What is California's current TB status as of August 2016?

California's status regarding tuberculosis (TB) as of August 2016 reflects significant public health measures and outcomes in managing the disease. Being classified as "TB Free" indicates that the state had successfully reduced the incidence of TB cases to a level that is considered not endemic.

This status is typically achieved when a region shows a consistent decline in TB infection rates, which involves effective public health interventions such as widespread screening, access to treatment, and community education efforts. The term "TB Free" doesn't suggest that TB is completely absent, as occasional cases can still occur; rather, it emphasizes that TB is not prevalent enough to be considered a significant public health threat.

In contrast, terms such as "endemic" would indicate a disease is regularly found among particular populations, while "accredited" statuses typically relate to whether a region meets certain health criteria but do not apply universally to TB metrics. Therefore, California's designation as TB Free in August 2016 highlights the effectiveness of its public health strategies in controlling tuberculosis at that time.