Stop TB Canada has expressed deep concern over Canada’s reduced commitment to the Global Fund, following the announcement of a $1.02 billion pledge - a 16% cut from Canada’s previous contribution. In our response to the 2025 Federal Budget, Stop TB Canada warned that this reduction, alongside broader cuts to international assistance, risks undermining global and domestic TB progress at a time when TB remains the world’s leading infectious disease killer and incidence is rising in Canada. While the Global Fund pledge includes a set-aside that may support tuberculosis programming, the allocation and scope of this funding are still being defined. Stop TB Canada underscores the urgent need for continued engagement and advocacy to ensure that any set-aside meaningfully supports TB prevention, diagnosis, treatment, and research, and aligns with End TB commitments both globally and at home.

Read Stop TB Canada’s response.

The latest WHO Global TB Report highlights that, for the first time, global TB incidence and mortality have begun to decline following COVID-19. Yet, progress remains well below End TB Strategy milestones. The burden of TB remains highly concentrated, with 87% of cases occurring in 30 high-burden countries, and transmission continues to be driven by structural determinants such as undernutrition, HIV, poverty, and limited access to social protection. While treatment success rates remain high and preventive therapy coverage is improving, major gaps persist in case detection, drug-resistant TB care, and financial protection for affected households. At the same time, global funding for TB prevention, treatment, and research remains critically inadequate, meeting less than one-third of global targets, with recent donor funding cuts threatening to reverse gains. The report calls for sustained political commitment, domestic investment, and accelerated innovation to keep the goal of ending TB within reach.

Read the full report.

Nunavik is closing 2025 with a record number of tuberculosis cases, placing the region among the highest TB-incidence settings not only in Canada, where rates are 1000 times higher than among non-Indigenous, Canadian-born populations, but also globally, comparable to those seen in the world’s highest-burden countries. This stark reality reflects the enduring impact of structural determinants, including overcrowded housing and inadequate infrastructure. Although provincial and federal authorities have signalled forthcoming funding and improved intergovernmental coordination, uncertainty remains as current federal TB funding is set to expire in March 2026. Inuit and regional leaders caution that without sustained, cross-sector investment, Nunavik continues to face a public health crisis that would have triggered emergency intervention elsewhere in Canada.

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