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Nevada reports approximately 100
newly diagnosed cases of TB disease each year, and
consistently ranks among the top twenty states with the
highest rates of TB.
Globally, at least one person
is infected with TB per second, and someone dies of TB
every ten seconds. Tuberculosis kills 2-3 million people
each year, more than any other infectious disease in the
world today. It is a bigger killer than malaria and AIDS
combined. It kills 100,000 children each year. One-third
of the world's population is infected with TB. It is
estimated that between now and the year 2020, nearly one
billion more people will be infected, 200 million people
will get sick, and 70 million will die from TB, if
control is not strengthened.
In 1998, 18,371 TB cases were
reported in the United States, a decline of 7.46% from
the 19,851 cases reported in 1997. This represents the
sixth consecutive year that TB cases declined in the
U.S., suggesting that the nation is recovering from the
resurgence of TB that occurred in the mid-1980s and is
back on track toward TB elimination. However, several
areas of ongoing concern remain.
TB cases born outside of the
U.S. comprised 32% of the 1998 cases. This is an
increase from 23% in 1993. Of the 411 foreign-born cases
reported in 1998, 34.8% were from Haiti, 10.5% were from
Cuba, 6.1% were from Mexico, 4.1% were from Nicaragua,
3.9% were from the Philippines, 3.9% were from India,
3.6% were from Peru, and 3.4% were from Vietnam. |
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The Nevada State Health Division
TB Elimination Program is supported in part by a
continuing competitive grant (FY05-FY09 No.
5U52PS907855) from the Centers for Disease Control and
Prevention (CDC). The mission of the Division of
Tuberculosis Elimination (DTBE) is to promote health and
quality of life by preventing, controlling, and
eventually eliminating tuberculosis from the United
States, and by collaborating with other countries and
international partners in controlling tuberculosis
world-wide.
Funds are available to assist
the current efforts of State and local TB programs to
address the core TB prevention and control activities
(i.e., completion of therapy, contact investigation, TB
surveillance, TB public health laboratory, human
resource development, and program evaluation).
The funding formula (below)
will be utilized to calculate the distribution of funds
for the new funding cycle beginning FY2010. The actual
numbers will be derived from the averaged TB data
reported to the CDC for Calendar years 2004-2008:
- Incident cases – 30%
- U.S. –borne minorities and foreign-born persons
– 35%
- Persons with smear or culture-positive pulmonary
TB -15%
- Persons coinfected with HIV – 5%
- Persons with MDR TB – 5%
- Substance abusers – 5%
- Homeless – 5%
TB programs funded through
cooperative agreements are expected to report on their
progress toward achieving all national TB program
objective categories.
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