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Kansas tuberculosis outbreak is America's largest recorded since the 1950s

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Re: Kansas tuberculosis outbreak is America's largest recorded since the 1950s

#371

Earlier quoted context omitted.

[flagged]

I saw that, and that wasn't a "Nazi salute". Any and all publications and pundits/influencers declaring it as such are wholly disingenuous and should be ashamed of themselves. The sensationalizing was a textbook example of taking things out of context and projecting your(the Left's) own biases. If you can't understand that, let me put it in simpler terms: That was a "My heart goes out to you!" salute and I am happy f…

What he did was identical to a classic nazi sieg heil, right down the forcefulness.

https://imgur.com/UFrmbJs

Let's not forget when the convention stage was exactly (not almost) an odal rune.

https://auschwitz.info/en/welcome/announcements/artikel/lese...

“The Party told you to reject the evidence of your eyes and ears. It was their final, most essential command.”

― George Orwell, 1984

One thing you could do to see what other people think the same is to video yourself doing this exact motion, then send it to your co workers telling them your heart goes out to them.

Re: Kansas tuberculosis outbreak is America's largest recorded since the 1950s

#372

Earlier quoted context omitted.

If the president isn't responsible for the out of the ordinary executive orders he imposes, who is responsible for them?

[flagged]

Here's the comment that got downvoted:

> For anyone unaware of us government agency structure. CDC is part of the department of health and human services ( HHS ) which has also frozen everything (see the NIH news as well). > Employees have been instructed to pull publications from review, not communicate with state health departments, and cancel long planned trainings. > These decisions will well and truly kill real people.

These are the executive orders we are talking about.

Are you strong enough of a person to address this? Or must you insult people's intelligence by dishonest accusations?

Also, what does ABC have to do with anything?

Re: Kansas tuberculosis outbreak is America's largest recorded since the 1950s

#373

Earlier quoted context omitted.

From the linked UNMC article; > The outbreak involved 13 people across four households in Kansas City and spanned 1 year. While a majority of the seven adults identified were born outside the U.S. in a country that had experienced a multidrug-resistant TB outbreak with the same genotype in 2007-2009, most of the six children were U.S.-born, noted Elizabeth Groenweghe, MPH, of the Unified Government Public Health Depa…

What are the “obvious reasons?” It seems to me the obvious reasons are that the claim is that illegal immigration has been blamed for outbreaks of diseases that are relatively uncommon in the U.S. and publishing the full details would provide evidence supporting that claim. But if that is what happened, then why not publish those details? If that isn’t what happened, then why not publish those details? Facts are alwa…

Because random people on the internet deciding to target a random family suffering from a serious illness won't remotely help anything. Regardless of the immigration status of the family, they'll be targeted as if they were illegal (even though their kids were explicitly born in the US and are obviously Americans) and the vitriol will ensure their community is less safe.. the ensuing media freakout will make sure that other infected communities are much less likely to turn up to hospitals when they have communal infections, almost guaranteeing the next outbreak will spread further.

Remember the "illegal haitians are eating our cats" bullshit from last summer? When they absolutely weren't and they were all legal refugees anyway? Then the future President weighed in and said the US should deport them anyway?

Re: Kansas tuberculosis outbreak is America's largest recorded since the 1950s

#374

Not being from the US, I find it odd that the article didn't mention anything about vaccination. Until 2005, pretty much everyone in the UK received the BCG vaccine. After that the TB rate fell too low to merit routine vaccination, but even today it's still given routinely in a few areas where the rate merits it, or if there's elevated risk of exposure via family from abroad, etc. Has vaccination in general become su…

You got the BCG vaccine in the UK? Are you sure?

I got it when I was a toddler in the late 80s and I still remember the excruciating pain and have the scar to show for it.

I grew up in the third world. I have never met a Westerner with this scar unless they got it in the sixties.

Re: Kansas tuberculosis outbreak is America's largest recorded since the 1950s

#375

Earlier quoted context omitted.

"Recorded history" in the title refers to the period of history where the agency has been recording the numbers. It might not be the best phrasing, but it's not strictly untrue; the underwritten thesis (TB is on the rise) is still supported by the evidence.

"recorded history" sounds like it's how you divide pre-colonial Americas from modern (15th Century CE onward) Americas. For example, many weather features have been recorded in the Americas since 17th century CE. Does "recorded history" refer to only "[this particular metric's] recorded history"?

I agree that it's not the best term, but I don't think its so disqualifying that it makes the claim untrue: it's misleading at worst, and that imprecision only kinda interacts with the underlying claim.

I guess the better phrasing would be "Kansas tuberculosis outbreak is largest since (org) has been collecting data", which honestly doesn't change the implications for me.

