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Online Discussion: Tracking new emerging diseases and the next pandemic; Now tracking the Aussie Flu.

MDR TB

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dr d View Drop Down
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    Posted: January 02 2007 at 3:21pm
Tony
I can not find any referance to your comment about the airplane exposure or the epidemic.Pls provide your sites.
 
The WHO site for child health is who.int/mediacentre events/2006/q8summitvaccine
 
10.6 million children die 61% are from preventable diseases for which there are vaccines...
 
6.5 million is the number
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Dr. d.
Listen, if you want to continue to spout out inaccurate and rediculous prefabrications, be my guest Your figures are farther off than the earth is from Jupiter.

Why did you choose "MDR resistant tubercuosis" as your next topic when you are still talking vaccinations.

Regarding childhood death from lack of vaccinations, This is the 3rd vague, incomplete link you have sent me which does not lead to any page in particlular.
Perhaps you don't know how to create a full and valid link.

Once again: you "need" to go back to
www.globalhealth.org which you suggested in the first place, and you "need" to stop changing your sources to suit the "soup of the moment".

Look under Child Health and then scroll down to Routine Vaccination. It says the following:

"Vaccinating for the major childhood killers could save 1.4 million children per year."

And you know something Dr. D., I really feel sorry for those 1.4 million children that died from lack of vaccination for every disease under the sun amenable to vaccination (with no mention of influena...the bulk of the deaths are from lack of measles vaccine)..... but once again, I do not see where this whole matter fits into WHO's discussion of H5N1 vs the present mycobacterial tuberculosis (with drug resistant strains) pandemic gripping Europe and Asia (YOUR PRESENT TOPIC).

So let's you and I speak, doctor to doctor, regarding the 2 major possiblilities at the moment for a woldwide Pandemic, possibly such as 1918, that the The World Health Organization (WHO) seems exta concerned with:
either H5N1, better known as "Bird Flu" or the present MDR TB, XTB, refular TB and Bird TB (M. avium) which, as we speak has Europe and Asia already in its griip.

This is of critical importance doctor, because even World Health and the CDC will tell you that one (H5N1)is a "flu" and the other (MDR TB< XTB,regualar TB and fowl tB)is a "flu-like illness".

CDC (Center For Disease Control), maintains the following:
http://www.cdc.gov/flu/professionals/diagnosis/

"Respiratory illnesses caused by influenza viruses are difficult to distinguish from illnesses caused by other respiratory pathogens on the basis of signs and symptoms alone (see Role of Laboratory Diagnosis)"

Both illnesses in this discussions focus usually have respiratory presentation doctor.

One of the tests that must be done, of course is to rule in or rule out H5N1 But certainly we realize that these tests must be done at high-end level reference laboratories and WHO dosen't really trust many others besides its own. That might take time and time, in the face of dying patients in front of you, timne is of the essence.

I will now address the issue of how quickly MDR TB can kill and then will in another post go on to address your totally rediculoous statement that TB requires prolonged exposure to contract it. That notion is commonly believed and unfortunately was in 1918, despite the fact that "galloping consumption" was common then.It is the nature of TB epidemics to be virulent, contagious and quick killing when a strongly pathogenic strain is newly introduced into a population, it is not the indolent TB you see today in the Western World which like every other continent has gone through at least one Pandemic already. But that does not mean that a new MDR strain cannot kill us efficiently.
So for now lets handle the misconception that tB cannot kill quickly. Well let me tell you a little story, well not really a story, a slice of history, in fact,relatively recent American medical history:

Unfortunately, it was the evasive and complacent philosophy of organized medicine which, much like yourself, led to the resurgence of American TB between 1985 and 1992. In 1990, new multi-drug-resistant (MDR) tuberculosis outbreaks took place in a large Miami municipal hospital. Soon similar outbreaks broke out in three New York city hospitals, many sufferers dying within weeks (YES, I SAID WEEKS). These strains were resistant to all known anti-tB antibiotics. By 1992, approximately two years later, drug-resistant tuberculosis had spread to seventeen US states, with mini-epidemics in Florida, Michigan, New York, California, Texas, Massachusetts and Pennsylvania and was reported, by the international media, as out of control. MDR (Multi-Drug-Resistant) TB has been the focus of attention for some time and seems extremely important in a disease that killed one billion (yes, billion) people between 1850 and 1950 alone, and continues to kill, according to WHO at least 2 million humans each year and is still responsible for one death every 12 seconds worldwide.





