ABSTRACT

It is widely recognized that the burden of tuberculosis (TB) is often greater in urban than in rural settings, both in developing and industrialized countries. There is only a limited amount of documented experience in the use of specific approaches to control TB in large cities and more study is needed to assess their effectiveness and guide future strategies. However, based on available data, anecdotal evidence and best practices in a few cities, a provisional framework for TB control in large cities can be proposed, and is discussed in this chapter.