Reporting Area Data

What to know

Of the 50 U.S. states, New York City, and the District of Columbia (D.C.), 42 jurisdictions reported an increase in cases and incidence rate. Among the five U.S. territories and three freely associated states, five jurisdictions reported an increase in cases and six reported an increase in incidence rate.

Bar chart with five bars showing a slight decrease then increasing

Introduction

Reporting areas include:

  • 50 U.S. states, New York City, and the District of Columbia (D.C.) unless otherwise specified
  • Five U.S. territories (American Samoa, Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands)
  • Three independent countries that are in compacts of free association with the United States (Federated States of Micronesia, Republic of the Marshall Islands, and Republic of Palau)

Key findings

As in past years, four U.S. states combined reported half (50.6%) of all U.S. TB disease cases in 2023:

  • California (21.9%)
  • Texas (12.9%)
  • New York, including New York City (9.3%)
  • Florida (6.5%)

These states are the most populated U.S. states, but only represent about a third of the total U.S. population.

In 2023, the TB incidence rates (cases per 100,000 persons) in reporting areas above the national incidence rate of 2.9 cases per 100,000 persons were:

  • Alaska, 10.5
  • Hawaii, 8.1
  • California, 5.4
  • New York, including New York City,A 4.6
  • Texas, 4.1
  • District of Columbia, 4.0
  • New Jersey, 3.7
  • Maryland, 3.3
  • Massachusetts, 3.2
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U.S. map with states shaded based on tuberculosis incidence rate in 2023. Nine areas exceeded the national rate.
Eight states and the District of Columbia had incidence rates higher than the national rate of 2.9 cases per 100,000 persons in 2023.

The TB incidence rates (cases per 100,000 persons) among the U.S. territories and freely associated states were:

  • Republic of the Marshall Islands, 503.7
  • Federated States of Micronesia, 179.4
  • Republic of Palau, 77.9
  • Commonwealth of the Northern Mariana Islands, 42.9
  • Guam, 26.6
  • American Samoa, 11.2
  • U.S. Virgin Islands, 1.9
  • Puerto Rico, 0.7
View Larger
Map of the U.S.-Affiliated Pacific Islands with the 2023 tuberculosis incidence rates shown.
Among the U.S.-Affiliated Pacific Islands, incidence rates (cases per 100,000 persons) ranged from 11.2 (American Samoa, n=5) to 503.7 (Republic of the Marshall Islands, n=210).

Explore the data tables

TB by Reporting Areas: 2022 and 2023
CDC describes TB disease and incidence rates by U.S. reporting area in 2022 and 2023.
TB by Initial Reason for TB Evaluation and Reporting Areas: 2023
CDC reports TB disease cases by initial reason for evaluation by U.S. reporting area in 2023.

TB by Age Group and Reporting Areas: 2023
CDC describes cases of TB disease and percentages by age group and U.S. reporting area in 2023.
TB by Race/Ethnicity and Reporting Areas: 2023
CDC describes TB disease by Hispanic ethnicity and non-Hispanic race in the United States in 2023.
TB by Origin of Birth and Reporting Areas: 2023
CDC describes cases of TB disease and percentages by origin of birth in the United States in 2023.

TB by Non-HIV Medical Risk Factors and Reporting Areas: 2023
CDC describes cases of TB disease by non-HIV medical risk factors and reporting area in 2023.
TB by Residence in Correctional Facilities and Reporting Areas: 2023
CDC reports the cases of TB disease in correctional facilities by U.S. reporting area in 2023.
TB by Select Occupation and Reporting Areas: 2023
CDC reports the number of TB disease cases by select occupations and U.S. reporting area in 2023.
TB by Social Risk Factors and Reporting Areas: 2023
CDC reports TB disease cases among persons at least 15 years old by social risk factors in 2023.

TB Genotyping Coverage and Reporting Areas: 2023
CDC reports TB disease cases by genotyping surveillance coverage and U.S. reporting area in 2023.

Resources

Executive Commentary
CDC describes cases of tuberculosis disease in the United States reported in 2023.
Tuberculosis in the United States, 2023 Slide Set
Download the slide set of data visualizations for Reported Tuberculosis in the United States, 2023.
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Communication Resources
CDC has communication resources for Reported Tuberculosis in the United States, 2023.
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Content Source:
Division of Tuberculosis Elimination; National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention; Centers for Disease Control and Prevention
  1. New York City, which is a distinct reporting area, had an incidence rate of 8.3 cases per 100,000 persons. When New York City was analyzed separately, the remainder of New York state had an incidence rate of 1.9 cases per 100,000 persons.