SETTING: Lebanon is a relatively low TB burden country, but has a high proportion of extrapulmonary tuberculosis EPTB . Concern has been expressed that Syrian born refugees could add to the TB burden and rates of EPTB: since 2011, 1 000 000 Syrian refugees have entered Lebanon.OBJECTIVE: The Lebanese National Tuberculosis Programme NTP sought to identify factors for the high proportion of EPTB and to assess the potential impact of Syrian refugees.DESIGN: NTP line listed data from 2014 2015 were analyzed with logistic regression identified risk factors for EPTB. ...The high proportion of EPTB in Lebanon and those aged 5 15 years merits further investigation....