{"id":17715,"date":"2025-11-13T12:46:18","date_gmt":"2025-11-13T07:16:18","guid":{"rendered":"http:\/\/localhost\/current-affairs\/2025\/11\/13\/india-s-tb-fight-gains-momentum-with-sharp-decline-and-ongoing-challenges-2094\/"},"modified":"2026-10-24T07:38:10","modified_gmt":"2026-10-24T07:38:10","slug":"india-s-tb-fight-gains-momentum-with-sharp-decline-and-ongoing-challenges-2094","status":"publish","type":"post","link":"https:\/\/www.class24.study\/current-affairs\/india-s-tb-fight-gains-momentum-with-sharp-decline-and-ongoing-challenges-2094\/","title":{"rendered":"India\u2019s TB Incidence Declines by 21%: WHO Global TB Report 2025"},"content":{"rendered":"<p><span style=\"font-weight: 400\">India has made measurable progress in its fight against tuberculosis (TB). According to the World Health Organization\u2019s (WHO) <\/span><i><span style=\"font-weight: 400\">Global Tuberculosis Report 2025<\/span><\/i><span style=\"font-weight: 400\">, India\u2019s estimated TB incidence rate declined by 21% between 2015 and 2024. The rate fell from 237 cases per lakh population in 2015 to 187 cases per lakh population in 2024. <\/span><span style=\"font-weight: 400\">The report also highlights improvements in treatment coverage. India\u2019s TB treatment coverage increased from 53% in 2015 to 92% in 2024, reflecting improvements in case detection and access to treatment. However, TB remains a major public health challenge, and sustained efforts are needed to detect undiagnosed cases, prevent new infections and support patients throughout treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400\">These developments are important for competitive examinations, particularly questions related to health programmes, government initiatives, international reports and public health.<\/span><\/p>\n<h2><b>Key Highlights of the WHO Global TB Report 2025<\/b><\/h2>\n<table>\n<tbody>\n<tr>\n<td><b>Indicator<\/b><\/td>\n<td><b>Key Fact<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Report<\/span><\/td>\n<td><span style=\"font-weight: 400\">WHO Global Tuberculosis Report 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Period covered by the incidence comparison<\/span><\/td>\n<td><span style=\"font-weight: 400\">2015\u20132024<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Decline in India&#8217;s TB incidence<\/span><\/td>\n<td><span style=\"font-weight: 400\">21%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">TB incidence in 2015<\/span><\/td>\n<td><span style=\"font-weight: 400\">237 cases per lakh population<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">TB incidence in 2024<\/span><\/td>\n<td><span style=\"font-weight: 400\">187 cases per lakh population<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">TB treatment coverage in 2015<\/span><\/td>\n<td><span style=\"font-weight: 400\">53%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">TB treatment coverage in 2024<\/span><\/td>\n<td><span style=\"font-weight: 400\">92%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">National programme<\/span><\/td>\n<td><span style=\"font-weight: 400\">National Tuberculosis Elimination Programme (NTEP)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Global framework<\/span><\/td>\n<td><span style=\"font-weight: 400\">WHO End TB Strategy<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400\">Source: WHO Global Tuberculosis Report 2025 and Government of India information. The figures represent estimated incidence and treatment coverage, not simply the number of cases officially notified in a year.<\/span><\/p>\n<h2><b>What Is Tuberculosis (TB)?<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Tuberculosis is an infectious disease caused by the bacterium <\/span><i><span style=\"font-weight: 400\">Mycobacterium tuberculosis<\/span><\/i><span style=\"font-weight: 400\">. It most commonly affects the lungs, but it can also affect other parts of the body, including the lymph nodes, bones, kidneys and brain.<\/span><\/p>\n<p><span style=\"font-weight: 400\">TB spreads through the air when a person with infectious TB disease releases bacteria while coughing, speaking or singing. It does not ordinarily spread through sharing food, shaking hands or touching everyday objects.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Common symptoms of pulmonary TB may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">A persistent cough, particularly one lasting two weeks or more.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Fever and night sweats.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Unexplained weight loss.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Loss of appetite.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Weakness and fatigue.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Chest pain or coughing up blood in some cases.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">These symptoms can occur in other illnesses too. Anyone experiencing possible TB symptoms should seek medical assessment rather than relying on symptoms alone. TB is preventable and curable when diagnosed and treated appropriately.