Saturday, September 09, 2006

Forced hospitalization

Ever since the mentally ill got the right to wander and defecate on our streets as homeless people, I've been waiting for the problem of drug resistant TB to come up.
You see, homeless people are at risk, since too often they are just given medincine and told to take it...and they don't so the TB becomes resistant. And of course some have HIV from shooting drugs.

The link is to a South Africa article that merely asks about forcing treatment.

However, drug resistant TB can't be treated except in the way it was treated in the "good old days": rest, isolation, and diet.

Both my husband and I have been treated for TB (He had a full blown case during the war, and Streptomycin cured him). And I am old enough to remember the closing of the TB hospitals...

And I have treated many cases in Africa...and because of the experience, have diagnosed a few cases in the IHS.

In the IHS (Indian Health Service) we hospitalized for several weeks until non infectious then we sent nurses to give the medicine to their homes. And both the state and IHS cooperated in followup to make sure the medicine was taken.

About twenty years ago, an employee at the cafeteria in the US Congress gave about 100 people TB...luckily they were treated. But what happens when someone with untreatable TB starts working as a cook, or spread it in the subway?

Typhoid Mary, call your office...they want you to stop working as a cook...

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