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    TB and Hansen's Disease Branch

    MC 1939
    P.O. Box 149347
    Austin, TX 78756-9347

    Phone:
    Fax: 512-533-3167


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Epi Profile Section 6 - Mortality


TB is a preventable and curable disease; however, it remains one of the leading causes of death worldwide.[3] In 2016, there were 64 TB deaths (defined as cases who died while on treatment) in Texas. An additional 17 cases were identified with TB disease after death but never started treatment. These cases represent missed opportunities for prevention or care.

Underreporting of TB at death is also a concern. Death reporting and determining cause of death in Texas is varied. By state law ( https://statutes.capitol.texas.gov/Docs/CR/htm/CR.49.htm), autopsies must be performed for all cases of accident, homicide, suicide, and undetermined death; however, all other deaths are verified by a coroner or physician. Underlying diseases, such as TB, can be missed when reported as death by natural causes.

The reasons for TB deaths can also be varied. Misdiagnoses are a concern as signs and symptoms of TB can be mistaken for other conditions, such as pneumonia. In recent years, persons diagnosed with TB reported making several primary care and emergency room (ER) visits before a TB diagnosis was made. The stigma of TB can also lead to persons not seeking treatment for fear of social consequences. 

Table 5 Recorded TB Deaths by Case Count, 2014-2016
Treatment Status
at Death

2014

2015

2016

Began Treatment

66

76

64

TB Related

20

27

27

Non-TB Related

44

49

36

Unknown

2

0

11

No Treatment

1

3

7

TB Related

0

0

5

Non-TB Related

1

3

2

Unknown

0

0

0

Total Deaths

67

79

71

TB Related

20

27

22

Non-TB Related

45

52

38

Unknown

2

0

11


TB Deaths by Age Group, 2013-2016

While TB deaths are typically seen in older adults aged 60 years and older, deaths in younger age groups, aged 0-29 years, do occur, which are the most preventable.

Table 6 TB Deaths by Case Count and Percentage of Deaths, 2013-2016

Age
(years)

Count

Percent

0-9

0

0.0%

10-19

1

0.3%

20-29

10

3.3%

30-39

12

4.0%

40-49

34

11.3%

50-59

69

22.8%

60-69

70

23.2%

70-79

51

16.9%

80-89

47

15.6%

90-99

8

2.6%


 

[3] World Health Organization (WHO), Tuberculosis, 2018. Accessed at www.who.int/news-room/fact-sheets/detail/tuberculosis.



Table of Contents | An Overview of Tuberculosis in Texas | Distribution of Tuberculosis in Texas | Affected Populations | Case Diagnosis | Recent Transmission | Mortality | Risk Factors Associated with Tuberculosis | Drug Resistant TB | Targeted Testing | Reporting Requirements | References


Last updated June 25, 2019