NSW Tuberculosis Surveillance Report 2025: Australian-born cases

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Number and rate of notified tuberculosis cases in Australian-born cases by Aborigi​nal and Torres Strait Islander status1 in NSW, 2016-2025

Of the 45 Australian born cases in 2025​, 4 case (9%) identified as an Aboriginal people. The average rate of TB among Aboriginal and Torres Strait Islander people over the past 10 years is nearly double that of non-Indigenous Australian born cases.

 

Ethnicity of A​ustralian-born tuberculosis case​s​2 ​​in NSW, 2025​​

The most common ancestry or ethnic origin was from the Oceanic region (73%, n=33), followed by Southern and Central Asian (13%, n=6), and North West European (11%, n=5) regions.

Ethnicity​
Number of casesPercentage
Oceanian​
33​
73%​
​Southern and Central Asian
​6
13%​
​​North-West European
5
11%​
South-East Asian
4
9%
North African and Middle Eastern
3
7%​
North-East Asian
1
2%​
Sub-Saharan African​
1
2​%​

Repor​ted risk f​​actors3​ among Australian-born cases in NSW, 2025​

The most common risk factors for Australian born cases was residing in a high risk country for 3 months or more and smoking (20% each, n=9). There were 4 (9%) children who parents were born in a high risk country. The 'other' risk factor category includes homelessness, undernutrition, previous TB disease, diabetes, immunosuppressive condition, working in healthcare, and residing in an inst​itution or a correctional facility. 

Risk factorNumber of casesPercentage
​Ever resided in a high risk country4
9​20%​
​Smoking
​9
20%​
​​Alcohol or drug abuse
8​18%​
Household or close contact with a TB case
7
16%
​Immunosuppressive medication
7​16%​
Other
31
67%​

Notes

  1. NSW Health previously used the ABS Aboriginal population backcast and projections based on the 2016 Census. The ABS has released new Aboriginal population backcasts and projections based on the 2021 Census, which replaces their previous backcasts and projections based on the 2016 Census. This report uses the ABS 2021 Census-based estimates and projections of the Aboriginal and Torres Strait Islander population for 2011 to 2031 (medium series, Table 4).

    To produce this population estimates and projections, the ABS has:

    • Recalculated the size of the historical Aboriginal population (for 2011-2020) as if the higher number of people who identified as Aboriginal in the 2021 Census had also identified as Aboriginal in previous years
    • Projected future population numbers for 2022-2031 based on the number of people who identified as Aboriginal at the 2021 Census.

    Please note:

    • The 2021-based population has a different structure and is significantly larger than the 2016-based population.
    • The new ABS estimates and projections mean that historical Aboriginal population numbers appear larger than what was recorded at the time, meaning some rates may seem lower in earlier years relative to more recent years.

    The new ABS estimates and projections may also mean that the Aboriginal population appears to be growing at a slower rate than it is (from 2021 onwards), so rates in recent years may appear higher.​

  2. People can specify up to two distinct ethnicities.
  3. Multiple risk factors can be recorded.
  4. High risk country is those defined as countries with a TB incidence >40 cases per 100,000 population per year. For a current list of high risk countries see List of countries where tuberculosis (TB) is common.
  5. Data for this report was extracted from Notifiable Conditions Records for Epidemiology and Surveillance, NSW Ministry of Health on 26 May 2026. Population data including population by Aboriginal and Torres Strait Islander status and country of birth were obtained from the Australian Bureau of Statistics (ABS) via the Secure Analytics for Population Health Research and Intelligence System (SAPHaRI).

Current as at: Friday 26 June 2026
Contact page owner: Communicable Diseases