Thursday, May 28, 2009

How does one die from tuberculosis

How does one die from tuberculosis?
I know that there is a cure for the disease, but how do you die from the disease? What are the affects on the body, not the symptoms, but what does it actually do to the body?
Infectious Diseases - 2 Answers
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1 :
If you go onto this website it gives a lot of answers about tuberculosis. http://www.dhpe.org/infect/tb.html
2 :
"Progression from TB infection to TB disease occurs when the TB bacilli overcome the immune system defenses and begin to multiply. In primary TB disease—1–5% of cases—this occurs soon after infection.[1] However, in the majority of cases, a latent infection occurs that has no obvious symptoms[1]. These dormant bacilli can produce tuberculosis in 2–23% of these latent cases, often many years after infection.[82] The risk of reactivation increases with immunosuppression, such as that caused by infection with HIV. In patients co-infected with M. tuberculosis and HIV, the risk of reactivation increases to 10% per year



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Sunday, May 24, 2009

Will testing positive for Tuberculosis make insurance more expensive or difficult to get

Will testing positive for Tuberculosis make insurance more expensive or difficult to get?
I am wondering if a positive result on a skin PPD test will impact health insurance even if the patient does not develop an active TB infection.
Infectious Diseases - 2 Answers
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1 :
Yes it can. If you have any kind of disease, or test positive for certain things, have high blood pressure or high cholesterol, you can end up paying a lot more for insurance premiums. Many companie will not even insure you.
2 :
A positive PPD shouldn't disqualify you if you took the prophylactic treatment to keep from developing TB and you can prove that. Were you contacted by the Public Health Department and followed up? If so, you should be able to get a statement from them regarding your status. If not, have your doctor write something up for you delineating your status. If you didn't take the prophylaxis then possibly you will have to deal with the higher premiums. It depends on your insurance. Hope that helps



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Wednesday, May 20, 2009

What are the risks of being exposed to a Tuberculosis CARRIER

What are the risks of being exposed to a Tuberculosis CARRIER?
She didn't have TB....but she is a "carrier." What should I do? Should I be tested? If so, when?
Infectious Diseases - 3 Answers
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1 :
OMG yes get to see a Doc. right away it is highly contagious
2 :
Go see a doctor quickly
3 :
Yes you need to be tested right away


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Saturday, May 16, 2009

How are people with tuberculosis treated

How are people with tuberculosis treated?
How often do they have to go to the doctor?Do they get specific medicine?
Infectious Diseases - 4 Answers
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1 :
they get antibiotics and are on them for an extended period of time
2 :
some one with TB gets one, sometimes two very specific medications and they have to be taken for six months. They need to see the doctor monthly for blood tests and after six months they need another chest xray.
3 :
Here some information: http://health.yahoo.com/infectiousdisease-treatment/tuberculosis-tb-treatment-overview/healthwise--hw207467.html
4 :
Gotta love that CDC! This is from their website (cdc.gov): "How Do You Get Tested for TB? There are two tests that can be used to help detect TB infection: a skin test or a special TB blood test. The Mantoux tuberculin skin test is performed by injecting a small amount of fluid (called tuberculin) into the skin in the lower part of the arm. A person given the tuberculin skin test must return within 48 to 72 hours to have a trained health care worker look for a reaction on the arm. The special TB blood test measures how the patient’s immune system reacts to the germs that cause TB. What Does a Positive Test for TB Infection Mean? A positive test for TB infection only tells that a person has been infected with TB germs. It does not tell whether or not the person has progressed to TB disease. Other tests, such as a chest x-ray and a sample of sputum, are needed to see whether the person has TB disease. What is Bacille Calmette-Guérin (BCG)? BCG is a vaccine for TB disease. BCG is used in many countries, but it is not generally recommended in the United States. BCG vaccination does not completely prevent people from getting TB. It may also cause a false positive tuberculin skin test. However, persons who have been vaccinated with BCG can be given a tuberculin skin test or special TB blood test. Why is Latent TB Infection Treated? If you have latent TB infection but not TB disease, your doctor may want you to take a drug to kill the TB germs and prevent you from developing TB disease. The decision about taking treatment for latent infection will be based on your chances of developing TB disease. Some people are more likely than others to develop TB disease once they have TB infection. This includes people with HIV infection, people who were recently exposed to someone with TB disease, and people with certain medical conditions. How is TB Disease Treated? TB disease can be treated by taking several drugs for 6 to 12 months. It is very important that people who have TB disease finish the medicine, and take the drugs exactly as prescribed. If they stop taking the drugs too soon, they can become sick again; if they do not take the drugs correctly, the germs that are still alive may become resistant to those drugs. TB that is resistant to drugs is harder and more expensive to treat. In some situations, staff of the local health department meet regularly with patients who have TB to watch them take their medications. This is called directly observed therapy (DOT). DOT helps the patient complete treatment in the least amount of time. Additional Information CDC. Questions and Answers About TB



