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Florida Accused of Concealing Worst Tuberculosis Outbreak In 20 Years

NotSanguine writes "The state of Florida has been struggling for months with what the Centers for Disease Control describe as the worst tuberculosis outbreak in the United States in twenty years. Although a CDC report went out to state health officials in April encouraging them to take concerted action, the warning went largely unnoticed and nothing has been done. The public did not even learn of the outbreak until June, after a man with an active case of TB was spotted in a Jacksonville soup kitchen. The Palm Beach Post has managed to obtain records on the outbreak and the CDC report, though only after weeks of repeated requests. These documents should have been freely available under Florida's Sunshine Law."

18 of 409 comments (clear)

  1. I'm going to overlook a large portion of your bias by Anonymous Coward · · Score: 5, Informative

    And, I'll also throw this in there: homeless people and the poor often are not as likely to be diagnosed, and, due to this and other reasons, aren't as likely to receive treatment. Oh, and take your ObamaCare issues somewhere where people give a shit about offtopic things like that.

  2. But of course by Weaselmancer · · Score: 5, Informative

    Of course it's all Obama's fault. Even though Rick Scott(R) closed the last TB hospital 3 months after a report from the freaking CDC came out detailing the outbreak.

    But hey! Don't let the facts get in the way of your Fox news deluded rant.

    --
    Weaselmancer
    rediculous.
  3. Florida TB hospital closed too by riverat1 · · Score: 5, Informative

    Florida just closed down it's only state hospital specializing in tuberculosis cases on July 2nd. Bad timing.

    Report: Fla closed TB hospital as cases spiked

    1. Re:Florida TB hospital closed too by girlintraining · · Score: 5, Insightful

      Florida just closed down it's only state hospital specializing in tuberculosis cases on July 2nd. Bad timing.

      Timing had nothing to do with it. It was politics. That's the problem with cutting back on social programs: They stabilize the quality of life for the general population. Take them away, and they're now subject to the random, chaotic, and violent twists of unbridled capitalism. And combine poor economic conditions with an outbreak of plague... and if you don't have any social support programs, well... grab a mirror so you can properly bend over and kiss your ass goodbye.

      It's the same thing with unemployment insurance and food stamps, and other forms of economic assistance; During times of economic prosperity, these services go largely unused, so they can stockpile funding for periods of economic downturn, and in so doing, moderate the highs and lows inherent in a capitalist system. What's even stupider about this: All the social programs, health care, welfare, unemployment insurance... all of it, would be amply funded without costing a single taxpayer dollar if during those aforementioned periods of economic prosperity, the unused funding for those programs was diverted into investments. Spain has a robust social security program; Every person in the country is guaranteed social security. You know how much they pay into the system for that? Nothing. Nodda.

      Short term thinking, people. It'll fuck you every time.

      --
      #fuckbeta #iamslashdot #dicemustdie
  4. Editorial Review: An Introductory Guide by American+AC+in+Paris · · Score: 5, Insightful

    Dear Editors and NotSanguine,

    When you copy and paste an entire paragraph from a linked source without actually citing that source as the author of said material, you're committing plagiarism. NotSanguine did not write this blurb; Muriel Kane of Raw Story did.

    Respect authorship.

    --

    Obliteracy: Words with explosions

    1. Re:Editorial Review: An Introductory Guide by Anonymous Coward · · Score: 5, Insightful

      Exactly, if you quote an article you should put quotation marks around the text and link to the original source. Wait...

  5. worst tuberculosis outbreak in 20 years by jklovanc · · Score: 5, Insightful

    I hate relative terms when there is no indication as to what the term is relative to. For example, if the second worst outbreak in the last 20 years involved 80 people then this one could be the worst and involve 99 people.

    What I would rather see is how important is this outbreak. The fact that it is the worst in 20 years does not mean that it is something to be concerned with. The questions to ask are as follows;
    1. How much of the population is at risk?
    2. Would spreading the information cause more harm than good. Will the populous be more frightened that necessary.

    The 13 death tole can be misleading too. Are most of the deaths in people who live on the streets, avoid contact with health facilities and have compromised immune systems. I am not saying to ignore them but health warnings would not help as they would be ignored.

    1. Re:worst tuberculosis outbreak in 20 years by Anonymous Coward · · Score: 5, Informative

      As far as population goes, tuberculosis is VERY transmissible. It doesn't usually get very far in most people, due to decent nutrition and health care, but it could. It's never good to have a very communicable disease like that hanging around waiting for something to allow it to catch on to the big leagues. Most people fend it off, but some people in poor health can succumb to it pretty easily. Anyone with a compromised immune system, poor nutrition, or just plain fighting off other diseases at the same time. It generally affects the lungs and the main problem is that when the disease is cleared from an area by the immune system, that area is replaced by scar tissue. This reduces lung capacity quite a bit. Also, it can spread to other parts of the body, and do the same thing. About 1 in 10 people who are exposed and infected progress to an active and obvious infection. The rest spread it silently. See the problem? It isn't immediately obvious or even noticeable..so the real elephant in the room is, how many more people have it than just the people that died?

