Introduction: Tuberculosis is a socially significant disease. The dependence of tuberculosis on the social status of a person has been noticed since ancient times. The first data on which it is possible to judge the existence of the disease were found in the skeleton of a person who lived back in the Stone Age. Tuberculosis does not lose its relevance even nowadays. The purpose of this work is to conduct a literature review of the last 10 years on the epidemiology of tuberculosis among adults, highlighting the specificities among those over 60 years of age. Materials and methods: The work analyzed scientific publications on CyberLeninka and eLIBRARY databases, reviewed literary sources over the past 10 years. Results and discussions: The morbidity rate of tuberculosis in the Russian Federation among persons aged 65 years and older decreased from 36.1 to 22.8 per 100,000 population from 2001 to 2016, while the proportion of elderly persons among first-time TB patients increased from 5.0-10.3% in 2007-2013 to 18.3% by 2017. The morbidity rate in the Russian Federation as of 2017 was 48.3 per 100 thousand population, by 2022 this indicator dropped to 31.11 per 100 thousand population. In the Voronezh region for 2021 the morbidity rate amounted to 14.9 per 100 thousand population. By 2022, the morbidity rate increased to 19.1 per 100 thousand population, but the coverage of the population with preventive examinations increased to 88.2% (2021 - 84.2%). The mortality rate in the Russian Federation has been declining since 2005 (22.6 per 100,000 population). The highest mortality rate is observed in socially disadvantaged segments of the population, including the elderly. By 2022 the mortality rate decreased to 3.8 per 100 thousand population. In Voronezh region the indicator for 2021-2022 amounted to 1.5 per 100 thousand population. In the structure of clinical forms of tuberculosis in the elderly, the leading position is occupied by infiltrative tuberculosis. According to several studies, the structure of TB detection methods is dominated by the detection of tuberculosis when applying to health care facilities with respiratory complaints and detection of patients during prophylactic fluorography. Conclusions: Since 2000, the epidemiological situation with TB in Russia has improved and stabilized. In 2021, Russia has left the list of countries with a high burden of tuberculosis. There is an increase in the proportion of elderly people in the total structure of tuberculosis morbidity, which requires special vigilance of physicians.