Building a Healthy Boston. BOSTON PUBLIC HEALTH COMMISSION Infectious Disease Bureau Communicable Disease Control Division

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BOSTON PUBLIC HEALTH COMMISSION Infectious Disease Bureau Communicable Disease Control Division

Number of cases 200 180 160 140 120 100 80 60 40 93 87 79 89 77 82 75 67 64 70 57 61 49 61 57 58 44 41 40 20 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Rate per 100,000 20 18 16 14 12 10 8 6 4 2 0 13.9 12.7 11.4 10.9 11.9 9.7 10.4 10.4 9.7 9.8 8.3 7.1 6.6 6.5 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Rate per 100,000 12 10 Male Female 8 6 4 2 0 2011 2012 2013

Percent 2011 2012 2013 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% < 25 years 25-44 years 45-64 years > 64 years Results may not equal 100% due to rounding

Rate per 100,000 30 < 20 years 20-29 years 30-39 years 40-49 years 50-59 years 60-69 years >= 70 years 25 20 15 10 5 0 2011 2012 2013

Percent White Black Hispanic Asian Other 60% 50% 40% 30% 20% 10% 0% 2011 2012 2013 Results may not equal 100% due to rounding

Rate per 100,000 30.0 White Black Hispanic Asian Other 25.0 20.0 15.0 10.0 5.0 0.0 2011 2012 2013

Rate per 100,000 50 45 40 35 30 25 20 15 10 5 0 2011 2012 2013

Percent 100 US Born Foreign Born 80 60 40 20 0 2011 2012 2013 Results may not equal 100% due to rounding

Percent <1 year 1-5 years 6-10 years > 10 years 100 80 60 40 20 0 2011 2012 2013 Results may not equal 100% due to rounding

Pulmonary 65% Lymphatic Pleural 14% Other 13% 10% Results may not equal 100% due to rounding

Number of cases Smear+/Culture+ Smear+/Culture- Smear-/Culture+ Smear-/Culture- 15 10 5 0 *Sputum samples unavailable for 3 cases **Sputum samples unavailable for 1 case 2011* 2012** 2013*** ***Sputum samples unavailable for 10 cases

Number One Drug Streptomycin 1 Two Drugs Isoniazid and Ethionamide 1

Percent 100 90 80 70 60 50 40 30 20 10 0 2011 2012 2013 *Includes cases with negative, positive and indeterminate HIV test results

Percent 9.2 9 8.8 8.6 8.4 8.2 8 7.8 2011 2012 2013 *Of those tested

2012* N=40 2013** N=40 Diagnosing site Inpatient 31(77%) 26(65%) Outpatient 9(22%) 14(35%) Initial treatment site* Inpatient 31(77%) 29 (72.5%) TB clinic 7(17%) 11(27.5%) Hospital outpatient clinic 2(5%) 0( 0%) *1 case died prior to identification of tuberculosis Results may not equal 100% due to rounding

2012 N=41 2013 N=40 Hospital outpatient clinic 17 (41%) 19 (47.5%) Community health center 16 (39%) 13 (32.5%) Private practices 1 (2%) 2 (5%) Other sites 1 (2%) 1 (2.5%) None identified 6 (15%) 5 (12.5%) Results may not equal 100% due to rounding

Female Male 0 25 50 75 100 125 150 175 200 225 250 275 Rate per 100,000

Rate per 100,000 <10 Years 10-19 years 20-29 years 30-39 years 40-49 years 50-59 years 60-69 years >= 70 years 350 300 250 200 150 100 50 0

11% 3% 4% 19% Asian Black Hispanic 21% Other Unknown White 41% Results may not equal 100% due to rounding

Rate per 100,000 600 500 400 300 200 100 0

BOSTON PUBLIC HEALTH COMMISSION Communicable Disease Control Division 1010 Massachusetts Avenue Boston, MA 02118 Phone: 617-534-5611 Fax: 617-534-5905 Website: www.bphc.org