2012 TB Statistical Highlights
The State of Kansas has had an annual rate of Tuberculosis (TB) averaging less than 3.0 per 100,000 making it a low morbidity state for many years. In 2012, Kansas reported 42 cases for an actual case rate of 1.46 per 100,000. When looking at direct year to year data there is continuous fluctuation in the trend line. This fluctuation demonstrates the unstable nature of looking at trend data when dealing in small numbers of cases. The actual number of cases of active TB in Kansas has fluctuated over the years, but in general has seen a slight trend toward a decline when using a rolling average method. The following two graphs demonstrate these trends respectfully. However, what is also being observed now is a dramatic decline as we achieve new record lows and achievement of national 2015 rates early.
Of the 42 TB cases reported statewide in 2012, 24 were among males and 18 were among females. Fourteen were among Asians, non-Hispanics; 9 were among whites, non-Hispanic; 6 were among black, non-Hispanics and one was American Indian, non-Hispanics. Twelve cases were among Hispanics (all identified as White Hispanic). Of the six black cases, 2 were among US born people and 4were non US born. This translates to a rate of 1.3 for US born black, the lowest rate ever reported in Kansas.
Kansas has achieved the elimination goals of 2015 in all races. The case rate of US Born persons in Kansas for 2012 was .04 with the 2015 national goal being .07 per 100,000. The rate for Children under 5 in Kansas in 2012 was .5 while the 2015 national goal is 0.4 per 100,000, but it should be noted that because of small number issues, the rate of .04 is only achievable in Kansas if there are 0 cases in those under age 5. The actual 2012 Kansas case count in this category is one case.
In 2012 forty-one percent (41%) of all cases were diagnosed in individuals between the ages of twenty-five (25) and sixty-four (64). This age range is of particular concern in that this is the typical range of the most productive employment years and demonstrates the economic impact of TB on individuals and families.
There were three HIV-TB co-morbidity cases. Of these, one was diagnosed with HIV as a result of being diagnosed with TB. There were seven (17%) diabetic co-morbid patients. Seventeen (40%) cases were sputum smear positive. Forty (95.2%) cases were cultural confirmed while the remaining were either clinical or provider diagnosed cases. Thirty-six (36) cases were diagnosed with pulmonary disease and nine (9) had extra-pulmonary. Three of the extra-pulmonary also had pulmonary disease.
Ten cases were diagnosed in a homeless person. One case was diagnosed in an inmate in a local jail. Seven cases were diagnosed with excess alcohol use and three with non-IV drug use. One case was diagnosed in a nursing home resident.