Key Points

• The reporting rate declined in 2020 compared to 2019. At 6.4 cases per 100,000 inhabitants, this rate—though lower than the national average—ranks the Centre-Val de Loire region second among metropolitan regions.

• The reporting rate was higher among men than among women, as in previous years.

• Nearly half of tuberculosis cases were among people aged 25 to 59, and less than 4% were children under 5.

• The tuberculosis reporting rate among people born abroad has been trending upward for several years, particularly among those born in Sub-Saharan Africa, although in 2020, the proportion of cases who had arrived in France less than two years prior was down compared to previous years.

• The proportion of people living in group settings is declining, and the proportion of homeless people remained stable in 2020 compared to previous years.

• In 2020, nearly three-quarters of cases were pulmonary, a proportion that remained stable compared to previous years

• Disparities were observed among departments, with the highest standardized case rates for 2020 observed in three departments: Eure-et-Loir (8.2 per 100,000 inhabitants), Loiret (7.5 per 100,000 inhabitants), and Indre-et-Loire (6.7 per 100,000 inhabitants).

• The percentage of cases reported in the 2015–18 period with treatment completed 12 months after diagnosis of active tuberculosis was 85%, thus meeting the WHO target of 85%.

• No cases of MDR tuberculosis (multidrug-resistant, i.e., resistant to isoniazid and rifampicin) or RR tuberculosis (resistant to rifampicin alone) were reported in the Centre-Val de Loire region in 2020, compared to 1 case in 2019 and 4 in 2018.