Robert Daniels, a 27-year-old dual Russian-U.S. citizen, underwent months of treatment for TB in Russia, where he often led a homeless existence. After telling people he was feeling better, he flew from Moscow to New York on Jan. 14 last year, then on to Phoenix.
In fact, his disease had not disappeared. The microbe causing it had mutated, apparently helped by his failure to complete a drug regimen in Russia. Weeks after arriving in Phoenix, Daniels was again coughing, feeling weak and losing weight.
Doctors in Phoenix diagnosed his illness as the new resistant strain of TB. Daniels again failed to follow doctors’ orders, authorities say. So health officials got a court order, and he was locked up in the prison wing of a Phoenix hospital.
He has remained there, in hermetically sealed isolation, for nine months.
Two events last year alerted the medical community to a frightening new version of the disease. The U.S. Centers for Disease Control and Prevention, drawing on a survey of TB labs on six continents, reported that the prevalence of the super strain of TB increased from 3 percent of patients to 11 percent between 2000 and 2004. It reached 15 percent in South Korea and 19 percent in Latvia.
There are no statistics yet about the new strain in Russia, China or Africa, areas with major TB populations.
In the United States, 13,767 TB cases were recorded in 2006, the lowest rate of infection since reporting began in 1953. A retrospective analysis by the CDC found 49 cases of the new strain in the country since 1993.
The CDC survey was followed by a report from Yale University researchers that the superbug had raged through a rural hospital in South Africa in 2005 and early 2006, killing 52 of 53 who contracted it, including six health-care workers. The victims, apparently infected by airborne transmission of the virus, died on average just 16 days after diagnosis; most of them also had HIV.
“We have to come to grips with this quickly,” said Vladislav Yerokhin, director of the Central Tuberculosis Research Institute in Moscow. “This is not just a threat for TB patients. This is a serious threat for the general population.”
Thanks. Given all that, I have no problem with what happened.