<\/span><\/p>\n<h2><b>Why Is the 21% Decline Significant?<\/b><\/h2>\n<p><span style=\"font-weight: 400\">The reported 21% decline indicates that India&#8217;s estimated annual rate of new TB cases has decreased compared with the 2015 baseline. The decline is an important measure of progress, but it should not be interpreted as the elimination of tuberculosis.<\/span><\/p>\n<p><span style=\"font-weight: 400\">According to the Government of India&#8217;s summary of the WHO report, incidence declined from 237 to 187 cases per lakh population between 2015 and 2024. Over the same period, treatment coverage rose from 53% to 92%.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Higher treatment coverage means that a larger proportion of estimated people who develop TB are being identified and placed on treatment. Earlier diagnosis and timely treatment can reduce the duration of infectiousness, improve outcomes and help limit further transmission.<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, incidence and case notification are different indicators. <\/span><b>Incidence<\/b><span style=\"font-weight: 400\"> estimates the number of people developing TB during a period, whereas <\/span><b>case notification<\/b><span style=\"font-weight: 400\"> counts cases reported to the health system. Notifications can rise when screening and reporting improve, even while the underlying incidence rate declines.<\/span><\/p>\n<h2><b>National Tuberculosis Elimination Programme (NTEP)<\/b><\/h2>\n<p><span style=\"font-weight: 400\">The National Tuberculosis Elimination Programme is India&#8217;s principal public health programme for preventing, detecting and treating TB. The Revised National Tuberculosis Control Programme (RNTCP) was renamed NTEP in 2020.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The programme follows the strategic approach known as <\/span><b>Detect, Treat, Prevent and Build<\/b><span style=\"font-weight: 400\">.<\/span><\/p>\n<h3><b>1. Early Detection and Diagnosis<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Early diagnosis helps patients begin treatment sooner and reduces the risk of transmission. The programme supports diagnostic services through public health facilities and expands access to molecular tests, including nucleic acid amplification tests (NAATs). <\/span><span style=\"font-weight: 400\">Active case-finding efforts are particularly important among vulnerable populations and people who may face barriers to accessing healthcare. Chest X-rays may be used for screening, while appropriate diagnostic tests are needed to confirm disease.<\/span><\/p>\n<h3><b>2. Free Treatment and Medicines<\/b><\/h3>\n<p><span style=\"font-weight: 400\">TB diagnosis and treatment services are provided through government health facilities. Treatment depends on the type of TB, drug-susceptibility results and the patient&#8217;s clinical condition. <\/span><span style=\"font-weight: 400\">Patients should complete the prescribed treatment and avoid stopping medicines without medical advice. Incomplete or inappropriate treatment can contribute to treatment failure and drug resistance.<\/span><\/p>\n<h3><b>3. Ni-kshay Portal<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Ni-kshay is a digital platform used for recording and monitoring TB cases and supporting patient management. It helps health authorities track notified patients, treatment progress and programme activities. <\/span><span style=\"font-weight: 400\">Digital surveillance can improve coordination between healthcare providers and public health officials. Its effectiveness also depends on accurate reporting, timely follow-up and access to care.<\/span><\/p>\n<h3><b>4. Nutritional and Community Support<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Undernutrition is an important risk factor associated with TB. Nutrition support and community involvement can help patients manage the financial and social difficulties associated with treatment. <\/span><span style=\"font-weight: 400\">The Pradhan Mantri TB Mukt Bharat Abhiyaan encourages community participation in TB elimination efforts. Ni-kshay Mitras can provide additional support to patients who consent to receive it.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Government&#8217;s nutrition-support initiative, Ni-kshay Poshan Yojana, provides financial assistance to eligible notified TB patients to help meet nutritional needs. The applicable amount and payment arrangements should be checked against the latest official programme guidance.<\/span><\/p>\n<h3><b>5. Prevention and Contact Tracing<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Preventing TB requires more than treating people who are already ill. Contact investigation, screening of eligible high-risk groups and TB preventive treatment for eligible individuals can reduce the risk of progression from TB infection to active disease. <\/span><span style=\"font-weight: 400\">People living with TB patients should follow the advice of healthcare professionals regarding screening and preventive treatment. Better ventilation, early diagnosis and appropriate infection-control measures can also help reduce transmission.