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Victorian disease making a comeback and Midlands city is the main hotspot

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Doctors are growing increasingly worried about rising tuberculosis cases in the England, with the West Midlands named as one of the main areas of concern. Officials at the UK Health Security Agency (UKHSA) said there had been a "rebound of TB cases in England" post-Covid.

They said they were "working with partners to investigate the reasons behind the increase in TB". It comes after a 10.7% rise in cases in 2023 compared to the previous year - 4,850 compared to 4,380.

Health experts are spreading awareness of the symptoms of TB. These include a persistent cough and fever and doctors are reminding people these aren't always the signs of Covid, and could potentially be TB.

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The disease, associated with the 19th century, was once incredibly deadly. It caused the deaths of an estimated four million people between 1851 and 1910 in England and Wales.

Officials say the disease remains relatively rare these days but are nonetheless concern by rising case numbers. Experts say TB is more common in poorer, urban areas like big cities. Birmingham reported the highest number of cases last year.

The UKHSA said: "The proportion of TB notifications accounted for by people born outside the UK has been steadily rising for a number of years. However, the increase in TB in 2023 has now been seen in both UK born and non-UK born populations in England.

"The largest rises in cases have been in the urban centres of London, the North West and West Midlands. However, there has also been increases in the South West and North East regions where TB incidence is low. Tuberculosis continues to be associated with deprivation and is more common in large urban areas.

Dr Esther Robinson, head of the TB unit at UKHSA, added: "We need collective action to tackle TB and we are working with partners across the health system to understand how we can best refocus efforts to stamp out this preventable and treatable infection. Not every persistent cough, along with a fever, is caused by flu or Covid.

"A cough that usually has mucus and lasts longer than three weeks can be caused by a range of other issues, including TB. Please speak to your GP if you think you could be at risk."

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