Reported Arizona Tuberculosis Cases During 1995 Arizona Department of Health Services - Epidemiology and Disease Control DEMOGRAPHICS Table 1: Disease Category by Morbidity and Mortality Disease Category Cases Deaths* (%) Pulmonary Only 258 6 ( 2%) Pulmonary & Extra-pulmonary 16 2 (13%) Extra-pulmonary Only 45 7 (16%) Total 319 15 ( 5%) Table 2: Age-Specific Rates Age Group Cases (%) Table 3: Age Group by Sex 1995 Population Projections Rate** Age Group Cases Male (%) Female (%) Under 5 17 ( 5.3%) 342,573 5.0 Under 5 17 11 (65%) 6 ( 35%) 5 - 14 24 ( 7.5%) 612,652 3.9 5 - 14 24 8 (33%) 16 (67%) 15 - 24 27 ( 8.5%) 569,771 4.7 15 - 24 27 14 (52%) 13 (48%) 25 - 44 95 (29.8%) 1,278,445 5.1 25 - 44 95 71 (75%) 24 (25%) 45 - 64 90 (28.2%) 795,348 11.3 45 - 64 90 66 (73%) 24 (27%) Over 64 66 (20.7%) 585,934 11.3 Over 64 66 37 (56%) 29 (44%) 4,184,723 7.6 Total 319 207 (65%) 112 (35%) Total 319 (100%) Table 4: Age Group by Race/Ethnicity Age Group Cases White Not Hispanic (%) Under 5 17 2 (12%) 5 -9 17 10 - 14 Black Not Hispanic (%) Hispanic (%) Native American (%) Asian Pacific Islander (%) Other (%) 1 ( 6%) 12 (71%) 1 (6%) 1 (6%) 0 0 0 14 (82%) 2 (12%) 1 (6%) 0 7 0 0 5 (71%) 1 (14%) 1 (14%) 0 15 - 24 27 3 (11%) 2 ( 7%) 18 (67%) 1 (4%) 3 (11%) 0 25 - 44 95 29 (31%) 5 ( 5%) 44 (46%) 9 (9%) 8(8%) 0 45 - 64 90 29 (32%) 3 ( 3%) 37 (41%) 13 (14%) 8 (9%) 0 Over 64 66 29 (44%) 3 ( 5%) 22 (33%) 10 (15%) 2 (3%) 0 Total 319 92 (29%) 14 (4%) 152 (48%) 37 (12%) 24 (8%) 0 1995 Population Projections 4,184,723 2,998,410 119,664 785,900 217,034 58,834 4,881 Race - Specific Rates** 7.6 3.1 11.7 19.3 17.0 40.8 0.0 Reported Arizona Tuberculosis Cases During 1995 DEMOGRAPHICS CONT. Table 5: County Specific Rate Table 6: County of Residence by Case Characteristics 1995 Population Projections Rate ** County of Residence Cases Deaths* (% ) Known Cases with AIDS (% ) Homeless Cases*** (% ) Multiple Drug Resistant **** 8 ( 3%) 64,054 12.5 Apache 8 0 0 0 0 Cochise 1 ( 0%) 109,865 0.9 Cochise 1 0 0 0 0 Coconino 10 ( 3%) 109,755 9.1 Coconino 10 0 1 (10%) 1 (10%) 0 Gila 2 ( 1%) 44,284 4.5 Gila 2 0 0 1(50%) 0 Graham 3 ( 1%) 31,376 9.6 Graham 3 1 (33%) 0 0 0 Greenlee 0 ( 0%) 8,499 0.0 Greenlee 0 0 0 0 0 La Paz 1 ( 0%) 16,524 6.0 La Paz 1 0 0 0 0 Maricopa 176 (55%) 2,424,547 7.3 Maricopa 176 7 (4%) 20 (11%) 25 (14%) 1 Mohave 2 ( 1%) 126,361 1.6 Mohave 2 0 0 0 0 Navajo 5 ( 2%) 82,773 6.0 Navajo 5 1 (20%) 0 0 0 Pima 40 (13%) 746,770 5.4 Pima 40 6 (15%) 3 ( 8%) 7 (18%) 2 Pinal 6 ( 2%) 136,189 4.4 Pinal 6 0 0 1 (17%) 0 Santa Cruz 6 ( 2%) 33,160 18.1 Santa Cruz 6 0 0 2(33%) 0 Yavapai 3 ( 1%) 127,511 2.3 Yavapai 3 0 0 0 0 Yuma 56 (18%) 123,055 45.5 Yuma 56 0 3 (5%) 6 (11%) 0 Total 319 (100%) 