<\/span><\/p>\n<h2><b>TB Mukt Bharat Abhiyaan: Recent Government Efforts<\/b><\/h2>\n<p><span style=\"font-weight: 400\">The TB Mukt Bharat Abhiyaan strengthens India&#8217;s efforts to identify undiagnosed cases, initiate treatment promptly and provide more comprehensive support to patients. <\/span><span style=\"font-weight: 400\">According to the Ministry of Health and Family Welfare&#8217;s March 2026 summary, more than 20 crore vulnerable people had been screened under the intensified campaign since 7 December 2024, and more than 28 lakh TB patients had been diagnosed during the campaign period reported by the government.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The same government summary reported that more than 46,118 Gram Panchayats had received TB-free certification for 2024. These figures are tied to the reporting period and should not be treated as totals for all of 2026.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The campaign includes targeted screening, diagnostic services, treatment support, preventive interventions and community participation. The objective is to reach people who may otherwise remain undiagnosed and to improve continuity of care.<\/span><\/p>\n<h2><b>BPaLM Regimen for Drug-Resistant TB<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Drug-resistant tuberculosis is a significant challenge because some TB bacteria do not respond to particular medicines. Multidrug-resistant or rifampicin-resistant TB requires appropriate testing and specialist-directed treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400\">India has introduced the BPaLM regimen for eligible patients with drug-resistant TB. The regimen consists of:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>B:<\/b><span style=\"font-weight: 400\"> Bedaquiline<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Pa:<\/b><span style=\"font-weight: 400\"> Pretomanid<\/span><\/li>\n<li style=\"font-weight: 400\"><b>L:<\/b><span style=\"font-weight: 400\"> Linezolid<\/span><\/li>\n<li style=\"font-weight: 400\"><b>M:<\/b><span style=\"font-weight: 400\"> Moxifloxacin<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">For eligible patients, this regimen can provide a shorter treatment option, with a six-month course used under the relevant programme guidelines. It is not suitable for every patient, and treatment selection must be made by qualified healthcare professionals based on clinical assessment and drug-resistance testing.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The use of newer regimens highlights the importance of improving access to accurate diagnosis, appropriate medicines and monitoring for adverse effects.<\/span><\/p>\n<h2><b>Major Challenges in India&#8217;s Fight Against TB<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Despite progress, several barriers continue to affect TB elimination efforts.<\/span><\/p>\n<h3><b>1. Undiagnosed Cases<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Some people with TB are not diagnosed promptly because of limited awareness, difficulty accessing healthcare or delays in seeking medical attention. Active screening and accessible diagnostic services remain essential.<\/span><\/p>\n<h3><b>2. Drug Resistance<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Incorrect, interrupted or inadequate treatment can contribute to drug resistance. Rapid diagnosis, drug-susceptibility testing and completion of an appropriate treatment course are therefore important.<\/span><\/p>\n<h3><b>3. Undernutrition and Poverty<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Undernutrition can increase vulnerability to TB, while the disease itself may cause loss of income and additional household expenses. Social protection and nutritional support are important parts of a comprehensive response.<\/span><\/p>\n<h3><b>4. Stigma and Awareness<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Fear of discrimination may discourage people from seeking diagnosis or disclosing their condition. Public education and respectful, confidential healthcare services can help address stigma.<\/span><\/p>\n<h3><b>5. Continuity of Treatment<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Migration, travel costs, limited access to facilities and other social circumstances may interrupt treatment. Patient-centred follow-up and coordinated services are necessary to support treatment completion.<\/span><\/p>\n<h3><b>6. Reaching Vulnerable Populations<\/b><\/h3>\n<p><span style=\"font-weight: 400\">People living in crowded settings and communities with limited healthcare access may face higher barriers to diagnosis and treatment. Screening and services need to be adapted to local conditions.