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What's behind India's high tuberculosis infection rate?

Adil Bhat | Richard Kujur in Haryana, India
March 24, 2025

Despite government pledges to eradicate tuberculosis by 2025, India has over 2 million cases of the infectious disease each year. DW met with experts and patients in Faridabad in the northern state of Haryana.

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Tuberculosis remains India's deadliest infectious disease, accounting for 26% of global TB cases, according to the latest World Health Organization data. Despite years of progress, India is now backsliding, with over 2 million cases — the highest in the world.

The government set an ambitious goal to eliminate TB infections by the end of 2025, but experts say this goal is unachievable. Critics argue that authorities have failed to grasp the urgency of the crisis due to low government spending and shortage of medicines.

A silent enemy has taken hold of this neighborhood in the northern state of Haryana: tuberculosis. Mahesh Kumar was recently infected with the deadly disease. At the moment, only his lungs are affected, but it could spread to other parts of his body at any time.  

TB spreading across India

Mahesh, who was diagnosed four months ago, is currently on a mix of pills that leave him tired and drowsy. The government does offer free TB medication and a small food allowance of €10, around $11), but Mahesh says he hasn't seen a penny of the allowance.

Mahesh's case is not unique. Widespread poverty, poor hygiene, and overcrowding have fueled its spread, affecting over 2 million people nationwide.

One private hospital treats dozens of TB patients every day. For the first time in three months, Mahesh has been able to make the long journey here for a check -up. His consultant, Dr. Lovleen Mangla, finds the overall situation alarming and says a shortage of medicine and lack of public awareness are causing the delay in the eradication of TB.

Aid agencies like the Red Cross are stepping in, raising awareness in slums where tuberculosis outbreaks are common.

DW Adil Bhat
Adil Bhat India correspondent with a special focus on politics, conflict and human-interest stories.
Richard Kujur
Richard Kujur Documentary filmmaker/journalist based in India