March 2001
DHR Office of Communications
Georgia Department of Human Resources
TUBERCULOSIS IN GEORGIA
THE NUMBERS
In 1999, approximately 7,000 people in Georgia who were exposed to tuberculosis completed treatment to prevent the development of active disease. Public health officials verified five cases of multi-drug resistant tubercu- losis in 2000 and 33 that were resistant to isoniazid. In 1999 Georgia ranked sixth in TB rates among the states, with 8.5 cases per 100,000 people. In 1998 the rate was 8.3 per 100,000. The districts with the highest numbers of TB cases in 2000 were Fulton (184), DeKalb (85), Gwinnett (40), Cobb (38) and Clayton (23).
Year
2000 1999 1998 1997 1996 1995 1994 1993 1992 1991
New cases of tuberculosis
703 670 631 696 790 746 740 809 893 909
THE RESOURCES
During FY 2000 the Department of Human Resources (DHR) spent $7.2 million, including $4.7 million in state funds and $2.5 million in federal funds, to treat and prevent TB in Georgia. Over $1 million was set aside for drugs to treat TB patients. Directly observed therapy (DOT) is available in all health districts. DOT means that public health staff arrange for a responsible person to make sure the patient takes medication consistently, either at home, at work, or in a clinic or doctor's office. When patients do not take the complete course of TB medication they may develop drug resistant strains of the bacteria. Since 1996, Georgia DHR, in collaboration with the Georgia Chapter of the American Lung Association, has been providing DOT, housing and social services to homeless infectious TB patients statewide. When hospitalization is necessary for acute care of a person with TB, DHR has contracts with public and private hospitals. Grady Hospital in Atlanta has 73 isolation beds for patients either suspected of or diagnosed as having infectious TB. Other hospitals throughout the state have smaller numbers of beds for infectious TB patients. Antioch Urban Ministries' Madison House, a residence for the working poor in Atlanta, has 20 beds for noninfectious TB patients. The Georgia Department of Corrections screens all of its 39,000 prisoners at entry and annually. During calendar year 2000, nine prisoners were reported with active TB.
DHR Office of Communications March 2001
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