Tuberculosis in Malaysia: Majority of Cases Involve Local Citizens

Health Minister Datuk Seri Dr Dzulkefly Ahmad has addressed public misconceptions regarding tuberculosis (TB) in Malaysia, stating that 85% of reported cases involve local citizens, while only 15% are attributed to foreigners. This statement aims to counter the prevailing belief that the influx of foreign nationals is primarily responsible for the spread of the disease. Dr Dzulkefly emphasized that the risk of transmission within Malaysian communities is significant and should not be underestimated.

The Straits Times85% of TB cases in Malaysia involve locals: Health Minister

Dr Dzulkefly described TB as a "disease of poverty," highlighting its association with socio-economic conditions such as overcrowded living environments and malnutrition. He noted that TB has been a persistent issue in Malaysia's public health landscape, remaining endemic and requiring ongoing attention from both the government and the public. The minister reiterated that TB is not a new phenomenon and called for a collective effort to address its prevalence.

The Health Minister urged the public to be vigilant for symptoms of TB, which include a persistent cough lasting more than two weeks, fever, night sweats, and unexplained weight loss. He stressed the importance of seeking medical attention promptly and adhering to a six-month antibiotic treatment regimen for effective recovery. Additionally, Dr Dzulkefly recommended that parents ensure their children receive the Bacillus Calmette–Guerin (BCG) vaccination and encouraged maintaining good home ventilation and a healthy lifestyle to mitigate the risk of TB transmission.

85% of TB cases in Malaysia involve locals: Health MinisterThe Straits Times

The Health Ministry is actively working to strengthen its case detection strategies and is collaborating with various agencies through a whole-of-government approach to eliminate TB endemicity in Malaysia. Dr Dzulkefly's statements reflect a commitment to enhancing public awareness and reducing the stigma associated with TB, which can hinder individuals from seeking necessary treatment.

As of February 2026, Malaysia has reported a total of 503 new TB cases, bringing the cumulative total to 2,571 cases for the year. The states with the highest reported cases include Sabah with 614, Selangor with 476, Sarawak with 257, Johor with 233, and Kuala Lumpur and Putrajaya combined with 202 cases.

The Straits Times

Dr Dzulkefly stated, “This means the risk of transmission within our own communities is real and must not be taken lightly.” He also remarked on the resilience of the Mycobacterium Tuberculosis germ, affirming that the disease can be prevented, treated, and cured if detected early and treated properly.

85% of TB cases in Malaysia involve locals: Health Minister

Despite the Health Minister's reassurances, some public sentiment continues to link TB's spread to foreign nationals. This perception may complicate efforts to address the disease effectively and could contribute to stigma against affected individuals.

While the Health Ministry's data indicates that the majority of TB cases involve locals, there remains a lack of comprehensive public education on the socio-economic factors contributing to the disease's prevalence. Further outreach may be necessary to shift public perceptions and enhance understanding of TB as a community health issue.