The incidence of tuberculosis (TB) in the U.S. is reported as being on the decrease, however untreated infected people act as a reservoir for disease. Any pool of the world’s population harboring this disease gives cause for concern, especially since the BCG vaccine is only 70-80% effective at best. New research published in BioMed Central’s open access journal BMC Public Health shows that in 2009 the number of cases of TB reported across America was much lower than that recorded in previous years.