Pug
UR father's brother's nephew's former roommate
+652|6903|Texas - Bigger than France
I went to a charity function today where the organization was asking to fund English & Spanish public service announcements to be aired across Texas to inform the public about the dangers of tuberculosis (TB). 

The one I'm funding is private, but if you are interested in a good one donate to: http://www.stoptb.org.

TB Facts
  • TB has been in the top three infectious disease forever.  It's top 3 in 2006 as well.  For convenience it's #2 in 2004:  http://www.who.int/whr/2004/annex/topic … x_2_en.pdf  I'm too lazy to find something more current.
  • TB causes 2 million deaths a year.  http://www.infoplease.com/cig/dangerous … losis.html
  • Each infected person will infect 10-15 more people per year, and 1/3 of the world is currently infected http://www.who.int/mediacentre/factsheets/fs104/en/
  • Transmission is airborne.  Basically everytime you breathe in air around an infected person, you have a chance of getting infected.
  • If you are in perfect health the chance of infection is less likely than if you don't have a good diet, fitness, immune system, and cleanliness.
  • TB is a top killer for HIV cases because of an immune system problem.  (These deaths are counted as HIV deaths by the WHO).
TB Treatment
  • No vaccine exists
  • Once someone tests positive, the doctors test the family and friends of the person to see if they were infected.  So in a sense, one person is sick, which means up to 100 people more are tested.
  • Treatment is based on taking drugs.  The drugs are taken for six to nine months.
  • However, after one month the patient feels well enough that most people stop taking the medicine.  But they relapse after many months, while in the meantime they are still spreading the disease.
  • To counter patients from not taking the drugs, doctors now use a DOTS system - where the patient has someone watch them take the medicine.  If you want the source - its in a few of the websites I've linked to.
Link to Illegal ImmigrantsCorrelate the map with states bitching about illegal immigration...So here's the deal:
  • If you have this disease and are migrating from point A to point B, everyone you come in contact with has the chance of being infected.  A large percentage of the population doesn't have to worry about this, because they are in good health, have a good diet, etc etc etc.  However, this doesn't prevent you from having a problem - like for instance catching TB at the tail end of battling another illness.  If you get it, you have a 10% chance of dying, even if treated.
  • Illegal immigrants who have this disease are not likely to seek treatment until they are very, very sick, for fear of being caught.  During the period in which they are sick, they probably have infected their family to repeat the process.
  • The cost of the medicine is probably moderate to expensive.  Which means that unless DOTS is being used, the patient is likely to stop taking the medicine after one month because they feel better.  Basically they bought time for a relapse, while they continue to infect others.
  • DOTS has been extremely effective, it is the reason why the number of cases/deaths have dropped significantly in recent years.
  • Donate some money to this cause.  If someone gets TB, the medical bill includes the drugs, the doctor, and testing up to 100 friends and family members who have contact with the infected.


This is one of the costs of an porous border that is often overlooked.  Please discuss.
ATG
Banned
+5,233|6890|Global Command
There are many uncounted costs. Well done on documenting this aspect of it.
Ilocano
buuuurrrrrrppppp.......
+341|7028

Actually, topic should be: Link between Third World immigrants and diseases.  I don't think we have too many Canadian or European illegal alien cases of TB.

TB related: I just watced Ralph Fiennes "The Constant Gardener" last night.  Interesting issue brought up by the movie.
HunterOfSkulls
Rated EC-10
+246|6640
I always find it interesting that while people use this particular issue to advocate against Mexican immigrants, they usually gloss right over the overwhelming number of Asian and Pacific Islanders who bring multi-drug resistant strains of TB to the US with them.
Ilocano
buuuurrrrrrppppp.......
+341|7028

HunterOfSkulls wrote:

I always find it interesting that while people use this particular issue to advocate against Mexican immigrants, they usually gloss right over the overwhelming number of Asian and Pacific Islanders who bring multi-drug resistant strains of TB to the US with them.
http://www.who.int/mediacentre/factshee … index.html
The World Health Organization (WHO) estimates that the largest number of new TB cases in 2005 occurred in the South-East Asia Region, which accounted for 34% of incident cases globally. However, the estimated incidence rate in sub-Saharan Africa is nearly twice that of the South-East Asia Region, at nearly 350 cases per 100 000 population.

It is estimated that 1.6 million deaths resulted from TB in 2005. Both the highest number of deaths and the highest mortality per capita are in the Africa Region. The TB epidemic in Africa grew rapidly during the 1990s, but this growth has been slowing each year, and incidence rates now appear to have stabilized or begun to fall.

