The recent tuberculosis prevalence rates in Japan have bem among the highes
t in industrialised countries. In 1997 the number of newly identified tuber
culosis patients in Japan increased for the first time in 38 years. There a
re many underlying reasons for this resurgence, including public ignorance
of the threat, epidemiological factors, insufficient medical countermeasure
s, and inadequate public health measures against tuberculosis. Improving th
e situation will require urgent scientific and political action.