Reported Tuberculosis in the United States, 2021

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Table 51. Tuberculosis Cases and Incidence Rates per 100,000 Population: Metropolitan Statistical Areas with ≥500,000 Population, 2021 and 2020

See Surveillance Slide #9.

Tuberculosis cases and incidence rates by metropolitan statistical area.
Metropolitan statistical area Cases Incidence rates Population estimates 2021
2021 2020 2021 2020
Akron, OH 10 12 1.4 1.7 700,015
Albany-Schenectady-Troy, NY 899,286
Albuquerque, NM 11 9 1.2 1.0 918,259
Allentown-Bethlehem-Easton, PA-NJ 6 5 0.7 0.6 865,310
Atlanta-Sandy Springs-Alpharetta, GA 162 143 2.6 2.3 6,144,050
Augusta-Richmond County, GA-SC 12 10 1.9 1.6 615,933
Austin-Round Rock-Georgetown, TX 62 55 2.6 2.4 2,352,426
Bakersfield, CA 42 33 4.6 3.6 917,673
Baltimore-Columbia-Towson, MD 64 43 2.3 1.5 2,838,327
Baton Rouge, LA 16 15 1.8 1.7 871,905
Birmingham-Hoover, AL 22 18 2.0 1.6 1,114,262
Boise City, ID 795,268
Boston-Cambridge-Newton, MA-NH 120 109 2.4 2.2 4,899,932
Bridgeport-Stamford-Norwalk, CT 23 18 2.4 1.9 959,768
Buffalo-Cheektowaga, NY 16 15 1.4 1.3 1,162,336
Cape Coral-Fort Myers, FL 11 12 1.4 1.6 787,976
Charleston-North Charleston, SC 24 15 3.0 1.9 813,052
Charlotte-Concord-Gastonia, NC-SC 51 59 1.9 2.2 2,701,046
Chattanooga, TN-GA 6 10 1.1 1.8 567,641
Chicago-Naperville-Elgin, IL-IN-WI 233 203 2.5 2.1 9,509,934
Cincinnati, OH-KY-IN 36 24 1.6 1.1 2,259,935
Cleveland-Elyria, OH 25 20 1.2 1.0 2,075,662
Colorado Springs, CO 762,793
Columbia, SC 11 7 1.3 0.8 838,250
Columbus, OH 53 54 2.5 2.5 2,151,017
Dallas-Fort Worth-Arlington, TX 229 213 3.0 2.8 7,759,615
Dayton-Kettering, OH 11 7 1.4 0.9 813,516
Deltona-Daytona Beach-Ormond Beach, FL 6 6 0.9 0.9 685,344
Denver-Aurora-Lakewood, CO 46 31 1.5 1.0 2,972,566
Des Moines-West Des Moines, IA 13 8 1.8 1.1 719,146
Detroit-Warren-Dearborn, MI 94 58 2.2 1.3 4,365,205
Durham-Chapel Hill, NC 11 14 1.7 2.1 654,012
El Paso, TX 29 26 3.3 3.0 871,234
Fayetteville, NC 13 7 2.5 1.3 524,588
Fayetteville-Springdale-Rogers, AR 21 17 3.7 3.1 560,709
Fresno, CA 45 36 4.4 3.6 1,013,581
Grand Rapids-Kentwood, MI 9 15 0.8 1.4 1,091,620
Greensboro-High Point, NC 14 12 1.8 1.5 778,848
Greenville-Anderson, SC 11 5 1.2 0.5 940,774
Harrisburg-Carlisle, PA 8 14 1.3 2.4 596,305
Hartford-East Hartford-Middletown, CT 13 15 1.1 1.2 1,211,906
Houston-The Woodlands-Sugar Land, TX 301 296 4.2 4.1 7,206,841
Huntsville, AL 502,728
Indianapolis-Carmel-Anderson, IN 62 43 2.9 2.0 2,126,804
Jackson, MS 17 20 2.9 3.4 587,202
Jacksonville, FL 45 29 2.7 1.8 1,637,666
Kansas City, MO-KS 38 35 1.7 1.6 2,199,490
Knoxville, TN 893,412
Lakeland-Winter Haven, FL 8 9 1.1 1.2 753,520
Lancaster, PA 8 6 1.4 1.1 553,652
Lansing-East Lansing, MI 540,281
Las Vegas-Henderson-Paradise, NV 54 51 2.4 2.2 2,292,476
Lexington-Fayette, KY 13 11 2.5 2.1 517,846
Little Rock-North Little Rock-Conway, AR 10 9 1.3 1.2 750,936
Los Angeles-Long Beach-Anaheim, CA 631 630 4.9 4.8 12,997,353
Louisville/Jefferson County, KY-IN 20 33 1.6 2.6 1,284,566
Madison, WI 6 5 0.9 0.7 683,183
McAllen-Edinburg-Mission, TX 33 36 3.7 4.1 880,356
Memphis, TN-MS-AR 31 37 2.3 2.8 1,336,103
