About
This table describes cases of tuberculosis (TB) disease for those 15 years old or older who report: homeless ever or in past year, resident of long-term care facility, current or former smoker, injecting drug use, noninjecting drug use, and excess alcohol use by U.S. reporting area in 2024.
Key Highlights
- In 2024, 866 (9%) persons aged 15 years or older with TB reported a history of ever experiencing homelessness, while 698 (7%) reported experiencing homelessness at the time of TB diagnostic evaluation.
- Nationally, 2% of persons with TB were residents of a long-term care facility.
- The most frequently reported substance-related risk factor was being a current or former smoker (31%), followed by noninjecting drug use (8%), excess alcohol use (7%), and injecting drug use (1%) within the year prior to diagnosis.
Data Table
Tuberculosis Cases and Percentages1 by Social Risk Factors, Ages ≥15 Years: Reporting Areas, 2024
| Reporting area | Total cases | History of ever experiencing homelessness | Experiencing homelessness2 | Resident of long-term care facility3 | Current or former smoker3 | Excess alcohol use2 | Noninjecting drug use2 | Injecting drug use2 | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Data available | No. | (%) | Data available | No. | (%) | Data available | No. | (%) | Data available | No. | (%) | Data available | No. | (%) | Data available | No. | (%) | Data available | No. | (%) | ||
| United States4 | 9,820 | 9,255 | 866 | (9.4) | 9,555 | 698 | (7.3) | 9,706 | 157 | (1.6) | 9,092 | 2,858 | (31.4) | 9,617 | 698 | (7.3) | 9,608 | 751 | (7.8) | 9,614 | 93 | (1.0) |
| Alabama | 83 | 81 | 9 | (11.1) | 82 | 7 | (8.5) | 82 | 1 | (1.2) | 82 | 30 | (36.6) | 81 | 10 | (12.3) | 81 | 11 | (13.6) | 81 | 2 | (2.5) |
| Alaska | 78 | 77 | 5 | (6.5) | 78 | 3 | (3.8) | 78 | 1 | (1.3) | 76 | 35 | (46.1) | 77 | 11 | (14.3) | 78 | 20 | (25.6) | 78 | 0 | (0.0) |
| Arizona | 199 | 196 | 21 | (10.7) | 199 | 17 | (8.5) | 199 | 4 | (2.0) | 189 | 70 | (37.0) | 195 | 10 | (5.1) | 193 | 27 | (14.0) | 193 | 0 | (0.0) |
| Arkansas | 87 | 86 | 2 | (2.3) | 87 | 1 | (1.1) | 87 | 3 | (3.4) | 87 | 32 | (36.8) | 87 | 1 | (1.1) | 87 | 4 | (4.6) | 87 | 0 | (0.0) |
| California | 2,054 | 1,798 | 144 | (8.0) | 2,020 | 115 | (5.7) | 2,013 | 73 | (3.6) | 1,717 | 598 | (34.8) | 1,995 | 130 | (6.5) | 1,985 | 145 | (7.3) | 1,990 | 33 | (1.7) |
| Colorado | 71 | 71 | 17 | (23.9) | 71 | 15 | (21.1) | 71 | 0 | (0.0) | 70 | 28 | (40.0) | 71 | 4 | (5.6) | 71 | 7 | (9.9) | 71 | 0 | (0.0) |
| Connecticut | 84 | 84 | 1 | (1.2) | 84 | 1 | (1.2) | 84 | 1 | (1.2) | 82 | 22 | (26.8) | 84 | 5 | (6.0) | 84 | 2 | (2.4) | 84 | 0 | (0.0) |
