The Government of Korea (GOK), through the Korea Center for Disease Control and Prevention (KCDC) has developed a 5 Year Plan for TB Elimination for the Republic of Korea(hereafter 5 year plan) in 2013 to address the stagnation in the decline of TB incidence in the country. The 5 year plan states as its goals to achieve by 2020 an incidence of TB less than 50 per 100,000 population, a treatment success rate of 95% and a TB mortality rate of less than 2.5/100,000. The GOK intends to substantially scale up its TB control efforts to meet the ambitious goals. The TB incidence rate (all forms) in the Republic of Korea is still high, estimated 108 per 100,000 in 2012, and some 2,466 TB deaths in 2012. These are the highest figures among OECD countries. MDR-TB is estimated at 2.6% of new cases. The strategic plan to achieve the 5 year plan aims to prevent TB incidence and infection through management of cases with TB and Latent TB Infection (LTBI), establish an integrated TB information system to monitor and evaluate the TB management and refine the basic infrastructure for a successful implementation of the Plan for TB elimination. Through the international consultation held in 2011, experts from WHO, US CDC and Korea recommended the following action plan: (1) Expansion of contact investigation and LTBI treatment (2) Expansion of private-public cooperation projects (3) Establishment of a TB management system for vulnerable groups including homeless people (4) Improvement of diagnostic system for early case detection (5) Research and development for TB management (6) Private-government development of TB standard guidelines (7) Support for improving the efficiency of treatment for intractable MDR-TB patients (8) Establishment of an integrated TB information system for monitoring and evaluating the TB programme, including patient management. From 2011, the GOK scaled up the programmes and strengthened the infrastructures, special focus on private-public collaborative TB case management. In 2013, the incidence of TB decreased 9% compare than 2012, and it would be resulted from the intensified control programme from 2011. To expand the contact investigation and LTBI treatment, in 2013, a total of 1,200 contact investigations performed. 769(64%) investigations performed at schools and other educational institutions, 201(16.7%) investigations performed at shelters or prisons, 127(10.6%) investigations performed at military settings. LTBI rate among middle school students, high school students were 5.9%, 6.1% respectively. To achieve the 5 year plan states as its goals to achieve by 2020 an incidence of TB less than 50 per 100,000 population, a more comprehensive control and management programme for latent tuberculosis infection will be essential.