One in three people in the world are infected with TB bacteria. Countries can prevent XDR TB by ensuring that the work of their national TB control programs and all practitioners working with people with TB is carried out according to the international standards of TB care. XDR TB has been found in every region of the world though it is still rare. The challenges and strategies for the global control of tuberculosis will be discussed.;Objectives: • Evaluate the new international TB control plan and application for your facility • Explain the diagnosis and treatment of XDR TB