| Delaware | 20 | 20 | 0 | (0.0) | 20 | 0 | (0.0) | 20 | 1 | (5.0) | 20 | 7 | (35.0) | 20 | 2 | (10.0) | 20 | 2 | (10.0) | 20 | 0 | (0.0) |
| District of Columbia | 31 | 31 | 2 | (6.5) | 31 | 2 | (6.5) | 31 | 0 | (0.0) | 31 | 2 | (6.5) | 31 | 2 | (6.5) | 31 | 0 | (0.0) | 31 | 0 | (0.0) |
| Florida | 652 | 638 | 28 | (4.4) | 637 | 23 | (3.6) | 652 | 5 | (0.8) | 647 | 164 | (25.3) | 641 | 48 | (7.5) | 631 | 34 | (5.4) | 629 | 4 | (0.6) |
| Georgia | 244 | 243 | 22 | (9.1) | 243 | 19 | (7.8) | 244 | 2 | (0.8) | 243 | 78 | (32.1) | 243 | 30 | (12.3) | 243 | 24 | (9.9) | 243 | 3 | (1.2) |
| Hawaii | 114 | 114 | 9 | (7.9) | 114 | 7 | (6.1) | 114 | 5 | (4.4) | 114 | 54 | (47.4) | 114 | 17 | (14.9) | 114 | 4 | (3.5) | 114 | 3 | (2.6) |
| Idaho | 22 | 22 | 2 | (9.1) | 22 | 1 | (4.5) | 22 | 0 | (0.0) | 21 | 6 | (28.6) | 22 | 2 | (9.1) | 21 | 0 | (0.0) | 21 | 0 | (0.0) |
| Illinois | 297 | 228 | 37 | (16.2) | 170 | 49 | (28.8) | 291 | 3 | (1.0) | 213 | 79 | (37.1) | 293 | 20 | (6.8) | 293 | 24 | (8.2) | 293 | 1 | (0.3) |
| Indiana | 130 | 129 | 7 | (5.4) | 129 | 3 | (2.3) | 130 | 2 | (1.5) | 130 | 44 | (33.8) | 129 | 12 | (9.3) | 129 | 7 | (5.4) | 129 | 0 | (0.0) |
| Iowa | 45 | 45 | 0 | (0.0) | 45 | 0 | (0.0) | 45 | 0 | (0.0) | 44 | 14 | (31.8) | 45 | 4 | (8.9) | 45 | 0 | (0.0) | 45 | 0 | (0.0) |
| Kansas | 94 | 90 | 1 | (1.1) | 90 | 0 | (0.0) | 93 | 0 | (0.0) | 91 | 16 | (17.6) | 91 | 6 | (6.6) | 92 | 3 | (3.3) | 92 | 0 | (0.0) |
| Kentucky | 85 | 84 | 2 | (2.4) | 84 | 1 | (1.2) | 84 | 1 | (1.2) | 84 | 34 | (40.5) | 84 | 4 | (4.8) | 84 | 3 | (3.6) | 84 | 1 | (1.2) |
| Louisiana | 110 | 105 | 6 | (5.7) | 106 | 5 | (4.7) | 108 | 5 | (4.6) | 100 | 28 | (28.0) | 104 | 5 | (4.8) | 104 | 11 | (10.6) | 104 | 2 | (1.9) |
| Maine | 36 | 31 | 14 | (45.2) | 30 | 11 | (36.7) | 35 | 0 | (0.0) | 28 | 3 | (10.7) | 35 | 2 | (5.7) | 35 | 2 | (5.7) | 35 | 1 | (2.9) |
| Maryland | 207 | 196 | 17 | (8.7) | 206 | 13 | (6.3) | 207 | 3 | (1.4) | 194 | 53 | (27.3) | 205 | 16 | (7.8) | 203 | 7 | (3.4) | 203 | 2 | (1.0) |
| Massachusetts | 249 | 221 | 27 | (12.2) | 248 | 24 | (9.7) | 247 | 3 | (1.2) | 234 | 50 | (21.4) | 249 | 12 | (4.8) | 248 | 14 | (5.6) | 248 | 3 | (1.2) |
| Michigan | 162 | 162 | 22 | (13.6) | 162 | 12 | (7.4) | 162 | 2 | (1.2) | 152 | 56 | (36.8) | 161 | 11 | (6.8) | 161 | 14 | (8.7) | 162 | 2 | (1.2) |
| Minnesota | 179 | 177 | 8 | (4.5) | 179 | 5 | (2.8) | 179 | 4 | (2.2) | 179 | 52 | (29.1) | 179 | 6 | (3.4) | 179 | 8 | (4.5) | 179 | 0 | (0.0) |
| Mississippi | 48 | 48 | 7 | (14.6) | 48 | 6 | (12.5) | 48 | 1 | (2.1) | 48 | 23 | (47.9) | 48 | 10 | (20.8) | 48 | 12 | (25.0) | 48 | 0 | (0.0) |
| Missouri | 78 | 77 | 3 | (3.9) | 78 | 3 | (3.8) | 78 | 1 | (1.3) | 78 | 29 | (37.2) | 78 | 6 | (7.7) | 78 | 6 | (7.7) | 78 | 0 | (0.0) |
