epidemiology of tuberculosis in virginia, 2004
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Epidemiology of Tuberculosis in Virginia, 2004. Division of TB Control Virginia Department of Health. Tuberculosis (TB): A Disease of Public Health Significance. Potentially fatal disease transmitted by prolonged contact Long, multidrug treatment regimens increase risk of nonadherence - PowerPoint PPT PresentationTRANSCRIPT
Epidemiology of Tuberculosis in Virginia, 2004
Division of TB ControlVirginia Department of Health
Tuberculosis (TB): A Disease ofPublic Health Significance
Potentially fatal disease transmitted by prolonged contact
Long, multidrug treatment regimens increase risk of nonadherence
Serious impact of improper/inadequate treatment on community
Disproportionate impact on disenfranchised
TB Control Challenges in Virginia
Rising morbidity in Northern Virginia
Greater proportion of TB patients born outside the United States43 different countries of origin17 different primary languages (other
than English)
Number of Reported TB Cases inVirginia, 1986-2004
329
TB Case Rates in Virginia, 1996-2004
Year Cases VA Rate US Rate
1996 349 5.3 8.0
1997 349 5.3 7.4
1998 339 5.2 6.8
1999 334 4.9 6.4
2000 292 4.1 5.8
2001 306 4.3 5.6
2002 315 4.5 5.2
2003 332 4.5 5.1
2004 329 4.4 4.9
Percent of Reported TB Casesby VA Region: 2003 and 2004
Central20%
Eastern18%
Northern46%
Northwest9%
Southwest7%
2003
Central15%
Eastern20%
Northern51%
Northwest7%
Southwest7%
2004
Number of Reported TB CasesBy VA Region, 2000-2004
0
20
40
60
80
100
120
140
160
180
Nu
mb
er
of
Ca
ses
Northwest Southwest Central Eastern Northern
Health Region
20002001200220032004
Number of Reported TB Casesby Age and Sex: VA, 2004
0
10
20
30
40
50
60
70
Num
ber
of C
ases
0-14 15-24 25-44 45-64 65+
Age Group in Years
Male Female
Percent of Reported TB Casesby Age: VA, 1996-2004
0
10
20
30
40
50
1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
of C
ases
0-14 15-24 25-44 45-64 65+
Number of Reported Foreign-Born vs.US-Born TB Cases, VA 1996-2004
0
50
100
150
200
250
1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Num
ber
of
case
s
US Born Foreign Born
MDR Cases & Percent of Resistance toAny First Line Drugs: VA, 1998-2004
1
4
7
4
21
10
3.3
11
9.5
14.113.4
12.2
16.3
0
2
4
6
8
10
12
1998 1999 2000 2001 2002 2003 2004
Nu
mb
er
0
2
4
6
8
10
12
14
16
18
Pe
rce
nt
Number of ReportedTB/AIDS Cases: VA, 1993-2004
0
5
10
15
20
25
30
35
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Nu
mb
er
of
Ca
ses
Directly Observed Therapy (DOT)
DOT is the standard of treatment
Patients are observed taking their medications
In 2004, 84% of TB cases were on DOT