  6. Political Correctness???? by voss · · Score: 5, Informative

    Whos the governor of florida? Republican Rick Scott

    Which party controls both the florida house and florida senate...Republicans

    Who voted to defund the TB hospital in Florida...Republican state legislators

    Which governor said he would not accept federal "Obamacare" funding to expend medicaid which provides TB medication ....Republican Rick Scott.

    1. Re:Political Correctness???? by Anonymous Coward · · Score: 5, Informative

      Since you turned this political, which state's unemployment rate is dropping, Florida's, and so is every other state that elected a republican governor in 2010.

      Ah, this nice quote. Literally true, perhaps, but absolutely misleading. It's funny, but this meme seems to be making its away around the noise machine of late, almost as if it was a deliberate effort.

      And then you check it out:

      In fact, we also found that the unemployment rate has fallen in every state but one (New York) in the last year, according to the U.S. Department of Labor, Bureau of Labor Statistics.

      So, in other words, despite the implication in Robitaille’s shorthand claim, there’s no apparent link between the party affiliation of the governor and a decline in the unemployment rate.

      http://www.politifact.com/rhode-island/statements/2012/jul/11/john-robitaille/former-ri-gubernatorial-candidate-john-robitaille-/

      Ouch, thanks for giving us something that's true, but misleading. It shows what you care about.

    2. Re:Political Correctness???? by demachina · · Score: 5, Insightful

      "Its not like you can'tget the TB treatement at any hospital, you can."

      The chances a privately owned hospital is going to house dozens of homeless black men, many with mental issues, for six months for a TB regimen are vanishingly small, unless the government makes them and the government picks up the staggering tab they will generate.

      You pretty much need a charity hospital or a state run hospital, which is why closing down the state run hospital that was housing the probably homeless people quarantined by court order probably caused a problem. The fact is the state run hospital probably did run up some huge bills for this kind of treatment which is why the Republican legislature and the Republican governor decided closing it was a convenient way to balance their budget. Hopefully there are other state run or charity hospitals that would pick up the slack, but since they started putting the homeless in to motels to try to force them to take the antibiotics with regular nurse visits, there is an implication that maybe the hospital facilities might not be there any more in Florida.

      Having a TB epidemic spiraling out of control is REALLY expensive, especially if you are a state that is heavily dependent on tourism.

      Just a guess but if anyone was trying to intentionally cover up this outbreak it was probably because they were worried what damage it would do their tourism industry if word got out, which it apparently just did.

      Seems kind of like a classic case of being penny wise and pound foolish. You probably should spend whatever it takes to control a TB outbreak, and catch it early, because the consequences of it spreading, and the damage it can do to your economy once it spreads, and the news of it spreads, is enormous.

      --
      @de_machina
  7. Re:Political correctness in action by Black+Parrot · · Score: 5, Insightful

    How about fuck you, anonymous. Too many people equate liberal with liberty when, in fact, the opposite is quite the case - they're a mutually exclusive arrangement.

    Only if you're using the FOX notions of what liberal and liberty mean.

    The more that people see this, the better off this country will be. Not that Repubs are much better, but they are. Libertarian is the way.

    Libertarians are just Republicans who aren't pretending to be on a Mission from God.

    Don't like my opinions or what I post, use your mod points or stfu.

    Or maybe reply? But no, your notion of "liberty" is "my way or the highway".

    --
    Sheesh, evil *and* a jerk. -- Jade
  8. Re:Political correctness in action by demachina · · Score: 5, Interesting

    Uh, this article indicates 11 people were quarantined in Florida under court order last year to treat TB. If the people involved are willing to self quarantine at home and take the meds its preferred to not quarantine because its very expensive and punishing to people who are victims, not perpetrators of anything. In this case the outbreak was a worst case scenario because it was among homeless people, the first case being a schizophrenic, who can't self quarantine, can't get good health care, and about whom most people could care less.

    A problem seems to be the Republicans who control Florida closed the hospital where TB cases were quarantined. They've apparently been putting the infected homeless in motels as an alternative which isn't the greatest idea since they will come in contact with a lot of people, but it is less bad than homeless shelters and wandering the streets. They are trying to send nurses around to make them take the antibiotics, so it helps they are in a fixed location, but still.

    Duval County is historically Republican, though its pretty evenly divided now. Florida has been under Republican governors since 1999, The legislature has been Republican dominated since the mid 90's.

    Its incredibly pointless sit here and play our stupid partisan game on this issue, but if any party is to blame it would probably be the Republicans.

    To be honest /. discourse in particular, and in America in general, is getting so sickening its getting hard to read, and the posts tonight just reaffirms. A very sad and disturbing crisis turns in to another round of shrill partisan trolling and you, jmorris, always seem to be the right wing ring leader kicking it off. There are some left wing ring leader that don't particularly help but they pale in comparison to you.

    It would probably be better if we all stopped being Democrats and Republicans, and started being Americans, and start working on ways to fix our inceasingly screwed up country. In particular our government is going broke at all levels, large numbers of our fellow citizens are going broke, we can't seem to provide even basic services that most would take for granted in the world's supposedly richest and most powerful country, a very small number people are getting fabulously wealthy and most of them apparently could care less if their country is unraveling around them as long as life in the gated communities is still good.

