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Tuberculosis in New York city: recent lessons and a look ahead
In the late 1980s and early 1990s, after decades of decline, the incidence of tuberculosis began to rise in New York city, reaching a peak of 3811 cases by 1992. The epidemic took root in a setting of inadequate treatment regimens, homelessness, a diminished public-health system, and the onset of the HIV/AIDS epidemic. In addition, a subepidemic of drug-resistant tuberculosis occurred throughout New York city, most notably in a series of well documented nosocomial outbreaks. By 1994, using broadened initial treatment regimens, directly observed therapy, and improved US Centers for Disease Control and Prevention guidelines for hospital control and disease prevention, New York city began to effectively halt the progression of the epidemic. By 2002, tuberculosis rates in New York city reached an historic low of 1084. However, given the presence of a large reservoir of latently infected individuals in the city and an ongoing tuberculosis pandemic, New York city continues to face significant challenges from this persistent pathogen.
....By 1968, the disease seemed so utterly tamed that health officials in New York City, once a TB hotspot, believed the disease was on the verge of eradication and began to close its clinics. (Within twenty years, two-thirds of its TB clinics were closed.)
TB, however, didn’t disappear; in fact, it began to spread rapidly in the city’s homeless population, as detailed in this study in The Lancet. And then there was a lethal spike in what had been an almost forgotten disease....
Worldwide, there were eight million seven hundred thousand new cases of TB in 2011, the last year for which comprehensive statistics are available.
....But the current state of American politics doesn’t look up to the job either just now. Gamesmanship over the federal budget increases our vulnerability—to TB and to the whole spectrum of resistant disease organisms. In particular, the budget sequester fixed in place by the House G.O.P. caucus increases the risks we face daily. Definitive decisions about the implementation of the sequester are still taking shape, but the Centers for Disease Control alone is losing four hundred and seventy million dollars, and estimates of the damage include the loss of TB services in eleven states. More than four hundred thousand H.I.V. tests won’t get done this year. As many as twelve of the twenty border-quarantine stations the C.D.C. may close, and its Global Disease Detection centers—the front line of U.S. defenses against emerging diseases—are also under threat. In the long term, the sequester threatens to cut out a generation of basic biomedical research. All the while, M. tuberculosis continues to evolve.
"I know they had found a student with active TB, but now they have tested the students and found 27 positive cases thanks to the one active case. Oh, and it's not over either.
"Maybe letting our borders just be open to whomever wants to walk across them isn't such a good idea.
...not sure how we disagree?
originally posted by: SyxPak
a reply to: NavyDoc
By That, I take your meaning as,(reading between the lines) By TPTB letting these Illegals stay here to be 'compassionate' to them, even if they are sick as dogs, is wrong. Right? I agree!!!
Because by Us allowing them to break the law, and be here before going through proper channels, where diseases would be caught at the border, we're just 'letting the bugs out of the jar.'
Did I read You Right? If So, Then