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Post Options Post Options   Thanks (0) Thanks(0)   Quote jofg Quote  Post ReplyReply Direct Link To This Post Posted: January 03 2007 at 12:59pm
Just a friendly suggestion Tony - your message might be better recieved if delivered in a "nicer" tone. You might be a great doctor, but you need to work on your bedside manner as it were.  Smile
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Tony's message was well received by me for the truth and reality of a pandemic deserves nothing less than an upfront and honest discourse of the subject matter at hand.  Dr.d has also provided much valuable insight to the problems at hand and I welcome the input provided here from all of the valuable members contributions.  No one "expert" will provide all the answers to the many questions we will face.  I'd also hate to see any member leave because they were discouraged from voicing their viewpoints as they see fit.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote tony m Quote  Post ReplyReply Direct Link To This Post Posted: January 03 2007 at 3:33pm
Thank you Cruser:
I appreiate that my message was well received by you. My message is just what it has been since I began, when you speak of a future Pandemic, you cover all major bases and according to The World Health Organization, at this moment, there are two: H5N1 and the current MRD-TB pandemic going on in Europe and Asia
I both appreciate and respect your fairness and the integrity of what you have said.
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Thank you Jofa, I will have to work on that.
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http://www.dfw.com/mld/dfw/news/state/16396061.htm
 
Texas  ...... USA      Hi found this today searching for other info , wasn't sure which thread to post on ,forum has a few TB thread's going , scarey in Africa ....... hope its just all a may have been for all these folks . Cheers ....
 
Posted on Sat, Jan. 06, 2007
Health officials: 2,800 may have been exposed to TB
Associated Press

LUBBOCK, Texas - Concerned that about 2,800 people may have been exposed to tuberculosis at a West Texas hospital, state health officials are mailing warnings encouraging testing for the disease.

The possible exposure at Lubbock's University Medical Center occurred between September and November of last year, but the hospital was not alerted until last month. Privacy laws don't allow the hospital to name who caused the possible exposure to TB.

Hospital employees are tested for TB each year, hospital spokesman Greg Bruce.

The Texas Department of State Health Services said only people who receive the letter should be tested. The agency stressed this was not an outbreak.

"There's no immediate danger," Bruce told the Lubbock Avalanche-Journal for Thursday editions.

TB is caused by bacteria that can attack the kidney, spine and brain, according to the Centers for Disease Control and Prevention. The disease can be fatal if left untreated.

Letters are standard procedure whenever TB is reported, state health services spokesman Barry Wilson said. He noted that officials were very liberal in compiling the list of people who may have been exposed.

"Unless they've been coughing for three weeks or more, it's not something they should be overly concerned about," Wilson said. "This is really a routine procedure for us."Confused  Thats like a Monty Python movie { only a flesh wound }

Dr. Richard Lampe, the hospital's chairman of infection control, said it was doubtful that anyone exposed at UMC would show symptoms yet.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: January 05 2007 at 11:29pm
 
hi Tony...  I started a thread on TB a while back, here...
 
Several people made interesting contributions ..if you want to have a look.
 
 
 
 
Posted: 09 September 2006 at 9:20pm
good point Linda-Ann, it has been here a while...and they say -
 
"It is estimated that between (yrs) 2000 and 2020, nearly one billion people will be newly infected, 200 million will get sick, and 35 million will die from TB – if control measures are not significantly improved."
 
I agree that Who has not really got the word out to the average American on this... TB PANDEMIC...
 
I hope our members are checking this out.... I used the word Pandemic,
as they do...it's here. 
 
