Previous evidence suggests that patients with higher CD4 cell counts and who are on ART have been shown to have more successful outcomes.36 Tuberculosis and HIV treatment in combination has been shown to improve treatment failure rates.21 For patients who are HIV and TB coinfected and on ART, the national rates have improved from 28% in 2011 to 89.1% in 2017.7 In comparison to the national standards, our study showed a large proportion of HIV positive patients who were not on treatment. This evidence concerns the gene CD4 and tuberculosis.