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FRIDAY, NOVEMBER 27, 2009
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Not Scared of TB? You Should Be

Resistant strain could ravage the world, and we're not ready

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(Newser) – "Global complacency" could give rise to a terrifying, drug-resistant form of tuberculosis, writes Nicholas Kristof in the New York Times—and not in some remote outpost on the globe. There have been fewer than 100 cases of this XDR-TB in the past 15 years in the US, but with increasing international travel, a single cough could trigger a massive outbreak. What's worse? No one's doing anything about it.

From where Kristof reports in Armenia, the sole treatment program has room for only 15% of TB patients, and only half of those see improvement. Meanwhile, infected people take public transportation, making them essentially ticking time bombs. "Americans don’t think much about TB, just as we didn’t think much of AIDS in the 1980s," writes Kristof. But unlike Reagan, who ignored AIDS until his second term, the incoming administration needs to act as though this burgeoning pandemic were an imminent military threat, Kristof concludes.

XDR, the once rare but now increasingly common strain of tuberculosis, is resistant to drugs and can spread easily when an infected patient coughs.
XDR, the once rare but now increasingly common strain of tuberculosis, is resistant to drugs and can spread easily when an infected patient coughs.   (AP GRAPHIC)
Dr. Isak Slabber looks at a X ray of a patient, testing for tuberculosis at a clinic in Langa, South Africa. The developing world has seen spikes in drug-resistant TB recently.
Dr. Isak Slabber looks at a X ray of a patient, testing for tuberculosis at a clinic in Langa, South Africa. The developing world has seen spikes in drug-resistant TB recently.   (AP Photo/Schalk van Zuydam)
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There was one study that found that a single TB patient can infect 14 other people in the course of a single bus ride. - An Armenian doctor, when asked if her patient could infect others on his bus trips.

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Zebraone
Dec 7, 08 7:08 PM CST
As a teacher, we all had to have TB shots before we were allowed to teach! Many of the students came from South of the border and had TB. Back then , all the kids were routinely given a check for the bug. Looks like it's raising it's ugly head again! Reply
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dwmoskowitz
Dec 8, 08 4:18 PM CST
My company believes it has an effective approach to XDR-TB. CEO GenoMed (www.genomed.com) Reply
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