 
 
Projections of the future toll of the global TB pandemic are even more frightening. Currently,
it is estimated that less than half of all TB cases worldwide are diagnosed, and fewer than 60
percent of diagnosed cases are cured
. Without unprecedented efforts to improve TB control
in regions hardest hit by the disease, incidence is expected to climb steadily. Tuberculosis
will remain one of the world’s top ten causes of adult mortality in the year 2020;

 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote tony m Quote  Post ReplyReply Direct Link To This Post Posted: January 06 2007 at 4:06pm
Candles and AnnHarra:
Good, solid, constructive posts regarding a thread originally categorized by Dr. D. to explore the other side of a possilbe Pandemic coin. Very informative. We thank you.
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From UK
UK  , fingers crossed they are all negative..................
 
TB alert at primary school
SIXTY pupils at a Banbury primary school are being offered blood tests after a member of staff was diagnosed with potentially infectious tuberculosis.

The pupils, aged three to five, at St Leonard's Primary School, in Overthorpe Road, may have been exposed at the end of last year.

Parents have received letters advising them that their children can be screened for the disease which affects the lungs, by the Health Protection Agency's Thames Valley Health Protection Unit, in partnership with the school and Oxfordshire Primary Care Trust.Parents are also being advised that the children may be offered further follow-up blood tests after the initial screening.

12:00pm todayhttp://www.redhillandreigatelife.co.uk/news/overthecounter/display.var.1108794.0.tb_alert_at_primary_school.php

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: January 08 2007 at 9:20pm
 
Something has to be pretty universal before it becomes a ...phrase....
familiar to all.
 
Big Wigs.... ya'll know how old that one is.
 
and
 
"Sounds like a TB ward in here."
 
I sure hope we never get to that place again.
 
Have many seen the Avonlea show where the little girl in the family has to go away to a sanatorium?
 
A big thank you to the Gates family and Mr. Warren Buffet who are all giving their time and money to keep the world well.
.............................................................................................................
 
 
 
 
June 25, 2006

Statement on Warren Buffett’s Announcement

Bill and Melinda Gates made the following statement in response to Warren Buffett's announcement that he will give his fortune to philanthropy.
View printable version    

“We are awed by our friend Warren Buffett’s decision to use his fortune to address the world's most challenging inequities, and we are humbled that he has chosen to direct a large portion of it to the Bill & Melinda Gates Foundation.

Over the past 15 years, we have enjoyed a special friendship with Warren, and his advice has had a major influence on us. Warren has not only an amazing intellect but also a strong sense of justice. Warren’s wisdom will help us do a better job and make it more fun at the same time.

The impact of Warren’s generosity will not be fully understood for decades. As we move forward with the work, we do so with a profound sense of responsibility. Working with Warren and with our partners around the world, we have a tremendous opportunity to make a positive difference in people’s lives.”

Read more about the announcement on Fortune.com.

###
Bill & Melinda Gates Foundation
Guided by the belief that every life has equal value, the Bill & Melinda Gates Foundation works to reduce inequities and improve lives around the world. In developing countries, it focuses on improving health, reducing extreme poverty, and increasing access to technology in public libraries. In the United States, the foundation seeks to ensure that all people have access to a great education and to technology in public libraries. In its local region, it focuses on improving the lives of low-income families. Based in Seattle, the foundation is led by CEO Patty Stonesifer and Co-chairs William H. Gates Sr., Bill Gates, and Melinda French Gates.

...................................................................................................................

 
 

Sanatorium

From Wikipedia, the free encyclopedia

Jump to: navigation, search

A sanatorium (also sanitorium, sanitarium) is a medical facility for long-term illness, typically tuberculosis. A distinction was sometimes made between a "sanitarium" (a kind of health resort, as in the Battle Creek Sanitarium) and "sanatorium" (a hospital).

