Stop TB Partnership

High Burden Countries

The three lists on this page represent the countries with the highest burden of TB, TB and HIV coinfection (TB/HIV) and multidrug-resistant TB (MDR-TB). Each list accounts for 85-89% of the global burden. Focused action on these countries is needed to make rapid progress at the global level in the fight against TB.

These three lists, each containing 30 countries, replace all earlier lists of high burden countries. In 1998 a first list of "high burden countries" (HBC) was developed, based on the burden in absolute terms. A list for TB and HIV co-infection was added in 2005 and one for MDR-TB in 2008. With the shift from the Millennium Development Goals towards Sustainable Development Goals and the announcement of the End TB strategy in 2015, the timing was ideal for WHO to revisit the lists and issue an updated version.

Following the recommendations of the STAG-TB meeting in 2015, a discussion document including definition and explanation of the three lists was published by WHO. The three new HBC lists (TB, TB/HIV, MDR-TB) will be used for the period 2016-2020. Each list contains 30 countries: 20 countries with the highest number of cases in absolute terms, as well as 10 countries with the largest per capita case rate that do not already appear among the first 20 countries and that meet a minimum threshold in terms of absolute numbers of cases. Given overlap among the lists, there are 48 countries that are in at least one list and 14 countries that are in all three lists.

The three new HBC lists of 30 countries each are as following:

TB HBC list

Angola
Bangladesh
Brazil
China
Democratic Peoples Republic of Korea
Democratic Republic of Congo
Ethiopia
India
Indonesia
Kenya
Mozambique
Myanmar
Nigeria
Pakistan
Philippines
Russian Federation
South Africa
Thailand
Tanzania, United Republic of
Viet Nam
Cambodia
Central African Republic
Congo
Lesotho
Liberia
Namibia
Papua New Guinea
Sierra Leone
Zambia
Zimbabwe

TB/HIV HBC list

Angola
Brazil
Cameroon
China
Democratic Republic of Congo
Ethiopia
India
Indonesia
Kenya
Lesotho
Malawi
Mozambique
Myanmar
Nigeria
South Africa
Thailand
Uganda
Tanzania, United Republic of
Zambia
Zimbabwe
Botswana
Central African Republic
Chad
Congo
Ghana
Guinea-Bissau
Liberia
Namibia
Papua New Guinea
Swaziland

MDR TB HBC list

Bangladesh
China
Democratic Peoples Republic of Korea
Democratic Republic of Congo
Ethiopia
India
Kazakhstan
Kenya
Indonesia
Mozambique
Myanmar
Nigeria
Pakistan
Philippines
Russian Federation
South Africa
Thailand
Ukraine
Uzbekistan
Viet Nam
Angola
Azerbaijan
Belarus
Kyrgyzstan
Papua New Guinea
Peru
Moldova, Republic of
Somalia
Tajikistan
Zimbabwe

The material on this page was developed by the World Health Organization (WHO)