In this paper we describe the current situation of the epidemic of multidrug-resistant tuberculosis (TB MDR) and extensively-drug resistant tuberculosis (TB XDR) in Peru. We do an analysis of our situation in comparison with the rest of Latin America, and of the temporal spatial distribution of the TB XDR cases in Lima, We also present our reflection about what is happening and we believe it must change, as summarized in giving due weight to a problem that is coming over andwe should put before own interests, the interests of humanity, therefore we cannot keep silent, and we must declare TB as a national health emergency. That is an answer, hopefully, still viable for Peru.