According to the Saskatchewan Lung Association, when the National Anti-Tuberculosis Association was founded in 1904, it was felt that a distinction should be made between the health resorts with which people were familiar and the new tuberculosis treatment hospitals: "So they decided to use a new word which instead of being derived from the Latin noun sanitas, meaning health, would emphasize the need for scientific healing or treatment. Accordingly, they took the Latin verb root sano, meaning to heal, and adopted the new word sanatorium" [1].

In the early twentieth century, tuberculosis sanatoriums (or sanatoria) were common in the United States. The first tuberculosis sanatorium for blacks was Burkeville, Virginia's Piedmont Sanatorium. Waverly Hills Sanatorium, a Louisville, Kentucky tuberculosis sanatorium, was founded in 1911. It has become a mecca for curiosity-seekers who believe it is haunted [2]. A.G. Holley Hospital in Lantana, Florida is the last remaining freestanding tuberculosis sanatorium in the United States [3].

Switzerland had many sanitoriums, as it was believed that clean mountain air was the best treatment for lung diseases. The ill of Europe were sent to recover there. The Heliantia Sanatorium in Valadares, Portugal was used for the treatment of bone tuberculosis between the 1930s and 1960s.

After 1943, when Albert Schatz, a graduate student at Rutgers University, discovered Streptomycin, the first true cure for tuberculosis, sanatoriums began to close. Around the 1950's, tuberculosis was no longer a major public health threat and so most of the sanatoriums had reached the end of their lives. Most sanatoriums were demolished years ago.

Some, however, have assumed updated medical roles. The Tambaram Sanatorium in south India is now a hospital of excellence for AIDS patients [4]. The state hospital in Sanatorium, Mississippi is now a regional mental retardation center. Other facilities, such as the hill station of Matheran, India, have transitioned to the role of health resort [5].

[edit] References

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: January 12 2007 at 11:24pm
 
 

Odds of TB are double for Type 2 diabetics

Web Posted: 01/12/2007 09:26 PM CST

Cindy Tumiel
Express-News Staff Writer

Diabetes batters the immune system in a way that makes it more susceptible to tuberculosis, according to new research by Brownsville scientists who looked at patient records from hospitals in the Rio Grande Valley and northern Mexico.

People with Type 2 diabetes were twice as likely to have tuberculosis as non-diabetic patients, according to the study directed by Dr. Joseph McCormick, regional dean at the University of Texas School of Public Health in Brownsville.

"In an area where TB is already circulating and where we have an epidemic of diabetes, that means the two are going to interact," he said. "And it appears that diabetes alters the immune system in a way that makes them more susceptible" to developing active tuberculosis infections.

The findings were discussed last week at a conference of tropical disease specialists and were published online in August in the journal Epidemiology and Infections.

About a third of the world's population is infected with tuberculosis bacteria. In most, the bacteria lie dormant. But when infections become active, people develop debilitating and potentially fatal lung complications. They also can spread the bacteria to others.

Though tuberculosis is not a widespread problem in most of the United States, it is a significant public health issue in the Texas border region with Mexico, where the infection rate is twice as high as the rest of the state.

On the Web

The same border region also has one of the highest rates of Type 2 diabetes, to which Hispanics are genetically susceptible. McCormick said estimates are 20 percent of adults in the Valley have Type 2 diabetes.

In their study, the researchers looked at Mexican and U.S. data on patients in the border region who were hospitalized for active tuberculosis infections from 1996 through 2002.

Scientists were interested in identifying risk factors for tuberculosis along the border. Diabetes proved to be a bigger risk factor than HIV infections or alcohol abuse, two other conditions linked to the disease.

"What we are seeing is two to two and a half times the rate of diabetes among our TB patients than we see in the general population," McCormick said. "That means that for some reason if you've got diabetes you are more susceptible to developing TB disease."

Though there is no clear explanation, Dr. Ralph DeFronzo, a diabetes expert at the University of Texas Health Science Center who was not involved in the study, said the culprit likely is chronically high blood sugar levels, which damage the immune system, as well as organs.

