Gaps identified NA Key findings Of the 2,234 foreign-born culture-positive TB cases in Alberta in 1982–2011, 27 had MDR-TB. Overall, MDR was associated with age <65 years, TB relapse/retreatment, and diagnosis and arrival in the last decade (2002–2011). Only immigrants from the Philippines and Vietnam showed a significant increase in the prevalence of MDR-TB between the first two decades and the last. Compared to MDR-TB cases reported in the first two decades, those reported in the last decade were more frequently younger than 35 years of age, new active versus relapse/retreatment cases and diagnosed with non-respiratory versus respiratory TB. Key recommendations Early diagnosis of MDR-TB, using genotypic drug susceptibility testing, is suggested in foreign-born TB cases at increased risk of being MDR. Location Alberta Key populations People who had Multidrug-resistant Tuberculosis (MDR-TB) in Alberta Community organizations NA Open-access – Yes https://link.springer.com/article/10.1007/BF03405649 Integration timeline At what point during the integration process the study was conducted? NA