About
This table reports the number of cases of tuberculosis (TB) disease by initial reason for TB evaluation and U.S. reporting area in 2024.
Key Highlights
- In 2024, TB symptoms was the initial reason for evaluation for 64% of TB cases nationally.
- TB symptoms was the most frequently reported reason for initial evaluation in all reporting areas except Kansas, Mississippi, New Hampshire, and Federated States of Micronesia.
- Contact investigation was most frequently reported in Kansas and Federated States of Micronesia; in Mississippi and New Hampshire, Other reasons for initial evaluation were most frequently reported.
Data Table
Initial Reason for Tuberculosis Evaluation:1 Reporting Areas, 2024
| Reporting area | Total cases | TB symptoms | Contact investigation | Screening | Other2 | Unknown or missing | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| No. | (%) | No. | (%) | No. | (%) | No. | (%) | No. | (%) | ||
| United States3 | 10,388 | 6669 | (64.2) | 527 | (5.1) | 1,308 | (12.6) | 1,773 | (17.1) | 111 | (1.1) |
| Alabama | 90 | 58 | (64.4) | 14 | (15.6) | 6 | (6.7) | 12 | (13.3) | 0 | (0.0) |
| Alaska | 91 | 52 | (57.1) | 20 | (22.0) | 7 | (7.7) | 12 | (13.2) | 0 | (0.0) |
| Arizona | 210 | 123 | (58.6) | 8 | (3.8) | 56 | (26.7) | 23 | (11.0) | 0 | (0.0) |
| Arkansas | 119 | 50 | (42.0) | 42 | (35.3) | 12 | (10.1) | 15 | (12.6) | 0 | (0.0) |
| California | 2,109 | 1,331 | (63.1) | 60 | (2.8) | 253 | (12.0) | 417 | (19.8) | 48 | (2.3) |
| Colorado | 78 | 63 | (80.8) | 4 | (5.1) | 5 | (6.4) | 6 | (7.7) | 0 | (0.0) |
| Connecticut | 87 | 69 | (79.3) | 1 | (1.1) | 5 | (5.7) | 5 | (5.7) | 7 | (8.0) |
| Delaware | 24 | 18 | (75.0) | 5 | (20.8) | 1 | (4.2) | 0 | (0.0) | 0 | (0.0) |
| District of Columbia | 33 | 30 | (90.9) | 1 | (3.0) | 2 | (6.1) | 0 | (0.0) | 0 | (0.0) |
| Florida | 675 | 376 | (55.7) | 17 | (2.5) | 231 | (34.2) | 51 | (7.6) | 0 | (0.0) |
| Georgia | 254 | 177 | (69.7) | 8 | (3.1) | 30 | (11.8) | 37 | (14.6) | 2 | (0.8) |
| Hawaii | 117 | 82 | (70.1) | 4 | (3.4) | 3 | (2.6) | 28 | (23.9) | 0 | (0.0) |
| Idaho | 22 | 18 | (81.8) | 0 | (0.0) | 1 | (4.5) | 3 | (13.6) | 0 | (0.0) |
| Illinois | 352 | 249 | (70.7) | 9 | (2.6) | 29 | (8.2) | 61 | (17.3) | 4 | (1.1) |
| Indiana | 136 | 108 | (79.4) | 8 | (5.9) | 8 | (5.9) | 12 | (8.8) | 0 | (0.0) |
| Iowa | 47 | 39 | (83.0) | 1 | (2.1) | 5 | (10.6) | 2 | (4.3) | 0 | (0.0) |
| Kansas | 114 | 35 | (30.7) | 64 | (56.1) | 7 | (6.1) | 7 | (6.1) | 1 | (0.9) |
| Kentucky | 93 | 68 | (73.1) | 8 | (8.6) | 9 | (9.7) | 7 | (7.5) | 1 | (1.1) |
| Louisiana | 116 | 82 | (70.7) | 6 | (5.2) | 13 | (11.2) | 14 | (12.1) | 1 | (0.9) |
| Maine | 39 | 28 | (71.8) | 1 | (2.6) | 7 | (17.9) | 0 | (0.0) | 3 | (7.7) |
| Maryland | 220 | 158 | (71.8) | 9 | (4.1) | 19 | (8.6) | 34 | (15.5) | 0 | (0.0) |
| Massachusetts | 254 | 223 | (87.8) | 5 | (2.0) | 24 | (9.4) | 2 | (0.8) | 0 | (0.0) |
| Michigan | 165 | 107 | (64.8) | 6 | (3.6) | 17 | (10.3) | 35 | (21.2) | 0 | (0.0) |
| Minnesota | 194 | 166 | (85.6) | 5 | (2.6) | 13 | (6.7) | 10 | (5.2) | 0 | (0.0) |
| Mississippi | 49 | 15 | (30.6) | 2 | (4.1) | 10 | (20.4) | 22 | (44.9) | 0 | (0.0) |
| Missouri | 85 | 48 | (56.5) | 8 | (9.4) | 3 | (3.5) | 26 | (30.6) | 0 | (0.0) |
| Montana | 6 | 4 | (66.7) | 0 | (0.0) | 0 | (0.0) | 1 | (16.7) | 1 | (16.7) |
| Nebraska | 41 | 28 | (68.3) | 3 | (7.3) | 5 | (12.2) | 5 | (12.2) | 0 | (0.0) |
