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CDC EID journal Volume 23 Number 3—March 2017 Main Article

Volume 23, Number 3—March 2017

Research

Epidemiology of Nontuberculous Mycobacterial Lung Disease and Tuberculosis, Hawaii, USA

Jennifer AdjemianComments to Author , Timothy B. Frankland, Yihe G. Daida, Jennifer R. Honda, Kenneth N. Olivier, Adrian Zelazny, Stacey Honda, and D. Rebecca Prevots
Author affiliations: United States Public Health Service, Commissioned Corps, Rockville, Maryland, USA (J. Adjemian); National Institute of Allergy and Infectious Diseases, Bethesda, Maryland, USA (J. Adjemian, A. Zelazny, D.R. Prevots); Kaiser Permanente, Honolulu, Hawaii, USA (T.B. Frankland, Y.G. Daida, S. Honda); University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA (J.R. Honda); National Jewish Health, Denver, Colorado, USA (J.R. Honda); National Heart, Lung, and Blood Institute, Bethesda (K.N. Olivier)

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Table 1

Demographic characteristics of study population for investigation of mycobacterial infection prevalence, by mycobacterial testing status and culture result, Hawaii, 2005–2013*

Characteristic KPH population NTM isolated
 TB isolated Culture negative
Total 1 positive culture >2 positive cultures
Total
 373,168 (100)
 455 (0.1)
 201 (0.05)
 254 (0.07)
 40 (0.01)
 1,707 (0.5)
Female sex
 184,292 (49)
 245 (54)
 100 (50)
 145 (57)
 12 (30)
 797 (47)
Age, mean ± SD, y
 36 ± 22
 66 ± 16
 65.2 ± 6.3
 66 ± 16
 55 ± 16
 62 ± 17
Island of residence†
Oahu 196,391 (69) 300 (79) 135 (81) 165 (78) 21 (58) 1,061 (78)
Maui 61,427 (21) 56 (15) 22 (13) 34 (16) 13 (36) 220 (16)
The Big Island 26,052 (9) 22 (6) 10 (6) 12 (6) 2 (6) 74 (5)
Kauai
 2,452 (1)
 0
 0
0
0
0
Years in KPH
1 72,661 (19) 12 (3) 6 (3) 6 (2) 3 (8) 89 (5)
2–4 118,403 (32) 59 (13) 32 (16) 27 (11) 10 (25) 321 (19)
>5
 182,104 (49)
 384 (84)
 163 (81)
 221 (87)
 27 (68)
 1,297 (76)
Race/ethnicity‡
White 124,966 (43) 172 (38) 76 (38) 96 (38) 4 (10) 685 (40)
Black 6,260 (2) 2 (0.4) 2 (1) 0 0 31 (2)
NHOPI 90,785 (24) 81 (18) 46 (23) 35 (14) 5 (13) 415 (24)
Asian 142,931 (38) 265 (58) 110 (55) 155 (61) 30 (75) 908 (53)
Filipino 60,314 (21) 90 (20) 34 (17) 56 (22) 22 (55) 306 (18)
Japanese 38,571 (13) 92 (20) 40 (20) 52 (20) 0 325 (19)
Chinese 23,932 (8) 50 (11) 20 (10) 30 (12) 2 (5) 190 (9)
Korean 5,967 (2) 19 (4) 9 (4) 10 (4) 2 (5) 39 (2)
Vietnamese 2,030 (0.7) 5 (1) 2 (1) 3 (1) 1 (3) 13 (0.8)
Other 22,801 (8) 20 (4) 9 (4) 11 (4) 3 (8) 83 (5)
>1 Race/ethnicity 105,159 (36) 111 (24) 58 (29) 53 (21) 6 (15) 476 (28)

*Values are no. (%) patients unless otherwise indicated. A total of 2,197 patients had pulmonary mycobacterial culture results (see Table 2). KPH, Kaiser Permanente Hawaii; NHOPI, Native Hawaiian and Other Pacific Islander; NTM, nontuberculous mycobacteria; NTMPD, nontuberculous mycobacterial pulmonary disease; TB, tuberculosis.
†Only includes KPH patients residing in a single ZIP code throughout the study period (n = 286,322).
‡Some patients self-reported >1 racial/ethnic category; percentage calculated out of total patients reporting race/ethnicity (n = 292,336).

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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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