TABLE 3—
Characteristics of Individuals Associated With the 5 Tuberculosis (TB) Outbreaks in State Prison Systems, by State: United States, 2011–2019
| Characteristic | Alabama (n = 20), No. (%) or Median (Range) | Texas (n = 51), No. (%) or Median (Range) |
| Age, y | 37.5 (22–71) | 35 (19–70) |
| US-born | 20 (100.0) | 50 (98.0) |
| Race/ethnicity | ||
| Hispanic | 0 (0.0) | 20 (39.2) |
| Non-Hispanic Black | 14 (70.0) | 24 (47.1) |
| Non-Hispanic White | 6 (30.0) | 7 (13.7) |
| Documented TB exposure in past 2 y | 13 (65.0) | 3 (5.9) |
| Social characteristicsa | ||
| Excessive alcohol use | 0 (0.0) | 2 (3.9) |
| Injection drug use | 0 (0.0) | 3 (5.9) |
| Noninjection drug use | 1 (5.0) | 7 (13.7) |
| Clinical characteristics and disease evaluation | ||
| Chest radiograph done | 20 (100.0) | 49 (96.1) |
| Lung cavity visible on chest radiographb | 6 (30.0) | 10 (20.4) |
| Pulmonary TB involvement | 20 (100.0) | 37 (72.5) |
| Sputum smear tested for acid-fast bacilli | 20 (100.0) | 30 (58.8) |
| Positive acid-fast bacilli smearc | 11 (55.0) | 15 (50.0) |
| HIV coinfection | 0 (0.0) | 0 (0.0) |
| Patient outcomed | ||
| Completed treatmente | 20 (100.0) | 25 (78.1) |
| Deceased | 0 (0.0) | 0 (0.0) |
Counts and percentages are for presence of the risk factor and are based on self-report of the risk factor during the 12 months before diagnosis.
Percentages are based on individuals with chest radiographs done.
Percentages are based on cases reported to surveillance as involving a sputum smear test. After rereviewing medical records during 2021, the Texas Department of State Health Services and the Texas Department of Criminal Justice identified sputum smear results for 13 additional cases initially reported to surveillance during 2015–2019 as not involving a smear test.
Numbers and percentages are based on cases with complete data on patient outcome and 2 years of follow-up (i.e., cases reported during 2011–2017) so that patient outcome could be documented in the 2011–2019 data set.
Denominator excludes 19 Texas cases with incomplete data on treatment outcome.