7.6 Total 319 15 (5%) 27 (8%) 43 (13%) 3 County of Residence Cases (%) Apache 4,184,723 Table 7: Case Characteristics 1990 - 1995 Year of Report to ADHS Cases Deaths* (%) Known Cases with AIDS (%) Homeless *** Cases (%) 1990 275 5 (1.8%) 8 (2.9%) NA 1991 324 22 (6.8%) 13(4.0%) NA 1992 258 12 ( 4.7) 14 (5.4%) NA 1993 228 10 (4.4%) 16 (7.0%) 31 (13.6%) 1994 247 9 (3.6%) 14 (5.7%) 26 (10.5%) 1995 319 15 (4.7%) 27 (8.5%) 43 (13.5%) Totals 1653 73 (4.4%) 92 (5.6%) 100 (NA) Table 8: Resistance Patterns 1993 - 1995 Year of Report to ADHS Cases Number of Isolates with Sensitivity Testing INH Resistance (%) Multiple Drug Resistant**** (%) 1993 228 193 14 (7.2%) 3 (1.6%) 1994 247 201 18 (9.0%) 4 (2.0%) 1995 319 230 11 (4.8%) 3 (1.3% Total 794 624 43 (5.4%) 10 (1.3%) Reported Arizona Tuberculosis Cases During 1995 RISK INFORMATION Table 9: General Risk Factors by Disease Category Risk Factor Pulmonary Cases***** (% of Disease Category Total) Extra-pulmonary Cases (% of Disease Category Total) Pulmonary***** and Extrapulmonary Cases (% of total cases) Occupation Correctional Fac ility Worker 0 0 0 Health Care Worker 6 ( 2%) 2 ( 4%) 8 ( 2%) Migrant Farm Work er 3 ( 1%) 1 ( 2%) 4 ( 1%) Known Behaviors Injectable Drug User*** 14 (5%) 1 (2%) 15 (5%) Non-injectable Drugs ONLY*** 13 (5%) 0 13 (4%) Excessive Alcohol Use*** 34 (12%) 4 (9%) 38 (12%) Long Term Care Facility 14 (5%) 2 (4%) 16 (5%) Correctional Facility 16 (6%) 0 16 (5%) Homeless 41 (15%) 2 (4%) 43 (13%) Foreign Born 110 (40%) 15 (33%) 125 (39%) Residency Table 10: Foreign Born Foreign Born (FB) Cases by Area of Origin Total Foreign Born TB Cases (%F.B.) Years in the United States Before Tuberculosis Report <2 yrs 2 to 3 yrs 4 or more Unknown 1 ( 0.8%) 0 1 0 0 27 (21.6%) 11 2 10 4 Central America 3 ( 2.4%) 2 1 0 0 Europe 3 ( 2.4%) 1 0 1 1 Mexico 85 (68.0%) 27 8 39 11 Pacific Islands 1 ( 0.8%) 1 0 0 0 Puerto Rico 2 ( 1.6%) 0 0 1 1 South America 1 ( 0.8%) 1 0 0 0 Soviet Union 1 ( 0.8%) 1 0 0 0 Unknown 1 ( 0.8%) 0 0 0 1 Total 125 (100%) 44 12 51 18 % of F.B. Cases 100% 35.2% 9.6% 40.8% 14.4% % of ALL cases that are F.B. 39.2% Africa Asia Note: The classifica tion * ** *** **** ***** of Pulmona r y TB a lso inc lude s lar ynge a l T B. Death at the time of TB diagnosis. Rates pe r 100,000 based on 1995 po pulation projections (approved February, 19 95). Within the year b efore TB d iagnosis. (Routine c ollection of information bega n Jan. 1, 199 3). Resistance to at least INH and RIF The c la ssific a tion of Pulmona r y Case s a ls o in c lud e s p a tie n ts d ia gn o s e d w ith b o th p u lm o n a r y a n d e x tr a - p ulm o n ar y T B. H : \t b e s\ e pi d em \ az t b 95 . w p d 1 0 / 11 / 9 6 D G M