Doctors already know that diabetics who do not manage their disease are prone to serious fungal infections not seen in people with healthy immune systems, DeFronzo said. So the findings by McCormick come as no surprise.

"One could very much anticipate that they would be predisposed to infections like TB and fungus infections," DeFronzo said.

"I think this is a big public health problem," DeFronzo said. "It means we have to have public health intervention down there."

McCormick said public health researchers have begun a new study among patients now being treated for TB to see if the data confirms what they found when looking at historical records. That study is expected to take two years.

http://www.mysanantonio.com/news/metro/stories/MYSA112806.01B.TB_diabetes.2eede7c.html
ctumiel@express-news.net

As originally published, this story contained an error.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: January 13 2007 at 5:42am
candles, Thank you for posting this. On top of having brain damages from a fall, my husband has type 2 diabetis. Thank you again.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tony m Quote  Post ReplyReply Direct Link To This Post Posted: January 13 2007 at 4:18pm
For another take on that:
http://www.drbroxmeyer.netfirms.com/diabetes.pdf

Also, an article in the New England Journal of Medicine said 4 or 5 years ago that the largest ethnic group with the highest case rates of tuberculosis that has immigrated to the United States are from Mexico.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: January 14 2007 at 12:04am
http://www.tallahassee.com/apps/pbcs.dll/article?AID=/20070114/NEWS01/701140330/1010
Could only post this part of news , was tricky to post , contact details at bottom of news via link
 
Gadsden County student has tuberculosis
By Nikki Beare
SPECIAL TO THE DEMOCRAT

HAVANA - A student at East Gadsden High School was removed from class Friday after testing positive for tuberculosis.

The Gadsden County Public Health Department has sent notices to all students, faculty and staff who were in close contact with the student, who was not identified. Tuberculosis is a bacterial infection affecting primarily the lungs. It can be contagious and is treated with antibiotics con't ..........................

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: January 14 2007 at 12:17am

 Hi Satomick this popped in on a health news site re diabetes ......Interesting read..

Griller a clue to disease

Robyn Riley         January 14, 2007 12:00am

A REVOLUTIONARY diet developed by Melbourne scientists offers the best hope yet for tackling diabetes and heart disease.Researchers have discovered that regularly eating toasted, barbecued or caramelised food may trigger the diseases. A team at the Baker Heart Research Institute is studying why these foods contribute to the development of type 2 diabetes and heart disease. Researcher Dr Barbora de Courten says the culprits in food are substances called advanced glycation end-products, or AGEs -- a product of a chemical reaction between sugar and protein, often called browning, that occurs in food preparation and adds flavour and aroma. Dr de Courten says: "We know AGEs have an important role in a range of diseases, most notably in the development of complications of type 2 diabetes and cardiovascular disease."

The revolutionary new diet is attracting international support, as diabetes kills more than three million people worldwide a year.

Dr Josephine Forbes, who has been studying the effects of AGEs on body tissue at the Baker, says that in people with type 2 diabetes, the elderly, obese, or those with heart disease, this caramelising of protein can accumulate in the body and is made worse by a diet high in AGEs. "When this happens, AGEs in the diet modify the protein in tissue, leading to brittle vessels and other complications often seen in diabetes and heart disease," she says. The Baker Heart Research Institute needs volunteers, aged between 18 and 50, who are healthy, overweight, who do not smoke or take any medications, to join the study next month.

Contact study co-ordinator Sonia Dougherty on 9276 2948 or on s.dougherty@alfred.org.au

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: January 14 2007 at 4:02am
Originally posted by tony m tony m wrote:

For another take on that:
http://www.drbroxmeyer.netfirms.com/diabetes.pdf

Also, an article in the New England Journal of Medicine said 4 or 5 years ago that the largest ethnic group with the highest case rates of tuberculosis that has immigrated to the United States are from Mexico.
   OT  but another border disease . of cysticercosis Ouch
How's this .................
INVASION USA
Rare brain worms
latest border disease

Fatal disease found in developing countries
with poor hygiene habits hits South Texas


Posted: January 13, 2007
1:00 a.m. Eastern


© 2007 WorldNetDaily.com

Medical professionals in South Texas have identified another disease that has apparently slipped across the border – caused by a rare brain worm that can be fatal and is being spread by unsanitary food-handling practices.

