World Health Organization (WHO) estimates of tuberculosis incidence by country, 2014 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 100,000 population 189 78 370 45 77 227 58 61 164 120 42 385 44 62 54 126 138 390 220 375 159 68 74 82 381 165 Number of cases 60,000 31,000 90,000 1,400 7,400 360,000 5,500 6,500 1,300 13,000 1,600 8,500 90,000 260 9,400 14,000 710 60,000 50,000 18,000 22,000 930,000 5,400 480 17,000 36,000 South-East Asia 442 110,000 Africa 325 240,000 Country/Territory WHO Region Afghanistan Algeria Angola Armenia Azerbaijan Bangladesh Belarus Benin Bhutan Bolivia (Plurinational State of) Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Burkina Faso Burundi Cabo Verde Cambodia Cameroon Central African Republic Chad China China, Hong Kong SAR China, Macao SAR Congo Côte d'Ivoire Democratic People's Republic of Korea Democratic Republic of the Congo Eastern Mediterranean Africa Africa Europe Europe South-East Asia Europe Africa South-East Asia The Americas Europe Africa The Americas Western Pacific Africa Africa Africa Western Pacific Africa Africa Africa Western Pacific Western Pacific Western Pacific Africa Africa 1 Rate ≥150 per 100,000 Country/Territory WHO Region Djibouti Dominican Republic Ecuador El Salvador Equatorial Guinea Eritrea Ethiopia Fiji Gabon Gambia Georgia Ghana Greenland Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras India Indonesia Iraq Kazakhstan Kenya Kiribati Kyrgyzstan Lao People's Democratic Republic Latvia Lesotho Liberia Libya Lithuania Madagascar Malawi Malaysia Maldives Mali Marshall Islands Mauritania Micronesia (Federated States of) Mongolia Morocco Mozambique Myanmar Eastern Mediterranean The Americas The Americas The Americas Africa Africa Africa Western Pacific Africa Africa Europe Africa Europe Western Pacific The Americas Africa Africa The Americas The Americas The Americas South-East Asia South-East Asia Eastern Mediterranean Europe Africa Western Pacific Europe Western Pacific Europe Africa Africa Eastern Mediterranean Europe Africa Africa Western Pacific South-East Asia Africa Western Pacific Africa Western Pacific Western Pacific Eastern Mediterranean Africa South-East Asia 2 Estimated rate per 100,000 population 619 60 54 41 162 78 207 67 444 174 106 165 197 40 57 177 369 103 200 43 167 399 43 99 246 497 142 189 49 852 308 40 62 235 227 103 41 58 335 111 195 170 106 551 369 Number of cases 5,400 6,200 8,600 2,500 1,300 4,000 200,000 590 7,500 3,400 4,300 44,000 110 67 9,200 22,000 6,600 790 21,000 3,400 2,200,000 1,000,000 15,000 17,000 110,000 550 8,300 13,000 980 18,000 14,000 2,500 1,800 55,000 38,000 31,000 150 9,800 180 4,400 200 5,000 36,000 150,000 200,000 Rate ≥150 per 100,000 Country/Territory WHO Region Namibia Nauru Nepal Nicaragua Niger Nigeria Northern Mariana Islands Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Sao Tome and Principe Senegal Sierra Leone Singapore Solomon Islands Somalia South Africa South Sudan Sri Lanka Sudan Swaziland Tajikistan Thailand Timor-Leste Togo Turkmenistan Tuvalu Uganda Ukraine United Republic of Tanzania Uzbekistan Vanuatu Viet Nam Yemen Zambia Zimbabwe Africa Western Pacific South-East Asia The Americas Africa Africa Western Pacific Eastern Mediterranean Western Pacific The Americas Western Pacific The Americas The Americas Western Pacific Western Pacific Europe Europe Europe Africa Africa Africa Africa Western Pacific Western Pacific Eastern Mediterranean Africa Africa South-East Asia Eastern Mediterranean Africa Europe South-East Asia South-East Asia Africa Europe Western Pacific Africa Europe Africa Europe Western Pacific Western Pacific Eastern Mediterranean Africa Africa 3 Estimated rate per 100,000 population 561 73 158 58 98 322 61 270 42 46 417 43 120 288 86 153 81 84 63 97 138 310 49 86 274 834 146 65 94 733 91 171 498 58 64 190 161 94 327 82 63 140 48 406 278 Number of cases 13,000 