Abstract
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC? The incidence of tuberculosis (TB) was declining in China but has plateaued in recent years. WHAT IS ADDED BY THIS REPORT? Notifications of pulmonary TB declined by 27.7% between 2008 and 2018, with an average crude decline of 3.4% per year and an average age-adjusted decline of 4.3% per year. Notifications decreased faster among older people, but slower in western China; the combination of trends led to an inflection in 2016 in the overall notification trend from decreasing to stable. WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE? Population ageing and geographic disparities slowed tuberculosis control progress in China. Enhanced, targeted, and proactive responses are recommended to achieve the End TB targets.