Tamil Nadu has 2,390 Gram Panchayats certified tuberculosis-free for 2025 under the TB Free Panchayat initiative. To qualify, a panchayat must test at least 30 presumptive TB cases per 1,000 people, keep TB notifications at or below one per 1,000, and achieve 90% or higher treatment success among notified drug-sensitive patients. The State's estimated TB incidence fell from 192 per lakh in 2015 to 171 per lakh in 2024. Block-level JOSH (Joint Squad for Health) Teams, or TB Mukt Bharat Teams — each made up of one Class-I Nodal Officer, five NCC cadets and five MY Bharat volunteers — back awareness, screening and treatment. Thoothukudi, Tiruchi, Cuddalore, Dharmapuri and Theni form Phase I, working with NTEP and Ni-kshay Mitra, including nutritional support.