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Tuberculosis cases in England continued to increase in 2024

Notifications of tuberculosis (TB) in England increased by 13% compared to 2023 (from 4,850 to 5,480 people), continuing the upward trend over the last few years, data from UKHSA shows

England remains a low-incidence country for TB, but the TB notification rate in England rose from 8.5 per 100,000 population in 2023 to 9.5 per 100,000 in 2024. 81.5% of all TB notifications in 2024 were in people born outside the UK but there was an increase in both UK-born and non UK-born populations.

‘TB remains a serious public health issue in England,’ said Dr Esther Robinson, Head of the TB Unit at UKHSA.

‘The infection is preventable and curable. If you have moved to England from a country where TB is more common, please be aware of the symptoms of TB so you can get promptly tested and treated through your GP surgery.’

Tuberculosis continues to be associated with deprivation and is more common in large urban areas. The largest increases in TB notifications in 2024 were recorded in London and West Midlands. Among UK-born individuals, TB is more common in those experiencing homelessness, drug or alcohol dependency, and contact with the criminal justice system.

TB is the world’s leading cause of death from a single infectious agent, having surpassed coronavirus (COVID-19). It is a bacterial infection that most frequently affects the lungs, which is when it is infectious.

‘Not every persistent cough, along with a fever, is caused by flu or COVID-19. A cough that usually has mucus and lasts longer than 3 weeks can be caused by a range of other issues, including TB. Please speak to your GP if you think you could be at risk,’ added Dr Robinson.