Please refer to the following articles, not sure if this data exists for Europe or US:
JCM Accepted Manuscript Posted Online 11 February 2015
Mycobacterium tuberculosis lineage7 strains are associated with prolonged patient delay in pulmonary tuberculosis patients in Amhara Region, Ethiopia
Solomon A. Yimera,b,c,d, Gunnstein Norheimb, Amine Namouchia, Ephrem D. Zegeyea, Wibeke Kinanderb, Tone Tønjuma,e, Shiferaw Bekelef, Turid Mannsåkerb, Gunnar Bjuned, Abraham Aseffaf, Carol Holm-Hansenb
Recent genotyping studies of Mycobacterium tuberculosis (Mtb) in Ethiopia have reported the identification of a new phylogenetically distinct Mtb lineage, lineage 7. We therefore investigated the genetic diversity and association of specific Mtb lineages with sociodemographic and clinical parameters among pulmonary TB patients in the Amhara Region, Ethiopia. DNA was isolated from Mtb positive sputum specimens (n=240) and analyzed by PCR/24-locus MIRU-VNTR and spoligotyping. Bioinformatics analysis assigned the Mtb genotypes to global lineages, and associations between patient characteristics and genotype were evaluated using logistic regression analysis. The study revealed a high diversity of modern and pre-modern Mtb lineages among which approximately 25% were not previously reported. Among the Mtb strains (n=138) assigned to seven sub-groups, the largest cluster belonged to the lineage Central Asian (CAS) (n=60; 26.0%), the second largest to lineage 7 (n=36; 15.6%), and the third to Haarlem (n=35; 15.2%). Four sub-lineages were new in the MIRU-VNTRplus database, designated NW-ETH3, NW-ETH1, NW-ETH2, and NW43 ETH4 which included 24 (10.4%), 18 (7.8%), 8 (3.5%) and 5 (2.2%) isolates, respectively. Notably, patient delay was significantly longer among patients infected with lineage 7 strains (Mann-Whitney test p