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==== North America ==== In Canada, tuberculosis was endemic in some rural areas as of 1998.<ref>{{cite journal|url=http://gateway.nlm.nih.gov/MeetingAbstracts/ma?f=102188560.html|title=Rural outbreaks of ''Mycobacterium tuberculosis'' in a Canadian province|journal=Abstr Intersci Conf Antimicrob Agents Chemother|year=1998|volume=38|page=555 |id=abstract no. L-27|vauthors=Al-Azem A, Kaushal Sharma M, Turenne C, Hoban D, Hershfield E, MacMorran J, Kabani A|archive-url=https://web.archive.org/web/20111118161808/http://gateway.nlm.nih.gov/MeetingAbstracts/ma?f=102188560.html |archive-date=18 November 2011 }}</ref> The tuberculosis case rate in Canada in 2021 was 4.8 per 100,000 persons. The rates were highest among Inuit (135.1 per 100,000), First Nations (16.1 per 100,000) and people born outside of Canada (12.3 per 100,000).<ref>{{cite web |url=https://www.canada.ca/en/public-health/services/diseases/tuberculosis/surveillance.html|title=Tuberculosis (TB): Monitoring|publisher=Government of Canada|access-date=30 October 2024|date=4 March 2024|archive-url=https://web.archive.org/web/20240326030538/https://www.canada.ca/en/public-health/services/diseases/tuberculosis/surveillance.html|url-status=live|archive-date=26 March 2024}}</ref> In the United States, [[Native Americans in the United States|Native Americans]] have a fivefold greater mortality from TB,<ref>{{cite book | vauthors = Birn AE |title= Textbook of International Health: Global Health in a Dynamic World |year= 2009 |page= 261 |publisher= Oxford University Press |isbn= 978-0-19-988521-3 |url= https://books.google.com/books?id=2XBB4-eYGZIC&pg=PT261 |url-status=live |archive-url= https://web.archive.org/web/20150906213750/https://books.google.com/books?id=2XBB4-eYGZIC&pg=PT261 |archive-date= 6 September 2015 }}</ref> and racial and ethnic minorities accounted for 88% of all reported TB cases.<ref name="Williams-2024">{{cite journal|vauthors=Williams PM, Pratt RH, Walker WL, Price SF, Stewart RJ, Feng PI| title= Tuberculosis β United States, 2023 | journal= MMWR. Morbidity and Mortality Weekly Report | date= 2024 |volume=73 |issue=12|pages=265β270|doi=10.15585/mmwr.mm7312a4| pmid= 38547024 |url=https://www.cdc.gov/mmwr/volumes/73/wr/mm7312a4.htm|pmc=10986816}}</ref> The overall tuberculosis case rate in the United States was 2.9 per 100,000 persons in 2023, representing a 16% increase in cases compared to 2022.<ref name="Williams-2024" /> In 2024, Long Beach, California authorized a [[Public health emergency (United States)|public health emergency]] in response to a local [[Disease outbreak|outbreak]] of TB.<ref>{{cite news | vauthors = Bendix A |title=California city declares a public health emergency after tuberculosis sickens 14 |url=https://www.nbcnews.com/health/health-news/tuberculosis-outbreak-california-city-health-emergency-rcna150881 |publisher=NBC News |date=7 May 2024}}</ref>
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