Florida, 2016 Tuberculosis Control Section Division of Disease - PowerPoint PPT Presentation

Tuberculosis Florida, 2016 Tuberculosis Control Section Division of Disease Control and Health Protection 4052 Bald Cypress Way, Bin A-20 Tallahassee, FL 32399 http://www.floridahealth.gov/diseases-and-conditions/tuberculosis Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 1

Tuberculosis Cases Florida, 1997-2016 1600 1393 1400 1294 1274 1164 1138 1200 1093 1084 1074 1041 1032 988 957 1000 Number of Cases 833 822 754 800 678 651 639 602 595 600 400 200 0 97 98 99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Year Division of Disease Control and Health Protection Sources: TIMS (1994-2008) and HMS (2009-2016) To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 3/3/17 2

Tuberculosis Case Rates Florida, 1997-2016 10 9.5 8.7 9 8.3 8 7.5 7 7 6.5 Rate per 100,000 population 6.1 6.1 6.1 6 5.6 5.3 5.1 5 4.4 4.4 4 4 3.6 3.4 3.2 3 3 3 2 1 0 97 98 99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Year Sources: TIMS (1997-2008) and HMS (2009-2016) Population estimates from Florida CHARTS. Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 3 Data as of 9/19/17

TB Cases by Race/Ethnicity* Florida, 2016 (n=639) 16.7% White, Non-Hispanic 21.9% Black, Non-Hispanic Hispanic 26.1% Asian/Pacific Islander *Race categories that 34.7% made up less than 1% of the total cases included: American Indian/Alaskan native, Multiple race and Other. Source: HMS Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 2/2317 4

TB and Gender Florida, 1997-2016 1000 928 899 846 900 803 775 800 711 707 702 687 664 700 617 612 Number of Cases 600 531 522 492 465 500 428 421 395 393 387 382 377 377 379 375 371 361 363 363 351 400 340 304 300 261 260 258 259 300 231 220 200 100 0 97 98 99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Year Male Female Division of Disease Control and Health Protection Sources: TIMS (1997-2008) and HMS (2009-2016) To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5 Data as of 3/3/17

Tuberculosis by Age Group Florida, 2016 (N=679) 2% 2% 7% 25% 30% 35% 0-4 5-14 15-24 25-44 45-64 65+ Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 2/24/17 6

Trends in TB cases in U.S.-born vs Foreign-born Persons, FL 1997-2016 1,200 1,000 970 882 Number of Cases 817 800 700 650 601 561 546 596 545 600 512 492 412 419 480 525 497 397 408 371 342 368 410 456 462 486 487 476 465 356 483 400 410 416 420 345 337 284 224 246 200 242 0 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 Year U.S.-born Foreign-born Division of Disease Control and Health Protection Sources: TIMS (1997-2008) and HMS (2009-2016) To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 2/24/17 7

TB Cases Among Foreign-born Persons Florida, 1997-2016 1600 70% 62% 59% 62% 1400 56% 60% 54% 50% 45% 47% 47% 48% 50% 50% 39% 42% 44% 46% 49% 1200 Percentage of Total Cases 50% Number of Cases 1000 36% 40% 30% 31% 800 30% 600 20% 400 10% 200 0 0% 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 Year Total Cases Percentage of Total Cases Division of Disease Control and Health Protection Sources: TIMS (1997-2008) and HMS (2009-2016) To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 2/24/17 8

Foreign-born TB by Country of Birth Florida, 2016 (N=397) Haiti Mexico 23% Vietnam 29% Philippines Guatemala 9% Cuba 4% India 4% 8% Columbia 4% Honduras 6% 8% 7% Other Source: HMS. Countries with 7 or fewer cases were included in the Other category. Percentages have Division of Disease Control and Health Protection been rounded and may not equal 100%. To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 3/1/17 9

Tuberculosis by Occupation Florida, 2016 (N=639) 2% 1% 4% HealthCare Worker 9% Migrant/Seasonal Worker Not seeking Employment 28% Other Occupation Retired 48% 7% Unemployed Unknown Source: HMS Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 3/1/17 10

Tuberculosis/HIV Co-infection Florida, 1997-2016 1600 30% 25% 1400 24% 25% 23% 23% 21% 1200 20% 18% 18% 18% 18% 20% Number of Cases 1000 17% Percentage 15% 15% 15% 800 15% 13% 12% 11% 11% 10% 10% 600 10% 400 5% 200 0 0% 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 Year TB/HIV All TB Cases %TB/HIV Sources: TIMS (1997-2008) and HMS (2009-2016) Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 3/1/17 11

TB and Selected Risk Factors Florida, 1996 - 2016 350 300 250 200 Number of Cases 150 100 50 0 97 98 99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Year Excess alcohol use Drug use Homeless HIV infection Sources: TIMS (1996-2008) and HMS (2009-2016) Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 12 3/10/17

TB Cases with Diabetes Florida, 2010 - 2016 900 16.0% 14.8% 800 12.2% 12.3% 12.3% 14.0% 11.8% 700 12.1% 12.0% Percent w/Diabetes Number of Cases 600 10.0% 9.7% 500 8.0% 400 6.0% 300 4.0% 200 92 89 81 80 80 77 73 2.0% 100 0 0.0% 2010 2011 2012 2013 2014 2015 2016 Year Cases w/Diabetes All Cases % Cases w/Diabetes Division of Disease Control and Health Protection Source: HMS; To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 3/1/17 13

TB with Drug Resistant Florida, 1997-2016 12% 11% RESISTANT TO INH 10% 10% 10% 10% 10% RESISTANT TO INH AND RIF (MDR) Percent of Total Cases 8% 8% 7% 7% 7% 7% 7% 6% 6% 6% 6% 6% 5% 5% 5% 5% 5% 4% 1.5% 1.7% 2% 1.2% 0.9% 1.0% 0.9% 0.5% 0.9% 0.8% 0.7% 0.9% 0.5% 0.5% 0.4% 0.7% 0.7% 0.8% 1.0% 0.8%0.50% 0% 97 98 99 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Year Sources: TIMS (1997-2008) and HMS (2009-2016) Division of Disease Control and Health Protection Based on Initial Drug Susceptibility Testing To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Data as of 9/19/17 14