TUBERCULOSIS IN ARIZONA
A Summary of Cases Reported through December 31, 1996
Report Generated on April 10,1998
Tuberculosis Elimination Section
Office o f Infectiou s Disease S ervices/B ureau o f Epidem iology a nd Disea se Con trol
Arizona Department of Health Services

Data in this Report are Provisional
Morbidity
Table 1: Tuberculosis Cases and Case Rates per 100,000 Population: Arizona and United States, 1990-1996
Arizona
Year Reported*

Cases

Case s****

Rate p er 100, 000****

1990

275

3,665 ,228**

7.5**

25,701

10.3

1991

324

3,763 ,372***

8.6***

26,283

10.4

1992

258

3,858 ,825***

6.7***

26,673

10.5

1993

228

3,946 ,975***

5.8***

25,287

9.8

1994

247

4,036 ,875***

6.1***

24,361

9.4

1995

317

4,184 ,723***

7.6***

22,860

8.7

1996

282

4,462 ,717***

6.3***

21,337

8.0

Total

1,931

NA

NA

172,502

NA

*
**
***
****

Population

United Stat es
Rate per 100,000

Y ear re por te d r e f le c ts the ye a r a c a se wa s counted by A D H S
Based on the 199 0 Census
Based on population projections for the corresponding years
Data from the U.S. Department of Health and Human Services

Demographics
Table 2: Tuberculosis Cases and Case Rates per
100,000 Population by Age Group: Arizona, 1996
Age Group

Population*

Rate per
100,000*

Age Group

Male
# (%)* (% )**

Female
# (%)* (% )**

Total Cases
# (%)* (% )**

9 ( 3.2)

341,149

2.6

Under 5

1 (11.1) ( 0.5)

8 (88.9) ( 8.0)

9 (100) ( 3.2)

5 - 14

12 ( 4.3)

672,732

1.8

5 - 14

5 (41.7) ( 2.7)

7 (58.3) ( 7.0)

12 (100) ( 4.3)

15 - 24

12 ( 4.3)

614,141

2.0

15 - 24

6 (50.0) ( 3.3)

6 (50.0) ( 6.0)

12 (100) ( 4.3)

25 - 44

85 (30.1)

1,369,165

6.2

25 - 44

61 (71.8) (33.5)

24 (28.2) (24.0)

85 (100) (30.1)

45 - 64

80 (28.4)

848,188

9.4

45 - 64

57 (71.3) (31.3)

23 (28.8) (23.0)

80 (100) (28.4)

Over 64

84 (29.8)

617,342

13.6

Over 64

52 (61.9) (28.6)

32 (38.1) (32.0)

84 (100) (29.8)

4,462,717

6.3

Total

182 (64.5) ( 100)

100 (35.5) ( 100)

282 (100) (100)

Under 5

Total

*

Cases
# ( %)

Table 3: Tuberculosis Cases by Age
Group and Sex: Arizona, 1996

282 (100)

Based on 199 6 population projections

*
**

Perce ntage o f row to tal
Percentage of column total

Table 4: Tuberculosis Cases by Age Group and Race/Ethnicity: Arizona, 1996
Age Group

White, Not
Hispa nic

African-American,
Not Hispanic
# (%)* (% )**

Hispanic,
All Races

Native American,
Not Hispanic
# (%)* (% )**

# (%)* (% )**

# (%)* (% )**

U n k n ow n

Total Cases

Asian /Pacific
Islander, Not
Hispanic
# (%)* (% )**

# (%)* (% )**

# (%)* (% )**

Under 5

1 (11.1) ( 1.2)

0

8 (88.9) ( 5.8)

0

0

0

9 (100) ( 3.2)

5 - 14

3 (25.0) ( 3.7)

1 ( 8.3) (10.0)

7 (58.3) ( 5.1)

1 ( 8.3) ( 3.1)

0

0

12 (100) ( 4.3)

15 - 24

0

0

9 (75.0) ( 6.6)

0

3 (25.0) (14.3)

0

12 (100) ( 4.3)

25 - 44

24(28.2) (29.3)

5 ( 5.9) (50.0)

41 (48.2) (29.9)

5 ( 5.9) (15.6)

10 (11.8) (47.6)

0

85 (100) (30.1)

45 - 64

21(26.3) (25.6)

3 ( 3.8) (30.0)

37 (46.3) (27.0)

12 (15.0) (37.5)

7 ( 8.8) ( 33.3)

0

80 (100) (28.4)

Over 64

33(39.3) (40.2)

1 ( 1.2) (10.0)

35 (41.7) (25.5)

14 (16.7) (43.8)

1 ( 1.2) ( 4.8)

