TB Patient: Quarantine Conditions "Insane"

Feds Frantically Search For 80 Passengers, 27 Crew On Flights With Infected Man

(CBS/AP) 
"The patient continues to feel well and be asymptomatic. He's currently still in isolation," Cetron said Wednesday. Citing privacy concerns, he said the CDC "cannot and won't talk further about this patient."

The other passengers on the flights are not considered at high risk of infection because tests indicated the amount of TB bacteria in the man was low, Cetron said.

But Gerberding noted that U.S. health officials have had little experience with this type of TB. It's possible it may have different transmission patterns, she said.

"We're thankful the patient was not in a highly infectious state, but we know the risk of transmission isn't zero, even with the fact that he didn't have symptoms and didn't appear to be coughing," Gerberding said on ABC's "Good Morning America."

"We've got to really look at the people closest to him, get them skin tested."

Dr. Howard Njoo of the Public Health Agency of Canada said it appeared unlikely that the man spread the disease on the flight into Canada. Still the agency is working with U.S. officials to contact passengers who sat near him.

Daniela Hupakova, a spokeswoman for the Czech airline CSA, said the flight crew underwent medical checks and all are fine. The airline is contacting passengers and cooperating with Czech and foreign authorities, she said. Health officials in France have asked Air France-KLM to provide lists of passengers seated within two rows of the man, an airline spokeswoman said on condition of anonymity according to company policy.

Italian officials said they were tracing the man's movements in Rome and have identified and were trying to notify the passengers sitting near him.

Health officials said the man's wife tested negative for TB before the trip and is not considered a public health risk. They said they do not know how the Georgia man was infected.

Health officials said the man is not facing prosecution.

"I'm a very well-educated, successful, intelligent person," he told the paper. "This is insane to me that I have an armed guard outside my door when I've cooperated with everything other than the whole solitary-confinement-in-Italy thing."

CDC officials told The Associated Press they could not immediately comment on the interview.

Meanwhile, a man with a similar form of tuberculosis in Arizona has been imprisoned for the past eight months in a hospital jail for violating the rules of his voluntary quarantine, CBS News correspondent Hari Sreenivasan reports.

The man, 27-year-old Robert Daniels, is a dual U.S.-Russian citizen. He contracted the deadly strain in Russia and came back to Phoenix for better medical care, agreeing to a voluntary quarantine. He was arrested and placed in isolation at a Maricopa County jail when he was caught walking outside without a mask, Sreenivasan reports.

Tuberculosis is a disease caused by germs that are spread from person to person through the air. It usually affects the lungs and can lead to symptoms such as chest pain and coughing up blood. It kills nearly 2 million people each year worldwide.

Because of antibiotics and other measures, the TB rate in the United States has been falling for years. Last year, it hit an all-time low of 13,767 cases, or about 4.6 cases per 100,000 Americans.

Health officials worry about "multidrug-resistant" TB, which can withstand the mainline antibiotics isoniazid and rifampin. The man was infected with something even worse — "extensively drug-resistant" TB, also called XDR-TB, which resists many drugs used to treat the infection.

There have been 17 U.S. XDR-TB cases since 2000, according to CDC statistics.

The highly dangerous form is "expanding around the world," particularly in South Africa, eastern Europe and the former states of the Soviet Union, said Dr. William Schaffner, chairman of the department of preventive medicine at Vanderbilt University.

[coloradosno1]

Here's a piece of information that they're not telling us: This idiot's new father-in-law actually works for the CDC in Atlanta! Puts a whole new twist on things now.

[duchess722]

One thing that has to be considered is the legality of the CDC "telling him" he could or could not fly. I remember assisting a doctor on a proctoscope (long before HIIPA rules!!) when he motioned for me to look through the scope. I mouthed "cancer??" and he nodded. After the lady dressed and began to ask questions about the biopsy, he absolutely convinced me he wasn't sure what was there, but he would rather err on the side of caution. When she left, I asked "but I though you said" and he told me exactly what type of cancer, what grade, how progressed and what her treatment would be and added "but legally I can't say anything until the tests come back positive". Later that week, the tests came back exactly the way he said.

