Worst TB Outbreak in 20 Years Kept Secret

Stacey Singer, The Palm Beach Post, July 8, 2012

The CDC officer had a serious warning for Florida health officials in April: A tuberculosis outbreak in Jacksonville was one of the worst his group had investigated in 20 years. Linked to 13 deaths and 99 illnesses, including six children, it would require concerted action to stop.

That report had been penned on April 5, exactly nine days after Florida Gov. Rick Scott signed the bill that shrank the Department of Health and required the closure of the A.G. Holley State Hospital in Lantana, where tough tuberculosis cases have been treated for more than 60 years.

As health officials in Tallahassee turned their focus to restructuring, Dr. Robert Luo’s 25-page report describing Jacksonville’s outbreak—and the measures needed to contain it—went unseen by key decision makers around the state. At the health agency, an order went out that the TB hospital must be closed six months ahead of schedule.

Had they seen the letter, decision makers would have learned that 3,000 people in the past two years may have had close contact with contagious people at Jacksonville’s homeless shelters, an outpatient mental health clinic and area jails. Yet only 253 people had been found and evaluated for TB infection, meaning Florida’s outbreak was, and is, far from contained.

The public was not to learn anything until early June, even though the same strain was appearing in other parts of the state, including Miami.

Tuberculosis is a lung disease more associated with the 18th century than the 21st, referred to as “consumption” in Dickensian times because its victims would grow gaunt and wan as their lungs disintigrated and they slowly died. The CDC investigator described a similar fate for 10 of the 13 people who died in Jacksonville.

They wasted away before ever getting treatment, or were too far gone by the time it began. Most of the sick were poor black men.

{snip}

Treatment for TB can be an ordeal. A person with an uncomplicated, active case of TB must take a cocktail of three to four antibiotics—dozens of pills a day—for six months or more. The drugs can cause serious side effects—stomach and liver problems chief among them. But failure to stay on the drugs for the entire treatment period can and often does cause drug resistance.

At that point, a disease that can cost $500 to overcome grows exponentially more costly. The average cost to treat a drug-resistant strain is more than $275,000, requiring up to two years on medications. For this reason, the state pays for public health nurses to go to the home of a person with TB every day to observe them taking their medications.

However, the itinerant homeless, drug-addicted, mentally ill people at the core of the Jacksonville TB cluster are almost impossible to keep on their medications. Last year, Duval County sent 11 patients to A.G. Holley under court order. Last week, with A.G. Holley now closed, one was sent to Jackson Memorial Hospital in Miami. The ones who will stay put in Jacksonville are being put up in motels, to make it easier for public health nurses to find them, Duval County health officials said.

{snip}

In his report, the CDC’s Luo makes it clear that other health officials throughout the state and nation have reason to be concerned: Of the fraction of the sick people’s contacts reached, one-third tested positive for TB exposure in areas like the homeless shelter.

Furthermore, only two-thirds of the active cases could be traced to people and places in Jacksonville where the homeless and mentally ill had congregated. That suggested the TB strain had spread beyond the city’s underclass and into the general population. {snip}

{snip}

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  • http://countenance.wordpress.com/ Question Diversity

    This TB outbreak probably happened for two reasons:

    1.  Black TB patients aren’t known for keeping up on their rigorous medication schedule that TB treatment demands,

    2.  The “public hospital” in question probably had a lot of black “health care” workers and/or Indian (dot, not feathers) H-1B physicians.

    • Ni123

      “Black TB patients aren’t known for keeping up on their rigorous medication schedule that TB treatment demands,”

      If so, the danger is great. If the patient who’s being treated for TB interrupts the intake of meds, antibiotics resistant strains of disease appear. This is what’s happening in Africa.http://www.guardian.co.uk/world/2012/mar/25/drug-resistant-strains-of-tb

      Thanks to 3rd world immigrants TB came back, now we’ll have to deal with new strains that will be extremely resistant to treatment.

      • ed91

         hey, dat’s a small price fo’ da blessin’s of diversity………

        we be bringin’ in mo’ an’ mo’ fo you’uns to enjoy wif…….

      • Up to my neck in CA

        SARS
        Dengue Fever
        Measles
        Mumps
        Bed Bugs
        The list of the Joys of Diversity gets longer every day.

        • robinbishop34

           AIDS

        • http://independent-british-nationalist.blogspot.com/ British Activism

          I also seem to remember news of increased cases of leprosy in the states, about a decade ago.  What it is like now, I have no idea…..but something tells me it will not have improved…..

