Liverpool Liverpool: With one of the largest tuberculosis (TB) outbreaks in the history of America, Kansas needs to worry more than the recent defeat in the super bowl. During the last year, TB has been detected in 67 people. This has occurred in the US year after the starting rates of TB since the start of Kovid epidemic. Instead of the remains of the Victorian era, TB is the world's most permanent epidemic, which kills more people every year than any other infection. Despite being more common in low -income countries, TB is found in more disadvantaged communities, cities, jails, homeless population and black, Asian and indigenous people, including rich countries such as America and Britain. The outbreak of TB in rich countries acts like a canary in coal mine, which reflects a rift in national public health systems. Bestly, the outbreak of TB in any settings holds deep implications for the struggle to eliminate TB globally. TB is an aerial infection that does not respect boundaries. With the growing mass movement due to climate change and war, “If TB is anywhere, it is everywhere” The saying is echoing more than ever before.

U.K. In, TB rates between 2011 and 2020 steadily declined. But, like the US, the decline has reversed since Kovid's emergence in early 2020. In 2023, in England, the number of TB sick people increased by 13 percent compared to 2022.

Along with 9.5 people suffering from TB at 100,000 people per year, England is in danger of losing its “low TB event” status (less than ten people suffering from TB per 100,000 people per year). There is a clear social shield in TB rates in England, where the richest 10 percent of the poorest 10 percent of the TB rates are five times more.

U.K. In, there is a crisis of the cost of living. Many people, especially the poorest people, are struggling to eat. TB is a social disease of poverty that thrives in congestion, malnutrition and poor working and living, but U.K. Increase in TB cannot only be considered due to the increasing risk of the disease. Reaction of health and social care systems is important to prevent and fix TB.

The BCG vaccine, which is currently the only TB vaccine, is not as effective in preventing the disease as we expect. There is hope on the horizon with the development of many vaccines, but their influence may be disrupted by the hesitant of misinformation. Other obstacles to address TB awareness, TB stigma, important TB community nursing teams and lack of TB are involved between health and social care sectors to support TB.