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

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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


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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

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

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 3/3/17 2

1393 1294 1274 1164 1138 1084 1041 1074 1093 1032 988 957 822 833 754 678 651 595 602 639 200 400 600 800 1000 1200 1400 1600 97 98 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Number of Cases Year

Tuberculosis Cases Florida, 1997-2016

Sources: TIMS (1994-2008) and HMS (2009-2016)

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 9/19/17 3

9.5 8.7 8.3 7.5 7 6.5 6.1 6.1 6.1 5.6 5.3 5.1 4.4 4.4 4 3.6 3.4 3 3 3.2 1 2 3 4 5 6 7 8 9 10 97 98 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Rate per 100,000 population Year

Tuberculosis Case Rates Florida, 1997-2016

Sources: TIMS (1997-2008) and HMS (2009-2016) Population estimates from Florida CHARTS.

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

TB Cases by Race/Ethnicity* Florida, 2016 (n=639)

21.9% 34.7% 26.1% 16.7% White, Non-Hispanic Black, Non-Hispanic Hispanic Asian/Pacific Islander

Data as of 2/2317 4

Source: HMS

*Race categories that made up less than 1%

  • f the total cases

included: American Indian/Alaskan native, Multiple race and Other.

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 3/3/17 5

928 899 846 803 775 702 664 711 707 687 612 617 522 531 492 421 393 375 371 379 465 395 428 361 363 382 377 363 387 351 377 340 300 304 261 258 259 220 231 260

100 200 300 400 500 600 700 800 900 1000 97 98 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Number of Cases Year

TB and Gender Florida, 1997-2016

Male Female

Sources: TIMS (1997-2008) and HMS (2009-2016)

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 2/24/17 6

2% 2% 7% 30% 35% 25%

Tuberculosis by Age Group Florida, 2016 (N=679)

0-4 5-14 15-24 25-44 45-64 65+

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 2/24/17 7

970 882 817 700 650 601 561 546 596 545 512 492 410 416 345 337 284 224 246 242 420 410 456 462 486 483 480 525 497 487 476 465 412 419 408 342 368 371 356 397

200 400 600 800 1,000 1,200

97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16

Number of Cases

Year

Trends in TB cases in U.S.-born vs Foreign-born Persons, FL 1997-2016

U.S.-born Foreign-born

Sources: TIMS (1997-2008) and HMS (2009-2016)

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 2/24/17 8

30% 31% 36% 39% 42% 44% 46% 49% 45% 47% 47% 48% 50% 50% 54% 50% 56% 62% 59% 62%

0% 10% 20% 30% 40% 50% 60% 70% 200 400 600 800 1000 1200 1400 1600 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16

Percentage of Total Cases Number of Cases

Year

TB Cases Among Foreign-born Persons Florida, 1997-2016

Total Cases Percentage of Total Cases

Sources: TIMS (1997-2008) and HMS (2009-2016)

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 3/1/17 9

Source: HMS. Countries with 7 or fewer cases were included in the Other category. Percentages have been rounded and may not equal 100%.

Foreign-born TB by Country of Birth Florida, 2016 (N=397)

23% 9% 8% 8% 7% 6% 4% 4% 4% 29% Haiti Mexico Vietnam Philippines Guatemala Cuba India Columbia Honduras Other

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 3/1/17 10

2% 1% 4% 28% 7% 48% 9%

Tuberculosis by Occupation Florida, 2016 (N=639)

HealthCare Worker Migrant/Seasonal Worker Not seeking Employment Other Occupation Retired Unemployed Unknown

Source: HMS

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 3/1/17 11

24% 25% 23% 21% 23% 18% 20% 18% 18% 18% 15% 17% 15% 12% 15% 11% 13% 11% 10% 10%

0% 5% 10% 15% 20% 25% 30% 200 400 600 800 1000 1200 1400 1600 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16

Percentage Number of Cases

Year

Tuberculosis/HIV Co-infection Florida, 1997-2016

TB/HIV All TB Cases %TB/HIV

Sources: TIMS (1997-2008) and HMS (2009-2016)

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

TB and Selected Risk Factors Florida, 1996 - 2016

50 100 150 200 250 300 350 97 98 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Number of Cases

Year

Excess alcohol use Drug use Homeless HIV infection

Data as of 3/10/17 12

Sources: TIMS (1996-2008) and HMS (2009-2016)

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

TB Cases with Diabetes Florida, 2010 - 2016

81 92 80 80 73 89 77 9.7% 12.2% 11.8% 12.3% 12.3% 14.8% 12.1%

0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% 100 200 300 400 500 600 700 800 900 2010 2011 2012 2013 2014 2015 2016 Percent w/Diabetes Number of Cases Year

Cases w/Diabetes All Cases % Cases w/Diabetes

13 Source: HMS; Data as of 3/1/17

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Division of Disease Control and Health Protection

Data as of 9/19/17 14

10% 11% 10% 10% 10% 7% 7% 5% 6% 7% 5% 5% 7% 5% 6% 6% 6% 8% 5% 7% 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% 1.5% 1.7% 0.8%0.50%

0% 2% 4% 6% 8% 10% 12%

97 98 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Percent of Total Cases

Year

TB with Drug Resistant Florida, 1997-2016

RESISTANT TO INH RESISTANT TO INH AND RIF (MDR)

Sources: TIMS (1997-2008) and HMS (2009-2016) Based on Initial Drug Susceptibility Testing