Archive · 14 Nov 2025
India Falls Short of 2025 TB Elimination Target Amidst Global Challenges
Imagine a game where India wanted to get rid of all the bad germs called TB by the year 2025.
They made a big promise, even earlier than the rest of the world.
While India has gotten much better at finding people with TB and giving them medicine, they haven't found enough people or saved enough lives to win the game by 2025.
They have found more people than ever before, which is good, but not all of them.
Some people still get sick and pass the germs on.
Experts think maybe the goal was too hard, or that the time when COVID-19 happened made it difficult.
Also, sometimes it's hard to get all the right medicines, especially for kids, and pollution can make people sicker.
Even though India is doing better than many other countries in fighting TB, they still have a long way to go to reach their super-ambitious goal.
India is not on track to eliminate tuberculosis by its 2025 target, according to the Global TB Report 2025.
In 2024, India recorded approximately 27.1 lakh TB cases and over three lakh deaths.
While India diagnosed a record 26.18 lakh cases in 2024, it still accounts for a significant portion of the global gap between estimated and diagnosed TB cases.
The country has achieved only a 21% reduction in new cases and a 28% reduction in deaths between 2015 and 2024, falling short of its 2025 milestones.
Factors contributing to the shortfall include challenges in diagnosis and treatment coverage for certain populations, the impact of the COVID-19 pandemic, drug-resistant TB, and environmental factors like air pollution.
- Who
- India, Global TB Report 2025, Union Health Ministry, Dr. S K Kabra, Dr. Jugal Kishore
- What
- India is not on track to meet its target of eliminating tuberculosis by 2025, despite progress in case detection and treatment coverage.
- When
- Report released on Wednesday (November 12), referring to data from 2024 and the period between 2015 and 2024.
- Where
- India
- Why
- Shortfalls are attributed to challenges in meeting incidence and mortality reduction targets, gaps in diagnosis and treatment availability for certain groups, the impact of the COVID-19 pandemic, treatment completion issues, air pollution, and rising co-morbidities like diabetes.
Government Initiatives
Expert Concerns
Progress on Treatment Coverage
Government Initiatives
The Union Health Ministry highlights a significant surge in treatment coverage to over 92% in 2024, up from 53% in 2015, attributing it to innovations like the BPaL regimen and improved case-finding approaches.
Expert Concerns
Despite progress, experts point out that preparations for childhood TB are not readily available, and TB preventive treatment for at-risk individuals is also not widely accessible. Additionally, challenges with the availability of common drugs in some areas persist.
Case Detection and Diagnosis
Government Initiatives
India diagnosed a record 26.18 lakh cases in 2024, closing the gap between estimated and diagnosed cases, and is among high-burden countries diagnosing over 80% of estimated cases.
Expert Concerns
India accounts for 8.8% of the global gap between estimated and diagnosed cases, second only to Indonesia, indicating that a substantial number of cases may still be missed, contributing to further spread.
Factors Affecting Elimination Goals
Government Initiatives
Innovations like AI-enabled X-ray devices and large-scale community screening campaigns are proactively identifying asymptomatic cases and driving progress.
Expert Concerns
Experts like Dr. S K Kabra suggest a need to introspect on the realism of targets and involve all stakeholders to identify and address program gaps. Dr. Jugal Kishore points to the impact of the COVID-19 pandemic diverting resources, treatment completion challenges, air pollution in cities like Delhi, and rising co-morbidities like diabetes as significant setbacks.
- 2024 TB Cases in India
- 27.1 lakh
- 2024 TB Deaths in India
- 3 lakh
- India's Target Year for TB Elimination
- 2025
- Global Target Year for TB Elimination
- 2030
- Reduction in New TB Cases (2015-2024)
- 21%
- Reduction in TB Deaths (2015-2024)
- 28%
- Treatment Coverage in India (2024)
- 92%
- Drug-Resistant TB Cases in India (2024)
- 1.27 lakh