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Fantastic diary, Izzy.  Glad you posted this here.

For a lot of people, I think TB is one of those abstract diseases, something that people-we-don't-know get in places-we-don't-go.  Far away people, far away places.  But it kills 1.6 million people a year, and a shocking one-third (!!) of people in the world are infected with the TB bacillus.  So thanks for bringing this home for us.

I'm sorry to hijack your story, but I've been thinking a lot about XDR-TB-guy too.  Aside from wondering whether he will be prosecuted for recklessly endangering the lives and health of so many people (maybe having XDR-TB is enough of a punishment? I'm not sure... but it's sure scary as hell...) and (as a commentor on your dkos diary pointed out) the potential for connection between his father-in-law (who works for the CDC on... TB) I also found myself wondering about the overall TB numbers in the US.

It's a little higher than I would have expected. The CDC says there were 13,767 reported new cases of TB in the USA last year.  (Infection rates were significantly higher among the "foreign-born," which probably has something to do with poverty....)

Here's something that, sadly, doesn't surprise me, it just makes me feel depressed:  The highest rate of new TB infections was in Washington DC, which had 12.6 cases per 100,000 people, nearly four times the national average.

Because DC is tiny, in terms of raw numbers it still had only 73 cases (compared to California with 2,781, or New York with 1,274, or Florida with 1,038) but your odds of getting TB in the nation's capital are four times higher than the national average.

Four times.

Which certainly has something to do with poverty.

by the stormy present (stormypresent aaaaaaat gmail etc) on Sun Jun 3rd, 2007 at 07:24:35 PM EST
and thanks for digging up the numbers.  Having had the personal experience, I'd been aware that it had been making a comeback in the US since the late 80s.  I think you're correct that most people probably think of it in the abstract.

The XDR-TB is indeed very frightening.  On a selfish note, I've sorta wondered if my previous dose makes me immune.

Maybe we can eventually make language a complete impediment to understanding. -Hobbes

by Izzy (izzy at eurotrib dot com) on Sun Jun 3rd, 2007 at 07:34:30 PM EST
[ Parent ]
Any lung ailment seems to be thought of in the abstract by those who don't have it or who've never been around it a lot. People are pretty quick to dismiss a lingering cough as just an allergy. A diagnosis of something serious, especially when the person feels fine, as TB Guy apparently did, doesn't register with a lot of people as something that needs attention.
by lychee (lychee9393 A yahoo D com) on Mon Jun 4th, 2007 at 12:16:08 PM EST
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