Reported Tuberculosis in the United States, 2020

Reporting areas include:

• 50 U.S. states, New York City, and the District of Columbia (DC) unless otherwise specified,
• Five U.S. territories (American Samoa, Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands) and
• Three independent countries that are in compacts of free association with the United States (Federated States of Micronesia, Republic of the Marshall Islands, and Republic of Palau).

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As in past years, four U.S. states combined reported more than half of all U.S. TB cases in 2020:

• California (23.8%),
• Texas (12.3%),
• New York, including New York City (8.4%), and
• Florida (5.7%).

In 2020, the reporting areas with TB incidence rates (per 100,000 persons) above the national incidence rate (per 100,000 persons) included:

• Alaska; 7.9,
• Hawaii; 6.5,
• New York City; 5.4,
• California; 4.3,
• Texas; 3.0,
• New Jersey; 2.8,
• District of Columbia; 2.7, and
• Maryland; 2.5.

The incidence rates (per 100,000 persons) among the U.S. territories and freely associated states were:

• Republic of the Marshall Islands; 252.5
• Commonwealth of the Northern Mariana Islands; 75.2,
• Federated States of Micronesia; 73.7,
• Republic of Palau; 50.0,
• Guam; 33.8,
• American Samoa; 6.3,
• U.S. Virgin Islands; 3.8, and
• Puerto Rico; 0.8.

Source: TB by Reporting Areas: 2020 and 2019

Learn more in the Executive Commentary.