section_path: Epidemiology/Geographical epidemiology/North America
section_name: North America
paragraph_text: North America
  
  In the United States, Native Americans have a fivefold greater mortality from TB, and racial and ethnic minorities accounted for 84% of all reported TB cases. The overall tuberculosis case rate in the United States was 3 per 100,000 persons in 2017.
  
  In 2024, Long Beach, California authorized a public health emergency in response to a local outbreak of TB.
  
  In Canada, tuberculosis was endemic in some rural areas as of 1998.