Overview
- Provisional UKHSA data show 5,424 TB notifications in 2025, down 1.1% from 2024, for a rate of 9.4 per 100,000 versus 8.36 in 2019 and below the 2011 peak.
- TB remains concentrated in deprived, urban areas, with 81.6% of 2025 notifications in people born outside the UK and marked regional variation including a 34.1% rise in the North East and the largest fall in the West Midlands.
- Clinicians report more severe and extra‑pulmonary presentations, including spinal TB causing paralysis, and warn England is close to the WHO threshold of 10 per 100,000 for medium incidence.
- Workplace screening identified 10 latent TB cases at an Amazon depot in Coventry; unions urged a temporary closure while Amazon reported operations were unaffected and no ongoing public risk.
- Health services have set up specialist boards and are developing a 2026–2031 National TB Action Plan alongside targeted screening programs, with drug‑resistant cases also recorded.