episodic
Lifer
- Feb 7, 2004
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Originally posted by: dullard
I wouldn't go that far.Originally posted by: episodic
Amused - the whole rise of drug resistant TB is directly linked to AIDS. . . surely you don't deny that? The guy there even works in the field. . .
I believe that the rise of drug-resistant TB is mostly due to economics. To successfully treat standard TB, you need 6-12 months of drugs. Skip one day and the chance of developing multidrug-resistant TB (MDR-TB) skyrockets. And since there is a good chance for single drug-resistant TB (it requires as little as one DNA base mutation), people are usually prescribed a drug cocktail. For example, you can take pills for Rifampin and Isoniazid for a year and probably control your TB (generally you just put it into the inactive form in your body instead of truely eradicating it). The thing is, people in resource-poor nations can barely afford one day of a drug cocktail, let alone a year. The number of people that stay on the proper drug treatment course is very small.
If you have MDR-TB, then the next line of drugs require daily injections. Think 6-12 months in the hospital. Tell me, how many resource-poor citizens can afford that? Virtually none. Skip some of your medications there and you now have a great chance of developing XDR-TB (extensively or extremely drug-resistant). When that happens, you pretty much die. There are a few drugs left, but no one in resource-poor nations can afford them.
AIDS may play a role here, but economics plays a far bigger role. Also human nature plays a bigger role, it is easy to forget or purposely skip a pill (especially if the drug cocktail makes you feel awful).
But, like I said above, someone with HIV and drug-resistant TB is probably NOT making food in your restaurants. It isn't something that I'd fear.
That is the reason I said I'd still eat there.
If you want to go economics - in most countries the AIDS crisis could also be linked to economics as well. Most crisis like this do boil down to that . . .