World Health Organization (WHO) estimates of tuberculosis incidence by country, 2017 Definition of high incidence With reference to the National Institute for Health and Clinical Excellence (NICE) recommendations for BCG vaccination and screening in England and Wales, countries/territories with an estimated incidence rate of 40 per 100,000 or greater are considered to have a high incidence of tuberculosis. Countries with rates greater than or equal to 150 per 100,000 have been signposted with a tick symbol. Table 1: High incidence countries (estimated incidence rate of 40 per 100,000 or greater) Estimated rate per Number Rate 150 100,000 population of cases per 100,000 Afghanistan Eastern Mediterranean 189 67,000 Algeria Africa 70 29,000 Angola Africa 359 107,000 Azerbaijan Europe 67 6,500 Bangladesh South-East Asia 221 364,000 Benin Africa 58 6,400 Bhutan South-East Asia 134 1,100 Bolivia (Plurinational State of) The Americas 111 12,000 Botswana Africa 300 6,900 Brazil The Americas 44 91,000 Brunei Darussalam Western Pacific 64 270 Burkina Faso Africa 49 9,500 Burundi Africa 114 12,000 Cabo Verde Africa 134 730 Cambodia Western Pacific 326 52,000 Cameroon Africa 194 47,000 Central African Republic Africa 423 20,000 Chad Africa 154 23,000 China Western Pacific 63 889,000 China, Hong Kong SAR Western Pacific 67 5,000 China, Macao SAR Western Pacific 70 440 Congo Africa 376 20,000 Côte d'ivoire Africa 148 36,000 Democratic People's Republic of Korea South-East Asia 513 131,000 Democratic Republic of the Congo Africa 322 262,000 Djibouti Eastern Mediterranean 269 2,600 Dominican Republic The Americas 45 4,800 Ecuador The Americas 43 7,200 El Salvador The Americas 72 4,600 1
Estimated rate per Number Rate 150 100,000 population of cases per 100,000 Equatorial Guinea Africa 191 2,400 Eritrea Africa 67 3,400 Eswatini Africa 308 4,200 Ethiopia Africa 164 172,000 Fiji Western Pacific 49 450 Gabon Africa 529 11,000 Gambia Africa 174 3,700 Georgia Europe 86 3,400 Ghana Africa 152 44,000 Greenland Europe 116 66 Guam Western Pacific 60 98 Guinea Africa 176 22,000 Guinea-Bissau Africa 374 7,000 Guyana The Americas 86 670 Haiti The Americas 181 20,000 India South-East Asia 204 2,740,000 Indonesia South-East Asia 319 842,000 Iraq Eastern Mediterranean 42 16,000 Kazakhstan Europe 66 12,000 Kenya Africa 319 158,000 Kiribati Western Pacific 413 480 Kyrgyzstan Europe 144 8,700 Lao People's Democratic Republic Western Pacific 168 12,000 Lesotho Africa 665 15,000 Liberia Africa 308 15,000 Libya Eastern Mediterranean 40 2,500 Lithuania Europe 50 1,500 Madagascar Africa 238 61,000 Malawi Africa 133 25,000 Malaysia Western Pacific 93 29,000 Mali Africa 55 10,000 Marshall Islands Western Pacific 480 250 Mauritania Africa 97 4,300 Micronesia (Federated States of) Western Pacific 165 170 Mongolia Western Pacific 428 13,000 Morocco Eastern Mediterranean 99 36,000 Mozambique Africa 551 163,000 Myanmar South-East Asia 358 191,000 Namibia Africa 423 11,000 Nauru Western Pacific 91 10 Nepal South-East Asia 152 45,000 Nicaragua The Americas 45 2,800 Niger Africa 90 19,000 Nigeria Africa 219 418,000 Niue Western Pacific 71 1 2
Estimated rate per Number Rate 150 100,000 population of cases per 100,000 Northern Mariana Islands Western Pacific 86 47 Pakistan Eastern Mediterranean 267 525,000 Palau Western Pacific 106 23 Panama The Americas 54 2,200 Papua New Guinea Western Pacific 432 36,000 Paraguay The Americas 44 3,000 Peru The Americas 116 37,000 Philippines Western Pacific 554 581,000 Republic of Korea Western Pacific 70 36,000 Republic of Moldova Europe 95 3,900 Romania Europe 72 14,000 Russian Federation Europe 60 86,000 Rwanda Africa 57 7,000 Sao Tome and Principe Africa 118 240 Senegal Africa 122 19,000 Sierra Leone Africa 301 23,000 Singapore Western Pacific 47 2,700 Solomon Islands Western Pacific 76 470 Somalia Eastern Mediterranean 266 39,000 South Africa Africa 567 322,000 South Sudan Africa 146 18,000 Sri Lanka South-East Asia 64 13,000 Sudan Eastern Mediterranean 77 31,000 Tajikistan Europe 85 7,500 Thailand South-East Asia 156 108,000 Timor-Leste South-East Asia 498 6,500 Togo Africa 41 3,200 Turkmenistan Europe 43 2,500 Tuvalu Western Pacific 236 26 Uganda Africa 201 86,000 Ukraine Europe 84 37,000 United Republic of Tanzania Africa 269 154,000 Uzbekistan Europe 73 23,000 Vanuatu Western Pacific 51 140 Venezuela (Bolivarian Republic of) The Americas 42 13,000 Viet Nam Western Pacific 129 124,000 Yemen Eastern Mediterranean 48 14,000 Zambia Africa 361 62,000 Zimbabwe Africa 221 37,000 3