          A quick google…..

          http://diseases.emedtv.com/leprosy/leprosy-in-the-united-states.html
          http://www.frostywooldridge.com/articles/art_leprosy_tb_usa_2003.html

          • Bon, From the Land of Babble

            My cousin is a doctor who donates time to a “Free Clinic” in the Bay Area, the clients of which are either black or immigrants.  He saw his first case of Leprosy about a decade ago, remembered the symptoms from med school — said it was a polynesian immigrant that was infected.

            This is what I found out about this horrible disease that was once eradicated in the U.S.:

            The Centers for Disease Control hasn’t raised alarm bells about the 7,000 cases of foreign-spawned leprosy (officially “Hansen Disease”) in the U.S. – a disease, much like antibiotic-resistant tuberculosis, that our science beat decades ago but has now returned with a vengeance, borne into the nation by millions of illegal aliens who have never been screened by U.S. health authorities!

            Dr. John Lewis of New York’s Bellevue Hospital’s Hansen Disease Clinic noted about the upsurge of documented leprosy cases: “There are probably many, many more, and they are spreading.”

            Imagine what will happen when 0bama care kicks in — WE will be standing in line behind 30 million illegal aliens!!

            Bon

        • ILOVEMYRACE

          Don’t forget West Nile Virus, and also repeated introductions of Med Fly and other tropical pest insects, that are brought in by immigrants who hide fruit from inspectors.   The USA has spent nearly 1 Billion Dollars in the past 20 yrs on pest insects brought in from the Thrid World.

    • http://pulse.yahoo.com/_W25W7Z72IPG34VCBTTORC7GE3U Steven

      Itsnt it great that the world gets drug resistant diseases thanks to blacks being stupid. This is probablly the source of almost all drug resistant diseases.

      • Sloppo

        A lot of drug resistance is built up by the overuse of antibiotics in agriculture.  Many animals are raised in such unhealthy conditions that it requires constant low level doses of antibiotics to keep them going.  To me … that is scary.  I give my animals antibiotics on the occasion that they need it and that is not very often.

  • JackKrak

    The lack of any organized, publicized action on this is due to rule number one of BRA – You cannot highlight anything that puts black people in a bad light, no matter what.

  • IstvanIN

    Perhaps the new motto of the US should be: “Invite the World, Infect the US”.

  • http://www.facebook.com/people/Ran-Kelvin/100000674993311 Ran Kelvin

    The agency head of the Florida Department of Health is Dr. Shairi Turner.  Let’s learn more about the credentials of Dr. Turner, this from The Office for Diversity Inclusion & Community Partnership, Harvard Medical School:

    First, what is it that the “Office” does?
    The Office for Diversity Inclusion and Community Partnership (DCP) at Harvard Medical School (HMS) was established to promote the increased recruitment, retention and advancement of diverse faculty, particularly underrepresented minority (URM) faculty…

    What does the “Office” say about Dr Shairi?
    Dr. Shairi Turner’s interests focus on the relationship between mental illness, substance abuse, and the disproportionate number of minority adolescents in the U.S. juvenile justice system.

    Now put yourself in the position of the Duval County Health Department and the unscientific explanation for not going public with this recent TB outbreak. This political correctness in not “stigmatizing the poor, black homeless” is no accident. BYW, the county health departments in Florida are supervised by the state health agency. It is the fish that rots from the head down.

  • haroldcrews

    Gee, why on earth could Jim Crow have required different drinking fountains and bathroom facilities for blacks and whites?  There couldn’t have been a legitimate reason.  It could have only been ‘racism’.

  • http://pulse.yahoo.com/_FWMCMK6U5OWRHYIYJAF2TPFL2U thomas

    What is a little TB in exchange for the “vibrant and rich” diversity that third-world immigration brings with it?

  • http://www.facebook.com/people/Lucas-Evans/100001091600634 Lucas Evans

    We could have gone to Mars, instead we have long defeated diseases re-emerging. Another 30 years and we’ll be back in caves. What a “Great Society” thanks LBJ!

  • bubo

    Jacksonville has a beautiful river and some truly gorgeous old neighborhoods.  But good god are they trying to turn it into Atlanta light.   Couple this news with the fact that the “diversity” in my neighborhood rose 67% in the last decade thanks to Section 8 and a for sale sign might be in my yard soon.  I know.  I can dream, right? 

    • http://www.facebook.com/people/Ran-Kelvin/100000674993311 Ran Kelvin

      The rash of gated communities did no good, just ask Zimmerman.

      Jax was a really growing vibrant city some years back then all of a sudden it took a nose dive. I assume it was because of the blacks and the disappearance of an all white commission of Southern Baptists that kept things in line.

