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According to the World Health Organization, Asia also has the world's highest rate of tuberculosis.
While the change has occurred in cities around the country, it is most striking in New York, which has the highest rate of tuberculosis in the nation.
The rate of tuberculosis in Corona was the highest in the city in 2001 -- 36.1 cases per 100,000 people, more than double the citywide average of 15.7 cases and at least seven times the national average.
The per-capita rate of tuberculosis cases has plateaued at three infections per 100,000 people.
Papua New Guinea has the highest infection rate of tuberculosis outside of Africa — every two hours, a Papua New Guinean dies of the disease.
The rate of tuberculosis in different areas varies across the globe; about 80% of the population in many Asian and African countries tests positive in tuberculin tests, while only 5 10% of the United States population tests positive.
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Singapore had one of the world's highest rates of tuberculosis.
And because Chinese immigrants have high rates of tuberculosis infection, every patient is tested for it.
Fujiwara also believes that South Africa can take a lead in assisting other developing countries in reducing rates of tuberculosis.
The United States is lucky to have rates of tuberculosis that are so low compared with those for sub-Saharan Africa, Southeast Asia and Eastern Europe.
Mrs. Vanderbilt was following the advice of Dr. George Shively, who was researching the high rates of tuberculosis in crowded urban housing.
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