 The study aimed to estimate the current tuberculosis burden in Blantyre City, Malawi through a pulmonary TB prevalence survey. Of 20,899 eligible adults, 15,318 provided complete cases and 29 had bacteriologically confirmed TB. The study found that men had a higher burden of TB than women and that working age in previous TB treatment were significant risk factors for prevalent TB. The estimated TB prevalence for Blantyre was lower than the national average, but some groups, notably men, remained disproportionately affected. The study suggests that case finding is still needed for TB elimination in Blantyre and similar urban centers, with a focus on reaching the highest risk groups, such as older men. This article was authored by Helena R. A. Feesey, McEwen Cundey, Rebecca Nzawa Soko, and others.