HIV fuels progression to active disease in people infected with TB.The burden of tuberculosis is greatest in the developing world, where together with human immune deficiency virus (HIV), tuberculosis is over whelming health services, and it accounts for 26% of avoidable deaths, 80% of those who are in their most economically productive years of 15-54.The HIV/AIDS pandemic has substantially altered the epidemiology of tuberculosis.HIV/AIDS poses a potential threat to TB Control in India, with a potential to increase the incidence of TB in some parts of the country.