Table 2: Low incidence countries (estimated incidence rate less than 40 per 100,000) Estimated rate per Number 100,000 population of cases Albania Europe 20 580 American Samoa Western Pacific 10 6 Andorra Europe 2 1 Anguilla The Americas 22 3 Antigua and Barbuda The Americas 1 1 Argentina The Americas 26 12,000 Armenia Europe 36 1,100 Aruba The Americas 9 9 Australia Western Pacific 7 1,700 Austria Europe 7 640 Bahamas The Americas 15 59 Bahrain Eastern Mediterranean 12 170 Barbados The Americas 0 0 Belarus Europe 37 3,500 Belgium Europe 10 1,100 Belize The Americas 36 130 Bermuda The Americas 4 2 Bonaire, Saint Eustatius and Saba The Americas 3 1 Bosnia and Herzegovina Europe 27 960 British Virgin Islands The Americas 0 0 Bulgaria Europe 24 1,700 Canada The Americas 6 2,000 Cayman Islands The Americas 8 5 Chile The Americas 17 3,200 Colombia The Americas 33 16,000 Comoros Africa 35 280 Cook Islands Western Pacific 0 0 Costa Rica The Americas 10 470 Croatia Europe 10 420 Cuba The Americas 7 820 Curaçao The Americas 6 10 Cyprus Europe 6 66 Czechia Europe 5 570 Denmark Europe 5 290 Dominica The Americas 2 1 Egypt Eastern Mediterranean 13 13,000 Estonia Europe 15 200 Finland Europe 5 270 France Europe 8 5,200 French Polynesia Western Pacific 21 60 Germany Europe 8 6,200 Greece Europe 4 450 Grenada The Americas 3 3 4
Estimated rate per Number 100,000 population of cases Guatemala The Americas 25 4,300 Honduras The Americas 38 3,500 Hungary Europe 7 720 Iceland Europe 5 15 Iran (Islamic Republic of) Eastern Mediterranean 14 11,000 Ireland Europe 7 350 Israel Europe 3 270 Italy Europe 7 4,100 Jamaica The Americas 5 150 Japan Western Pacific 15 19,000 Jordan Eastern Mediterranean 7 660 Kuwait Eastern Mediterranean 27 1,100 Latvia Europe 32 620 Lebanon Eastern Mediterranean 12 710 Luxembourg Europe 6 37 Maldives South-East Asia 39 170 Malta Europe 11 48 Mauritius Africa 12 150 Mexico The Americas 22 28,000 Monaco Europe 0 0 Montenegro Europe 14 86 Montserrat The Americas 0 0 Netherlands Europe 5 890 New Caledonia Western Pacific 14 39 New Zealand Western Pacific 8 350 Norway Europe 5 270 Oman Eastern Mediterranean 7 310 Poland Europe 17 6,400 Portugal Europe 20 2,000 Puerto Rico The Americas 1 45 Qatar Eastern Mediterranean 26 690 Saint Kitts and Nevis The Americas 2 1 Saint Lucia The Americas 8 14 Saint Vincent and the Grenadines The Americas 2 2 Samoa Western Pacific 18 34 San Marino Europe 0 0 Saudi Arabia Eastern Mediterranean 10 3,300 Serbia Europe 19 1,700 Seychelles Africa 19 18 Sint Maarten (Dutch part) The Americas 14 6 Slovakia Europe 5 260 Slovenia Europe 6 120 Spain Europe 10 4,600 Suriname The Americas 29 160 Sweden Europe 6 560 5
Estimated rate per Number 100,000 population of cases Switzerland Europe 7 610 Syrian Arab Republic Eastern Mediterranean 19 3,400 The Former Yugoslav Republic of Macedonia Europe 13 270 Tokelau Western Pacific 0 0 Tonga Western Pacific 12 13 Trinidad and Tobago The Americas 17 230 Tunisia Eastern Mediterranean 34 3,900 Turkey Europe 17 14,000 Turks and Caicos Islands The Americas 6 2 United Arab Emirates Eastern Mediterranean 1 76 United Kingdom of Great Britain and Northern Ireland Europe 9 5,900 United States of America The Americas 3 10,000 Uruguay The Americas 31 1,100 Wallis and Futuna Islands Western Pacific 0 0 West Bank and Gaza Strip Eastern Mediterranean 1 47 Note: Data presented here are an extract of data available for download from the WHO website. The estimated rate per 100,000 population and the number of cases have been rounded to the nearest whole number. Only 'best estimate' figures of incidence are included here. Uncertainty bounds for these estimates are included in data downloadable from the WHO website and should be referred to if further interpretation of the figures is required. Details of the methods used for the estimation of incidence can be found in the WHO report 'Global tuberculosis control 2018', available at http://www.who.int/tb/publications/global_report/en/ Sources: WHO TB burden estimates, available at: http://www.who.int/tb/country/data/download/en/ and Global tuberculosis report 2018, available at http://www.who.int/tb/publications/global_report/en/ Accessed 28/09/2018 Prepared by: TB Unit, National Infection Service, Public Health England 6