In 2005, estimated per capita TB incidence was stable or falling in all six WHO regions. However, the slow decline in incidence rates per capita is offset by population growth. Consequently, the number of new cases arising each year is still increasing globally and in the WHO regions of Africa, the Eastern Mediterranean and South-East Asia.




Drug-resistant TB

Until 50 years ago, there were no medicines to cure TB. Now, strains that are resistant to a single drug have been documented in every country surveyed; what is more, strains of TB resistant to all major anti-TB drugs have emerged. Drug-resistant TB is caused by inconsistent or partial treatment, when patients do not take all their medicines regularly for the required period because they start to feel better, because doctors and health workers prescribe the wrong treatment regimens, or because the drug supply is unreliable. A particularly dangerous form of drug-resistant TB is multidrug-resistant TB (MDR-TB), which is defined as the disease caused by TB bacilli resistant to at least isoniazid and rifampicin, the two most powerful anti-TB drugs. Rates of MDR-TB are high in some countries, especially in the former Soviet Union, and threaten TB control efforts.

While drug-resistant TB is generally treatable, it requires extensive chemotherapy (up to two years of treatment) with second-line anti-TB drugs which are more costly than first-line drugs, and which produce adverse drug reactions that are more severe, though manageable. Quality-assured second-line anti-TB drugs are available at reduced prices for projects approved by the Green Light Committee.

The emergence of extensively drug-resistant (XDR) TB, particularly in settings where many TB patients are also infected with HIV, poses a serious threat to TB control, and confirms the urgent need to strengthen basic TB control and to apply the new WHO guidelines for the programmatic management of drug-resistant TB.

Last edited by Ilocano (2007-05-10 15:06:04)

jonsimon
Member
+224|6856
Who cares? There is a strong link between tourism and disease, doesn't mean we keep everyone at home. There's also a strong link between shipping and disease, doesn't mean we stop trading. These problems are easily controlled through regulation, we regulate immigration too. As for illegal aliens, make them legal and force them to use the system.
Pug
UR father's brother's nephew's former roommate
+652|6903|Texas - Bigger than France

HunterOfSkulls wrote:

I always find it interesting that while people use this particular issue to advocate against Mexican immigrants, they usually gloss right over the overwhelming number of Asian and Pacific Islanders who bring multi-drug resistant strains of TB to the US with them.
You will notice that the Pacific rim states are quite blue: Alaska, Hawaii, Cali, & Washington.  My guess is the fishing industry.
ATG
Banned
+5,233|6890|Global Command

jonsimon wrote:

Who cares? There is a strong link between tourism and disease, doesn't mean we keep everyone at home. There's also a strong link between shipping and disease, doesn't mean we stop trading. These problems are easily controlled through regulation, we regulate immigration too. As for illegal aliens, make them legal and force them to use the system.
Oh, please. Tourist usually don't stay more than a week and have babies  that become naturalized citizens. Your  use shipping and trade fail because those are regulated things whereas illegal aliens by definition are beyond regulation.
As for " make them legal and force them to use the system "  they are using the system, and there are laws on the books that provide funding to pay for their needs, so that puts us in quite a pickle, doesn't it.

But, it's okay, I recognize the self-congratulation in your reply as your pointing out your faith in the laws and regulations ( that don't get properly enforced ) and humanitarian leanings as you advocate a borderless society and that makes you feel good as the disadvantaged will like you, but ultimately your thinking fails because it denies the commonsense fact that sovereignty requires defined territory and perpetuates the problem by encouraging a complacent attitude. A typical application of liberal policy usually exacerbates the problem in the long run because it usually involves: the most generous application of tax dollars and programs and the poorest of fiscal planning the deal with the consequences.
Pug
UR father's brother's nephew's former roommate
+652|6903|Texas - Bigger than France

jonsimon wrote:

Who cares? There is a strong link between tourism and disease, doesn't mean we keep everyone at home. There's also a strong link between shipping and disease, doesn't mean we stop trading. These problems are easily controlled through regulation, we regulate immigration too. As for illegal aliens, make them legal and force them to use the system.
Who cares?  How about the migrants who suffer because they are afraid of being caught?

If your point is to say that our tourism and shipping regulations aren't bulletproof, much like our immigration polices, well...duh.  None of the three issues will be corrected, shutting the border down is impossible to achieve.

Does making them legal cure them of TB?  No.  So when they are denied entry into the US because they test positive...what happens?  They cross the border and get treated for free.  You definitely should write your congressmen about that one.
Harmor
Error_Name_Not_Found
+605|6909|San Diego, CA, USA
I live in San Diego and our entire office had to get scanned because one of the people at work, an immigrant from China, was diagnosed with TB.

The TB outbreaks in the border states are very high as you noted.

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