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What is Tuberculosis?
Awareness & Education

WHAT IS TB?

Understanding the symptoms, causes, and treatment of tuberculosis is the first step toward effective prevention and care.

The Philippines has one of the highest rates of tuberculosis (TB) in the world, ranking third according to the World Health Organization Global TB Report 2025. In 2024, an estimated 724,000 Filipinos developed TB, and nearly five people die from the disease every hour.

Tuberculosis is an airborne infectious disease caused by the bacterium Mycobacterium tuberculosis. It primarily affects the lungs but can also damage other parts of the body such as the spine, bones, and lymph nodes.

About one-quarter of the world's population is infected with TB bacteria, but only 5% to 10% of those infected will develop active TB disease in their lifetime. There are two TB-related conditions: TB infection (also called latent TB), where the bacteria remain inactive and do not cause symptoms or spread to others, and active TB disease, where the bacteria become active, cause illness, and can be transmitted to other people.

If not properly treated, TB can lead to serious health complications and even death. Early detection and complete treatment are essential to prevent the spread of the disease and to save lives.

Anatomical Respiratory Illustration
TB Infection

TB Infection

TB infection occurs when a person is infected with TB bacteria that stay inactive in the body. People with TB infection do not show any symptoms and cannot spread TB bacteria to others, but are at risk of TB disease. TB infection can be detected through a TB skin or blood test.

Active TB (TB Disease)

Active TB (TB Disease)

If the immune system of a person with TB infection weakens, it can allow TB bacteria to grow, resulting in active TB. People with weak immune systems, such as those with HIV or cancer, are more at risk of developing active TB.

Signs and Symptoms of TB

The main signs and symptoms of tuberculosis (TB) usually last for two weeks or more. People with active TB disease may experience these symptoms and can spread the infection to others if not properly treated.

  • Persistent Cough
  • High Fever
  • Unexplained Weight Loss
  • Night Sweats

In many cases, TB symptoms start mildly and may not be noticed right away. Because of this, some people delay seeking medical care and may unknowingly transmit the disease to others. Findings from the 2016 National TB Prevalence Survey showed that around 80% of individuals with TB symptoms did not take proper medication or chose to self-medicate, while more than half of those eligible for testing did not undergo sputum examination.

If you or someone you know is experiencing symptoms of TB, or has not had a chest X-ray within the past year, it is important to seek medical advice. You may contact the Philippine Tuberculosis Society Inc. or visit your nearest healthcare provider for proper screening, diagnosis, and treatment.

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Causes and Risk Factors

Understanding how TB spreads and who is most at risk is essential for effective prevention.

TB is caused by bacteria called Mycobacterium tuberculosis or the tubercle bacilli. Like the common cold, TB is spread through droplets from an infected person with active TB when they cough, sneeze, talk, or sing.

It is NOT spread through:

Insects, water, or blood • Shaking someone’s hand • Sharing food or drink • Touching bed linens, clothes, or toilet seats • Sharing toothbrushes • Kissing • TB is not hereditary

  • People who smoke cigarettes or vape
  • People living with HIV (PLHIV)
  • People with weakened immune systems
  • People who are malnourished
  • People with a history of previous TB treatment
  • People with diabetes, especially those with poor blood sugar control
  • People taking immunosuppressive medications
  • Elderly individuals and young children
  • People living in crowded places with poor ventilation

Screening and Diagnosis

Case finding is the identification of presumptive TB by symptoms-based screening, chest x-ray or both. Early detection is key to successful treatment.

Chest X-ray procedure

Chest X-ray

A primary screening tool that detects abnormalities in the lungs that may be compatible with tuberculosis infection.

Xpert MTB/RIF Sputum Test lab

Xpert MTB/RIF Sputum Test

The primary diagnostic test for TB in adults and children. This advanced test also detects multidrug-resistant TB (MDR-TB).

Mantoux Tuberculin Skin Test

Mantoux Tuberculin Skin Test (TST)

A skin reaction test that uses tuberculin to detect TB. It is highly recommended for children under 5 years old.

Interferon-gamma Release Assays blood test

Interferon-gamma Release Assays

A sophisticated blood test (IGRAs) for detecting TB. Recommended for people who have received the TB vaccine (BCG).

Treatment & Recovery

TB can be cured and prevented. When left untreated, TB could be fatal.

TB can be cured completely by taking the prescribed medicine and attending check-ups for at least 6 months. This treatment is called the Directly-Observed Treatment, Short-Course (DOTS), or Tutok-Gamutan.

DOTS is approved by the World Health Organization and is available in all Southeast Asian countries.

People with pulmonary TB, or TB of the lungs, should stay home from work or school to avoid spreading it. They may stop being infectious after taking the prescribed TB drugs for 2 weeks. However, they must still follow the rest of the prescribed treatment period afterwards.

The DOTS regimen consists of an intensive phase of 2 months, followed by a continuation phase of 4 months.

Filipino nurse assisting TB patient with treatment

Duration of different TB treatments

6

Months

Drug-susceptible TB
(TB DOTS)

9-20

Months

Multidrug-resistant TB
(MDR-TB treatment)

12

Months

Severe drug-susceptible
extrapulmonary TB (ETB)

TB treatment is affordable at the Quezon Institute and all PTSI branches.

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If a patient stops taking their medicine before the treatment period ends, the TB bacteria in their body can become stronger and more resistant to drugs. This may lead to MDR-TB, which is harder to treat.

Each prescribed treatment period must strictly be followed to completely cure the patient.

TB Awareness
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