| Nevada | 75 | 62 | (82.7) | 1 | (1.3) | 4 | (5.3) | 8 | (10.7) | 0 | (0.0) |
| New Hampshire | 12 | 4 | (33.3) | 0 | (0.0) | 2 | (16.7) | 6 | (50.0) | 0 | (0.0) |
| New Jersey | 342 | 255 | (74.6) | 13 | (3.8) | 38 | (11.1) | 36 | (10.5) | 0 | (0.0) |
| New Mexico | 40 | 31 | (77.5) | 2 | (5.0) | 3 | (7.5) | 4 | (10.0) | 0 | (0.0) |
| New York State4 | 250 | 170 | (68.0) | 6 | (2.4) | 36 | (14.4) | 38 | (15.2) | 0 | (0.0) |
| New York City | 833 | 414 | (49.7) | 19 | (2.3) | 46 | (5.5) | 344 | (41.3) | 10 | (1.2) |
| North Carolina | 249 | 177 | (71.1) | 10 | (4.0) | 5 | (2.0) | 57 | (22.9) | 0 | (0.0) |
| North Dakota | 11 | 6 | (54.5) | 0 | (0.0) | 1 | (9.1) | 4 | (36.4) | 0 | (0.0) |
| Ohio | 198 | 130 | (65.7) | 9 | (4.5) | 23 | (11.6) | 33 | (16.7) | 3 | (1.5) |
| Oklahoma | 65 | 43 | (66.2) | 7 | (10.8) | 6 | (9.2) | 9 | (13.8) | 0 | (0.0) |
| Oregon | 87 | 56 | (64.4) | 3 | (3.4) | 2 | (2.3) | 26 | (29.9) | 0 | (0.0) |
| Pennsylvania | 228 | 152 | (66.7) | 5 | (2.2) | 33 | (14.5) | 28 | (12.3) | 10 | (4.4) |
| Rhode Island | 23 | 16 | (69.6) | 0 | (0.0) | 5 | (21.7) | 2 | (8.7) | 0 | (0.0) |
| South Carolina | 83 | 50 | (60.2) | 8 | (9.6) | 6 | (7.2) | 19 | (22.9) | 0 | (0.0) |
| South Dakota | 12 | 11 | (91.7) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 1 | (8.3) |
| Tennessee | 163 | 128 | (78.5) | 6 | (3.7) | 18 | (11.0) | 11 | (6.7) | 0 | (0.0) |
| Texas | 1,279 | 756 | (59.1) | 77 | (6.0) | 242 | (18.9) | 190 | (14.9) | 14 | (1.1) |
| Utah | 51 | 43 | (84.3) | 1 | (2.0) | 0 | (0.0) | 7 | (13.7) | 0 | (0.0) |
| Vermont | 4 | 3 | (75.0) | 0 | (0.0) | 0 | (0.0) | 1 | (25.0) | 0 | (0.0) |
| Virginia | 225 | 165 | (73.3) | 7 | (3.1) | 30 | (13.3) | 21 | (9.3) | 2 | (0.9) |
| Washington | 257 | 126 | (49.0) | 29 | (11.3) | 17 | (6.6) | 82 | (31.9) | 3 | (1.2) |
| West Virginia | 8 | 6 | (75.0) | 2 | (25.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Wisconsin | 69 | 56 | (81.2) | 3 | (4.3) | 10 | (14.5) | 0 | (0.0) | 0 | (0.0) |
| Wyoming | 4 | 4 | (100.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| American Samoa | 11 | 8 | (72.7) | 3 | (27.3) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Federated States of Micronesia | 143 | 50 | (35.0) | 52 | (36.4) | 38 | (26.6) | 3 | (2.1) | 0 | (0.0) |
| Guam | 60 | 31 | (51.7) | 11 | (18.3) | 14 | (23.3) | 4 | (6.7) | 0 | (0.0) |
| Republic of the Marshall Islands | 94 | 85 | (90.4) | 8 | (8.5) | 0 | (0.0) | 1 | (1.1) | 0 | (0.0) |
| Northern Mariana Islands | 10 | 8 | (80.0) | 2 | (20.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
| Puerto Rico | 13 | 8 | (61.5) | 0 | (0.0) | 0 | (0.0) | 5 | (38.5) | 0 | (0.0) |
| Republic of Palau | 4 | 2 | (50.0) | 0 | (0.0) | 0 | (0.0) | 2 | (50.0) | 0 | (0.0) |
| U.S. Virgin Islands | 1 | 1 | (100.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) | 0 | (0.0) |
1Each person with TB has only one primary reason for TB evaluation.
2Other reasons such as incidental chest radiograph, lab results, or other unexpected clinical findings where TB was not suspected at the time the test was ordered.
3American Samoa, Federated States of Micronesia, Guam, Republic of the Marshall Islands, Northern Mariana Islands, Puerto Rico, Republic of Palau, and U.S. Virgin Islands are not included in the U.S. totals and percentages.
4Excludes New York City.
Notes
Data for all years are updated through July 10, 2025.
See Technical Notes.