Background: Both malaria and latent tuberculosis ( LTB) are possible factors related to decreased COVID-19 mortality. The malaria endemicity variable is a possible confounder when conducting a study on the correlation of LTB prevalence to COVID-19 mortality. Studies regarding LTB prevalence" according to different studies" did not adjust malaria endemicity as a possible confounder. Many malaria-endemic countries are high TB prevalent. Malaria-free countries could be: high, moderate, or low in TB prevalence. The main aim of this study is to look for the influence of TB prevalence on COVID-19 mortality. TB prevalence reflects LTB prevalence in the absence of malaria endemicity as a possible confounding factor in TB studies. Material and methods: The total chosen countries were 69 non-malaria endemic countries. Countries were classified according to TB prevalence groups into low, moderate, and high prevalent groups. Covid-19 deaths/Million(M) inhabitants were taken as reported on September 2, 2020. "Kendall's-τ Correlation Coefficient", "Kruskal-Wallis test, and Mann-Whitney test were used in statistical analyses.Results: We found inverse relationships between TB prevalence and COVID-19 deaths/ (M) inhabitants and a highly positive significant correlation coefficient was reported (0.008) in Kendall's-τ correlation coefficient test. Kruskal-Wallis test showed a significant relationship within studied groups. Furthermore, the low TB prevalent group had significant reverse associations with both high and moderate TB prevalent groups in the Mann-Whitney test.Conclusion: In the absence of possible malaria confounding, TB prevalence in malaria-free countries is inversely related to COVID-19 mortality in a highly significant association.