| Montana | 6 | 2 | 1 | (50.0) | 5 | 1 | (20.0) | 4 | 0 | (0.0) | 1 | 1 | (100.0) | 3 | 1 | (33.3) | 3 | 1 | (33.3) | 4 | 0 | (0.0) |
| Nebraska | 38 | 36 | 0 | (0.0) | 37 | 0 | (0.0) | 37 | 0 | (0.0) | 29 | 8 | (27.6) | 36 | 0 | (0.0) | 35 | 0 | (0.0) | 36 | 0 | (0.0) |
| Nevada | 70 | 70 | 4 | (5.7) | 70 | 4 | (5.7) | 70 | 2 | (2.9) | 70 | 25 | (35.7) | 70 | 0 | (0.0) | 70 | 1 | (1.4) | 70 | 0 | (0.0) |
| New Hampshire | 12 | 12 | 0 | (0.0) | 12 | 0 | (0.0) | 12 | 0 | (0.0) | 12 | 3 | (25.0) | 12 | 0 | (0.0) | 12 | 0 | (0.0) | 12 | 0 | (0.0) |
| New Jersey | 324 | 322 | 23 | (7.1) | 324 | 19 | (5.9) | 324 | 1 | (0.3) | 303 | 84 | (27.7) | 324 | 17 | (5.2) | 323 | 17 | (5.3) | 323 | 3 | (0.9) |
| New Mexico | 40 | 39 | 2 | (5.1) | 40 | 2 | (5.0) | 40 | 0 | (0.0) | 40 | 15 | (37.5) | 40 | 4 | (10.0) | 40 | 6 | (15.0) | 40 | 0 | (0.0) |
| New York State5 | 243 | 241 | 22 | (9.1) | 243 | 14 | (5.8) | 243 | 2 | (0.8) | 238 | 76 | (31.9) | 243 | 13 | (5.3) | 243 | 5 | (2.1) | 243 | 0 | (0.0) |
| New York City | 810 | 808 | 181 | (22.4) | 805 | 167 | (20.7) | 797 | 6 | (0.8) | 800 | 194 | (24.3) | 786 | 24 | (3.1) | 793 | 72 | (9.1) | 795 | 8 | (1.0) |
| North Carolina | 236 | 229 | 16 | (7.0) | 234 | 11 | (4.7) | 236 | 2 | (0.8) | 228 | 75 | (32.9) | 229 | 25 | (10.9) | 231 | 30 | (13.0) | 229 | 2 | (0.9) |
| North Dakota | 10 | 7 | 0 | (0.0) | 9 | 0 | (0.0) | 9 | 0 | (0.0) | 9 | 1 | (11.1) | 9 | 0 | (0.0) | 9 | 0 | (0.0) | 9 | 0 | (0.0) |
| Ohio | 185 | 175 | 21 | (12.0) | 178 | 12 | (6.7) | 181 | 0 | (0.0) | 171 | 53 | (31.0) | 179 | 9 | (5.0) | 180 | 12 | (6.7) | 179 | 0 | (0.0) |
| Oklahoma | 61 | 55 | 6 | (10.9) | 55 | 1 | (1.8) | 55 | 1 | (1.8) | 60 | 26 | (43.3) | 57 | 4 | (7.0) | 53 | 3 | (5.7) | 53 | 0 | (0.0) |
| Oregon | 87 | 87 | 13 | (14.9) | 87 | 11 | (12.6) | 87 | 1 | (1.1) | 84 | 33 | (39.3) | 85 | 8 | (9.4) | 86 | 13 | (15.1) | 86 | 1 | (1.2) |
| Pennsylvania | 218 | 209 | 21 | (10.0) | 215 | 10 | (4.7) | 209 | 2 | (1.0) | 185 | 56 | (30.3) | 215 | 17 | (7.9) | 215 | 14 | (6.5) | 214 | 1 | (0.5) |
| Rhode Island | 21 | 21 | 0 | (0.0) | 21 | 0 | (0.0) | 21 | 0 | (0.0) | 21 | 10 | (47.6) | 21 | 2 | (9.5) | 21 | 1 | (4.8) | 21 | 0 | (0.0) |
| South Carolina | 75 | 71 | 2 | (2.8) | 74 | 1 | (1.4) | 75 | 0 | (0.0) | 69 | 25 | (36.2) | 72 | 8 | (11.1) | 73 | 4 | (5.5) | 73 | 4 | (5.5) |
| South Dakota | 10 | 10 | 1 | (10.0) | 10 | 1 | (10.0) | 10 | 1 | (10.0) | 8 | 4 | (50.0) | 10 | 0 | (0.0) | 10 | 1 | (10.0) | 10 | 1 | (10.0) |
| Tennessee | 152 | 152 | 14 | (9.2) | 152 | 10 | (6.6) | 152 | 0 | (0.0) | 150 | 63 | (42.0) | 150 | 20 | (13.3) | 151 | 15 | (9.9) | 150 | 1 | (0.7) |
