Tuberculosis Prevention Quotes

And so we have entered a strange era of human history: A preventable, curable infectious disease remains our deadliest. That's the world we are currently choosing.

Far more potently than any miracle medicine, relatively uncelebrated shifts in civic arrangements--better nutrition, housing, and sanitation, improved sewage systems and ventilation--had driven TB mortality down in Europe and America. Polio and smallpox had also dwindles as a result of vaccinations. Cains wrote, "The death rates from malaria, cholera, typhus, tuberculosis, scurvy, pellagra, and other scourges of the past have dwindled in the US because humankind has learned how to prevent these diseases.... To put most of the effort into treatment is to deny all precedent.

Prevention strategies saw faster progress. The widespread phenomenon of cows infecting humans with tuberculosis decreased with the advent of tuberculin-based testing of cow herds alongside the pasteurization of milk.

Children fell under wagon wheels and were crushed to death or crippled for life. They wandered off into the tall grass and were never seen again. Occasionally they were abducted by Native Americans. Much more frequently they drowned when swept away by rivers their families were trying to ford. Drowning incidents were so common, in fact, that some mothers wrote their children’s names in indelible ink on labels and sewed the labels into their children’s clothes. It didn’t prevent them from drowning, but it sometimes allowed a grieving mother to identify a body that had been in the water too long. Children were bitten by rattlesnakes, struck by lightning, trampled by unruly oxen or horses, pummeled by hailstones as large as turkey eggs, and shot by the nearly daily accidental discharges of the guns that their fathers carried. They died of measles, diphtheria, whooping cough, influenza, tuberculosis, typhoid fever, malaria, infected cuts, food poisoning, mumps, and smallpox. Perhaps the only break that mothers on the Platte River Road had that summer was that it wasn’t yet 1849, when Asiatic cholera would kill thousands along this same stretch of trail, the graves in some places averaging one every two hundred feet.

Accordingly, the present generation is beginning to learn and will realize more thoroughly as time wears on that the fatalistic idea with regard to contagious and infectious disease is absolutely erroneous and that many so-called unavoidable diseases are positively preventable. It is not true each individual must run the gamut of measles, scarlet fever, whooping cough, diphtheria, tuberculosis and the like if proper precautionary measures be taken at the outset. Sunshine, fresh air, wholesome nutrition, exercise, rest and the hygienic mode of living are far more effectual than all the subsequent medication in existence.{304}

There were six hundred thousand Indian troops in Kashmir but the pogrom of the pandits was not prevented, why was that. Three and a half lakhs of human beings arrived in Jammu as displaced persons and for many months the government did not provide shelters or relief or even register their names, why was that. When the government finally built camps it only allowed for six thousand families to remain in the state, dispersing the others around the country where they would be invisible and impotent, why was that. The camps at Purkhoo, Muthi, Mishriwallah, Nagrota were built on the banks and beds of nullahas, dry seasonal waterways, and when the water came the camps were flooded, why was that. The ministers of the government made speeches about ethnic cleansing but the civil servants wrote one another memos saying that the pandits were simply internal migrants whose displacement had been self-imposed, why was that. The tents provided for the refugees to live in were often uninspected and leaking and the monsoon rains came through, why was that. When the one-room tenements called ORTs were built to replace the tents they too leaked profusely, why was that. There was one bathroom per three hundred persons in many camps why was that and the medical dispensaries lacked basic first-aid materials why was that and thousands of the displaced died because of inadequate food and shelter why was that maybe five thousand deaths because of intense heat and humidity because of snake bites and gastroenteritis and dengue fever and stress diabetes and kidney ailments and tuberculosis and psychoneurosis and there was not a single health survey conducted by the government why was that and the pandits of Kashmir were left to rot in their slum camps, to rot while the army and the insurgency fought over the bloodied and broken valley, to dream of return, to die while dreaming of return, to die after the dream of return died so that they could not even die dreaming of it, why was that why was that why was that why was that why was that.

The number of ways in which their children might come to harm along the trail was staggering . . . Children fell under wagon wheels and were crushed to death or crippled for life. They wandered off into the tall grass and were never seen again. Occasionally they were abducted by Native Americans. Much more frequently they drowned when swept away by rivers their families were trying to ford. Drowning incidents were so common, in fact, that some mothers wrote their children's names in indelible ink on labels and sewed the labels into their children's clothes. It didn't prevent them from drowning, but it sometimes allowed a grieving mother to identify a body that had been in the water for too long. Children were bitten by rattlesnakes, struck by lightning, trampled by unruly oxen or horses, pummeled by hailstones as large as turkey eggs, and shot by the nearly daily accidental discharges of the guns that their fathers carried. They died of measles, diphtheria, whooping cough, influenza, tuberculosis, typhoid fever, malaria, infected cuts, food poisoning, mumps, and smallpox.

