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India's Tuberculosis Incidence: Progress and Challenges

A look at India's strides in reducing TB cases and the hurdles that remain

India's Tuberculosis Incidence: Progress and Challenges

  • 13 Nov, 2025
  • 416

INDIA’S DECLINING TUBERCULOSIS INCIDENCE: PROGRESS AND PERSISTING CHALLENGES

India has recorded a 21% reduction in tuberculosis (TB) incidence over the past decade, marking a major step in its mission to eliminate the disease. Despite this achievement, India still accounts for one-fourth of all new global TB cases, highlighting both the progress made and the scale of the challenge ahead.

STEEP DECLINE OUTPACES GLOBAL PROGRESS

According to the latest estimates, India’s TB incidence fell from 237 per lakh population in 2015 to 187 per lakh in 2024. This pace of decline is nearly twice as fast as the global average, placing India among the best-performing high-burden nations. However, the country still represented 25% of all new global TB infections in 2024, a reflection of its vast population and historical disease load.

REGIONAL BURDEN AND GLOBAL DISTRIBUTION

Globally, 30 high-burden countries account for the majority of TB cases. India, Indonesia, the Philippines, China, and Pakistan together make up over half of all new infections. The South-East Asia Region continues to bear the highest burden, followed by the Western Pacific and African regions.

IMPACT OF INTENSIFIED NATIONAL INITIATIVES

India’s accelerated progress stems from expanded detection campaigns, deployment of modern diagnostic technologies, and stronger community engagement. In 2024, treatment coverage reached over 92% with 26 lakh diagnosed cases out of an estimated 27 lakh infections. The number of “missing” TB cases fell dramatically—from around 15 lakh to under one lakh. India also recorded a treatment success rate of 90%, surpassing the global average of 88%.

EXAM ORIENTED FACTS

  • India reported a 21% decline in TB incidence between 2015 and 2024.
  • India accounted for 25% of new global TB cases in 2024.
  • Treatment success rate: 90% (above the global average of 88%).
  • Missing TB cases reduced from 15 lakh to under 1 lakh.
  • India, Indonesia, Philippines, China, and Pakistan contribute over half of global TB cases.

CHALLENGES AHEAD DESPITE STRONG MOMENTUM

While India’s efforts have delivered tangible gains, sustaining this momentum demands continued investment, early detection strategies, and robust community-based support systems. Drug-resistant TB, socio-economic barriers, and healthcare access disparities remain key hurdles. The burden, though reduced, remains substantial—making long-term vigilance essential to achieve India’s TB elimination targets by the end of this decade.

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