Tuberculosis (TB) is caused by bacteria that usually attack the lungs, and it passes through the air when a person with the disease coughs, sneezes or spits. WHO estimates that about a quarter of the world's population has been infected, but most infected people do not feel ill and cannot pass the bacteria on; about 5–10% eventually develop the disease. Because symptoms such as a lasting cough, fever, night sweats and weight loss can stay mild for months, people may spread TB before they know they have it. The disease is preventable and curable, and global efforts against it are estimated to have saved 83 million lives since 2000. Even so, in 2024 an estimated 10.7 million people fell ill with TB and 1.23 million died.
More than 80% of cases and deaths occur in low- and middle-income countries, and 30 high-burden countries account for about 87% of new cases. Adult men fall ill and die more often than women, and undernutrition, diabetes, alcohol use disorders, smoking and HIV each account for hundreds of thousands of new cases a year. About half of the people treated for TB, together with their households, face costs above 20% of their annual household income. Drug-resistant TB is harder to treat: an estimated 390,000 people developed multidrug- or rifampicin-resistant TB in 2024, and only about two in five of them were treated. Cuts to international donor funding since 2025 put recent gains at risk.
How tuberculosis is counted
Many people with TB are never diagnosed or never reported to health authorities, so WHO combines case reports, death registration, national surveys and modelling. The main measures are:
Estimated incidence
The modelled number of people who develop TB disease in a year, including relapses, also expressed per 100,000 population. People who carry the bacteria without being ill are not counted. Estimates come with uncertainty ranges and are revised as new data arrive.
Case notifications
The number of people diagnosed with TB and officially reported to national programmes. The gap between notifications and estimated incidence shows how many people are missed or not recorded.
Deaths and case fatality ratio
For people without HIV, WHO takes TB deaths from national or sample death registration in 108 countries, uses published estimates from the Institute for Health Metrics and Evaluation for 15, and for the remaining 92 multiplies estimated incidence by the case fatality ratio, the share of people with TB who die from it. TB deaths among people living with HIV are officially classed as HIV deaths, with TB as a contributing cause, but WHO reports them alongside other TB deaths.
Drug-resistant TB
TB that does not respond to standard drugs. Rifampicin-resistant TB (RR-TB) does not respond to rifampicin, a key first-line drug, and multidrug-resistant TB (MDR-TB) does not respond to either rifampicin or isoniazid. The two are usually reported together as MDR/RR-TB.