I believe since this "very well-educated, successful, intelligent person" is a personal injury lawyer should know better than most what is safe behavior and what is not. And to say he's cooperated with everything except "the whole solitary-confinement-in-Italy thing" just makes me ill... yeah, that and the going on the run to sneak back into our country because he was scared to die, so let's see how many other people he could infect on the way to save his sorry self.

He may be well educated but intelligent? Not in his life time....

[ralan40]

it mentions him getting married. Can you imagine his phone conversation with his new wife????

TB guy: Hi honey, I'm going to be a little late for supper, They won't let me out of isolation....well, I put a whole bunch of people, including you, at risk for an incurable highly dangerous form of TB and something about my behavior makes them think I'm a danger to society.......Yes, I knew about it during the honeymoon and yes, that unplanned side trip was to allow me to sneak back into the country and not to just to be by ourselves snoogums.....Yes, I was advised to postpone the wedding because of the condition.....Yes, I know you would have understood if I had told you but.....I know honesty is important in a marriage but I AM an attorney so what did you expect??????

[toldyouso21]

WHY ARE THERE SO MANY STUPID PEOPLE IN THIS WORLD????
Posted by erasmus6 at 11:34 PM : May 30, 2007

Because political correctness dictates we let them breed, never tell them they are stupid (we would be racists--human racists) and allow them the "freedom and latitude" of believing they can do what ever they want when they want, to whomever they want--as long as they are rich enough for the lawsuits that may follow.

This is one of the problems with unconditional acceptance/love for all people--it means that even when a human is genetically suboptimal, we do everything we can to celebrate that life and promote it and help it to self perpetuate. Of course this is not natural. In nature, suboptimal animals become food and thus are systematically eliminated from the gene pool. Human beings are the only species that are determined not to improve itself but to celebrate itself. That leaves nature to use its biological WMD to get rid of some of us.

The real scary question is, why are there so few people who actually can think instead of just process information anymore--look who/what is being bred out of humans--we are being distilled back down to the base human condition--reverse evolution, when instinct will trump intelligence not by acts, but by sheer numbers of what exists.

[toldyouso21]

Well the Lying games have begun. The TB man now claims health officials didn't warn him not to fly or wear masks or anything. Of course, they say they did. Still, since he is supposed to be an attorney, he may want to explain the dozens of masks he had in his luggage. The pesky things about lies--any little thing will shoot holes in the story. What the man should have done was kept his mouth shut--but the lure of fame--even notariety is too much for some people.

So...if he was not warned he was a health risk--then why did he have the masks?

Also, once he found out what a health risk he was, why did he not obey directions to remain in Rome for treatment, why all the stealth to Prague, then Canada then the sneak back in--was he planning to write a book?


Finally, just what does this say about all the no fly lists and homeland security? Does it mean it is all bs and basically used to hobble political enemies instead of potential threats? And does it mean that a terrorist could get in if he went by way of Prague to Canada then to the US by car?

Inquiring minds want to know.

[nwihoosier]

emorylaw08 Please don't tell me that you'll be a member of the bar. You appear to be as big an IDIOT as your fellow Georgian

[samthetvcat]

"Why is nobody talking about the facts here. Isn't anyone ashamed that our government would let a TB patient fly overseas and then refuse to bring him home. From my impression, they were going to leave him in a foreign hospital to die"
Posted by emorylaw08

Keep studying there skippy - first off, it says right in the article that "the [CDC] was considering sending its jet to pick the couple up in Italy." So I don't know what 'facts' you're discussing.

Second off, even if this selfish jerk didn't know that the private plane was in the works before he bolted off, he didn't take precautions to mitigate the risk of harm to others by at least wearing a mask. If somebody catches TB from him after being exposed on one of the two flights he took after fleeing Italy and the person who caught it from him actually dies, his belief that his life was at risk would only serve to mitigate a charge of depraved indifference down to manslaughter. It's out of his hands now . . .

[honest_news]

The more I read of this guy's flippant comments and uncaring attitude about this extremely serious matter, the angrier I get.