      • The__Bobster

        Gated communities serve no purpose if you let in the very people you’re supposed to be keeping out.

  • Southern__Hoosier

    Just one more coverup by Chairman Obama. There is no TB outbreak  in Jax, because Chairman Obama says there isn’t.

  • http://twitter.com/seedymedia r j p
  • MartelC

    As Jared Taylor rhetorically asks, if diversity is so great why must we always be told and compelled to think so?

    I would add, why do they take such pains to avoid reality, even when withholding that information can knowingly cause harm? 

  • Bon, From the Land of Babble

    Tuberculosis is a lung disease more associated with the 18th century than the 21st

    Third World invaders are bringing horrible, once-eradicated or unknown diseases into the U.S. such as TB, Chagas, cysticercosis (brain worm), necrotizing fasciitis, leprosy  and bedbugs which are products of poor hygiene from places where ‘pigs are allowed to roam freely and eat human feces…’ and are resistant to treatment.

    In earlier times, immigrants were screened for health problems, quarantined and returned home if necessary.  Now they receive cadillac treatment at OUR First World facilities, on our dime while PC protocol demands that WE stand in line behind them.  

    The American Journal of Physicians and Surgeons: reports:

    Many illegal aliens harbor fatal diseases that American medicine fought and vanquished long ago, such as drug-resistant TB, malaria, leprosy, plague, polio, dengue, and Chagas disease” – the latter a ghastly and often fatal parasitic infection previously unknown in most of the U.S.

    In 2001, New York’s Tuberculosis Control Program reluctantly conceded 81 percent of the city’s new cases of TB were brought in by illegals… Once eradicated in the U.S., some 26,000 cases of TB were reported in 2007-2008 alone.

    An antibiotic-resistant strain of TB has taken New York by storm and was, until recently, confined to Mexico – but is now flourishing in Texas, California, New Mexico, and Arizona.

    In 2007, the Virginia Department of Health determined that a 17% surge in TB cases resulted from the region’s recent flood of illegal immigrants. In March 2002, The Washington Post reported a 188 percent increase in TB in Virginia’s suburban Prince William County.

    Latin American and South American parasitic infections are hitting U.S. Hispanics and blacks in huge numbers. These are diseases that we know are ten-fold more important than swine flu, yet they’re on no one’s radar.

    –Dr. Peter Hotez, tropical disease specialist at George Washington University.

    Wait until 0bamacare kicks in. Illegal aliens and non-Whites first!! Kulaks to the end of the line!! (that is, if we’re treated at all).

    Bon

  • http://www.facebook.com/people/Ran-Kelvin/100000674993311 Ran Kelvin

    Some time ago the State of Florida stopped requiring all food workers to get the tine test, a simple method of finding TB actives and exposures.  These test requirements were halted due to the large number of the “suspects” either being hispanics or Africans from Africa or the Caribbean.

    My mother was a caterer at the time and I remember her complaining that neither she nor her workers all of a sudden were required to obtain a yearly health card which required the test. She told me going back into the 60s the state would require a yearly x-ray.

    So isn’t that grand how magnanimous we are to not disallow that mexican to serve you a tamale, or that Chinese buffet server to renew the pan of sesame chicken?

  • Josse7

    Here in the UK  TB is on the increase inspite of being virtually wiped out., but under successive UK governments with their insane drive for diversity they have encouraged massive third world immigration into the  UK.  Immigrants are allowed into the UK  along with their contagious  diseases.  At the moment most TB cases are amongst third worlders but if anyone dares to mention this fact they are immediately screamed down as being racist.  

  • http://www.amren.com/ Moderator

    Housekeeping:  As of the time of this writing, there have been exactly 1337 registered users that have posted comments here on AR since the dawn of the Disqus-based system at the beginning of this year.  That doesn’t count all the unregistered users.

    You leeters are snickering right now.

  • Kurt Plummer

    Some thoughts-

    >>
    Tuberculosis is long thought to have lost out as donors preferred to fund HIV research and healthcare for children.
    >>

    Strange, since HIV is the overarching parent funding source for TB research and one million people die every year from TB which is complicated by the reduced effectiveness of the immune system (they go hand in hand, especially in Africa and parts of Asia…).

