Author Topic: America’s Impending Tuberculosis Epidemic  (Read 174 times)

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America’s Impending Tuberculosis Epidemic
« on: July 11, 2014, 05:42:04 AM »
America’s Impending Tuberculosis Epidemic

Posted by Trent Telenko on July 10th, 2014 (All posts by Trent Telenko)

(NOTE — Update at the End of the Column)

One of the things that changes you, when you become a parent, is the body of knowledge you acquire to protect your spouse and children including things like knowledge of infectious diseases in public schools. In my case that meant looking at the NY Times saying the following: “…the administration has begun to send the expected 240,000 migrants and 52,000 unaccompanied minors who have crossed the border illegally in recent months in the Rio Grande Valley to cities around the county.”  And at headlines for the open border crisis like this by Todd Starnes titled “Immigration crisis: Tuberculosis spreading at camps” which caused me to immediately free associate them with a pair of “Tuberculosis in Public School”, headlines, one local to North Texas in 2011 and the other very recently in California. See this 2011 Consumer Health Daily article from Denton Texas “TB Outbreaks in Texas Schools Show Disease Still a Threat – At least 100 people have tested positive for the respiratory ailment” and this 1 July 2014 article from the Sacramento Bee “Four more students test positive for tuberculosis at Grant High.”

As a Texas parent, this idea of TB positive illegal alien children released to illegal immigrant parents scares the heck out of me from the point of view of epidemiology. In the 1920s TB was the eighth leading cause of death for children 1-to-4 years old. Since then American public health has been so effective in preventing it that the USA no longer has any “herd immunity” to TB.

This “catch and release” illegal alien policy is horrible from the infectious disease point of view in that phlegm or aerosolized sputum that are contaminated with Mycobacterium tuberculosis are active biohazards that have long latent infection periods. This makes “exposure” very easy. The clinical definition of TB Exposure — which I found in a University of Vanderbilt student medical file PDF — is the following:

“A person is considered to be exposed if there is shared breathing space with someone with infectious pulmonary or laryngeal tuberculosis at a time when the infectious person is not wearing a mask and the other person is not wearing an N95 respirator. Usually a person has to be in close contact with someone with infectious tuberculosis for a long period of time to become infected; however, some people do become infected after short periods, especially if the contact is in a closed or poorly ventilated space.”

The Federal Government Hazmat protocol for dealing with suspected active TB cases is as follows:

1. Administrative controls
• “Develop policies and protocols to ensure the rapid identification, isolation, diagnostic evaluation and treatment of persons likely to have TB.”
2. Engineering controls
• Isolation and
• Negative pressure room ventilation
3.Personal protective equipment controls
• N95 personal respirator protection

Questions people and reporters need to be asking their local, state and federal elected officials regards the so-called “unattended child immigration crisis” include:

1. How many Border Patrol Agents, health workers or other support staff at these immigration processing centers have worn N95 respirators in treating symptomatic TB sufferers?
 2. How many TB sufferers were also wearing masks?
 3. Have those Border Patrol Agents, health workers or other support staff followed a rigorous TB decontamination protocol?

Whether people ask those questions or not, we are going to find out the answers soon, and not just in Texas. Testable anti-bodies to TB infection appear in two to 12 weeks for skin and blood tests and the incubation period for full blown active TB is six months to two(+) years.

 While active TB can be found by chest X-rays, screening for latent TB infection (LTBI) can only be found by two tests that screen blood and skin. The problem for screening these illegal alien immigrants is, strangely enough, that they are from countries with wide scale TB vaccinations.

The TB vaccine is called BCG (Bacille Calmette-Guérin). It is considered controversial because it isn’t “very effective” in countries with a low incidence of TB, like the USA. However, that isn’t the biggest reason BCG isn’t usually given in the United States. Mass inoculation with BCG would remove both latent TB skin tests from the public health arsenal and increase the false positive rates from blood tests because those treated with BCG vaccinations all have the anti-bodies that current skin and blood tests look for. The public health system would lose most of its ability to track the spread of latent TB in the American population. The current public health paradigm of track, isolate and treat TB is about to come to a horrible end for the American public health system.

 The real issue with TB positive illegal alien children is what the US Military epidemiologists called the “LD-5 population” back during the days of the Anthrax postal attack after 9/11/2001. In US Military speak “LD” is lethal dose. So a chemical or biological attack that is “LD50” kills 50% of the exposed.

