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Epidemiology of Tuberculosis in Virginia, 2004. Division of TB Control Virginia Department of Health. Tuberculosis (TB): A Disease of Public Health Significance. Potentially fatal disease transmitted by prolonged contact Long, multidrug treatment regimens increase risk of nonadherence
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Epidemiology of Tuberculosis in Virginia, 2004 Division of TB ControlVirginia Department of Health
Tuberculosis (TB): A Disease ofPublic Health Significance • Potentially fatal disease transmitted by prolonged contact • Long, multidrug treatment regimens increase risk of nonadherence • Serious impact of improper/inadequate treatment on community • Disproportionate impact on disenfranchised
TB Control Challenges in Virginia • Rising morbidity in Northern Virginia • Greater proportion of TB patients born outside the United States • 43 different countries of origin • 17 different primary languages (other than English)
TB Case Rates in Virginia, 1996-2004 Year Cases VA Rate US Rate 1996 349 5.38.0 1997 349 5.3 7.4 1998 339 5.2 6.8 1999 334 4.9 6.4 2000 292 4.1 5.8 2001 306 4.3 5.6 2002 315 4.5 5.2 2003 332 4.5 5.1 2004 329 4.4 4.9
Percent of Reported TB Casesby VA Region: 2003 and 2004 2003 2004
Number of Reported Foreign-Born vs.US-Born TB Cases, VA 1996-2004
MDR Cases & Percent of Resistance toAny First Line Drugs: VA, 1998-2004
Directly Observed Therapy (DOT) • DOT is the standard of treatment • Patients are observed taking their medications • In 2004, 84% of TB cases were on DOT