• MeowZedong@lemmygrad.ml
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      5 days ago

      Only in some countries. Somewhere between 1/3 and 1/4 of the entire population of the world is infected with TB. Covid only made this worse in part because access to treatment became less consistent from 2020-2022.

      Edit:

      My point with this comment was that TB never “became history” outside of the imperial core. It has long posed the single highest healthcare burden from a single infectious disease despite being virtually unknown in the imperial core.

      Covid temporarily unseated TB from its number 1 spot, but this wasn’t because the TB burden was relieved and people were cured. The healthcare burden of covid has decreased (not because it went away) and now TB is number 1 again.

        • MeowZedong@lemmygrad.ml
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          5 days ago

          That AND it disrupted access to healthcare for people with active infections. We’re not talking people can’t drive 15 minutes to get treatments, we’re talking multiple days of travel to other towns.

          This travel time was already a barrier to their access to care. Disruptions to travel, medical supplies, and quarantines from covid have also added to this burden.

          TB disproportionately affects countries that have been heavily exploited by the imperial core.

        • MeowZedong@lemmygrad.ml
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          5 days ago

          Sorry, I didn’t see your other comment on the post when I responded earlier and I was only focused on the wealth disparity aspect. The point of your comment hadn’t quite hit the mark for me yet.

          I think what you are pointing out is a very important aspect of the discussion particularly for wealthier nations with easy access to drugs.

          One of the particularly worrying trends in recent years has been the rise of multidrug-resistant TB. These drugs are one of the only reasons TB was driven out of wealthier countries to begin with and the BCG vaccine isn’t particularly effective against pulmonary TB (there’s no way people in the US would put up with getting it anyway, given the scarring).

          Combine multidrug-resistant TB with immune dysregulation increasing the prevalence of active TB cases and lack of an effective vaccine…it paints a bleak picture. Potentially another big problem brewing.

          • JoeByeThen [he/him, they/them]@hexbear.net
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            5 days ago

            Gotcha, no worries. Mass immune dysregulation bringing about an apocalypse of contagions is my personal nightmare. And the climbing rates of tuberculosis, along with the increasingly louder clomping footsteps of more and more epidemics, has me needing to point out the Plague Horsemen whenever I feel he’s being left out.

            You’ve got totally valid concerns, my head was just mostly centered around the US since our lockdowns and precautions were such a flash in the pan that even gesturing towards them as a reason sets off “Immunity Debt” myth alarm bells in my head.

      • FromPieces@lemmygrad.ml
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        5 days ago

        Wait, like 1/3 or so were already carriers of TB and because of inconsistent treatment the carriers are now experiencing symptoms?

        Or… I’m not sure what your statement means

        • MeowZedong@lemmygrad.ml
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          5 days ago

          By “infected” I mean they have latent TB. Once you have TB, it never actually goes away, it just becomes “dormant” and will opportunistically become an active infection again later.

          So you could say up to 1/3 are carriers, but I don’t really like that term, as it implies they are carriers like they carry a certain gene, when with TB, your immune cells basically just clump around TB to quarantine it. If your immune system gets weak or that clump of cells gets disrupted, boom! You have active TB.

          It takes an incredibly low amount of exposure to transmit TB to someone else too.