Re: Kansas tuberculosis outbreak is America's largest recorded since the 1950s

#376

Not being from the US, I find it odd that the article didn't mention anything about vaccination. Until 2005, pretty much everyone in the UK received the BCG vaccine. After that the TB rate fell too low to merit routine vaccination, but even today it's still given routinely in a few areas where the rate merits it, or if there's elevated risk of exposure via family from abroad, etc. Has vaccination in general become su…

You got the BCG vaccine in the UK? Are you sure? I got it when I was a toddler in the late 80s and I still remember the excruciating pain and have the scar to show for it. I grew up in the third world. I have never met a Westerner with this scar unless they got it in the sixties.

As a British millennial, I got it at school, I guess sometime in the 90s. Still have the scar

Re: Kansas tuberculosis outbreak is America's largest recorded since the 1950s

#377

Not being from the US, I find it odd that the article didn't mention anything about vaccination. Until 2005, pretty much everyone in the UK received the BCG vaccine. After that the TB rate fell too low to merit routine vaccination, but even today it's still given routinely in a few areas where the rate merits it, or if there's elevated risk of exposure via family from abroad, etc. Has vaccination in general become su…

You got the BCG vaccine in the UK? Are you sure? I got it when I was a toddler in the late 80s and I still remember the excruciating pain and have the scar to show for it. I grew up in the third world. I have never met a Westerner with this scar unless they got it in the sixties.

Yes, I'm sure, and have the scar on my arm to show for it. Everyone in my school had it. Would have been around 1980.

Re: Kansas tuberculosis outbreak is America's largest recorded since the 1950s

#378
post #275

Earlier quoted context omitted.

Digging up people's comments from unrelated threads* starts to cross into personal attack. Please don't do that here. https://news.ycombinator.com/newsguidelines.html * edit: I mean for use as ammunition in an argument. It's not that you're wrong—it's just that the cost (to the intended spirit of the site) outweighs the benefit (being right in an argument).

TBH this idea that each comment should stand individually on its (including HN's downplaying of the usernym with grey) seems like it contributes to some of the problems with modern discourse. When someone I know says something challenging, I know the context they're coming from, what I do agree with them on, what skills of theirs I respect, etc. Whereas message board comments are just tiny slivers of information with…

Oh for sure. There's nothing wrong with people getting to know each other, and their views, by reading through past comments.

It's just not in the intended spirit of HN to track down contradictions and use them as gotchas in arguments. That's a narrower point. I've added an edit to the GP comment to clarify that.

Re: Kansas tuberculosis outbreak is America's largest recorded since the 1950s

#379
post #62
post #3

Earlier quoted context omitted.

> It is treatable with antibiotics. Treating it casually has led to widespread resistance. https://en.wikipedia.org/wiki/Multidrug-resistant_tuberculos... https://en.wikipedia.org/wiki/Extensively_drug-resistant_tub... > People with an active infection feel sick and can spread it to others, while people with a latent infection don't feel sick and can't spread it. https://www.who.int/teams/global-tuberculosis-programm…

>Treating it casually has led to widespread resistance. I have long suspected this as part of why the subject isn't much discussed, despite being more prevalent than most realize. The elephant here is (aside from latent infection) the atypically long duration of treatment, which can exceed 6 months and is harsh. Many, even otherwise responsible people, will founder before the proper end of treatment and this, I think…

A few anecdotes about TB:

I was diagnosed with a latent TB infection received from a family member back in the early 1990's as a teen. I believe city and state departments of health must've tracked the "outbreak" back but I don't think it was ever on the news or made a big deal of. By the time we were diagnosed, the family member's symptoms weren't anything worse than their typical smoker's cough and was a heavy cigarette smoker anyway, not sure how active his infection actually was at the time but he never required hospitalization, just similar antibiotics, IIRC.

I was treated with Isoniazid (known as INH, one pill daily for a year), I never felt any symptoms from the infection or side effects from INH, they monitored monthly initially with skin prick tests then chest x-rays and after the year was up, I was done. This did prevent me from donating blood a few years after the infection was cleared; I assume there are still rules in place.

Neither the latent infection nor the year long treatment were harsh. IMHO, TB's a powerful but rather slow-moving internal infectant, and it was historically ravaging because of the earlier conditions of the world and lack of medicine at that time.

Re: Kansas tuberculosis outbreak is America's largest recorded since the 1950s

#380

To me, TB is ultimate test of character. Stopping TB means you care for your common man: https://youtu.be/GFLb5h2O2Ww?t=75

I was shocked that that said 2bn people carry TB, though it seems from recent research the number is much lower https://www.iavi.org/iavi-report/upending-the-dogma-of-tb-la...

I'm surprised people put up with it when there's a vaccine.

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