Tuesday, November 18, 2014

Now 2 people have died from Ebola in the U.S., 12 from EV-D68

TB is a much more serious disease than Ebola, accounting for 1.3 million deaths worldwide. In 2010, foreign-born persons accounted for 60% of all TB cases diagnosed in the United States, as compared to 47% of all TB cases in 2000. The number of states with at least 50% of TB cases occurring among foreign-born persons has increased from 21 states in 2000 to 33 states and the District of Columbia in 2010. The TB case rate was 1.2 per 100,000 for U.S.-born persons and 15.6 for foreign-born persons, and Asians have the highest rate of all groups in the U.S. Foreign-born Hispanics and Asians together represented 79% of TB cases in foreign-born persons, and accounted for 51% of the national case total. From 2009 through 2013, the top five countries of origin of foreign-born persons with TB were Mexico, the Philippines, India, Vietnam and China   (CDC)



As we fret over one more death from Ebola in the U.S., there have been 9,000 from CRE, Carbapenem-resistant Enterobasteriaceae. It's highly lethal for the elderly, debilitated, and children with critical illnesses. There are guidelines to reduce its transmission in hospitals, but few have adopted them. 94% of the cases are related to health care.




http://www.jstor.org/stable/10.1086/677157#af1  “Rising Rates of Carbapenem-Resistant Enterobacteriaceae in Community Hospitals: A Mixed-Methods Review of Epidemiology and Microbiology Practices in a Network of Community Hospitals in the Southeastern United States,” Infection Control and Hospital Epidemiology, vol 32, no.8, Aug. 2014

12 children have now died of a respiratory polio like illness whose numbers are unusually high as thousands more children came across the border than years before. CDC assures us there is no relationship. Just a coincidence.




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