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New York City Has Biggest Tuberculosis Spike in 26 Years
Medscape Medical News ^ | March 27, 2018 | Marcia Frellick

Posted on 03/29/2018 4:21:22 PM PDT by libertydoc

New York City had 613 verified cases of tuberculosis (TB) in 2017, up 10% from 556 the year before, the largest spike in 26 years, according to a new report by the city's Department of Health and Mental Hygiene.

The department said it was the first increase since 2003 and the largest rise since 1992, but offered no specific explanation.

However, the department stated in a press release announcing the increase that the city's budget to fight and treat tuberculosis has been cut in half in the past decade.

14 Patients Have Multidrug-Resistant TB Fourteen of the 613 patients had multidrug-resistant (MDR) TB. MDR tuberculosis was defined as resistant to isoniazid and rifampin, the two most effective TB drugs. One of the patients had extensive drug resistance and five were classified as one drug away from that level of resistance. The Centers for Disease Control and Prevention defines extensive drug resistance to TB as resistance to rifampicin and isoniazid in addition to any fluoroquinolone and at least one injectable second-line drug.

As previously reported by Medscape Medical News, drug-resistant TB strains have been a growing threat worldwide. According to the World Health Organization, more than half a million new cases of multidrug-resistant TB are detected each year.

Health Commissioner Mary T. Bassett, MD, MPH, said in the press release, "Tuberculosis is a deadly, yet curable disease. The Health Department is the leading provider of tuberculosis care in New York City, and we are concerned about these new data."

The release continues, "While the current City administration has maintained funding for TB control efforts, over the last decade, New York City's TB budget has been halved, including a staggering 65 percent reduction in federal funds. These funding cuts have resulted in reduced clinical services, decreased public health activities, and significantly reduced staffing."

In a letter to colleagues included with the latest TB report, Joseph N. Burzynski, MD, MPH, assistant commissioner of the Bureau of Tuberculosis Control, writes, "TB cases were identified in almost every neighborhood in NYC in 2017 and the disease continues to affect patients across races, nationalities, ages and income levels."

The report notes that 106 New York City healthcare facilities reported at least one TB case, but 49% of all cases were reported by 14 sites.

Largest Age Group 18-44 The largest cluster by age was in the 18-44 group, which had 41% of the cases. The next highest were 45-64 (31%), 65 and older (24%), and 0-17 (3%).

Among those with TB, 86% were born outside the United States and came from 75 countries. The most common countries of birth were China (116), the United States (83), Mexico (42), India (38), and Ecuador (36).

Among the patients born in the United States, non-Hispanic blacks had the largest numbers of TB cases at 43%, followed by Hispanics (28%), and non-Hispanic whites (19%).

Most of the cases (80%) had a pulmonary site of infection and most (83%) had a positive culture.

New York City has tracked deaths attributable to TB in the city for more than a century. In 1960 there were 824 deaths from tuberculosis (10.6 per 100,000 population) and in 2015, the last year for which data were available, there were 20 TB deaths (0.2 per 100,000).

However, much more work needs to be done, Mark Harrington, executive director of Treatment Action Group, an advocacy group whose agenda includes better treatment and prevention of TB, said in the press release.

"All New Yorkers should know where these unwise budget cuts to our TB program will lead us," Harrington says. "Savage cuts to TB programs in the 1980s led to a deadly outbreak of multi-drug resistant tuberculosis, hundreds of avoidable deaths, and thousands of unnecessary cases of difficult-to-treat TB. Citizens, activists, public health officials, and political leaders must unite to ensure that New York's TB program is fully funded and can provide the high-quality preventive, diagnostic, and treatment services which will save thousands of lives."


TOPICS: Culture/Society; Government; News/Current Events; US: New York
KEYWORDS: healthcare; immigration; tb
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"The largest cluster by age was in the 18-44 group, which had 41% of the cases. The next highest were 45-64 (31%), 65 and older (24%), and 0-17 (3%).

Among those with TB, 86% were born outside the United States and came from 75 countries. The most common countries of birth were China (116), the United States (83), Mexico (42), India (38), and Ecuador (36)."

Typical liberal response: The problem of course is not enough funding for healthcare.

How about focusing on the true issue: immigration.

1 posted on 03/29/2018 4:21:22 PM PDT by libertydoc
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To: libertydoc

An ounce of prevention is worth a pound of cure.


2 posted on 03/29/2018 4:23:48 PM PDT by DuncanWaring (The Lord uses the good ones; the bad ones use the Lord.)
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To: libertydoc

...How about focusing on the true issue: (Illegal)immigration...

More to come like Polio and other diseases eradicated here.


3 posted on 03/29/2018 4:26:21 PM PDT by Sasparilla ( I'm Not Tired of Winning)
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To: libertydoc

Maybe they need more Illegal Aliens?


