The 23rd International Harm Reduction Conference in Lithuania brought together some 1000 participants, including front-line harm reduction workers, researchers, policy makers, politicians, people from international organizations, people who use drugs and people working in criminal justice, offering an ideal opportunity to raise the profile of tuberculosis and TB/HIV. TB received more focus at the conference than in previous years with a number of side events organized as well as a major session entitled "An added value: harm reduction and the tuberculosis epidemic", chaired by Smiljka de Lussigny of WHO Euro office and Anya Sarang President of the Andrey Rylkov Foundation for Health and Social Justice in Moscow. The session highlighted the urgent need to include TB prevention and care, including the collaborative TB/HIV activities within the Integrated Package of harm reduction, discussed the barriers to access, and models of integration were shared with participants.