| Texas | 1,193 | 1,115 | 88 | (7.9) | 1,161 | 65 | (5.6) | 1,171 | 14 | (1.2) | 1,125 | 370 | (32.9) | 1,164 | 132 | (11.3) | 1,160 | 135 | (11.6) | 1,163 | 13 | (1.1) |
| Utah | 46 | 45 | 4 | (8.9) | 46 | 3 | (6.5) | 46 | 0 | (0.0) | 43 | 10 | (23.3) | 45 | 4 | (8.9) | 46 | 3 | (6.5) | 45 | 0 | (0.0) |
| Vermont | 4 | 4 | 0 | (0.0) | 4 | 0 | (0.0) | 4 | 0 | (0.0) | 4 | 1 | (25.0) | 4 | 1 | (25.0) | 4 | 1 | (25.0) | 4 | 0 | (0.0) |
| Virginia | 212 | 197 | 5 | (2.5) | 210 | 4 | (1.9) | 211 | 2 | (0.9) | 207 | 43 | (20.8) | 202 | 4 | (2.0) | 207 | 3 | (1.4) | 207 | 0 | (0.0) |
| Washington | 232 | 218 | 23 | (10.6) | 224 | 14 | (6.3) | 232 | 2 | (0.9) | 220 | 57 | (25.9) | 223 | 15 | (6.7) | 229 | 18 | (7.9) | 230 | 1 | (0.4) |
| West Virginia | 7 | 7 | 1 | (14.3) | 7 | 1 | (14.3) | 7 | 0 | (0.0) | 7 | 3 | (42.9) | 7 | 0 | (0.0) | 7 | 1 | (14.3) | 7 | 0 | (0.0) |
| Wisconsin | 65 | 65 | 5 | (7.7) | 65 | 4 | (6.2) | 65 | 0 | (0.0) | 50 | 15 | (30.0) | 65 | 4 | (6.2) | 65 | 4 | (6.2) | 65 | 1 | (1.5) |
| Wyoming | 4 | 4 | 0 | (0.0) | 4 | 0 | (0.0) | 4 | 0 | (0.0) | 4 | 0 | (0.0) | 4 | 0 | (0.0) | 4 | 0 | (0.0) | 4 | 0 | (0.0) |
| American Samoa | 8 | 8 | 0 | (0.0) | 8 | 0 | (0.0) | 8 | 0 | (0.0) | 8 | 3 | (37.5) | 8 | 0 | (0.0) | 8 | 0 | (0.0) | 8 | 0 | (0.0) |
| Federated States of Micronesia | 107 | 107 | 0 | (0.0) | 107 | 0 | (0.0) | 107 | 0 | (0.0) | 63 | 32 | (50.8) | 107 | 1 | (0.9) | 107 | 7 | (6.5) | 107 | 0 | (0.0) |
| Guam | 51 | 51 | 2 | (3.9) | 51 | 1 | (2.0) | 51 | 0 | (0.0) | 51 | 30 | (58.8) | 51 | 3 | (5.9) | 51 | 6 | (11.8) | 51 | 0 | (0.0) |
| Republic of the Marshall Islands | 76 | 76 | 0 | (0.0) | 76 | 0 | (0.0) | 76 | 2 | (2.6) | 71 | 34 | (47.9) | 76 | 15 | (19.7) | 76 | 15 | (19.7) | 76 | 0 | (0.0) |
| Northern Mariana Islands | 8 | 7 | 0 | (0.0) | 7 | 0 | (0.0) | 7 | 0 | (0.0) | 8 | 4 | (50.0) | 7 | 2 | (28.6) | 7 | 2 | (28.6) | 7 | 0 | (0.0) |
| Puerto Rico | 13 | 13 | 0 | (0.0) | 13 | 0 | (0.0) | 13 | 0 | (0.0) | 13 | 6 | (46.2) | 13 | 0 | (0.0) | 13 | 4 | (30.8) | 13 | 1 | (7.7) |
| Republic of Palau | 4 | 4 | 0 | (0.0) | 4 | 0 | (0.0) | 4 | 0 | (0.0) | 4 | 1 | (25.0) | 4 | 0 | (0.0) | 4 | 0 | (0.0) | 4 | 0 | (0.0) |
| U.S. Virgin Islands | 1 | 1 | 0 | (0.0) | 1 | 0 | (0.0) | 0 | 0 | ... | 1 | 0 | (0.0) | 1 | 0 | (0.0) | 1 | 0 | (0.0) | 1 | 0 | (0.0) |
1Percentages calculated based on the number of persons who have information available for each risk factor.
2Within 12 months prior to TB diagnostic evaluation.
3At the time of TB diagnostic evaluation.
4American 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.
5Excludes New York City.
Notes
Data for all years are updated through July 10, 2025.
See Technical Notes.
Ellipses (...) indicate that the percentage cannot be calculated, and the denominator is 0.