What the 9/11/2001 Anthrax postal attacks proved via the death of one little old lady victim of a wrongly addressed mail — mail that went through a contaminated post office distribution center — was that there is a huge population of “immune impaired” in the USA who would be “LD5″ for any infectious disease.

The Center for Disease Control (CDC) list of “special consideration” for the treatment of drug resistant TB reflects that “LD5″ thought process. The list includes:

• Pregnant women
• Older people who have suppressed immunity from diabetes, open heart or other major cardiac surgeries
• HIV sufferers
• Or children under 4 years of age

There are ten FDA approved antibiotic drugs for treatment of TB with a core of four drugs listed by the CDC as the “preferred treatment regimes” which lasts 6-to-9 months. Those core treatment regimen drugs include:

• isoniazid (INH)
• rifampin (RIF)
• ethambutol (EMB)
• pyrazinamide (PZA)

The reason for so many different drugs is that TB is developing resistance to antibiotic treatment. According to the Texas Department of Health Services, TB is classified into three treatment groups — TB, multi-drug resistant (MDR) TB and extremely drug resistant (XDR) TB. The first responds to the ten standard antibiotic drugs, while the last two are less and less responsive to antibiotic treatments.

Multi-drug resistant TB is defined as INH and RIF resistant.

Extreme Drug Resistant TB is MDR plus resistant to any of the following:

• Any fluoroquinolone; plus one of three following injectable second line drugs
• Capreomycin
• Kanamycin
• Amikacin

The six-to-nine month long TB antibiotic treatment regimes must be followed rigorously, and completed, or the LTBI and the active TB infected will breed more MDR and XDR TB strains.

 A LTBI individual represents a 5% risk of developing active TB in the first 2 years of infection and is at a cumulative 10% risk of active TB over his or her lifetime. The US Army medical community estimates 1/3 of the world population has LTBI, with World Health Organization (WHO) data showing 9.2 million active TB cases and 1.7 million deaths annually.

By way of contrast, the 2010 estimate for the US LTBI population was at 4.2% (11 million people).

That 1/3 LTBI infection number for foreigners means that adding one million new illegal aliens results in 300,000(+) new people with LTBI, or a 3% increase in America’s pool of LTBI people over that 2010 estimate. Some 30,000 of these people will have an active TB in their lifetime, and if we are talking recently infected children, up to 15,000 of that may happen in the next 2-years.

Given the current Federal Judiciary enforced defacto Open Borders policy of “All illegal aliens have the rights of citizens,” it is impossible to enforce, for reasons of Public Health, long term detention for a full directly observed therapy (DOT) course for the TB positive that are harbored in that the 12-to-20 million and growing illegal immigrant community.

The willingness of American citizens to follow TB medical protocols can be shown by the fact that even with LTBI positive US servicemen — who are getting mandatory treatment under color of authority — only 50% complete a full drug therapy course for LTBI. Thus we are certain to see more and more antibiotic resistant strains of TB everywhere.

A collapse of the current non-vaccination based public health standards on TB (See the 1996 article “The Role of BCG Vaccine in the Prevention and Control of Tuberculosis in the United States” in the notes below on the ‘track, isolate and treat’ standard model TB public health thinking) with the illegal alien community will be a huge budget issue for the Border Patrol, healthcare workers, emergency 1st responders, prisons…and increasingly Public Schools serving illegals.

The coming TB epidemic in the illegal population will force the public health system to require complete mandatory vaccination of children, all women planning to have children, healthcare workers, emergency 1st responders and prison populations nationwide for TB as the latent periods for TB will see all prisons and hospitals pretty much contaminated all the time.

The actuarial cost hit on public budget medical care coverage of families of Federal Border Patrol agents and Prison Guards infected with extremely resistant TB from Agent/Guard work related exposure will be mind boggling.

Knowing all the above, you can see why I am terrified.

