Tuberculosis in Texas 2020 Statistics

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In Texas, TB cases and incidence rates varied from 2011 to 2020, with notable demographic distributions and geographic insights. The Texas Department of State Health Services gathered data on reported cases, age groups, race/ethnicity, and jurisdiction details for 2020. The images and data presented showcase the impact of TB in Texas, highlighting key trends and areas of focus for public health efforts.

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Tuberculosis in Texas, 2020 HIV/STD/HCV Epidemiology and Surveillance Branch TB and Hansen s Disease Unit Texas Department of State Health Services All data is preliminary 1

TB Cases and Incidence Rates Texas, 2011-2020 1,400 6 1,200 5 1,000 4 Rate* Cases 800 3 600 2 400 1 200 0 0 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Year *Cases per 100,000 population. Population estimates from the US Census Bureau, Population Estimates and Projections Program and are current as of July 31, 2020. Population estimates for 2020 will be released in July 2021. 2

Geographic Distribution 3

Geographic Distribution of TB Cases in Texas, 2020 Border 15% Metro 57% Non-Metro 28% 4

Texas Jurisdictions with the most reported TB cases, 2020 Reported Cases 141 112 Jurisdiction Houston Department of Health and Human Services Dallas County Health and Human Services Harris County Public Health and Environmental Services 101 Tarrant County Public Health San Antonio Metropolitan Health District Hidalgo County Health Department 63 53 37 32 Austin Public Health Department Public Health Region 8 31 TDCJ* Huntsville Fort Bend County Health Department Total Percent of All TB Cases in Texas 28 27 625 70% 5 TDCJ-Texas Department of Criminal Justice

Thirty-Two Texas Border Counties* *As defined by the La Paz Agreement 6 TB cases in the border counties represent 15% of all TB cases in Texas

Demographics 7

Texas TB Cases by Race/Ethnicity, 2020 White 9% Asian 22% Black 19% Other * 1% Hispanic 49% *Includes American Indian, Alaska Native and Pacific Islander. 8

Texas TB Cases Age Group (Years), 2020 0-4 3% 5-14 3% 65+ 21% 15-24 11% 25-44 30% 45-64 32% 9

Risk Factors 10

Risk Factors Among TB Cases Ages 18+, 2020* Risk Factor % of TB Cases Foreign Born 63% Diabetes 24% Alcohol Abuse 11% Correctional Facility Resident 8% Non-Injection Drug Use 7% HIV Positive 6% Homeless 4% Injection Drug Use 1% *Note: Individuals can have more than one risk factor. 11

Percent of Non-US Born TB Cases Texas, 2011-2020 100% 90% 80% 70% 60% Percentage 50% 40% 30% 20% 10% 0% 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Year 12

Drug Resistant TB 13

TB Cases and Proportions Resistant to INH* or RIF^, 2011-2020 100 8% 90 7% 80 6% 70 5% 60 Cases Percentage 50 4% 40 3% 30 2% 20 1% 10 0 0% 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Year Cases % 14 *INH=Isoniazid ^RIF=Rifampin