193 comments on DrumBeat: August 12, 2007
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193 comments on DrumBeat: August 12, 2007
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If you have designed a TB vaccination you should let the WHO know. As of now we don't have one...
Sure we do - it's just not generally used in the US.
BCG Vaccine
I work with a lot of foreign born medical personnel who have received it.
TB was eliminated from the population shortly after antibiotics were discovered.
the societal prohibition against spitting lives on however, and is especially prevalent in countries were TB exists, but is not always treated.
Google MDR tuberculosis and XDR tuberculosis.
Also, please remember that:
1. People are food to disease. Disease feeds on us. The larger the human population, the more disease will seek to eat us, the larger the disease population.
2. The more closely packed together humans are, all other things being equal, the easier it is for disease to spread.
3. Disease, our only remaining natural predators, are fought off preventively through hygiene with soap, pumped water, heated water, cooking, extermination of disease vectors (rats, mosquitos) and reactively with antibiotics, healthcare, and waste disposal. All are accomplished with cheap energy to meet the needs of 6.7 billion people.
When it becomes harder to treat or prevent infection, it won't just be a breakout of XDR TB, it will include typhoid, cholera, meningitis, flu, various hemorrhagic fevers, dysentery, hepatitis, and even plague, all of which are still being ineffectively kept in check.
How effectively will we fight disease as cheap energy declines? And how will unfolding disease outbreaks affect our ability to harness more energy?
Indeed, I think disease will have a far far bigger role to play in any sort of population reduction as the result of declining oil supplies than starvation from declining food production. Especially as third world countries become increasing urbanised, living densely in horribly unhygenic slums, it will take nothing short of a miracle to keep disease rates from skyrocketing in the coming decades. It may well be enough to keep the maximum global population as low as 8 billion (as opposed to the currently projected 9-10 billion from various organisations). While this might be better for the planet, it will be nothing short of devastating for those living in such conditions.
simply put, we wont, the couple you name (typhoid, cholera) will be the worst. dehydration is the biggest killer. Remember to bring water to a boil and then let it cool to destroy pathogens.
Uhhhhh...
I work in a hospital in Silicon Valley (not the county facility)and we are seeing an increase in TB cases.
Shortly after is the key word. TB was not entirely eliminated in all countries, however its prevalence was reduced to such an extent that the current couple generations have nil risk of contracting it. The same with smallpox. As to current trends, moving from 0 to 1 or 2 cases a year is bad(of the super duper bad TB), but compared to previous ages when sanatoriums were used to ease the suffering of thousands upon thousands I will keep the modern world thankyou.
And the Xtreme TB and super extreme drug resistent TB are caused by antibiotic administration which is not 100% effective (the same resistance eventually occurs with all bacteria)
http://en.wikipedia.org/wiki/Tuberculosis#history seems to back me up nearly 100%
this obviously only applies to countries where streptomycin is available in large amounts and cheaply to boot. wiki says 2 billion people currently have TB, with pretty much none in 1st world nations.
Smallpox and TB are not at all "the same". Smallpox has been eliminated in the population. TB has not and is actually re surging. Here. In the first world.
It is not simply antibiotic administration that causes resistance. It is also patients that are not compliant with treatment. Antibiotics are prescribed for a certain period of time for a reason, but many people stop taking them when they feel better, not realizing that the infection has not been eliminated.
You obviously don't work in the medical field, at least not clinically.
Source: World Health Organization