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Tuesday, May 12, 2009

How did smallpox and tuberculosis effect prehistoric people

How did smallpox and tuberculosis effect prehistoric people?
I need to know about how they got it, how it effected the population and how it spread to other countries
Infectious Diseases - 2 Answers
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1 :
We don't know for sure what effect these diseases had, but these diseases probably killed people most of the time. Some people must have acquired enough immunity to the diseases to survive or humans would have disappeared from Europe. Small pox and TB transmission require very close contact with other infected people. Consequently, people in large groups are more likely to come into contact with infected people than people that live in small groups. This type of disease tends to cause boom or bust cycles of epidemics, where epidemics break out when population density becomes high, and the disease becomes very rare after the population is reduced by the disease. You would need to know the social structure of prehistoric populations and their migratory behavior to know how things spread from one group to another, or to other countries. Its obvious from written history that prehistoric people spread the disease within the Eastern Hemisphere, but not to the Western Hemisphere, since these diseases quickly wiped out many native people in North, Central, and South America after Europeans began arriving in the 1400's
2 :
Where and when TB first became present in unknown! In humans but appears to of been present for several thousands of years, Ancient Hindu texts 3,oooBP called this Ragarajthe king of disease and Rajayakshma the disease of kings. This emphasize that this disease is a killer of many the second name stressed this strikes indiscriminately and effects kings as well as ordinary people. In 1881 a doctor Robert Kouch found the organism that causes TB. Some believed the cattle spread this disease, and humans got this by eating the flesh and drinking the milk from these cattle.This was 7000 years ago. Where smallpox came from is unknown as well.Some believe it originated in Africa.Then spread to India and China thousands of years ago. The first recorded smallpox epidemic was in 1350 BC during Egyptian -Hittite War. It then went to Europe by 5th -7th centuries, then was present in North Amercia by 18th century At one time this disease wasin all countrys except Austrila. India had a breakout of smallpox around the 400AD mark, in Europe more around the 581 AD by 1000 AD doctors were getting to know what was causing all this.This was a painful suffering and dying disease.They started to treat people in India. The doctors would take pus from a sore of a person who was infected and rub this pus into a persons arm with a sore or cut so this would enter there system as well. In China the doctors would blow powered smallpox scabes up a persons nose to infect them at least that's what they thought would happen But to all of this treatments and studies IT Worked as a vaccine This all became common use in China,India and Islamic world, but Europe still had no clue for a vaccine.In the 1500s People from Europe were going to Africa and back well one person decided they needed a slave so brough one back from Africa, This man had smallpox.People got sick and died this got real bad nearly all humans were either sick or dying or dead from this smallpox in South and North Amercia In the 1700s people in England got news of the vaccine methord and started to do as well In 1997 the last case was in Somalia. (East Africa



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Friday, May 8, 2009

If you were to walk into an old Tuberculosis hospital, is there any possibility of infection

If you were to walk into an old Tuberculosis hospital, is there any possibility of infection?
For example, if I were to walk around in an old TB hospital, would there be any chance of me getting TB myself? Or would the time deteriorate any chance of infection?
Infectious Diseases - 1 Answers
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No likely, because tb is contracted by person to person via droplets



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Monday, May 4, 2009

Tuberculosis treatment requires multiple drugs administered over a long period of time because

Tuberculosis treatment requires multiple drugs administered over a long period of time because?
A. spores are difficult to treat B. tuberculosis is a virus C. patients don't like the medicine D. the organisms reside in granulomas
Infectious Diseases - 1 Answers
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D: The organisms reside in granulomas




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Friday, May 1, 2009

what project about tuberculosis can be implemented in a community in an urban setting

what project about tuberculosis can be implemented in a community in an urban setting?
i'm a post graduate intern at a hospital in manila anf i've been assigned to a certain community. i've been asked to do a project proposal on an infectious disease, preferably PTB. but i'm having trouble deciding which topic i should tackle or what type of activity i should do. previous batches have done lectures on screening and on PPD.
Community Service - 1 Answers
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1 :
Look here for ideas of turberculosis-related communications campaigns: http://www.comminit.com/en


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