tuberculosis is one of the leading causes of mortality among people who use drugs and are living with hiv one of the highrisk groups for the spread of tuberculosis are people who use drugs based on the limited data available from studies in europe asia and the americas the prevalence of tuberculosis among pwid is estimated at approximately per cent median prevalence based on studies with a range from per cent to per cent people who use drugs are often socioeconomically disadvantaged and vulnerable to poverty homelessness and malnutrition