Tuberculosis poses a significant challenge globally and specifically for India, which bears some of the highest burdens due to dense populations and under-resourced healthcare systems. The data underscores an urgent need to address gaps in prevention, detection, and treatment infrastructure for this slow-moving but devastating disease. While international political inertia compounds the problem globally, India’s own national health policies must prioritize novel strategies targeting airborne pathogens like M. tuberculosis.Enhanced focus on public awareness campaigns coupled with improved access to diagnostics could be critical steps toward containing its spread.