In the 1980s, Australia had a few home-grown immunisation sceptics, although the great majority of parents immunised their children. In 1996, a film-maker made a supposedly scientific documentary for the Australian Broadcasting Corporation (ABC). She interviewed people who were both pro- and anti-immunisation in equal numbers, ‘for balance’. She was pregnant with her first child, and concluded the documentary by saying that she had not yet decided whether or not to get her baby immunised. I was one of the doctors interviewed. When the documentary was shown in Australia it generated considerable debate and controversy. Two weeks later I was in Port Moresby, the capital of Papua New Guinea, and gave a presentation to the hospital about immunisation. A number of the audience told me they recognised me from the documentary, which had been shown that week on PNG television. They were puzzled as to why anyone would make such a film. Their wards were filled with children with severe tuberculosis, newborns dying from tetanus, and babies with severe rotavirus gastroenteritis, all preventable by immunisation. On their streets were people crippled forever by poliomyelitis. But Papua New Guinea did not have the money or the public health infrastructure to deliver vaccines effectively to its population. Papua New Guineans knew vaccines could prevent the devastating diseases they saw every day, and could not understand why anyone in Australia would dream of not immunising their child. Immunisation scepticism is very much a first-world problem.

This table only counts physical health effects due to disruptions that took place in the Illusion of Control phase. It considers both short-run and long-run effects. Each of the claimed effects is based on a published study about that effect. First on the list is the disruption to vaccination programs for measles, diphtheria, cholera, and polio, which were either cancelled or reduced in scope in some 70 countries. That disruption was caused by travel restrictions. Western experts could not travel, and within many poor countries travel and general activity were also halted in the early days of the Illusion of Control phase. This depressive effect on vaccination programs for the poor is expected to lead to large loss of life in the coming years. The poor countries paying this cost are most countries in Africa, the poorer nations in Asia, such as India, Indonesia and Myanmar, and the poorer countries in Latin America. The second listed effect in the table relates to schooling. An estimated 90% of the world’s children have had their schooling disrupted, often for months, which reduces their lifetime opportunities and social development through numerous direct and indirect pathways. The UN children’s organisation, UNICEF, has released several reports on just how bad the consequences of this will be in the coming decades.116 The third element in Joffe’s table refers to reports of economic and social primitivisation in poor countries. Primitivisation, also seen after the collapse of the Soviet Union in the early 1990s, is just what it sounds like: a regression away from specialisation, trade and economic advancement through markets to more isolated and ‘primitive’ choices, including attempted economic self-sufficiency and higher fertility. Due to diminished labour market prospects, curtailed educational activities and decreased access to reproductive health services, populations in the Illusion of Control phase began reverting to having more children precisely in those countries where there is already huge pressure on resources. The fourth and fifth elements listed in the table reflect the biggest disaster of this period, namely the increase in extreme poverty and expected famines in poor countries. Over the 20 years leading up to 2020, gradual improvements in economic conditions around the world had significantly eased poverty and famines. Now, international organisations are signalling rapid deterioration in both. The Food and Agriculture Organisation (FAO) now expects the world to have approximately an additional 100 million extremely poor people facing starvation as a result of Covid policies. That will translate into civil wars, waves of refugees and huge loss of life. The last two items in Joffe’s table relate to the effect of lower perinatal and infant care and impoverishment. Millions of preventable deaths are now expected due to infections and weakness in new mothers and young infants, and neglect of other health problems like malaria and tuberculosis that affect people in all walks of life. The whole of the poor world has suffered fewer than one million deaths from Covid. The price to be paid in human losses in these countries through hunger and health neglect caused by lockdowns and other restrictions is much, much larger. All in the name of stopping Covid.

Recognized as a highly esteemed physician in Public Health, Dr. Sundari Mase is lauded for her significant contributions to Tuberculosis prevention. Honored with the Rotary Club Award and acknowledged among America's Top Doctors, her commitment to public health resonates with her fervor for creating a meaningful global impact.

In Nigeria, the Global Fund to Fight AIDS, Tuberculosis and Malaria has granted US$74 million so far for HIV, all of it for work with the ‘general population’. Nigeria gets large slabs from PEPFAR, too, US$105 million in 2006 and rising; 90 per cent of the prevention money was going to ‘general population’ interventions.4 ‘Youth’ is an especially popular focus for prevention efforts in Nigeria, even though HIV tests in several thousand recent graduates from technical college showed that just 1.2 per cent were infected–hardly a sign of an epidemic that is out of control among young people in the general population. Meanwhile, Nigeria has a vibrant sex industry. I can’t say how vibrant because the national programme has until now more or less ignored commercial sex. In a national survey in 2003, 3 per cent of men said they visited a prostitute in the last year, so that would be 1.2 million clients right there, and the probable total is a lot higher.5 There are no estimates of how many women sell sex, and there’s no routine HIV surveillance among sex workers. Sporadic studies are not encouraging. In 2003, 21 per cent of sex workers in the western city of Ibadan and 48 per cent in nearby Saki were infected with HIV.6 Of course, we don’t have a clue how much HIV is spread in sex between men in Nigeria, because no one has asked–the first studies got underway only in 2007. Scattered assessments in drug injectors in eight Nigerian cities in the early 2000s showed that they were as yet no more likely to be infected with HIV than non-injectors, which suggests that there’s still a chance to prevent a major epidemic in this group.7 But how much of the millions of dollars sloshing around for HIV prevention in Nigeria is being spent on drug injectors? As of mid-2007, none.

