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Leveling of Tuberculosis Incidence ? United States, 2013?2015

Shiloh

Editor, Senior Moderator
Source: http://www.cdc.gov/mmwr/volumes/65/wr/mm6511a2.htm
[h=1]Leveling of Tuberculosis Incidence ? United States, 2013?2015[/h] Weekly / March 25, 2016 / 65(11);273?278



Summary What is already known about this topic? Uniform national reporting of tuberculosis (TB) cases in the United States began in 1953. During 1993?2012, the annual incidence of reported TB cases has always been ≥0.2 cases per 100,000 persons lower than the previous year.
What is added by this report? Preliminary data for 2015 indicate an incidence of 3.0 cases per 100,000 persons, approximately the same incidence as during 2013 and 2014. After 2 decades of declining incidence, progress toward TB elimination in the United States appears to have stalled.
What are the implications for public health practice? Resuming declines in TB incidence in the United States will require intensification of efforts both domestically and globally. More emphasis should be placed on strengthening U.S. systems for detecting and treating latent TB infection and interrupting TB transmission, as well as accelerating reductions in TB globally.




After 2 decades of progress toward tuberculosis (TB) elimination with annual decreases of ≥0.2 cases per 100,000 persons (1), TB incidence in the United States remained approximately 3.0 cases per 100,000 persons during 2013?2015. Preliminary data reported to the National Tuberculosis Surveillance System indicate that TB incidence among foreign-born persons in the United States (15.1 cases per 100,000) has remained approximately 13 times the incidence among U.S.-born persons (1.2 cases per 100,000). Resuming progress toward TB elimination in the United States will require intensification of efforts both in the United States and globally, including increasing U.S. efforts to detect and treat latent TB infection, strengthening systems to interrupt TB transmission in the United States and globally, accelerating reductions in TB globally, particularly in the countries of origin for most U.S. cases...
 
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