While not yet classified as a "major outbreak," several cases of cysticercosis have been identified in South Texas, a spokesman for San Antonio's Metro Health District told KENS-TV, San Antonio.

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 Since 2003 undiagnosed TB ........
 
TB would have been the reason for the malnutrition .
 
Death due to TB and malnutrition

A 38-YEAR-OLD heroin addict was the thinnest man a doctor had carried out a post-mortem on in his whole career, an inquest heard.

Mark Cordina died at home in Normandy Close, Sydenham, on October 4 last year after a long struggle with his addiction and undiagnosed Tuberculosis.

The former mechanic fitter, unable to work since 2002, began having chest problems in 2003.After refusing treatment on several occasions and only contacting doctors at The Vale Medical Centre, Perry Vale, Forest Hill, by telephone, his condition worsened and made him unable to eat properly.

Mum Geraldine told Southwark Coroner's Court: "In the evenings I would make ham, egg and chips and a milkshake, but he'd never eat it all.

"When he had anything big, he couldn't breathe properly, so he would only have small amounts."

Two days before Mr Cordina's death, he was violently sick but refused to be taken to hospital.

Ms Cordina added: "The surgery faxed a script to the chemist to stop him being sick and said they would send a doctor if he did not get better.

"But the next day he seemed okay and we spent most of the evening watching television."

He woke his mum at 5.30am on the following morning, asked for a drink and then went back to bed.

Ms Cordina said: "I went back at about 9am and he was just lying there, cold and not breathing.

"I shook him, screaming to wake him up, but I knew he was dead."

Doctor Peter Jarreat, who performed Mr Cordina's post-mortem, said: "He was suffering from severe malnutrition.

"This, combined with the pulmonary TB, was a contributory factor in his death.

"TB would have been the reason for the malnutrition.

"I don't think I've seen a body that emaciated in my whole career."

Coroner John Sampson said Mr Cordina had declined intervention from the ambulance service.

He added: "I conclude the cause of death is natural cause."

9:43am today

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Post Options Post Options   Thanks (0) Thanks(0)   Quote tony m Quote  Post ReplyReply Direct Link To This Post Posted: January 16 2007 at 7:49am
Interesting Candles. The cases of undiagnosed tuberculosis running around out there are legendary and in its chronic, indolent form, it wasn't called "consumption" for lack of a better term. When it presents like this, in man or animals, it's a chronic wasting disease, practically indistinguishable from the rest of the chronic wasting diseases as well as "malnutrition".
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..
Candles... seems that ... Cysticercosis...gets around.
.................................................................................................
OT  but another border disease . of cysticercosis Ouch
How's this .................
INVASION USA
Rare brain worms
latest border disease

Fatal disease found in developing countries
with poor hygiene habits hits South Texas

............................................................................................................
and.....
 
"...Failure to wash hands after using the restroom can result in contaminating food and infecting further victims...."
 
(really makes one want to...eat out)
............................................................................
 
Newsletter of....
 
 
 
Hong Kong College of Physicians
 
         SYNAPSE
 
SEPTEMBER  2005    RESTRICTED TO MEMBERS ONLY
 
 
 
excerpt....
 
 
Situations of Porcine Cysticercosis and Human Neurocysticercosis in Kathmandu Valley, Nepal

B.S. Sapkota, F. Hörchner, L. Srikitjakarn, M.N. Kyule, M.P.O. Baumann
Berlin (Germany); Bhaktapur (Nepal); Chiang Mai (Thailand)
 
 ..............................................................................................................

Pork tapeworm (Porcine Cysticercosis)- Wikipedia, the free encyclopedia
 
NEPAL...... Is this what was going around a while back....they didn't know what it was?
.....................................................................................................................
 
 
 
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