Objective To acknowledge the prevalence and incidence of pulmonary tuberculosis and to establish evidence for the approach of treatment of TB in college schools. Method Retrospective epidemiological studies on tuberculosis infection were done at college schools in Shijiazhuang. Students entering school both in 2004 and 2005 were enrolled. Results Of these schools 181 students were infected with pulmonary tuberculosis

41.40 % increased than that of the same time of last year. Outbreaks of TB that infected 88 students took place in three college schools. No patient was found in two schools during the three years. Conclusion Incidence of pulmonary TB increased in college schools. So it is necessary for college school hospitals to strengthen the guidelines on the control and administration of TB treatment. Health education and approach of anti-tuberculosis treatment should be integrated for the government and social public in order to reduce the prevalence and outbreaks of TB in college schools.