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Incidentally, I tested + on a TB test before (have Abs). I was offered treatment, but declined. A lot of TB infections are asymptomatic in healthy individuals, and only a problem in immunocompromised people.
Even though there is a theory that once you had a TB infection, it can live in your body in some latent phase, and spring up later and cause severe disease, I'm not convinced looking at the evidence that's the case normally.
I and my brother both tested positive, many many years ago. It's latent and it's highly likely it will always be. I asked about the medication (although I know it is a pain, very long term) at my physical a few years ago and my doc said there was no need. Unless you meet certain criteria, they typically don't treat it.
There are some fairly unpleasant side effects from the treatment, and it is a long-term treatment so many people don't even complete it.
"It is not recommended that everyone with latent TB infection (LTBI) should have TB treatment. Rather that certain “target” groups should receive treatment. The main “target” groups considered by the World Health Organisation (WHO) to be most at risk from progressing from latent to active TB include people in low TB burden countries:
who have had recent contact with an infectious patient;
with silicosis;
infected with both TB and HIV;
who have been or who are in prison;
who are immigrants to a low burden country from a high burden country;
who are homeless;
who are an illicit drug user;
who have certain clinical conditions, or conditions which compromise their immune system, such as people with diabetes, and people with chronic renal failure.
In high TB burden countries the populations that are most strongly recommended for the treatment of latent TB infection are people living with HIV, and children under five who are household contacts of pulmonary TB cases."
I and my brother both tested positive, many many years ago. It's latent and it's highly likely it will always be. I asked about the medication (although I know it is a pain, very long term) at my physical a few years ago and my doc said there was no need. Unless you meet certain criteria, they typically don't treat it.
There are some fairly unpleasant side effects from the treatment, and it is a long-term treatment so many people don't even complete it.
"It is not recommended that everyone with latent TB infection (LTBI) should have TB treatment. Rather that certain “target” groups should receive treatment. The main “target” groups considered by the World Health Organisation (WHO) to be most at risk from progressing from latent to active TB include people in low TB burden countries:
who have had recent contact with an infectious patient;
with silicosis;
infected with both TB and HIV;
who have been or who are in prison;
who are immigrants to a low burden country from a high burden country;
who are homeless;
who are an illicit drug user;
who have certain clinical conditions, or conditions which compromise their immune system, such as people with diabetes, and people with chronic renal failure.
In high TB burden countries the populations that are most strongly recommended for the treatment of latent TB infection are people living with HIV, and children under five who are household contacts of pulmonary TB cases."
Interesting.
I wasn’t aware guidelines had changed. Back when this happened to me (late 90s) they were pushing treatment on everyone. Glad to know my common sense is one step ahead of their clinical judgment
Immunity acquired from a Covid infection is as protective as vaccination against severe illness and death, study finds
The immunity generated from an infection was found to be “at least as high, if not higher” than that provided by two doses of an mRNA vaccine. By Akshay Syal, M.D.
Immunity acquired from a Covid infection provides strong, lasting protection against the most severe outcomes of the illness, according to research published Thursday in The Lancet — protection, experts say, that’s on par with what’s provided through two doses of an mRNA vaccine.
Infection-acquired immunity cut the risk of hospitalization and death from a Covid reinfection by 88% for at least 10 months, the study found.
Protection from past infection against re-infection from pre-omicron variants was very high and remained high even after 40 weeks. Protection was substantially lower for the omicron BA.1 variant and declined more rapidly over time than protection against previous variants. Protection from severe disease was high for all variants.
Immunity acquired from a Covid infection is as protective as vaccination against severe illness and death, study finds
The immunity generated from an infection was found to be “at least as high, if not higher” than that provided by two doses of an mRNA vaccine. By Akshay Syal, M.D.
As long as you didn't die from the initial infection, you are good to go. I'm glad that many people have resistance, however they got it. Widespread immunity is good for us all.
"There's this story that we're going to have variants that are progressively less severe," says Dr. Roby Bhattacharyya, who's an infectious disease specialist at Massachusetts General Hospital and Harvard Medical School.
But that's completely untrue, Bhattacharyya says. "It's comforting to think there might be some tendency for SARS-CoV-2 to evolve toward a milder form. That's not what we're seeing here."
...The second question has been whether Omicron and its subvariants are more likely than their predecessors to cause severe disease. While there is more to learn about the latest variants, experts are hoping prior immunity will be of some help.
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