TB Statistics India – National, treatment outcome & state statistics

National TB statistics India

India is the country with the highest burden of TB. The World Health Organisation (WHO) TB statistics for India for 2016 give an estimated incidence figure of 2.79 million cases of TB for India. The TB incidence is the number of new cases of active TB disease during a certain time period (usually a year).

Some further estimates of the TB burden are given below.

Estimated burden of TB 2016
Estimates of TB burden (2016)	Number	Rate per 100,000 population
Incidence of TB cases (includes HIV + TB)	2.790 million	211
Incidence (HIV+TB only)	87,000	6.6
Incidence (MDR/RR-TB))	147,000	11
Mortality (excludes HIV+TB)	423,000	32
Mortality (HIV+TB only)	12,000	0.92

When reading high mortality figures such as these it can be difficult to realize what it means at an individual level. So to get some understanding of what it can mean at an individual level it can be helpful to read what it means to be dying of TB.

It is estimated that about 40% of the Indian population is infected with TB bacteria, the vast majority of whom have latent TB rather than TB disease.

Most of the national TB statistics for India are collected by the government Revised National Tuberculosis Control Programme (RNTCP) which was started in 1997, and which was then expanded across the country.

TB treatment outcomes

Trend of treatment outcome of TB patients notified from the Public Sector under the RNTCP

The treatment success rate among microbiologically confirmed new TB patients remained consistently above 85%. Among previously treated microbiologically confirmed TB patients, the treatment success rate remained at 70%.

Treatment outcome of TB patients in the private sector

There are currently few notifications from the private sector although they are now increasing. The following are the treatment outcomes for patients from the private sector in 2015.

District	Notified patients	Treatment completed	Died	Lost to follow up	Not evaluated	Treatment regimen change
Patna	14,940	73%	3%	5%	18%	1%
Mehsana	2,909	73%	5%	5%	16%	1%
Mumbai	11,370	76%	2%	5%	13%	1%

Indian state TB statistics

In 2016 out of the total reported patients, almost one fifth of the patients were reported from the private sector. As shown below there was wide variation from state to state in respect of the proportionate reporting of TB patients from the two sectors. In Kerala the reporting was almost equal, whilst the number reported was nil in some of the NE states.

Also, as shown below out of the million and a half people with TB, who were tested for HIV in 2016, about 3% or 50,000 were found to be HIV positive with again great variation among the different states.

India TB statistics for each state
State	Population covered by RNTCP	TB patients notified from public sector	TB patients notified from private sector	Pediatric TB cases	New Patients	Previously treated patients	% Micro – biologically confirmed	Total of TB patients notified	No of notified TB cases with known HIV status	No of TB patients known to be HIV positive among those with known status
Andaman & Nicobar	400,000	509	25	32	421	88	45	534	465	46
Andhra Pradesh	51,100,000	64,420	9,953	2,163	52,273	12,147	60	74,373	73,629	7,363
Arunachal Pradesh	1,500,000	2,758	30	410	2,111	647	41	2,788	2,342	0
Assam	33,300,000	36,724	4,127	1,526	29,798	6,926	50	40,851	20,426	204
Bihar	115,400,000	59,020	37,981	3,666	49,543	9,477	59	97,001	64,021	1,280
Chandigarh	1,100,000	2,980	433	248	2,527	453	49	3,413	3,311	33
Chhattisgarh	28,600,000	30,821	8,663	1,350	27,441	3,380	48	39,484	36,720	367
D & H Haveli	400,000	510	42	32	406	104	50	552	519	10
Daman & Diu	300,000	368	119	15	275	93	46	487	482	5
Delhi	18,000,000	55,657	7,049	6,677	43,740	11,917	36	62,706	56,435	1.129
Goa	1,500,000	1,576	390	71	1,340	236	49	1,966	1,828	110
Gujarat	65,600,000	89,293	37,372	3,561	64,134	25,159	64	126,665	122,865	3,686
Haryana	27,700,000	41,389	6,156	2,066	31,922	9,467	51	47,545	44,692	447
Himachal Pradesh	7,200,000	14,070	891	610	11,180	2,890	53	14,961	13,168	132
Jammu & Kashmir	13,800,000	9,244	693	601	7,237	2,007	49	9,937	7,353	0
Jharkhand	36,600,000	35,130	4,385	1,342	29,865	5,265	53	39,515	29,241	292
Karnataka	65,200,000	59,732	8,730	3,191	47,145	12,587	59	68,462	65,723	7,230
Kerala	34,000,000	20,969	26,324	1,399	18,407	2,562	55	47,293	45,401	454
Lakshadweep	100,000	23	0	16	23	0	43	23	23	0
Madhya Pradesh	79,100,000	113,172	16,743	9,855	96,680	16,492	49	129,915	106,530	1,065
Maharashtra	119,300,000	122,172	72,967	6,394	96,068	26,104	49	195,139	183,431	12,840
Manipur	2,900,000	1,768	625	69	1,453	315	49	2,393	2,130	128
Meghalaya	3,300,000	3,934	652	260	3,290	644	42	4,586	2,385	72
Mizoram	1,200,000	2,162	43	295	1,850	312	32	2,205	1,786	214
Nagaland	2,000,000	2,274	547	185	1,837	437	49	2,821	2,370	118
Orissa	44,400,000	41,807	2,044	1,922	36,065	5,742	54	43,851	40,781	815
Pondicherry	1,400,000	1,415	6	64	1,199	216	59	1,421	1,407	28
Punjab	29,300,000	37,093	2,743	2,031	30,224	6,869	51	39,836	36,251	362
Rajasthan	74,900,000	90,032	16,724	3,731	70,324	19,708	52	106,756	96,080	961
Sikkim	600,000	1,463	76	100	1,169	294	41	1,539	1,508	15
Tamil Nadu	77,100,000	82,107	13,972	3,176	67,585	14,522	59	96,079	94,157	4,708
Telangana	36,500,000	38,829	6,174	1,624	30,712	8,117	59	45,003	43,653	2,619
Tripura	3,900,000	2,344	30	39	1,987	357	63	2,374	1,709	34
Uttar Pradesh	217,800,000	260,572	37,174	13,941	216,041	44,531	56	297,746	250,107	2,501
Uttarakhand	11,000,000	13,255	18,26	720	10,450	2,805	52	15,081	11,763	118
West Bengal	96,200,000	85,179	4,477	3,093	71,380	13,799	60	89,656	78,369	1,567
Total	1,302,900,000	1,424,771	330,186	76,475	1,158,102	266,669	54	1,754,957	1,544,362	50,953

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Major sources for TB statistics for India

TB India 2017 Revised National TB Control Programme Annual Status Report, New Delhi, 2017 www.tbcindia.nic.in/

WHO Global TB Report 2017 www.who.int/tb/publications/global_report/en/