Of the following groups, which is at the highest risk of tuberculosis in the United States?

Foreign-born individuals are recognized as the group at the highest risk of tuberculosis (TB) in the United States due to several key factors. This demographic often hails from countries where tuberculosis is more prevalent, leading to higher exposure rates before arriving in the U.S. Additionally, many foreign-born individuals may have limited access to healthcare resources upon settling in the U.S., which can delay diagnosis and treatment.

Countries with high TB prevalence often face socioeconomic challenges, which can increase the likelihood of transmission and limit the availability of preventive measures. Unlike individuals born in the U.S., who generally have more access to screening and treatment resources, foreign-born individuals may not receive the same level of care or are less likely to be screened for TB upon entry into the country.

This context highlights why foreign-born individuals represent a significant public health concern in terms of tuberculosis and justifies why they are the group at the highest risk.