America’s Impending Tuberculosis Epidemic

(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
Ӣ Isolation and
Ӣ Negative pressure room ventilation
 
3.Personal protective equipment controls
Ӣ 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.

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A Fairly Well-Organized Enterprise

The year of 1862 was a perilous one for those residents of Texas who had opposed the institution of chattel slavery, opposed secession, and finally opposed being forcibly drafted into defending the Confederacy with military service. It was especially perilous for those who were leaders in the various German communities in San Antonio, and in the tidy, well-organized hamlets in the Texas Hill country, those men who had not thought it necessary to guard their tongues when it came to discussing matters political and social. After all, many of them had come from the various German duchies and kingdoms during the two decades previous, deliberately shaking off the dust of the old country and embracing the new one with with passionate enthusiasm. They assumed they had left behind repression, censorship, authoritarian rule, required military service and economic stagnation. They had gained political freedom, good farmland, every kind of economic opportunity … even just the freedom to be left alone, to amuse themselves with harmless cultural pursuits such as competitive choral singing, nine-pin bowling, and community theater.

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2008 statement on NATO expansion from then Senator Clinton:

I enthusiastically welcome the January 11 letter from Ukrainian President Viktor Yushchenko, Prime Minister Yuliya Tymoshenko, and Verkhovna Rada Chairman Arsenii Yatsenyuk to NATO Secretary General Jaap de Hoop Scheffer, which outlines Ukraine’s desire for a closer relationship with NATO, including a Membership Action Plan. Like Ukraine’s leaders, I hope that important steps toward reaching these goals will be made at the NATO summit in Bucharest in early April. I applaud the fact that Ukraine aspires to anchor itself firmly in the trans-Atlantic community through membership in NATO and look forward to working with Ukrainians and Ukrainian-Americans to reach that goal.
 
Since the earliest days of Ukrainian independence, the strategy of the United States has always been to respect and support the Ukrainian people’s democratic choices in shaping their future. Ukraine has been and remains an extremely important partner for the United States, and I take great pride in Ukraine’s contributions to our common goal of building a Europe that is whole and free, peaceful and prosperous.
 
When I traveled to Ukraine in 1997, I visited a memorial to the victims of Communist repression in Lviv, and made a commitment to the Ukrainian people on behalf of the United States: “In your fight for freedom, your fight for democracy, the American people will stand with you.” In recalling that commitment more than ten years later I applaud the immense contributions that Ukrainian-Americans have made to our country and the indispensable role they have played in broadening and deepening the bonds between the United States and Ukraine. I have been greatly impressed by the courage of the Ukrainian people as they emerged from decades of Soviet oppression and as they have experienced both victories and struggles on the path to democracy and freedom.
 
I have worked for more than 15 years to strengthen the U.S.-Ukraine relationship and help improve the lives of Ukrainians. Even before my first visit to Kyiv in 1995, I supported health care programs for Ukraine, including partnerships between hospitals in the United States and Ukraine and airlifts of critical pharmaceuticals and other medical supplies. After hearing pleas from Ukrainian women in 1997 to help combat human trafficking, which had become a growing problem in Ukraine, I helped initiate an international effort to combat trafficking, including several programs specifically to help Ukraine. In 1996, I organized a 10th anniversary White House commemoration of the Chornobyl disaster and, as honorary chair of Chornobyl Challenge ’96, committed to continuing support for humanitarian efforts on behalf of those who suffer severe health consequences from the tragedy. I was honored to receive the Children of Chornobyl’s Relief Fund Lifetime Humanitarian Achievement Award in 1999 for my work in helping to improve the health of women and children in Ukraine. As Senator I traveled to Ukraine in 2005 and met with President Yushchenko and offered the U.S. government’s support for reform efforts to strengthen Ukraine’s democracy.
 
The United States has always favored the closest possible ties between NATO and Ukraine, including the creation of the NATO-Ukraine Council. We have always insisted on an open door policy for European democracies that want to join the Alliance. The enlargement of NATO is not directed against any state; NATO does not see any nation as its enemy. I pledge to support Ukraine’s efforts to meet the criteria for MAP and eventual membership. The United States should actively encourage our NATO Allies to deepen their own ties with Ukraine, a country that has broken with an authoritarian past and pursues good relations with all its neighbors. Ukraine deserves a chance to pursue its aspirations for a wider role in the Euro-Atlantic community. In the same spirit, I call on the Bush Administration to give Ukraine all the support it needs to complete its accession to the World Trade Organization.
 
As President, I will ensure that the United States does everything necessary to help Ukraine realize these important and achievable goals.

– Hillary Clinton

Statement from Senator Hillary Clinton on Ukrainian Membership in NATO
January 28, 2008 (From The American Presidency Project)

Give Me Land, Lots of Land

This would appear to be the new theme song for the Fed-Gov’s Bureau of Land Management that bane of ranchers like Cliven Bundy as well as a whole lot of other ranchers, farmers, loggers, small landowners, and owners of tiny bits of property on the edge of or in areas of spectacular natural beauty, west of the Mississippi and between the Mexican and Canadian borders.

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Harbingers

I’ve been surfing my usual internet hangouts over the last week or so in between working on various editing, formatting and sales projects for the Tiny Publishing Bidness so although I did surf, and read and observe reports on a number of different and rather disturbing events I didn’t have time to write anything about them until after I had finished the biggest of the current projects on my plate.

The biggest of them was the new-old range war of the Bundy ranch. I suppose that technically speaking, the Fed Gov had some small shreds of technical justification in demanding grazing fees … but the longer one looked at the whole of L’affaire Bundy, the worse it looked … which is doubtless why the Fed Gov backed down. A tactical retreat, of course; The optics of a shoot-out between the minions of the Fed Gov and the various Bundy supporters would not have been good, for Harry Reid and his clan and friends most of all, although they may eventually act seeing that they have a position which will be at risk by tolerating defiance.

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