Transcript No Slide Title

TUBERCULOSIS IN
VIRGINIA
Wendy Heirendt, MPA
Division of Tuberculosis Control
Virginia Department of Health
September 10, 2001
Year
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1975
1970
1965
1960
1955
1950
1940
1930
1920
1910
Number of Cases
Number of Reported Tuberculosis Cases
Virginia, 1910-2000
7000
6000
5000
4000
3000
2000
1000
0
Number of Reported TB Cases
Virginia, 1995-2000
370
Number of 360
Cases
350
340
330
320
310
300
290
280
270
292
1995
1996
1997
1998
Year
1999
2000
Percent of TB Cases By Age
Virginia, 1995-2000
Percent of Cases
40
35
30
15-24
25-44
45-64
65+
0-14
25
20
15
10
5
0
1995
1996
1997
1998
Year
Chart 6
1999
2000
Percent of Cases
Percent of TB Cases By Race
Virginia, 1995-2000
50
45
40
35
30
25
20
15
10
5
0
1995
White
Black
Asian
Hispanic
1996
1997
1998
Year
1999
2000
Percent of TB Cases By Sex
Virginia, 2000
41%
Male
Female
59%
Chart 3
TB Cases By Disease Site
Virginia, 1995-2000
80
70
60
Percent of
Cases
50
40
Pulmonary
Extra-Pulm
Both
30
20
10
0
1995
1996
1997
1998
Year
1999
2000
TB Cases Diagnosed at Time of Death
Virginia, 1995-2000
Number of
Cases
18
16
14
12
10
8
6
4
2
0
1995
1996
1997
1998
Year
1999
2000
Percent of Foreign-born vs.
US Born TB Cases
Virginia, 1995-2000
70
60
Percent
50
40
Foreignborn
US born
30
20
10
0
1995
1996
1997
1998
Year
1999
2000
Percent TB Cases with Drug Resistance*
Percent
Virginia, 1994-2000
20
18
16
14 14.1
12
11
10
8
6
4
2
0
1994
1995
18.8
11
10.9
9.5
6.6
1996
1997
1998
Year
*Culture confirmed cases with drug
susceptibility tests performed
1999
2000
Number of TB Cases* with Drug
Resistance
Virginia, 1994-2000
60
Number of Cases
50
40
Any drug resistance
30
MDR-TB
INH Resistance
20
10
0
1994
1995
1996
1997
1998
1999
2000
Year
*Culture confirmed cases with drug
susceptibility tests performed
Percent
Percent of Drug Resistance Among
Foreign-Born & US Born
Virginia, 1993-2000
100
90
80
70
60
50
40
30
20
10
0
1993
US Born
Foreign
1994
1995
1996
1997
Year
1998
1999
2000
Number of Reported TB/AIDS Cases
Virginia, 1995-2000
Number of Cases
25
20
15
10
5
0
1995
1996
1997
1998
Year
1999
2000
Percent of Cases
Percent of TB Cases on
DOT vs. Self-administered
Virginia, 1995-2000
80
70
60
50
40
30
Self
DOT
20
10
0
1995
1996
1997
1998
Year
1999
2000
Completion of Therapy Rates
Virginia, 1994-1999
100
90
80
70
60
Percent 50
40
30
20
10
0
1994
1995
1996
1997
Year
1998
1999
VA Code 18.2-322
Anti-Spitting Law of 1906
• No person shall spit, expectorate, or deposit
any sputum, saliva, mucus, or any form of
saliva or sputum upon the floor, stairways,
or upon any part of any public building or
place where the public assemble, or upon
the floor of any part of any public
conveyance, or upon any sidewalk abutting
on any public street, alley, or lane of any
town or city.
Evaluation Criteria
•
•
•
•
Completion of Therapy (COT)
COT in Pulmonary cases with DOT
COT for LTBI by contacts
Contributing or Complicating Factors
Regional Breakdown of TB Cases
Virginia, 1990 and 2000
1990
2000
23%
27%
32%
51%
7%
9%
11%
12%
8%
20%
N
NW
Cent
SW
E
N
NW
Cent
SW
E
Spittoon Score by Region
2001
120
100
100
90
83.7
80
76
74
73
86.5
70
80
Cent
East
65
60
64.9
40
20
0
State
North
NW
Regional Average
SW
Winner's Score
COT Index by Region
Virginia, 1999
120
100
100
96
100
95
100
93
92
89
96
83
80
80
60
40
20
0
STATE
NW
N
Regional Average
SW
Winner's Score
Cent
East
Pulmonary Cases who Complete Rx with DOT
Virginia, 1999
120
100
100
100
94
82
80
81
80
79
80
71
67
73
60
40
20
0
STATE
NW
N
Regional Average
SW
Winner's Score
Cent
East
Completion of Therapy by Contacts
Virginia, 1999
120
100
100
100
100
100
100
86
80
72
65
60
60
61
38
40
20
0
STATE
NW
N
Regional Average
SW
Winner's Score
Cent
East
Proportion of Cases with
Complicating Factors
120
100
100
82
80
60
57
55
50
42
53
41
37
40
36
19
20
0
State
NW
N
Regional Average
SW
Winner's Score
Cent
East
The Travelling Spittoon