TB Challenge: Partnering to Eliminate TB
in African Americans
TB in African Americans: Data from the 2002 Surveillance
Zachary Taylor, M.D., Chief, Field Services and Evaluation
Black, non-Hispanic persons continue to have a disproportionate
share of TB cases in the United States. In 2002, 4,439 cases
of TB occurred in black, non-Hispanic persons. This represents
30% of all cases. The rate of TB in blacks is 12.6 cases per
100,000 population, compared to 1.5 cases per 100,000 population
in white, non-Hispanic persons, resulting in a black:white rate
ratio of 8.4.
The proportion of TB cases in African Americans is even greater
if only TB cases occurring in US-born persons are examined.
In 2002, there were 7,296 cases reported in US-born persons, 48%
of all TB cases reported in the US. Of those cases in US-born
persons, 3,387 occurred in black, non-Hispanic persons, representing
47% of all US-born cases.
Although rates of TB in both blacks and whites have declined substantially
over the past decade, the disparity remains and is the legacy of
poverty, racism, and poor access to care. To close the gap,
increased efforts must be made to eliminate TB in African Americans
in the United States.
Reported TB Cases
by Race/Ethnicity, United States, 2002
Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination - http://www.cdc.gov/tb
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CDC/Division of Tuberculosis Elimination
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