<\/span><\/p>\n<h2><b>India&#8217;s TB Elimination Target and the Global Goal<\/b><\/h2>\n<p><span style=\"font-weight: 400\">India had set an ambitious national aspiration to eliminate TB by 2025, ahead of the global 2030 timeline. The reported decline in incidence is meaningful progress, but the 2025 target should not be presented as having been achieved merely because incidence fell.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The WHO End TB Strategy provides a global framework for reducing TB incidence and deaths and lowering the social and economic burden of the disease. Achieving these goals requires sustained investment in diagnosis, treatment, prevention, research and patient support.<\/span><\/p>\n<p><span style=\"font-weight: 400\">India&#8217;s progress will depend on continued case detection, accessible treatment, prevention among eligible populations, effective care for drug-resistant TB and action on underlying risk factors such as undernutrition.<\/span><\/p>\n<h2><b>Important Facts for Competitive Exams<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400\"><b>Disease:<\/b><span style=\"font-weight: 400\"> Tuberculosis (TB)<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Causative organism:<\/b> <i><span style=\"font-weight: 400\">Mycobacterium tuberculosis<\/span><\/i><\/li>\n<li style=\"font-weight: 400\"><b>WHO report:<\/b><span style=\"font-weight: 400\"> Global Tuberculosis Report 2025<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Incidence decline in India:<\/b><span style=\"font-weight: 400\"> 21% between 2015 and 2024<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Incidence rate:<\/b><span style=\"font-weight: 400\"> 237 per lakh population in 2015 to 187 in 2024<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Treatment coverage:<\/b><span style=\"font-weight: 400\"> 53% in 2015 to 92% in 2024<\/span><\/li>\n<li style=\"font-weight: 400\"><b>National programme:<\/b><span style=\"font-weight: 400\"> National Tuberculosis Elimination Programme (NTEP)<\/span><\/li>\n<li style=\"font-weight: 400\"><b>NTEP strategic approach:<\/b><span style=\"font-weight: 400\"> Detect, Treat, Prevent and Build<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Digital TB platform:<\/b><span style=\"font-weight: 400\"> Ni-kshay<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Community initiative:<\/b><span style=\"font-weight: 400\"> Pradhan Mantri TB Mukt Bharat Abhiyaan<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Drug-resistant TB regimen:<\/b><span style=\"font-weight: 400\"> BPaLM<\/span><\/li>\n<li style=\"font-weight: 400\"><b>World TB Day:<\/b><span style=\"font-weight: 400\"> 24 March<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Global framework:<\/b><span style=\"font-weight: 400\"> WHO End TB Strategy, with a 2030 global horizon<\/span><\/li>\n<\/ul>\n<h2><b>Conclusion<\/b><\/h2>\n<p><span style=\"font-weight: 400\">India&#8217;s 21% decline in estimated TB incidence between 2015 and 2024 is an important public health development reported in the WHO Global Tuberculosis Report 2025. The increase in treatment coverage also indicates progress in identifying and treating people with TB.<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, progress does not mean the disease has been eliminated. Undiagnosed cases, drug resistance, undernutrition, stigma and interruptions in treatment remain important concerns. Strengthening early diagnosis, patient support, preventive treatment and community participation will be essential to sustain progress towards TB elimination.<\/span><\/p>\n<p><span style=\"font-weight: 400\">For competitive examinations, remember the key figures: a 21% incidence decline, a fall from 237 to 187 cases per lakh population, and treatment coverage rising from 53% to 92% between 2015 and 2024.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>WHO Global TB Report 2025, from 2015 to 2024, the incidence of tuberculosis in India has decreased by an impressive 21 per cent, which is almost twice the rate of decrease in the world, at 12 per cent. This is a tremendous development that gives evidence to the fact that India tries its best within [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":22647,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[16],"tags":[],"class_list":["post-17715","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-national"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/posts\/17715","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/comments?post=17715"}],"version-history":[{"count":6,"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/posts\/17715\/revisions"}],"predecessor-version":[{"id":28792,"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/posts\/17715\/revisions\/28792"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/media\/22647"}],"wp:attachment":[{"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/media?parent=17715"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/categories?post=17715"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.class24.study\/current-affairs\/wp-json\/wp\/v2\/tags?post=17715"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}