0

84 (100) (29.8)

Total

82 (29.1) (100)

10 ( 3.5) (100)

137 (48.6) ( 100)

32(11.3) ( 100)

21 (7.4) ( 100)

0

282 (100) (100)

1996
Population*
**

3,047,087

154,471

918,360

258,157

84,642

NA

4,462,717

Rate per
100,000
***

2.7

6.5

14.9

12.4

24.8

NA

6.3

*
**
***

Percentage of row total
Percentage of column total
Race-sp ecific rates based on 1996 p opulation estimates (Table 10B -3: Arizona D epartment of E conomic Se curity, Population Statistics U nit)

Selected Clinical Characteristics
Table 5: Tuberculosis Cases by Form of Disease and Vital Status at Diagnosis: Arizona, 1996
Form of Disease

Cases Alive at Diagnosis
# (%)* (% )**

Pulmona ry Only ****

Case s Diagn osed a fter Dea th***
# (%)* (% )**

Total Cases
# (%)* (% )**

222 (96.1 ) (82.5)

9 ( 3.9) (69.2)

231 (100 ) (81.9)

P ulmonary & E xtra-pulmona r y (inc lude s miliar y TB)

14 (87.5) ( 5 .2)

2 (12.5) (15 .4)

16 (100) ( 5 .7)

Extra- pulmo nary O nly

33 (94.3) (1 2.3)

2 ( 5.7) (15.4 )

35 (100) (1 2.4)

269 (95.4 ) (100)

13 ( 4.6) (10 0)

282 (100 ) (100)

Total
*
**
***
****

P e r ce n ta g e by r ow
Percentage by column
It is unknown if TB was the und erlying cause of de ath
The classification of Pulmonary TB includes laryngeal TB

Table 6: Tuberculosis Cases Resistant to INH and Other Anti-TB Drugs: Arizona, 1993 - 1996
Year
Reported*

Cases

Number of Culture Confirmed
Cases with Initial Drug
Sensitivity Test Re sults

INH R esistant**

Multiple D rug Res istant****

# (%)***

# (%)***

OtherOther D rug Res istance***** Total Cas es with
Drug Resistance
# (%)***
# (%)***

1993

228

193

11 ( 5.7)

3 ( 1.6)

17 ( 8.8)

31 (16.1)

1994

247

204

15 ( 7.4)

4 ( 2.0)

17 ( 8.3)

36 (17.6)

1995

317

231

8 ( 3.5)

3 ( 1.3)

29 (12.6)

40 (17.3)

1996

282

223

5 ( 2.2)

7 ( 3.1)

24 (10.8)

36 (16.1)

Total

1074

847

39 ( 4.6)

17 ( 2.0)

87 ( 10.3)

143 (16.9 )

*
**
***
****
*****

Y ear re por te d r e f le c ts the ye a r a c a se wa s counted by A D H S
R esista nt to a t le a st INH without resistance to R IF
Percent of total cases with sensitivity testing
Resistant to at least INH and RIF
Resistance to drugs other than I N H

Tuberculosis in Arizona - Report Generated on April 10, 1998

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County of Residence
Table 9: Tuberculosis Cases by County of Residence and Selected Characteristics: Arizona, 1996
Apache

