6 ms·

TB was basicallty gone from the US. Until we accepted millions of unscreened people from outside the US where TB was more common.

deleted 2y ago
[deleted]
badgersnake 2y ago
People travel, and being sick does not stop them. Testing does not always stop them. We learned this from the rapid spread of Covid across the globe. Unless you plan to lockdown the country entirely, preventing people traveling is not an effective approach.
- zpeti 2y ago
  Ah yes. People didn’t travel before 2020, and that’s why we didn’t have TB back then.
- Dig1t 2y ago
  https://pmc.ncbi.nlm.nih.gov/articles/PMC2746906/#:~:text=Most%20tuberculosis%20(TB)%20cases%20in,timely%20access%20to%20health%20services https://pmc.ncbi.nlm.nih.gov/articles/PMC2746906/#:~:text=Mo.... >Most tuberculosis (TB) cases in the US are diagnosed in foreign-born persons, and undocumented foreign-born may face particular barriers to timely access to health services.
- shrubble 2y ago
  It's not "people traveling" as this phrase is commonly understood, that is the issue; it's "relocation of 5% of a small country's population (Nicaragua for example) into the USA".
- jvanderbot 2y ago
  When leaving the USA, getting TB vaccine is highly recommended and (at least in my experience) free and easy. I think it's fairly clear GP meant folks coming into the USA, and not for short periods, from areas that are not able to supply vaccines regularly. This very well might be an issue. UNICEF and other aid organizations work dilligently to eradicate TB and other poverty-adjacent diseases, so perhaps individuals and the US Gov should increase their aid to other nations.
BirAdam 2y ago
Eh. My mother had TB as a kid and lost her childhood best friend to it. Homegrown Americans in a rather pale area.
HarryHirsch 2y ago
TB is a disease of poverty, it doesn't spread that easily, but the risk goes up for people in overcrowded living situations and for those who are chronically malnourished. It's not a great surprise that one would find TB in cross-border migrants, but it's an indictment of the system that the disease continues to spread over here. Next up: lepra, also caused by a mycobacterium
- zabzonk 2y ago
  > lepra, also caused by a mycobacterium yup, and also due to those pesky immigrants! oh, but wait! it is actually endemic among native armadillos (USA) and native red squirrels (UK) - you almost never see a red squirrel in the UK, so don't worry.
082349872349872 2y ago
If that were true, other countries would have the same experience. We have ~20% immigrant population, yet TB cases have been decreasing since at least 2016. (rates since at least 2009?) Why do you think your hypothesis would be stronger than TFA's?
tzs 2y ago
Here are number of TB cases in the US and rate/100k from 1953 through 2023. I don't see any time in there were it was basically gone. year cases rate/100k 2023 9615 2.9 2022 8331 2.5 2021 7870 2.4 2020 7171 2.2 2019 8895 2.7 2018 8997 2.8 2017 9069 2.8 2016 9239 2.9 2015 9538 3.0 2014 9381 2.9 2013 9513 3.0 2012 9906 3.2 2011 10471 3.4 2010 11069 3.6 2009 11491 3.7 2008 12943 4.3 2007 13276 4.4 2006 13720 4.6 2005 14053 4.8 2004 14498 5.0 2003 14835 5.1 2002 15054 5.2 2001 15946 5.6 2000 16309 5.8 1999 17494 6.3 1998 18288 6.6 1997 19753 7.2 1996 21212 7.9 1995 22727 8.5 1994 24207 9.2 1993 25105 9.7 1992 26673 10.4 1991 26283 10.4 1990 25701 10.3 1989 23495 9.5 1988 22436 9.2 1987 22517 9.3 1986 22768 9.5 1985 22201 9.3 1984 22255 9.4 1983 23846 10.2 1982 25520 11.0 1981 27373 11.9 1980 27749 12.2 1979 27669 12.3 1978 28521 12.8 1977 30145 13.7 1976 32105 14.7 1975 33989 15.7 1974 30122 14.1 1973 30998 14.6 1972 32882 15.7 1971 35217 17.0 1970 37137 18.1 1969 39120 19.3 1968 42623 21.2 1967 45647 23.0 1966 47767 24.3 1965 49016 25.2 1964 50874 26.5 1963 54042 28.6 1962 53315 28.6 1961 53726 29.2 1960 55494 30.7 1959 57535 32.4 1958 63534 36.3 1957 67149 39.0 1956 69895 41.4 1955 77368 46.6 1954 79775 48.9 1953 84304 52.6 Source: https://www.cdc.gov/tb/statistics/reports/2022/table1.htm https://www.cdc.gov/tb/statistics/reports/2022/table1.htm for 1953 through 2022. 2023 added from https://www.cdc.gov/mmwr/volumes/73/wr/mm7312a4.htm https://www.cdc.gov/mmwr/volumes/73/wr/mm7312a4.htm

deleted 2y ago

[deleted]

badgersnake 2y ago

People travel, and being sick does not stop them. Testing does not always stop them. We learned this from the rapid spread of Covid across the globe. Unless you plan to lockdown the country entirely, preventing people traveling is not an effective approach.