    >
    TB is an infectious disease spread through the air. TB most often affects the lungs, but it can also
    affect the brain, kidneys, or spine. The disease is passed when an infected person coughs, sneezes,
    talks, or spits and another person inhales the infected air. Individuals infected with TB can have
    latent TB infection or active TB disease. Those with latent TB infection do not exhibit symptoms
    and cannot spread the infection to others, whereas those with active TB disease exhibit a range of
    symptoms and are contagious. Without treatment, individuals with active TB will infect an
    average of 10-15 people each year and can ultimately die from the disease. TB most often
    becomes active when one’s immune system is weakened, for example by HIV/AIDS.>

    http://www.fas.org/sgp/crs/misc/R41643.pdf

    >>
     “The absolute numbers were seen to be falling and TB seemed somehow to lose out and never had the profile of other health issues; it was the orphan child and just didn’t get the same funding,” said Nunn. But while there were few drugs on the horizon, new rapid diagnostic tests were a “wonderful” breakthrough.
    >>

    Not true.

    >
    Prevalence: Prevalence measures the number of people living with a disease. The World Health

    Organization (WHO) estimates that about one-third of all people in the world are currently
    carriers of TB. An estimated 12 million people were living with active TB in 2010.
    Incidence:
    Organization (WHO) estimates that about one-third of all people in the world are currently

    carriers of TB. An estimated 12 million people were living with active TB in 2010.

    Incidence:
    Incidence:
    Incidence measures the number of people who contract a disease within a given time

    period (usually one year). It is estimated that each year an average of 9 million people are
    infected with active TB disease. In 2010, there were an estimated 8.8 million new cases of TB
    worldwide, including roughly 1.1 million new TB patients who were also infected with HIV.
    Global TB incidence rates fell from 1990 to 1997, increased again from 1997 to 2002, due in part
    to the HIV epidemic, and have slowly declined since.
    Mortality:
    period (usually one year). It is estimated that each year an average of 9 million people are

    infected with active TB disease. In 2010, there were an estimated 8.8 million new cases of TB

    worldwide, including roughly 1.1 million new TB patients who were also infected with HIV.

    Global TB incidence rates fell from 1990 to 1997, increased again from 1997 to 2002, due in part

    to the HIV epidemic, and have slowly declined since.

    Mortality:
    Mortality:
    In 2010, there were 1.4 million TB-related deaths, including 0.35 million TB-related

    deaths among HIV-positive individuals. Global TB mortality has fallen by more than one-third
    since 1990 levels.
    deaths among HIV-positive individuals. Global TB mortality has fallen by more than one-third

    since 1990 levels.
    >

    http://www.fas.org/sgp/crs/misc/R41643.pdf

    The infection and mortality rate went down in the 1990s, likely as a result of increased correlary funding to fight HIV/AIDS and also a couple new super-tests that caught forms of the disease that were otherwise easy to misread.

    But overall numbers of those now infected and potentially carriers has been creeping up for quite awhile and roughly 1/3rd of the world’s population is now infected with a non-active form.

    Where you want to worry folks is when TB and some other immune weakening disease (like AIDS or SARS) start to interact such that a weakened immune systems response renders formerly latent carriers into active contagion vectors.  There will essentially be no stopping it at that point and we will have instant population reduction throughout the third world and as much of the first as can’t play ‘The Red Death’ game of locking themselves away behind closed doors.

    >>
    It is 130 years since the German scientist Dr Robert Koch astounded the world by announcing that he had discovered the cause of tuberculosis, the TB bacillus. At the time TB was raging through Europe and the Americas, killing one in seven people. Today tuberculosis remains an epidemic in much of the world, causing the deaths of several million people each year, most of them in developing countries. The combination of HIV and TB has proved catastrophic. More than 350,000 people living with HIV died because of TB in 2010.
    >>

    Again, see above.  They are understating by 3/4ths.

    In 1880, there were between 1.2 and 1.35 billion people living on this planet.

    http://en.wikipedia.org/wiki/World_population_estimates

    http://www.vaughns-1-pagers.com/history/world-population-growth.htm

    Fifteen percent of that population in round numbers is 225 million.  Fifteen percent of ~7 billion in 2010 is 1.05 billion.  Just the cleanup on bodies alone (from a major pandemic) would overwhelm _every_ nation’s ability to compensate for the -secondary- sanitation issues which is to say spread of the disease through scavenging animal populations and the rise of other diseases related to the loss of housekeeping populations.

     Considering the -vastly- lower population _density_ of the 19th century (which inhibited treatment but also exposure risk) the likelihood that the numbers would be higher than 15% for a highly contagious strain are very good.

