What is TB?

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. While TB most commonly affects the lungs, it can affect nearly any part of the body, including the kidneys, spine, and brain.

TB is preventable and curable — but without treatment, it can be life-threatening. Globally, TB is one of the leading infectious disease killers, causing approximately 1.3 million deaths in 2022. TB is also the leading cause of death among people living with HIV.

TB is curable. With the right treatment and support, people with TB can and do recover fully. Organizations like Together Against TB exist to ensure that everyone has what they need to complete treatment.

TB Infection vs. TB Disease

Not everyone infected with TB bacteria becomes sick. There are two distinct stages.

Latent TB Infection (LTBI)

  • TB bacteria are present in the body but inactive (dormant)
  • No symptoms — you feel completely healthy
  • Cannot spread TB to others
  • About 1 in 4 people worldwide has latent TB; over 2 million Californians are estimated to have LTBI
  • Without treatment, about 5–10% will develop active TB disease at some point in their life
  • Treatment for LTBI can prevent progression to active disease and is one of the most effective ways to reduce TB cases

Active TB Disease

  • TB bacteria are actively multiplying and causing illness
  • Symptoms are present and can worsen over time
  • Can spread TB to others through the air
  • Requires prompt medical treatment with antibiotics
  • Treatment typically lasts at least 6 months
  • Most people recover fully with proper treatment

How TB Spreads

TB spreads through the air when a person with active pulmonary TB coughs, sneezes, speaks, or sings. Tiny infectious droplets can linger in the air for hours. Prolonged, close contact is typically needed for transmission.

Testing & Diagnosis

TB testing is recommended for anyone at higher risk — including close contacts of active TB cases, people living with HIV, and those born in high-burden countries. Testing options include a skin test (TST) or blood test (IGRA), followed by a chest X-ray and sputum culture if active disease is suspected.

Treatment

TB is curable with antibiotics, but treatment is long — typically 6 months of combination therapy. It is essential to take every dose for the full duration; stopping early can cause drug resistance. Drug-resistant TB requires longer, more complex treatment. Latent TB can also be treated with shorter regimens to prevent future active disease.

The Challenges of TB Treatment

TB treatment is long, demanding, and affects every part of a person's life — not just their health.

Side Effects

First-line TB antibiotics can cause nausea, liver toxicity, peripheral neuropathy, vision changes, joint pain, and skin rashes. These side effects can interfere with work, school, and day-to-day activities.

Medical Isolation

Sometimes people with active TB are required to isolate when starting TB treatment to reduce the chance of transmitting TB. Isolation can cut people off from income, support programs, and community at exactly the moment they need it most.

Stigma & Mental Health

Anxiety, depression, and loneliness are common during months of treatment. People with TB may experience stigma from their community due to misunderstandings about the cause of TB.

Financial & Social Hardship

The effects of treatment and periods of medical isolation can impact a family's income. Transportation, food, and basic essentials may become hard to access — turning a medical diagnosis into an economic crisis.

This is why Together Against TB exists. We provide care packages, emergency financial assistance, and community support to help people get through the full course of treatment — because finishing treatment isn't just a medical challenge, it's a social and economic one too.

TB in California

California reports more TB cases than any other U.S. state. In 2025, the number of cases was the highest reported since 2013.

2,150
TB cases reported in California in 2025 — highest since 2013
5.4
Cases per 100,000 in California — nearly double the national rate of 3.1
2M+
Californians estimated to have latent TB infection (LTBI)
4.9%
Of California TB patients in 2025 were also living with HIV

TB in San Francisco

No one should face TB treatment alone. Together Against TB was founded because we saw our neighbors in San Francisco facing impossible choices during treatment — between rent and groceries, between medical appointments and other essentials. We're here to help bridge that gap.

Resources & Getting Help

If you think you or someone you know may have TB, contact a healthcare provider or your local health department right away. TB testing and treatment are free through public health programs in California.

Help Us Support TB Patients

Your donation provides care packages, emergency housing support, and community to Bay Area neighbors facing TB treatment.

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