Miami-Fort Lauderdale-Pompano Beach, FL 192 147 3.2 2.4 6,091,747
Milwaukee-Waukesha, WI 24 12 1.5 0.8 1,566,487
Minneapolis-St. Paul-Bloomington, MN-WI 107 97 2.9 2.6 3,690,512
Modesto, CA 10 9 1.8 1.6 552,999
Myrtle Beach-Conway-North Myrtle Beach, SC-NC 10 2.0 509,794
Nashville-Davidson–Murfreesboro–Franklin, TN 32 46 1.6 2.3 2,012,476
New Haven-Milford, CT 14 17 1.6 2.0 863,700
New Orleans-Metairie, LA 34 38 2.7 3.0 1,261,726
New York-Newark-Jersey City, NY-NJ-PA 834 752 4.2 3.7 19,768,458
North Port-Sarasota-Bradenton, FL 15 9 1.7 1.1 859,760
Ogden-Clearfield, UT 706,696
Oklahoma City, OK 29 26 2.0 1.8 1,441,647
Omaha-Council Bluffs, NE-IA 10 14 1.0 1.4 971,637
Orlando-Kissimmee-Sanford, FL 51 59 1.9 2.2 2,691,925
Oxnard-Thousand Oaks-Ventura, CA 20 19 2.4 2.3 839,784
Palm Bay-Melbourne-Titusville, FL 616,628
Pensacola-Ferry Pass-Brent, FL 8 9 1.5 1.8 516,388
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 160 115 2.6 1.8 6,228,601
Phoenix-Mesa-Chandler, AZ 90 98 1.8 2.0 4,946,145
Pittsburgh, PA 21 18 0.9 0.8 2,353,538
Port St. Lucie, FL 11 2.2 503,521
Portland-South Portland, ME 10 15 1.8 2.7 556,893
Portland-Vancouver-Hillsboro, OR-WA 63 52 2.5 2.1 2,511,612
Poughkeepsie-Newburgh-Middletown, NY 13 8 1.9 1.1 701,637
Providence-Warwick, RI-MA 24 11 1.4 0.7 1,675,774
Provo-Orem, UT 697,141
Raleigh-Cary, NC 21 20 1.4 1.4 1,448,411
Richmond, VA 13 26 1.0 2.0 1,324,062
Riverside-San Bernardino-Ontario, CA 115 93 2.5 2.0 4,653,105
Rochester, NY 14 11 1.3 1.0 1,084,973
Sacramento-Roseville-Folsom, CA 85 68 3.5 2.8 2,411,428
Salt Lake City, UT 11 20 0.9 1.6 1,263,061
San Antonio-New Braunfels, TX 86 58 3.3 2.3 2,601,788
San Diego-Chula Vista-Carlsbad, CA 201 193 6.1 5.9 3,286,069
San Francisco-Oakland-Berkeley, CA 270 259 5.8 5.5 4,623,264
San Jose-Sunnyvale-Santa Clara, CA 135 152 6.9 7.6 1,952,185
Scranton–Wilkes-Barre, PA 13 9 2.3 1.6 567,750
Seattle-Tacoma-Bellevue, WA 151 126 3.8 3.1 4,011,553
Spokane-Spokane Valley, WA 8 5 1.3 0.9 593,466
Springfield, MA 10 12 1.4 1.7 695,305
St. Louis, MO-IL 33 35 1.2 1.2 2,809,299
Stockton, CA 41 46 5.2 5.9 789,410
Syracuse, NY 6 9 0.9 1.4 658,281
Tampa-St. Petersburg-Clearwater, FL 85 54 2.6 1.7 3,219,514
Toledo, OH 644,217
Tucson, AZ 17 15 1.6 1.4 1,052,030
Tulsa, OK 11 13 1.1 1.3 1,023,988
Urban Honolulu, HI 86 63 8.6 6.2 1,000,890
Virginia Beach-Norfolk-Newport News, VA-NC 13 15 0.7 0.8 1,803,328
Washington-Arlington-Alexandria, DC-VA-MD-WV 241 220 3.8 3.4 6,356,434
Wichita, KS 9 7 1.4 1.1 647,919
Winston-Salem, NC 7 7 1.0 1.0 681,438
Worcester, MA-CT 13 13 1.3 1.3 978,447
Youngstown-Warren-Boardman, OH-PA 538,069
Total 6386 5817 2.8 2.5 229,682,350
Total – 113 Areas
San Juan-Bayamón-Caguas, PR 16 22 0.8 1.1 2,068,451

Note:
2020 and 2021 population counts and incidence rates obtained using Annual Estimates of the Resident Population for Counties: April 1, 2020 to July 1, 2021; accessed July 13, 2022.
Dashes (–) indicate that the data is suppressed for geographic areas below the state level that reported <5 cases in 2020 or 2021.
Ellipses (…) indicate that the metropolitan statistical area had a population <500,000 during 2020.
See Technical Notes for definition of metropolitan statistical areas.