Busy today, so here's my 30 seconds worth. The news media have continued to be obssessed with the XDR TB case, and as usual there's been 5% useful public education and 95% alarmist bullshit. The worst thing they have done is to pry out his identity and post his picture all over the web and the TV. Therefore I'm not going to link to any of the stories.
Yes, he probably was not very responsible in deciding to fly to Europe and back. There is a very small chance that he might have infected somebody in the process. I say a very small chance because he was not symptomatic and he was not coughing. But it's not impossible, and XDR TB would not be a very welcome gift. But treating him like a criminal, and even violating his confidentiality, is incredibly counterproductive. It's just going to mean that people who have, or suspect they may have dangerous infectious diseases aren't going to want to come forward and cooperate with public health authorities in the future.
And hey -- this guy is a white lawyer. With Lou Dobbs on the teevee every night ranting about how immigrants are infecting us all with leprosy, I expect we'll have a harder time than ever getting people to come in for HIV and TB tests and when people do test positive, we're going to have a harder time getting them into treatment. Thanks a lot CNN.
Discussion of public health and health care policy, from a public health perspective. The U.S. spends more on medical services than any other country, but we get less for it. Major reasons include lack of universal access, unequal treatment, and underinvestment in public health and social welfare. We will critically examine the economics, politics and sociology of health and illness in the U.S. and the world.
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