From 1993 to 2010, the number of TB cases reported in the United States decreased from 25,103 to 11,182. Despite the decrease, TB continues to affect many communities in the United States disproportionately and unequally, especially racial/ethnic minorities and foreign-born persons. TB remains one of many diseases and health conditions with large disparities and inequalities by income, race/ethnicity, educational attainment, and other sociodemographic characteristics.

The rate of Tuberculosis (TB) in the Arkansas Marshallese community is higher than any other population in the state. There have been 191 reported cases over a 21-year span with 3 major outbreaks (in 2004, 2014, and 2017). Most of these cases happen to children.