Cochise

Coconino

Gila

Graham

Greenlee

La Paz

Maricopa

Mohave

Navajo

Pima

Pinal

Santa Cruz

Yavapai

Yuma

6

3

6

3

1

1

1

147

8

7

37

20

2

3

37

282

9.3

2.6

5.3

6.6

3.2

11.6

5.5

5.6

6.3

8.3

4.7

13.9

5.7

2.2

29.6

6.3

White, Not Hispanic

0

0

1

0

0

1

0

53

5

1

15

4

0

0

2

82

African-American, Not Hispanic

0

0

0

0

0

0

0

8

0

0

1

0

0

1

0

10

Hispanic, All Races

0

2

1

1

0

0

0

63

2

0

17

12

2

2

35

137

Native American, Not Hispanic

6

0

4

2

1

0

1

7

1

6

2

2

0

0

0

32

Asian/Pacific Islander, Not Hispanic

0

1

0

0

0

0

0

16

0

0

2

2

0

0

0

21

All Sexes, C hildren <= 14 years

0

0

0

0

0

0

0

15

0

0

0

0

0

0

6

21

Females, >1 4 years

4

1

1

0

1

0

0

42

2

3

12

7

0

1

11

85

Males, > 14 years

2

2

5

3

0

1

1

90

6

4

25

13

2

2

20

176

Correctional Facility

0

1

0

0

0

0

0

5

0

0

1

10

0

0

1

18

Long Term C are Facility

0

0

0

0

0

0

0

9

0

0

3

2

0

1

0

15

Home less**

0

0

2

1

0

0

0

22

1

0

3

2

1

1

1

34

0

2

0

0

0

0

0

47

2

0

17

10

1

0

28

107

INH R esistanc e***

0

0

0

0

0

0

0

4

0

0

0

1

0

0

0

5

MD R****

0

0

0

0

0

0

0

3

0

0

1

1

0

0

2

7

County of Residence
Cases
Rate per 100,000 Population*

Total Cases

Race/E thnicity

Sex/Age

Type of Residence

Country o f Birth
Foreign-born
Drug Resistance

*
**
***
****

Based on 1996 population projections
Within the year b efore TB d iagnosis (routine collection o f information began Ja n. 1, 1993).
R esista nc e to a t le a st INH without resistance to R IF
Resistance to at least INH and RIF

Docume nt Database Date Author-

H:\tbes\epidem\1996\aztb96v4.wpd
H:\tbes\1997.rec
4/10/98
DGM

Note: T he data in this rep ort are pro visional.
Report approved by OID S Office Chief on
Tuberculosis in Arizona - Report Generated on April 10, 1998

Page 4

Risk Factor Information
Table 7: Tuberculosis Cases by Selected Characteristics: Arizona, 1993 - 1996
Risk Factor (RF)

1 9 9 3 Ca s e s w i th R F
# (% of all 1993 cases)

1 9 9 4 Ca s e s w i th R F
# (% of all 1994 cases)

1 9 9 5 Ca s e s w i th R F
# (% of all 1995 cases)

1996 Cases with RF
# (% of all 1996 cases)

Occupation
Correctional Facility Worker

0

0

0

0

Health Care Worke r

3 ( 1.3)

6 ( 2.4)

8 ( 2.5)

2 ( 0.7)

Migrant Farm Worker

5 ( 2.2)

7 ( 2.8)

4 ( 1.3)

9 ( 3.2)

Injectable Dru g User*

8 ( 3.5)

4 ( 1.6)

17 ( 5.4)

12 ( 4.3)

N o n -i n je c t ab l e D r u gs O N L Y *

9 ( 3.9)

5 ( 2.0)

14 ( 4.4)

13 ( 4.6)

22 ( 9.6)

28 (11.3)

43 (13.6)

37 (13.1)

Long Term C are Facility

5 ( 2.2)

10 ( 4.0)

16 ( 5.0)

15 ( 5.3)

Correctiona l Facility

6 ( 2.6)

6 ( 2.4)

16 ( 5.0)

18 ( 6.4)

31 (13.6)

26 (10.5)

45 (14.2)

34 (12.1)

75 (32.9)

88 (35.6)

121 (38.2)

107 (37.9 )

16 ( 7.0)

14 ( 5.7)

28 ( 8.8)

16 ( 5.7)

Reported Behaviors

Excessive Alcohol Use*
Type of Residence

Homeless*
Country of Birth
Foreign Born
Underlying Disease
Know n HIV/A IDS**
*
**

Within the year before TB diagnosis (routine collection of information began Jan. 1, 1993)
Due to the lag in H IV/AID S reporting, the da ta on HIV /AIDS an d TB co -morbidity may be incomplete

Table 8: Tuberculosis Cases Among Foreign-born Persons by Length of Time in the United States: Arizona, 1996
Area of Origin

Years in the U nited States Be fore Tubercu losis Report
Less than Two Years
# (%)* (% )**

Two to Three Years
# (%)* (% )**

Four or M ore
# (%)* (% )**

Unknown
# (%)* (% )**

Total Cases
# (%)* (% )**

Asia/Pacific Islands

9 (39.1) (27.3)

2 ( 8.7) (11.0)

9 (39.1) (21.4)

3 (13.1) (21. 4)

23 (100) (2 1.5)

Mexico

23 (29.1) (69.7)

14 (17.7) (7 7.8)

31 (39.2) (73.8)

11 (14.0) (78.6)

79 (100) (7 3.8)

0

1 ( 100) ( 5.6)

0

0

1 (100) ( 1.0 )

Other

1 (25.0) ( 3.0)

1 (25.0) ( 5.6)

2 (50.0) ( 4.8)

0

4 (100) ( 3.7 )

Total

33 (30.8) (100)

18 (16.8) ( 100)

42 (39.3) (100)

14 (13.1) (100)

Other Ce ntral and South
American Countries

*
**

107 (100 ) (100)

Percentage of row total
Percentage of column total

Tuberculosis in Arizona - Report Generated on April 10, 1998

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