012 12 10 Male Female Rate per 100,000 8 6 4 2 0 2010 2011 2012
Percent of Reported TB Cases by Age Group: Boston, 2010-2012 2010 2011 2012 Percent 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% < 25 years 25 44 years 45 64 years > 64 years Results may not equal 100% due to rounding
Incidence of TB by Age Group: Boston, 2010-2012 30 < 20 years 20 29 years 30 39 years 40 49 years 50 59 years 60 69 years >= 70 years 25 Rate per 100,000 20 15 10 5 0 2010 2011 2012
Percent of Reported Tuberculosis Cases by Race/Ethnicity: Boston, 2010-2012 White Black Hispanic Asian Other 60% 50% Percent 40% 30% 20% 10% 0% 2010 2011 2012 Results may not equal 100% due to rounding
Incidence of TB by Race/Ethnicity: Boston, 2010-2012 Rate per 100,000 50 45 40 35 30 25 20 15 10 5 0 White Black Hispanic Asian Other 2010 2011 2012
Incidence of TB Among the Homeless: Boston, 2010-2012 Rate per 100,000 100 90 80 70 60 50 40 30 20 10 0 2010 2011 2012
TB Cases by Birthplace: Boston, 2010-2012 100 US Born Foreign Born 80 Percent 60 40 20 0 2010 2011 2012 Results may not equal 100% due to rounding
Length of US Residence for Foreign Born TB Cases Prior to TB Diagnosis: Boston, 2010-2012 <1 year 1 5 years 6 10 years > 10 years 100 80 Percent 60 40 20 0 2010 2011 2012 Results may not equal 100% due to rounding
Region of Birth for TB Cases: Boston, 2012 North America Europe Central/South America Carribean Asia Africa 0 5 10 15 20 25 30 Percent
Primary Site of TB Disease: Boston, 2012 64% 12% Pulmonary Lymphatic Pleural Other 17% 7%
Sputum Smear and Culture Results for Cases with Primary Pulmonary TB: Boston, 2010-2012 Smear+/Culture+ Smear+/Culture Smear /Culture+ Smear /Culture 20 Number of cases 15 10 5 0 2010* 2011** 2012*** *Sputum samples unavailable for 2 cases **Sputum samples unavailable for 3 cases ***Sputum samples unavailable for 1 case
Drug Resistance in TB Cases: Boston, 2012 Number One Drug Streptomycin 1
Completeness of HIV Testing * of TB Cases: Boston, 2010-2012 Percent 100 90 80 70 60 50 40 30 20 10 0 2010 2011 2012 *Includes cases with negative, positive and indeterminate HIV test results
Percent TB Cases with HIV Infection:* Boston, 2010-2012 10 8 Percent 6 4 2 0 2010 2011 2012 *Of those tested
What health care sites are diagnosing and initiating TB treatment for Boston cases? 2011** N=42 2012* 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
Who do Boston TB cases identify as their primary care site? 2011 N=44 2012 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
Boston Residents with Latent TB Infection (N=1,446) Evaluated at the BPHC TB Clinic, Incidence by Gender: 2012 Female Male 0 25 50 75 100 125 150 175 200 225 250 275 Rate per 100,000
Boston Residents with Latent TB Infection (N=1,446) Evaluated at the BPHC TB Clinic, Incidence by Age Group: 2012 <10 Years 10 19 years 20 29 years 30 39 years 40 49 years 50 59 years 60 69 years >= 70 years 400.0 350.0 300.0 Rate per 100,000 250.0 200.0 150.0 100.0 50.0 0.0
Percent of Boston Residents with Latent TB Infection (N=1,446) Evaluated at the BPHC TB Clinic by Race/Ethnicity: 2012 19% 9% 3% 4% 26% Asian Black Hispanic Other Unknown White 39%
Boston Residents with Latent TB Infection (N=1,446) Evaluated at the BPHC TB Clinic, Incidence by Neighborhood: 2012 600 500 Rate per 100,000 400 300 200 100 0
For More Information: BOSTON PUBLIC HEALTH COMMISSION Communicable Disease Control Division 1010 Massachusetts Avenue Boston, MA 02118 Phone: 617 534 5611 Fax: 617 534 5905 Website: www.bphc.org