2021 State and City TB Report

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Goals for Health Equity in Tuberculosis Prevention and Control

The Centers for Disease Control and Prevention has launched an agency-wide CORE strategy to integrate health equity into all agency public health work with the goal to reduce health disparities. In an effort to incorporate this strategy, CDC developed three goals that focus on populations who experience health disparities related to TB disease. The goal is to reduce TB incidence in these populations by approximately 20% between 2019 and 2025.

• Goal 1: Decrease the TB incidence rate among non-U.S.–born Asian-American persons from 26.2 per 100,000 (2019) to 20.8 per 100,000 by December 31, 2025. This goal will reduce health inequities by bringing the incidence rate among non-U.S.–born Asian American persons closer to the TB rate for U.S.-born Asian populations (1.5 per 100,000 in 2019).
• Goal 2: Decrease the TB incidence rate among non-U.S.–born Hispanic/Latino persons from 10.2 per 100,000 (2019) to 8.2 per 100,000 by December 31, 2025. This goal will reduce health inequities by bringing the incidence rate among non-U.S.–born Hispanic and Latino persons closer to the TB rate for U.S.-born Hispanic/Latino populations (1.5 per 100,000 in 2019).
• Goal 3: Decrease the TB incidence rate among U.S.-born non-Hispanic Black or African American persons from 2.6 per 100,000 (2019) to 2.0 per 100,000 by December 31, 2025. This goal will reduce health inequities by bringing the incidence rate among U.S.-born non-Hispanic Black or African American persons closer to the TB rate for U.S.-born non-Hispanic White persons (0.4 per 100,000 in 2019).

Achieving these goals will reduce health inequities overall and bring the U.S. TB rate closer to the goal of TB elimination in the United States (<1 case per million persons annually).

Note: There are no 2025 National Performance Targets for non-U.S.–born Asian-Americans or non-U.S.–born Hispanic/Latino persons. The 2025 National Performance Target and health equity goal for TB incidence for U.S.-born non-Hispanic Blacks or African American persons were calculated using different methodologies.

TB Incidence Among Non-U.S.–born Non-Hispanic Asian American Persons in the United States In 2021

• In the case of incidence, the goal for states and cities is to be at or below the national target and the national average, because lower incidence of TB is the aim
• 22 states and 2 cities met the 2025 health equity goal of 20.8 or less and were below the 2021 national average of 22.3 per 100,000 non-U.S. born Asian American persons
• 6 states and 1 city were above the 2025 health equity goal of 20.8 but were below the national average of 22.3
• 20 states and 6 cities reported incidence above the 2025 health equity goal and national average
• State and cities are grouped into thirds based on the number of TB cases reported in 2021

TB Incidence Among Non-U.S.–born Hispanic/Latino Persons in the United States In 2021

• In the case of incidence, the goal for states and cities is to be at or below the national target and the national average, because lower incidence of TB is the aim
• 14 states and 1 city met the 2025 health equity goal of 8.2 per 100,000 non-U.S. born Hispanic/Latino persons and were below the 2021 national average of 9.4 per 100,000 non-U.S. born Hispanic/Latino persons
• 5 states were above the health equity goal of 8.2 per 100,000 non-U.S. born Hispanic/Latino persons but were below the national average of 9.4 per 100,000 non-U.S. born Hispanic/Latino persons
• 28 states and 6 cities reported incidence above the 2025 health equity goal and national average
• States and cities are grouped into thirds based on the number of TB cases reported in 2021

TB Incidence Among U.S.-born Non-Hispanic Blacks or African American Persons in the United States In 2021

• In the case of incidence, the goal for states and cities is to be at or below the national target (1.0), the Health Equity Goal (2.0) and the national average (2.1), because lower incidence of TB is the aim
• 9 states met the 2025 National Target at or below 1.0 per 100,000 U.S.-born Non-Hispanic Black or African American Persons
• 15 states and 1 city were at or below 2025 Health Equity Goal of 2.0 and national average 2.1 but above 2025 target of 1.0 per 100,000 U.S.-born Non-Hispanic Black or African American Persons
• 16 states and 8 cities reported incidence above the 2025 health equity goal and national average
• States and cities are grouped into thirds based on the number of TB cases reported in 2021