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85%vs 5.40%; X = 4.38; P = 0.036) and ethnic background of the patients (X = 23.21; P = 0.00 by acid fast test. With GeneXpert, high prevalence recorded among patient within age-group15-45years (X = 8.01; P = 0.046) and ethnic group (X = 6.30; P = 0.044). The occurrence of HIV/TB co-infection was less associated with Idoma ethnic group (COR; 0.440; 95% C.I; 0.246 - 0.786). the relatively high prevalence of HIV/TB co-infection and RR-TB is a tremendous public health threat, considering society's attendant implication. Further surveill