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Morbidity and Mortality Weekly Report

Morbidity and Mortality Weekly Report Weekly / Vol. 71 / No. 12 March 25, 2022. Tuberculosis United States, 2021. Thomas D. Filardo, MD1,2; Pei-Jean Feng, MPH2; Robert H. Pratt2; Sandy F. Price2; Julie L. Self, PhD2. During 1993 2019, the incidence of tuberculosis (TB) in estimates were used to calculate national- and state-level TB. the United States decreased steadily; however, during the later incidence per 100,000 persons along with incidence stratified years of that period the annual rate of decline slowed (1) until by age groups. Persons with TB were grouped by self-reported 2020 when a substantial decline ( ) was observed. This race and ethnicity according to federal guidelines. Persons sharp decrease in TB incidence might have been related to who self-identified as Hispanic were categorized as Hispanic multiple factors coinciding with the COVID-19 pandemic, irrespective of self-reported race, persons not identifying as including delayed or missed TB diagnoses or a true reduc- Hispanic were categorized by self-reported race, and non- tion in TB incidence related to pandemic mitigation efforts Hispanic persons who reported more than one race were and changes in immigration and travel (2)

health departments electronically submit a report of a verified TB case to CDC. Midyear U.S. Census Bureau population * This report is limited to National Tuberculosis Surveillance System data verified as of February 9, 2022. Updated data will be available in CDC’s annual TB surveillance report later in 2022. †

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