This document analyzes tuberculosis rates in a rural Romanian community called Ciurea between 1981-2000. It finds that rates of TB were much higher among the Roma (Gypsy) population living in Zanea village compared to non-Roma residents. Specifically, TB rates were 7-2.3 times higher among Roma from 1995-2000 and accounted for 10.6% of all TB cases despite being only 5.8% of the population. The study suggests precarious social and immunity factors like increased mobility and lack of community living may help explain the higher rates of TB transmission among Roma. Ongoing monitoring and social integration efforts are needed given the high rates and growth of the Roma population in Romania