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The TB rate fell to 3.8 cases per 100,000 people, from 4.2 cases reported for 2008.
Health officials looked at other possible explanations for the overall decline, and discounted several of them.
For example, budget cuts at local health departments could mean that fewer cases are being detected and treated. But in the past, cuts in public health spending have caused TB rates to go up - not down.
More aggressive measures to identify and stop the spread of TB may be paying off, said Dr. Carla Winston, a CDC epidemiologist who was lead author of this week's report.
On the Net:
The CDC report: http://www.cdc.gov/mmwr/
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