4 posted on 03/29/2018 4:29:22 PM PDT by eyeamok (Tolerance: The virtue of having a belief in Nothing!)
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To: DuncanWaring

“New York City had 613 verified cases of tuberculosis (TB) in 2017, up 10% from 556 the year before, the largest spike in 26 years,,,”

Good, good. My wish is that it is specific to democrats.


5 posted on 03/29/2018 4:30:01 PM PDT by Bonemaker (invictus maneo)
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To: libertydoc

“”Typical liberal response: The problem of course is not enough funding for healthcare.
How about focusing on the true issue: immigration.””

Too easy...must study the problem first; form a commission; de Blazio must hold press conferences while more and more illegals pour into our country. No problem. Let’s corral them all into New York City!!!


6 posted on 03/29/2018 4:31:48 PM PDT by Thank You Rush
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To: Thank You Rush

We are in danger of losing our country because of the illegal alien invasion.


7 posted on 03/29/2018 4:38:26 PM PDT by Boardwalk
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To: libertydoc

Ain’t diversity grand?


8 posted on 03/29/2018 4:41:27 PM PDT by Noumenon (It isn't racist if it's true, is it?)
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To: libertydoc

Import the Third World, and import Third World diseases.


9 posted on 03/29/2018 4:41:58 PM PDT by sergeantdave (Teach a man to fish and he'll steal your gear and sell it)
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To: libertydoc

I’m not saying it’s Aliens,
But, it’s Aliens!


10 posted on 03/29/2018 4:46:09 PM PDT by lee martell
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To: libertydoc

Communist subversives quickly recognized that the stupid were easily duped into thinking that the inscription on the Statue of Liberty is actual immigration law.


11 posted on 03/29/2018 4:48:21 PM PDT by SpaceBar
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To: libertydoc
"Savage cuts to TB programs in the 1980s led to a deadly outbreak of multi-drug resistant tuberculosis, hundreds of avoidable deaths, and thousands of unnecessary cases of difficult-to-treat TB.

BS

Drug resistant bacteria come from patients who do not follow the drug regimen. As in they do not complete the course of anti-biotics and do not return for a follow up with the doctor.

You don’t make drug resistant microbes unless you are getting a drug.

12 posted on 03/29/2018 4:59:42 PM PDT by Pontiac (The welfare state must fail because it is contrary to human nature and diminishes the human spirit.L)
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To: libertydoc

And I thought the bedbugs were bad!


13 posted on 03/29/2018 5:07:16 PM PDT by Dr. Ursus
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To: libertydoc
Big MUMPS outbreak in a few counties in Pa. Heard this AM health officials suggests attendees to a Mexican Dance Festival seek their doctors help if they have signs of the contagious illness.
14 posted on 03/29/2018 5:07:51 PM PDT by Doogle (( USAF.68-73..8th TFW Ubon Thailand....never store a threat you should have eliminated)))
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To: libertydoc

You might want to read that line again - there is a patently obvious mistake !

Roflol

Look for ‘United States’


15 posted on 03/29/2018 5:09:57 PM PDT by Pikachu_Dad ("the media are selling you a line of soap")
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To: Doogle
http://www.philly.com/philly/health/mumps-outbreaks-reported-in-philadelphia-region-most-linked-to-delaware-dance-party-20180328.html?mobi=true
16 posted on 03/29/2018 5:12:53 PM PDT by Doogle (( USAF.68-73..8th TFW Ubon Thailand....never store a threat you should have eliminated)))
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To: libertydoc

Just one of the consequences of populating your town with freeloading illegal aliens. Deal with it.


17 posted on 03/29/2018 5:13:17 PM PDT by FlingWingFlyer (#NotARussianBot)
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To: libertydoc
Nothing shows your commitment to diversity, multi-culturalism and inclusion
better than sharing a third world disease with your new friends from some
s**thole country you never heard of before with a name you can't pronounce.


18 posted on 03/29/2018 5:22:04 PM PDT by Iron Munro (If Illegals voted Republican 66 Million Democrats Would Be Screaming "Build The Wall!")
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To: libertydoc

I do not say this with glee—instead with a heavy heart; but who would be surprised if the Almighty brought a plague on this wicked nation for its many sins? We have turned our backs on Him. We celebrate the denigration of His day, we have shattered the family, marriage and children. Private property rights are not respected. Religious freedom is at the whim of government. Scripture is mocked. Judeo-Christian ethics are hated in the halls of academe, the courts and our literature. Entertainment is a cesspool.

So, should God visit this land with incurable disease there would be little surprise.

People of God, if that happens we are not called to scream viciousness at our neighbors. We ARE called to do what our ancient brothers and sisters did—go to the hurting and love them. The body of Christ grew as it embraced the dying and the broken, as He did for us.


19 posted on 03/29/2018 5:22:29 PM PDT by SoFloFreeper
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To: libertydoc

Must have let through the people at Ellis Island that were turned back at one time.


20 posted on 03/29/2018 5:28:10 PM PDT by Old Yeller (Auto-correct has become my worst enema.)
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