8 44,000 3,500 19,000 570,000 33 500,000 9 1,800 31,000 2,800 37,000 290,000 43,000 6,200 16,000 120,000 7,100 180 20,000 20,000 2,700 490 29,000 450,000 17,000 13,000 37,000 9,300 7,600 120,000 5,800 4,100 3,400 19 61,000 43,000 170,000 24,000 160 130,000 13,000 64,000 42,000 Rate ≥150 per 100,000 Table 2: Low incidence countries (estimated incidence rate less than 40 per 100,000) Country/Territory WHO Region Albania American Samoa Andorra Anguilla Antigua and Barbuda Argentina Aruba Australia Austria Bahamas Bahrain Barbados Belgium Belize Bermuda Bonaire, Saint Eustatius and Saba British Virgin Islands Bulgaria Canada Cayman Islands Chile Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Denmark Dominica Egypt Estonia Finland France French Polynesia Germany Greece Grenada Hungary Iceland Iran (Islamic Republic of) Europe Western Pacific Europe The Americas The Americas The Americas The Americas Western Pacific Europe The Americas Eastern Mediterranean The Americas Europe The Americas The Americas The Americas The Americas Europe The Americas The Americas The Americas The Americas Africa Western Pacific The Americas Europe The Americas The Americas Europe Europe Europe The Americas Eastern Mediterranean Europe Europe Europe Western Pacific Europe Europe The Americas Europe Europe Eastern Mediterranean 4 Estimated rate per 100,000 population 19 7 9 23 8 24 11 6 8 12 14 1 9 37 2 27 5 7 16 33 35 12 11 12 9 4 5 5 7 1 15 20 6 9 22 6 5 1 12 3 22 Number of cases 540 4 7 3 7 10,000 11 1,500 660 45 200 3 1,000 130 0 0 1 1,900 1,900 4 2,800 16,000 270 3 530 530 1,100 6 61 490 400 1 13,000 270 310 5,600 61 5,000 530 1 1,200 11 17,000 Estimated rate per 100,000 population 7 6 6 5 18 6 21 16 7 12 22 21 2 21 6 15 7 8 10 21 25 1 29 7 9 24 19 2 12 24 26 7 8 12 38 8 6 17 Number of cases 350 460 3,600 130 23,000 410 800 920 37 52 280 26,000 1 130 0 970 38 330 0 420 410 8,000 2,600 51 630 4 17 26 37 1 3,900 2,100 25 0 360 160 5,500 200 720 520 3,100 Europe 15 320 Western Pacific Western Pacific 14 0 15 Country/Territory WHO Region Ireland Israel Italy Jamaica Japan Jordan Kuwait Lebanon Luxembourg Malta Mauritius Mexico Monaco Montenegro Montserrat Netherlands New Caledonia New Zealand Niue Norway Oman Poland Portugal Puerto Rico Qatar Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Saudi Arabia Serbia Seychelles Sint Maarten (Dutch part) Slovakia Slovenia Spain Suriname Sweden Switzerland Syrian Arab Republic The Former Yugoslav Republic of Macedonia Tokelau Tonga Europe Europe Europe The Americas Western Pacific Eastern Mediterranean Eastern Mediterranean Eastern Mediterranean Europe Europe Africa The Americas Europe Europe The Americas Europe Western Pacific Western Pacific Western Pacific Europe Eastern Mediterranean Europe Europe The Americas Eastern Mediterranean The Americas The Americas The Americas Western Pacific Europe Eastern Mediterranean Europe Africa The Americas Europe Europe Europe The Americas Europe Europe Eastern Mediterranean 5 Estimated rate per 100,000 population 22 33 18 10 8 2 Number of cases 290 3,700 14,000 3 8 140 Europe 12 7,800 The Americas The Americas The Americas Western Pacific Eastern Mediterranean 3 30 24 4 6 9,900 1,000 7,300 <1 260 Country/Territory WHO Region Trinidad and Tobago Tunisia Turkey Turks and Caicos Islands US Virgin Islands United Arab Emirates United Kingdom of Great Britain and Northern Ireland United States of America Uruguay Venezuela (Bolivarian Republic of) Wallis and Futuna Islands West Bank and Gaza Strip The Americas Eastern Mediterranean Europe The Americas The Americas Eastern Mediterranean 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 2015', 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 2015, available at http://www.who.int/tb/publications/global_report/en/. Accessed 23/11/2015 Prepared by: TB Section, National Infection Service, Public Health England 6