    --
    @de_machina
  9. Not the only outbreak. by Areyoukiddingme · · Score: 5, Interesting

    Tuberculosis isn't the only disease making a comeback this year. Pertussis is also coming back.

    Across the United States, 8,159 provisional pertussis cases have been reported to the CDC as of May 5, 2012, representing an 87 percent increase compared to the same time period in 2011. Pertussis cases reached epidemic levels in Washington state this year, and cases are trending high in Arizona, Colorado, Indiana, Ohio, Missouri, New York, Pennsylvania, Texas and Wisconsin.

    From MarketWatch.

    So fear not. If you've been coughing for weeks, it may only be whooping cough, which does little or no damage to your lungs, instead of tuberculosis, which can do major damage to your lungs.

    Also, if you're coughing, do your best to get into a meeting with your CEO/CTO/CFO/VP/etc. Really, any major corporate officer will do. Biological warfare is a fine answer to class warfare.

  10. Re:I'm going to overlook a large portion of your b by glassware · · Score: 5, Informative

    You're completely delusional. My relatives in Ireland, England, and Australia have much better healthcare than we have here in the US. They don't have to waste ages filling out forms; they just get care because they are citizens. And you know what? They pay less for their healthcare than we do.

    Yes, you heard that right: we pay as much in taxes for Medicare & Medicaid as they do for universal healthcare. Plus, on top of medicare/medicaid, we also pay private insurance. Here's a breakdown of how we pay through the nose for our stupid healthcare system.
    http://www.kff.org/insurance/snapshot/oecd042111.cfm

    We should stop paying private companies and make Medicare universal. There's no reason healthcare in the US should be so miserable. If you still want a private plan, great, but stop making me pay twice what my cousins pay.

    Oh, and by the way, Australia is not a depressed economy. And no, doctors don't consider quitting over "Obamacare". Creating a phony survey isn't the same as actually doing real work:
    http://mediamatters.org/blog/2012/07/10/comically-awful-survey-says-83-percent-of-docto/187029

  11. Re:Political correctness in action by WilliamBaughman · · Score: 5, Informative

    You have your facts wrong, but in an interesting way. We never decided that we couldn't force people into quarantine. One of the first pieces I ever read on drug resistant tuberculosis included an interview with a guy shackled to a bed in a New York hospital because he repeatedly skipped his meds. I didn't dig up that story which my quick search, but I did find this NOVA timeline. Check it out:

    • New York City detained more than 200 people who refused TB treatment in the 1990s.
    • The powers to involuntarily quarantine people were expanded after 9/11.

    And a direct quote (from the as of 2004 part):

    • The Division of Global Migration and Quarantine, part of the CDC's National Center for Infectious Diseases, controls quarantine issues in the United States today. The Division oversees eight national quarantine stationsâ"in New York, Atlanta, Miami, Chicago, Seattle, San Francisco, Los Angeles, and Honolulu. At present, federal, state, and some city health officials have the right to isolate or quarantine individuals who are ill or may become ill with a potentially lethal infectious disease.

    So we never stopped quarantining people. Anyway, political correctness has nothing to do with TB treatment, or with drug resistant strains of TB. From my readings, drug resistant TB incubates in Russian Prisons and Mexican day laborers, and in India. Given your self professed aversion to political correctness, I'm surprised you skipped over those populations and leapt to "immune compromised patients with no self control." You may have meant inmates in the aforementioned Russian prisoners, who literally have no control over their surroundings or their treatments, but it sounded like an unsubtle swipe at gay people. That part of your comment sounded an awful lot like 90s-era hate speech, which had moved from "AIDS is God actively killing homosexuals to", "HIV isn't a problem because it only kills people who lack self-control [and have un-Christian sex before marriage]". I have never heard, anywhere, that people with AIDS are contributing to drug resistant TB. If they stop taking their meds, they die.

    Lastly, you seem to be upset about "ObamaTax". That's okay. But to clarify, did you really think a government that can force people people to buy insurance couldn't already force them into quarantine? Or is the costs aspect that upsets you? Maybe you have some nuanced views, but you sure seem like a troll, so I don't mind feeding you LMGTFY links. But even if you are, I didn't want you worrying about our government not being able to quarantine people ;-)

  12. Only in USA by anared · · Score: 5, Insightful

    As a western country, USA is pretty third world

  13. Re:Political correctness in action by KevinIsOwn · · Score: 5, Insightful

    The difference being that at least I can switch the company I'm dealing with but the government is the ultimate monopoly ...

    Please do tell me how you plan to "switch the company" you're dealing with when said company is, for example, poisoning your well water through fracking, or polluting a river or the air around your house. A strict libertarian philosophy has no solution for externalities, other than hand-waving, i.e. everyone can form class-action lawsuits! Or the invisible hand will magically deal with it!

    The solution is simple: You should be wary of both corporations and government and support checks and balances on both.