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Urgent warning as cases of ‘world’s most infectious Victorian disease’ surge in UK – 6 signs you must not ignore


CASES of the world’s most infectious disease are still on the rise in England – and experts are asking Brits to be aware of the symptoms to help stop its spread.

New data shows cases of tuberculosis (TB), a bacterial infection that usually affects the lungs and spreads via coughs, sneezes and spits, have risen by 13 per cent compared to the previous year, which continues an upward trend seen over the last few years.

Illustration of lungs affected by miliary tuberculosis.
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TB is still a public health concern in England, according to experts[/caption]

In 2024, there were 5,480 cases of TB in England, compared to 4,850 in 2023, according to the annual data from the UK Health Security Agency (UKHSA).

At this point in time, England remains a low-incidence country for TB, particularly as 81.5 per cent of cases in 2024 were in people born outside the UK.

But the data has shown an increase in both UK born and non-UK born populations.

TB is still linked with deprivation, says the UKHSA, and is more common in large urban areas.

The largest increases in cases in 2024 were recorded in London and West Midlands.

Among UK-born individuals, TB was shown to be more common in those experiencing homelessness, drug or alcohol dependency, and contact with the criminal justice system.

“TB remains a serious public health issue in England,” said Dr Esther Robinson, head of the TB unit at UKHSA.

“The infection is preventable and curable. If you have moved to England from a country where TB is more common, please be aware of the symptoms of TB so you can get promptly tested and treated through your GP surgery.

“Not every persistent cough, along with a fever, is caused by flu or COVID-19. A cough that usually has mucus and lasts longer than 3 weeks can be caused by a range of other issues, including TB. Please speak to your GP if you think you could be at risk.”

As well as being the world’s most infectious disease, TB is the leading cause of death from a single infectious agent, having surpassed coronavirus (COVID-19).


It’s most infectious when it affects the lungs.

The five symptoms of TB UKHSA experts are warning people to look out for are:

Illustration of tuberculosis symptoms: cough lasting over 3 weeks, loss of appetite, night sweats, weight loss, and high temperature.

TB can also be found in other parts of the body beside the lungs, with symptoms including swollen glands and joints.

It’s spread through close contact with people who have the infection and are showing symptoms (active TB).

When someone with active TB coughs, they release small droplets containing the bacteria

If you regularly breathe in these droplets over a long period of time you can catch it.

The best form of treatment is a long course of antibiotics.

If it’s not treated complications can occur, including lung damage, bone and joint damage, and infection of the brain and spinal cord.

Woman lying in bed looking at a thermometer.
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If TB isn’t treated it can lead to serious complications, including joint damage and brain infections[/caption]

A test for infectious TB in the lungs is part of the visa requirements for anyone coming to stay in the UK for six months or more if they are coming from certain countries where TB is common.

But the bacteria that causes TB can also lie dormant for many years – something known as latent TB.

To detect people with latent TB infection, a testing and treatment programme is in place in higher incidence areas of England for new arrivals from higher incidence countries.

TB vaccination – who can get it?

THERE is a vaccine for tuberculosis (TB) called the BCG vaccine.

It’s recommended for some people who are at higher risk of catching it or getting seriously ill from it.

This includes:

  • babies who live in areas of the UK where TB is more common
  • babies and children who live with someone who has TB
  • babies and children who were born or lived in a country where TB is more common
  • babies and children whose parents or grandparents were born in a country where TB is more common
  • people aged 35 and under who are spending more than 3 months in a country where TB is more common
  • people at risk of getting TB through their work, such as healthcare workers who work with people who have TB

As it’s a live vaccine, which means it contains a weakened form of the TB bacteria, it’s not suitable for everyone.

Speak to your GP if you think you may be eligible.

Source: NHS

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