 Forewarned is forearmed, so here are a list of “The TB Epidemic is here markers” to put in your social media and RSS feeds in terms of near future events –

• Mass orders of N95 masks by State, Federal or Military health systems.
• Mass orders of BCG vaccine by State, Federal or Military health systems.
• Shortages/price spike of the list of 10 standard TB antibiotics
• “Cone of silence” media reporting of TB in public hospitals or school stories that exclude the mention of illegal alien TB sufferers.
• Border Patrol Agent or health worker families becoming infected with TB from immigrant processing centers

Given the numbers of illegal immigrant children already released by the Obama Administration — and the further numbers it wants to release before President Obama leaves office — the only thing you can say for certain about the coming TB epidemic is that it is inevitable.

UPDATE 12:30pm -

I have been watching some of the comments over on the American Thinker article quoting my column regards the Center for Disease Control and why it isn’t acting more swiftly regards the TB threat.
 I am going to point everyone to this book by Thomas S. Kuhn so you can understand their inaction —
The Structure of Scientific Revolutions: 50th Anniversary Edition

 Kuhn’s key point is that the only way that scientific paradigm change happens is over the dead bodies of those that hold the obsolete paradigm, while those that replace them hold the new scientific paradigm.
 The CDC is made up of scientists just like the ones Kuhn described, scientists who have fought TB one way their entire careers and cannot think outside that paradigm.
 They are so hugely locked into the existing “track, isolate and treat standard TB public health model” that they cannot acknowledge the reality that President Obama’s mass importation of unscreened for TB illegal alien children has already destroyed their life’s work.
 My intent in writing the column was to provide “The Hand Book for the Coming TB Epidemic” for parents and public employee union shop stewards in the Border Patrol, Public Schools, and other State/Local Health Care/emergency 1st responder communities to give them all a template to push the transition from the “made obsolete as a result of stupid public policy” — See Obama’s DACA executive orders — “track, isolate and treat” public health model to a mass vaccination model.
 Public employee unions have a huge dog in the fight against this coming TB epidemic and the Open Border policy that is creating it. Telling them how to avoid watching their children suffer a tortured agonizing death from TB is serving the general public’s interest as well as the unions.
 I owe my 6-year old, 2 year old and 2-month old children that much and more.

Official TB Sources For Column:

TB Statistics
 The Big Picture

Tuberculosis (TB) Treatment

Treatment for TB Disease

Treatment of Drug-Resistant Tuberculosis

LTC Jamie Mancuso MD, MPH, “Tuberculosis in the US Military” Sept 15, 2010, Program Director, Preventive Medicine Residency Walter Reed Army Institute of Research

“The Role of BCG Vaccine in the Prevention and Control of Tuberculosis in the United States” A Joint Statement by the Advisory Council for the Elimination of Tuberculosis and the Advisory Committee on Immunization Practices, Morbidity and Mortality Weekly Report, April 26, 1996 / Vol. 45 / No. RR-4

Tuberculosis Among Nonimmigrant Visitors to U.S. Military Installations

Tuberculosis, Tuberculin Skin Test, and BCG Vaccine, Military Vaccine Agency, 1 March 2007
« Last Edit: July 11, 2014, 05:56:53 AM by rangerrebew »
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Re: America’s Impending Tuberculosis Epidemic
« Reply #1 on: July 11, 2014, 05:55:27 AM »
Remember this?

TB Patient Is Isolated After Taking Two Flights 
Published: May 30, 2007

Federal and international officials are tracking down passengers and crew members on two trans-Atlantic flights earlier this month who may have been exposed to a man infected with an exceptionally dangerous form of tuberculosis.

The male passenger flew to Paris from his home in Atlanta on May 12 on Air France 385 and arrived in Paris on May 13. He returned to the United States on May 24 after taking Czech Air 104 to Montreal from Prague. The man drove into the United States that day and entered a hospital in New York City on May 25.

The man is now in an Atlanta hospital under federally enforced isolation after he was flown there from New York City on Monday in a plane owned by the Centers for Disease Control and Prevention in Atlanta.

Dr. Martin S. Cetron , an agency official, said he reached the man on his cellphone while he was in Italy to inform him that tests performed before he left for Europe showed that he had a form of tuberculosis that was extremely resistant to standard antibiotics. Dr. Cetron said that he advised the man not to take commercial flights home from Europe and that a United States Embassy would provide assistance, including examination by a tuberculosis expert.

While the agency began to explore ways to bring the man home, he flew to Montreal and drove into the United States. Then, after agency officials made contact with him, he followed their instructions to drive safely into New York without risk to the public.

