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Show Table 43 Tuberculosis Incidence per 100,000 Population Year Utah1 US2 Utah:US Comparison 1970 1.2 18.2 0.07:1 1981 4.2 11.9 0.35:1 1982 3.3 11.0 0.30:1 1983 2.9 10.2 0.28:1 1984 2.5 9.4 0.27:1 1985 1.9 9.3 0.20:1 1986 2.6 9.4 0.28:1 1987 1.7 9.3 0.18:1 1988 2.1 9.1 0.23:1 1989 33 9.5 0.35:1 1990 3.0 10.3 0.29:1 1991 2.6 na na 1992 4.3 na na Source: Utah - Utah Department of Health, Bureau of Chronic Disease Control, Annual Summary of Certain Notifiable Disease bv Age . Unpublished reports. UJS. - Center For Disease Control. (1991). Morbidity and Mortality Weekly Report. 39.(53), pp. 55-61. Utah rates were computed using incidence reports from the Utah Department of Health and population estimates provided by the Utah Population Estimates Committee. ^U.S. rates for 1970 through 1990 were computed using incidence reports and total population estimates as reported in Morbidity and Mortality Weekly Report. Utah's incidence rate of tuberculosis (TB) has been consistently lower than the nation's (Table 43, Figure 30). Tuberculosis incidence rates declined for both Utah and the nation through 1985. The U.S. incidence rate remained at approximately 9 cases per 100,000 population from 1984 through 1989 and then increased by one case per 100,000 in 1990. Utah, on the other hand, had a slight increase in 1986, 1989, and 1992. The Utah:U.S. comparison shows Utah TB rates to be approximately one-third those of the nation through the 1980's.. Lower socio-economic groups are at an increased risk for tuberculosis. This makes tracking tuberculosis particularly difficult, because many people in low income groups usually do not have regular contact with the health care delivery system. Efforts are being Figure 30____________________________________ made by community shelter staff to screen people who reside there. As screening procedures improve and reach more of the population at risk, a higher incidence of tuberculosis will likely be reported. The data presented represent cases reported by health care providers. These data may only measure incidence among persons who seek medical treatment, while ignoring the total incidence of this disease in the community. Better ways of assessing populations at increased risk are needed to ensure accurate data. AIDS patients and older populations are also groups at increased risk for tuberculosis. Certain disease conditions, such as tuberculosis, take advantage of a compromised immune system, making these people more vulnerable to increased infection. Tuberculosis I 6+ 8 2 I o ESutah ? us 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 Utah's Health: An Annual Review 1993 35 |
