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By all means, I think its important from a public health standpoint to understand the source. That doesn't mean sending an email blast to the district naming a child/teacher/parent to beat up, which unfortunately is what I think many want in these situations.
That said, it seems many here don't really understand TB. This isn't smallpox. There are still ~10,000 cases a year in the US. Exposure is not exactly rare when you think about an airborne disease impacting that many people. Deaths only occur in a small number of people who go on to develop active TB and typically occur in folks with other significant health problems that lead to compromised immune systems.
Blame immigrants if you want, but remember that it could just as easily have been some kid whose parent is a doctor at the VA. Or someone volunteering at the homeless shelter with his church group. Vaccination for TB is not the norm in the US and exposures happen. They usually cast a wide net defining exposure and unlike some other diseases this one does not typically spread like wildfire. The test is easy, relatively painless and chances are everyone involved will emerge just fine.
Practically speaking if it didn't come from bad living conditions here, it probably came from a (legal) immigrant from Africa or Asia.
Just a quick note; legal immigrants get tested for TB as part of the medical screening for a green card. I was a legal immigrant, that’s how I know. (Fortunately I had had the BCG as a child, it’s part of routine immunizations in my country of origin.)
Just a quick note; legal immigrants get tested for TB as part of the medical screening for a green card. I was a legal immigrant, that’s how I know. (Fortunately I had had the BCG as a child, it’s part of routine immunizations in my country of origin.)
Yes, but as I understand it (and I could very well be mistaken) they kind of leave that to the health systems of the respective country. And they may not test or may not test well or may outright lie for a donation to the benevolence fund. Again, I could be wrong, and this isn't a condemnation, just that as I understand it not all countries do it with the same rigor.
In any case it just as easily could have happened "organically" in the US.
Yes, but as I understand it (and I could very well be mistaken) they kind of leave that to the health systems of the respective country. And they may not test or may not test well or may outright lie for a donation to the benevolence fund. Again, I could be wrong, and this isn't a condemnation, just that as I understand it not all countries do it with the same rigor.
In any case it just as easily could have happened "organically" in the US.
Actually the vaccination and health screenings are very carefully regulated by the USG in the country where refugees or immigrants apply for visas/refugee status. The medical process can be lengthy, and only certified providers are used. These providers are vetted and monitored by the US Embassy. Chest xrays are taken and examined, and any hint of TB is looked into.
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