    >>
    TB was once the biggest killer in Britain, but cases are now concentrated in London and among people not born in the UK. Provisional figures from the Health Protection Agency showed there were 9,042 new cases in 2011, compared with 8,587 in 2010. But Professor Ibrahim Abubakar, head of the TB section at the HPA, cautioned: “Despite the observed increase in TB cases in 2011, this provisional data
     should be interpreted with caution, because numbers are likely to change due to late notifications and de-notification of cases. It is therefore too early to determine whether this is a return to the upward
    trend of cases seen in the past two decades in the UK. TB continues to disproportionately affect those in hard to reach and vulnerable groups, particularly migrants, so it is crucial that we have specific strategies in place to address this.”
    >>

    Which is simply an explanation that covert petri dishes in ethnocentric islands of infected population clustering can act as the veritable catapult chucking plague riddled animal parts over the castle wall.

    >>
    The UK is also under pressure to restore funding to the Global Fund, first established to tackle what is often called the “big three” of HIV, malaria and TB. A $1.7bn (£1bn) reduction in funding to tackle TB over the next five years will affect the treatment of 3.4 million TB patients and could reverse gains made in tackling the disease, says new evidence released by three charities.
    Results UK, the International HIV/Aids Alliance and the Stop Aids Campaign say they no longer have the resources to continue expanding their work. They are urging the UK to back emergency action to replenish the Global Fund at the G20 meeting in Mexico in June. The fund provides more than four-fifths of all funding to fight TB.
    Aaron Oxley, of Results UK, said: “Thanks to sustained efforts from the Global Fund, TB cases have been in decline, but with the current lack of resources there is scope for severe backsliding on the progress we have made. This is disappointing and worrying news as we have a real chance of seeing an end to TB in our lifetime.”
    >>

    Which is where you have to be careful because you see, this is your profit motive.  Fund an environmental and treatment regime and you build back the disease by killing off animal populations, quarantining high infection rate/high drug resistance clusters and generally -making sure- that people take the drugs they get.

    And you lose out on the chance to pay big pharma for the supercure.

    Which probably doesn’t exist.

    OTOH, if you wait a few years for truly vicious MDRs to pop up and now you have a bogeyman like Ebola and everyone will do everything possible to fun/d-fun/d-fun/d the program to save the world.

    ‘Outbreak’ level heroics are emminently profitable.  Prosaid, plodding, long term, eradication is not nearly as ‘first you find it, then you corral it, then you starve it to death’ (by killing/treating it’s priniciple vectors) popular.

    But it is always the latter which drives the fadeback of severe epidemics as you literally remove the stepping stones in the ford of transmissivity and thin the incubation groups which provide the stable infection chain of active carriers.

  • Global Minority

    The elite in both parities don’t care until it hits their family. Then maybe they will do something aobut it?

    It is called population control as to reduce the population of the entire world into something more manageable for the NWO to emerge.

    In the meantime the White Western World is returning to the days of paganism, bestality, orgies, child sacrifies, etc….

    In the last days it will be like the days of Noah. And then God couldn’t take it anymore and flooded the earth becasue of all the evil and filth.

    America = Babalyon

  • Sheila Dinehart

    It is sad about those poor people I guess the government is too busy sending trillions of dollars to Africa and other countries around the world for their health programs to worry about Americans especially in America…what with being world citizens and all that it is especially important to prove to the evolved commies that we care about citizens of the world over our own kind…no nations no boarders equals a Nation of the World…a World Nation…but President Obama was not the first President of American to declare himself a WORLD CITIZEN…know who that was?

  • Ni123

    I am not a doctor and can be wrong, but it seems to me that highly contagious is only active TB. Healthy, vitamin reach food, lots of fresh air, physical activities, and your immune system has a very good chance to fight it and win. But it can be deadly for people with compromised immunity. Big cities with developed public transportation can become a real problem. A single bum with untreated active form of TB in a subway tram is a source of potential contamination for dozens of people around him. 

    As for closed borders – 3rd world immigrant very often is a biological weapon of sort. A group of 20 3rd world immigrants together is a pretty possible outbreak of epidemic. Just to think of illegals working at restaurant kitchens, unchecked..It’s a disaster just waiting to happen.

  • http://www.facebook.com/people/Lucas-Evans/100001091600634 Lucas Evans

    Vertical and horizontal transmission of antibiotic resistance. The current system is turning society itself into a giant petri-dish for breeding super-bugs.

  • ageofknowledge

    New TB strains have been spawned in India (their penchant for selling antibiotics over the counter without an RX) that are 100% resistant to all antibiotics in the world today. All the can do is quarantine the victim and watch them wither away.

    The “killer bee” scare may have been nothing to get worked up about but 100% resistant TB has the power to change the world.