Growing drug resistance
According to the report, approximately 20% of TB cases globally are estimated to be resistant to at least one of the first- or second-line anti-TB drugs, and 5% are resistant to both isoniazid and rifampicin, the most powerful and commonly used antibiotics in first-line treatment. Of the estimated 480,000 cases of multidrug-resistant (MDR) TB, approximately 10% are either extensively drug-resistant (XDR)—with additional resistance to second-line drugs—or totally drug resistant.While TB is curable when patients adhere to the treatment regimen, MDR- and XDR-TB are more problematic. Treatment options are limited, expensive, and often toxic, and drug therapy can last up to 2 years. The report estimates mortality rates of around 40% for MDR-TB and 60% for XDR-TB. And while China, India, Russia, and South Africa have the highest burden of MDR- and XDR-TB, widespread international travel and migration means drug-resistant TB has no borders.Although shorter treatment regimens and new drugs are providing hope for some MDR- and XDR-TB patients, the authors of the report say the fight against drug-resistant TB has to be fought on several fronts. “Addressing drug-resistant tuberculosis requires an urgent and concerted effort to manage the disease and prevent onward transmission with sustained research to develop and assess new tools,” the authors write.
Source: Report warns of rise in drug-resistant tuberculosis | CIDRAP
The European Centre for Disease Prevention and Control (ECDC) released a risk assessment on yellow fever yesterday, noting a new case of travel-associated disease in a person from the Netherlands. This is the fourth case reported in Europeans who had recently traveled to South America in the past 8 months.The traveler had recently returned from Suriname, a former Dutch colony on the northwestern coast of South America. The patient had traveled to Suriname in February and March, and the case was reported to the National Institute for Public Health and the Environment (RIVM) in the Netherlands on Mar 9.The three other recent yellow fever cases in Europeans with a history of travel to South America include two French nationals who visited several endemic areas of Peru and a Danish citizen got sick in Bolivia after visiting yellow fever endemic areas in the Amazon basin.
Source: ECDC reports spike in yellow fever from South America travel | CIDRAP
CDC adds 4 nations to Zika travel guidanceThe CDC announcement adds Angola, Guinea-Bissau, Maldives, and Solomon Island to a long list of countries on its travel advisory. For all four, public health officials are reporting that mosquitoes infected with Zika virus are spreading the disease to people.The CDC’s Angola and Maldives advisories includes maps showing parts of the country that are above 6,500 feet elevation, thought to be a lower risk, because mosquitos that spread Zika don’t usually live at higher elevations.
Source: CDC expands Zika travel advisory as WHO updates risk levels | CIDRAP
Like many Republicans, DeSantis either does not know or does not care that 73 percent of Medicaid recipients do, in fact, work, or that the whole point of medical insurance is that even “able-bodied” people like Tiffany Koehler are only “able-bodied” until they are not.Neither the current GOP plan nor the potentially harsher options waiting in the wings recognize the fundamental fact that under repeal, millions of Americans will lose insurance — a life or death prospect for thousands of people.
Source: Republican lawmaker says cancer patients can go to the ER for health care – Shareblue
Environmental Protection Agency head Scott Pruitt said that there needs to be more debate about whether carbon dioxide is a primary driver of global warming and that “I would not agree that it’s a primary contributor to the global warming that we see.”
Source: E.P.A. Head Scott Pruitt Falsely Asserts That Carbon Dioxide Is Not A Primary Cause Of Climate Change: Gothamist
Six people have been sickened—two fatally—in a four-state listeriosis outbreak that began last September and has been traced to soft raw milk cheese made by Vulto Creamery of Walton, N.Y., which has issued a recall, federal officials said today.The outbreak strain of Listeria monocytogenes is known to cause serious, life-threatening disease.Deaths in Connecticut, VermontListeria specimens were taken from two of the patients in September, one in October, and the other three in January, the Centers for Disease Control and Prevention (CDC) said in its first statement on the outbreak today.Half of the patients are from New York, while Connecticut, Florida, and Vermont have each reported one case. All case-patients required hospitalization. The patients in Connecticut and Vermont died.
Source: Six ill, 2 dead in Listeria outbreak tied to Vulto soft cheese | CIDRAP
As of 3 March 2017, yellow fever virus transmission continues to expand towards the Atlantic coast of Brazil in areas not deemed to be at risk for yellow fever transmission prior to the revised risk assessment, supported by the scientific and technical advisory group on geographical yellow fever risk mapping (GRYF), and published by WHO in the Disease Outbreak News of 27 January 2017, and on the WHO International Travel and Health website on 31 January 2017 and 14 February 2017.
Source: WHO | Yellow fever – Brazil
Alex Jones—a red-faced screaming sack of flesh who thinks the Obama administration faked the Sandy Hook massacre so they could take away Americans’ guns and now has the ear of the President of the United States—was the subject of a sprawling profile in German news magazine Der Spiegel today. At some point, the reporter had lunch with Jones, who was dressed like this:
Source: This Interview With Shirtless Alex Jones Will Ruin Your Day: Gothamist