zpeti 2y ago
Ah yes. People didn’t travel before 2020, and that’s why we didn’t have TB back then.
Dig1t 2y ago
https://pmc.ncbi.nlm.nih.gov/articles/PMC2746906/#:~:text=Most%20tuberculosis%20(TB)%20cases%20in,timely%20access%20to%20health%20services https://pmc.ncbi.nlm.nih.gov/articles/PMC2746906/#:~:text=Mo.... >Most tuberculosis (TB) cases in the US are diagnosed in foreign-born persons, and undocumented foreign-born may face particular barriers to timely access to health services.
shrubble 2y ago
It's not "people traveling" as this phrase is commonly understood, that is the issue; it's "relocation of 5% of a small country's population (Nicaragua for example) into the USA".
jvanderbot 2y ago
When leaving the USA, getting TB vaccine is highly recommended and (at least in my experience) free and easy. I think it's fairly clear GP meant folks coming into the USA, and not for short periods, from areas that are not able to supply vaccines regularly. This very well might be an issue. UNICEF and other aid organizations work dilligently to eradicate TB and other poverty-adjacent diseases, so perhaps individuals and the US Gov should increase their aid to other nations.

BirAdam 2y ago

Eh. My mother had TB as a kid and lost her childhood best friend to it. Homegrown Americans in a rather pale area.

HarryHirsch 2y ago

TB is a disease of poverty, it doesn't spread that easily, but the risk goes up for people in overcrowded living situations and for those who are chronically malnourished. It's not a great surprise that one would find TB in cross-border migrants, but it's an indictment of the system that the disease continues to spread over here. Next up: lepra, also caused by a mycobacterium

zabzonk 2y ago
> lepra, also caused by a mycobacterium yup, and also due to those pesky immigrants! oh, but wait! it is actually endemic among native armadillos (USA) and native red squirrels (UK) - you almost never see a red squirrel in the UK, so don't worry.

082349872349872 2y ago

If that were true, other countries would have the same experience. We have ~20% immigrant population, yet TB cases have been decreasing since at least 2016. (rates since at least 2009?) Why do you think your hypothesis would be stronger than TFA's?

tzs 2y ago

Here are number of TB cases in the US and rate/100k from 1953 through 2023. I don't see any time in there were it was basically gone. year cases rate/100k 2023 9615 2.9 2022 8331 2.5 2021 7870 2.4 2020 7171 2.2 2019 8895 2.7 2018 8997 2.8 2017 9069 2.8 2016 9239 2.9 2015 9538 3.0 2014 9381 2.9 2013 9513 3.0 2012 9906 3.2 2011 10471 3.4 2010 11069 3.6 2009 11491 3.7 2008 12943 4.3 2007 13276 4.4 2006 13720 4.6 2005 14053 4.8 2004 14498 5.0 2003 14835 5.1 2002 15054 5.2 2001 15946 5.6 2000 16309 5.8 1999 17494 6.3 1998 18288 6.6 1997 19753 7.2 1996 21212 7.9 1995 22727 8.5 1994 24207 9.2 1993 25105 9.7 1992 26673 10.4 1991 26283 10.4 1990 25701 10.3 1989 23495 9.5 1988 22436 9.2 1987 22517 9.3 1986 22768 9.5 1985 22201 9.3 1984 22255 9.4 1983 23846 10.2 1982 25520 11.0 1981 27373 11.9 1980 27749 12.2 1979 27669 12.3 1978 28521 12.8 1977 30145 13.7 1976 32105 14.7 1975 33989 15.7 1974 30122 14.1 1973 30998 14.6 1972 32882 15.7 1971 35217 17.0 1970 37137 18.1 1969 39120 19.3 1968 42623 21.2 1967 45647 23.0 1966 47767 24.3 1965 49016 25.2 1964 50874 26.5 1963 54042 28.6 1962 53315 28.6 1961 53726 29.2 1960 55494 30.7 1959 57535 32.4 1958 63534 36.3 1957 67149 39.0 1956 69895 41.4 1955 77368 46.6 1954 79775 48.9 1953 84304 52.6 Source: https://www.cdc.gov/tb/statistics/reports/2022/table1.htm https://www.cdc.gov/tb/statistics/reports/2022/table1.htm for 1953 through 2022. 2023 added from https://www.cdc.gov/mmwr/volumes/73/wr/mm7312a4.htm https://www.cdc.gov/mmwr/volumes/73/wr/mm7312a4.htm