Tularemia — United States, 2011–2022
2025

Tularemia Cases in the United States from 2011 to 2022

Sample size: 2462 publication Evidence: moderate

Author Information

Author(s): Rich Shannan N. PhD, Hinckley Alison F. PhD, Earley Austin MPH, Petersen Jeannine M. PhD, Mead Paul S. MD, Kugeler Kiersten J. PhD

Primary Institution: Centers for Disease Control and Prevention

Conclusion

Tularemia incidence in the U.S. increased by 56% from 2001-2010 to 2011-2022, particularly among children and American Indian or Alaska Native populations.

Supporting Evidence

  • During 2011–2022, 47 states reported 2,462 tularemia cases.
  • Incidence was highest among children aged 5–9 years and older men.
  • American Indian or Alaska Native persons had an incidence approximately five times that of White persons.

Takeaway

Tularemia is a rare disease that can make people very sick, but we are seeing more cases now, especially in kids and certain groups of people.

Methodology

The study analyzed tularemia cases reported by state health departments to the CDC from 2011 to 2022.

Limitations

The report is limited by incomplete clinical and laboratory details for most cases and variations in state surveillance practices.

Participant Demographics

The median age of patients was 48 years, with 63% male; most cases were among White persons (84%) and American Indian or Alaska Native persons (9%).

Digital Object Identifier (DOI)

10.15585/mmwr.mm735152a1

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