The purpose of the present study was to examine the association of the incidence and severity of primary pulmonary tuberculosis with the anomalies of physical factors (geomagnetic field, gamma-radiation, radon emanation) above the local earth's crustal fractures (LECF) on the territory of Surgut. Analyzing the findings indicated the significant prevalence of both the rates of total primary morbidity of pulmonary tuberculosis and its exudative forms and the predominance of bacterial isolating patients among the residents in the area of LECF versus the continuum. Antituberculosis therapeutic-and-prophylactic measures should be planned, by taking into account the regional features of the state of anomalous physical fields.