Society was not a "social pyramid" with the proportion of rich to poor sloping gently from one class to the next. Instead, it was more of a "social arrow"- very fat at the bottom where the mass of men live, and very thing at the top where sit the wealthy elite. Nor was this effect by chance; the data did not remotely fit a bell curve, as one would expect if wealth were distributed randomly. It is a social law, he wrote: something "in the nature of man. That something, though expressed in a neat equation, is harsh and Darwinian, in Pareto's view. At the very bottom of the wealth curve, he wrote, men and women starve and children die young. In the broad middle of the curve all is turmoil and motion: people rising and falling, climbing by talent or luck and falling by alcoholism, tuberculosis, or other forms of unfitness. At the very narrow top sit the elite of the elite, who control wealth and power for a time-until they are unseated through revolution or upheaval by a new aristocratic class. There is not progress in human history. Democracy is a fraud. Human nature is primitive, emotional, unyielding. The smarter, abler, stronger, and shrewder take the lion's share. The weak starve, lest society become degenerate: One can, Pareto wrote, "compare the social body to the human body, which will promptly perish if prevented from eliminating toxins." Inflammatory stuff-and it burned Pareto's reputation. At his death in 1923, Italian fascists were beatifying him, republicans demonizing him. British philosopher Karl Popper called him the "Theoretician of totalitarianism.

This shift is reflected in the changing causes of death over the last century. In 1900 in the United States, the top-three killers were infectious diseases: pneumonia, tuberculosis, and diarrheal disease.34 Now, the killers are largely lifestyle diseases: heart disease, cancer, and chronic lung disease.35 Is this simply because antibiotics have enabled us to live long enough to suffer from degenerative diseases? No. The emergence of these epidemics of chronic disease was accompanied by dramatic shifts in dietary patterns. This is best exemplified by what’s been happening to disease rates among people in the developing world over the last few decades as they’ve rapidly Westernized their diets.

Source: Centers for Disease Control and Prevention. 2010. Establishing a Holistic Framework to Reduce Inequities in HIV, Viral Hepatitis, STDs, and Tuberculosis in the United States.

And so we have entered a strange era of human history: A preventable, curable infectious disease remains our deadliest.

And so we have entered a strange era of human history: A preventable, curable infectious disease remains our deadliest. That’s the world we are currently choosing. But we can choose a different world. In fact, we will choose a different world.

And so we have entered a strange era of human history: A preventable, curable infectious disease remains our deadliest. That’s the world we are currently choosing.

Johnson & Johnson would later say, “It is false to suggest—as some recently have—that our patents are being used to prevent access to SIRTURO (bedaquiline), our medicine for MDR-TB.” But I would challenge them to look into Isatu’s eyes and tell her that J&J’s price gouging had nothing to do with a medicine funded primarily by the public being unavailable to the most vulnerable members of that public.

But in order for this minor medical intervention to occur, so many systems had to work in my favor: I needed healthcare access, of course—in my case, a health insurance program that pays for basic preventative care like vaccines. I needed to live in a community with twenty-four-hour electricity, so that the tetanus shot could remain cold and not lose its efficacy. I needed a system that could efficiently and reliably transport not just the shot itself, but also the gloves worn by the nurse who did my injection. I needed to live in a community with an education system strong enough to train nurses and doctors. Ultimately, what I needed was not just a tetanus shot but an entire set of robust systems to work perfectly in concert with each other—a phenomenon that ought not be a luxury in our world of abundance, and yet still somehow is.

In denying HIV treatment to the poor, the reasons cited—patients couldn’t be trusted to take their medication on time, better to focus on prevention and control—were the same as we’ve seen with TB. In 2001, the head of USAID—the U.S. government’s arm devoted to international aid —had this to say about making antiretroviral treatment accessible to the poor: “If we had [HIV medicines for Africa] today, we could not distribute them. We could not administer the program because we do not have the doctors, we do not have the roads…[Africans] do not know what watches and clocks are. They do not use western means for telling time. They use the sun. These drugs have to be administered during a certain sequence of time during the day and when you say take it at 10:00, people will say, ‘What do you mean by 10:00?’ ” We see here that the racist dehumanization of African people is not only part of nineteenth and twentieth century history. Racism continues to distort our policies and practices. And just as with previous examples of racism, it proved to be totally false. In point of fact, a 2007 study found that Africans were more likely to adhere to HIV/AIDS treatment regimens than North Americans.