The New York City health department said the man spent 72 hours in a hospital in isolation and did not interact with anyone other than trained medical workers.

The disease control agency said that because it was the first airline contact investigation for extremely drug resistant tuberculosis, it was not sure that current recommendations were adequate to determine the possible range and risk of transmission on infection.

Dr. Julie L. Gerberding, director of the C.D.C., said her agency was advising passengers on the commercial flights to be tested for tuberculosis even though they are believed to have a low risk of infection.

That appraisal was based on tests showing that the number of tuberculosis bacteria in the man’s sputum were too low to be detected but still enough to infect others. Dr. Gerberding said her agency was erring on the side of caution because the form of tuberculosis, known as XDR TB, was often fatal and a growing public health threat in many countries.

The advisory applies only to the crew members on the man’s flight and to his fellow passengers, particularly those who were seated next to him and in the two rows behind him and the two rows in front of him.

“We’re not concerned about a generic threat to travelers,” Dr. Gerberding said.

Drug-susceptible, or regular, TB and XDR TB are thought to be spread the same way. The TB bacteria become aerosols when a person coughs, sneezes, speaks or sings. The bacteria can float in the air for several hours, depending on the environment. People who breathe air containing these bacteria can become infected.

The risk of acquiring any type of TB appears to depend on several factors, such as the extent of disease in the person who is the source of the bacteria, the duration of exposure and ventilation.

People who become infected have usually been exposed for several hours or days in poorly ventilated or crowded environments. An important way to prevent the spread and transmission is by limiting an infectious person’s contact with other people. People who have a confirmed diagnosis of TB or XDR TB are placed on treatment and kept isolated until they are no longer infectious.

Contact passengers will be advised to undergo a medical evaluation and testing and then have follow-up tests 8 to 10 weeks later.

Dr. Gerberding said doctors had not determined the source of the man’s infection. Molecular fingerprints used to distinguish among bacterial strains so far do not match that of any other known case, she said. People who think they may have been exposed to TB or XDR TB can call (800) CDC-INFO for more information.

The Dept. of Health was very concerned about this but don't seem to be too concerned about the TB cases in the illegal immigrant camps.  Why not?  Why has the administration threatened people who talk about it?  What have they done with the carriers, are they still in the general milieu or are they being isolated.  I think we have a right to know - and be concerned.
« Last Edit: July 11, 2014, 06:08:00 AM by rangerrebew »
America will never be destroyed from the outside. If we falter and lose our freedoms, it will be because we destroyed ourselves. Abraham Lincoln

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Re: America’s Impending Tuberculosis Epidemic
« Reply #2 on: July 11, 2014, 06:07:02 AM »
Does the CDC scare the crap out of anyone else?

I know they do brilliant work. The doctors and researchers pretty much go at it around the clock. But they can disappear you in ways Jimmy Hoffa's killers can only dream of.
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Re: America’s Impending Tuberculosis Epidemic
« Reply #3 on: July 11, 2014, 07:43:20 AM »
if you're afraid of it, get vaccinated.  it's just that simple.

and don't blame it on illegals; it's been around the US forever.  I know because I was exposed to it in undergrad by someone who was a middle class American with pre-revolution roots.
I won't vote for Clinton, but I cannot vote for Trump.  How could I explain to my daughter why I supported a man who sees her as nothing more than a piece of meat, a piece of a$$ for him to grope for his own private pleasure.

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Re: America’s Impending Tuberculosis Epidemic
« Reply #4 on: July 11, 2014, 10:10:09 AM »
Does the CDC scare the crap out of anyone else?

I know they do brilliant work. The doctors and researchers pretty much go at it around the clock. But they can disappear you in ways Jimmy Hoffa's killers can only dream of.

You bring up a great plot for a novel EC.  But seriously, imagine the CDC going off like the IRS on people that the administration dislikes.  Just let that sink in....does anyone have any doubt that there are people working in the Obama Administration that wouldn't use any government agency - including the CDC - to advance their agenda?  I never thought of their weaponized potential before. 
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Re: America’s Impending Tuberculosis Epidemic
« Reply #5 on: July 11, 2014, 05:57:06 PM »
Blame Stephen King - The Stand. He pointed out just how easy it is to weaponize the CDC.
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