The man boasts that he's "a very well-educated, successful, intelligent person". Well then -- he was intelligent enough to understand the warnings issued to him, well-educated enough to know that he was placing the health and lives of hundreds of people in jeopardy for his own selfish goals, and successful enough to renumerate the CDC, the federal government, the international law enforcement agencies, the airlines, the health care providers and the insurance companies that have been and still may be impacted by his callous behavior.

In our intricate and intimate global society, we need to start holding people accountable for their decisions, since the shameless actions of a single individual can have such far-reaching and devastating consequences.

[erasmus6]

What is wrong with our world? On the subject of antibiotics, what is it about people, that they just don't get it about not having to take them for a virus. People read it in magazines, there are commercials and they still don't get it. The same for making sure that they take ALL their medication. People just don't hear it.
I find that it doesn't matter what it is, cough syrup, vitamins etc. People don't even read the directions. I know of several people who let their children eat the Flinstone vitamins like they were candy, eating several a day. I just about flipped my lid when I found that out. Taking more than one a day means they are getting way too much Vitamin D and A, which is extremely toxic. WHY ARE THERE SO MANY STUPID PEOPLE IN THIS WORLD????

[toldyouso21]

"The man told a newspaper he took the first flight from Atlanta to Europe for his wedding, then the second flight home because he feared he might die without treatment in the U.S. "

Talk about screeewing up a story. He flew from Atlanta to Paris, then he went to Rome, then to Greece then back to Rome where the CDC told him to turn himself in. Scared of substandard medicine, and knowing his passport was flagged--he made his way to Praque, then to Canada, then took a car rental into the US--so besides all the places he slept, drooled, ate at and ****** and pissed at--and where ever he shopped at , sightsaw, posed and coughed---there are still 6 plane flights with at least 2 that he knew better than to take. Then there are the passengers and the weird idea that the TB would somehow stay within the vicinity of the first 2 rows of seats and that the circulating air would not carry any bug throughout the entire plane...then of course it is all the places the 80 passengers went to, where they slept, coughed, ate, drooled...etc--and if they can be found....He really should get jail time. At this time, several states have incarcerated people who were at risk for spreading diseases...he wilfully put others at risk, for his own sake--but he traveled also...it was always about HIM to HIM.

[honest_news]

I can't believe the lengths that our government and our press have gone to in order to prevent this guy's name from being made public. All indications are that he was made aware of the threat he posed to others, and yet he chose to put people at grave risk for his own convenience and pleasure.

At the very least, the CDC should use his surname to identify this virulent strain of TB, and the press should use his first name as a nickname for the plague he could have caused, as in "Typhoid Mary". That way, the stigma will serve as a poignant reminer to other potential scofflaws that there's a price to pay for purposefully placing others in harm's way.

[rhs648]

"Why is nobody talking about the facts here. Isn't anyone ashamed that our government would let a TB patient fly overseas and then refuse to bring him home. From my impression, they were going to leave him in a foreign hospital to die"

Posted by emorylaw08

Why is it the government's obligation to bring any sick person home from another country. People travel at their own risk. This guy chose to travel to another country. Some people might find using tax payer money in a situation like this wastesful. This guy made the decision to travel outside of the United States. When someone is caught with drugs in a country such as Turkey with strict laws, should the United States bail him out? Hopefully not! This guy must be held responsible for his choices.

[toldyouso21]

Thing that troubles me most is the over use of antibiotics here in the U.S. to treat anything from colds to what have you.
Posted by ozilot at 09:21 PM : May 30, 2007

Any doctor treating a cold with antibiotics is guilty of malpractice. Colds are not caused by bacteria and antibiotics only work against bacteria, colds are caused by viruses and there are literally hundreds of strains and variants each year. There is no universal flu vaccine or vaccine for a cold virus.

I do know of cases where drs. have humored people with prescriptions that cannot help them but the fact is, it is not necessarily the overmedication alone which has produced the superbugs. Rather, it is the failure of patients to complete a regimen the way it is supposed to be treated and thereby allowing low levels of bacteria to build up resistance. Go into almost any medicine cabinet in an American home, and you will find unused antibiotics supposedly saved for a rainy day. The owners will tell you that they just did not need all of them....This is how superbugs are created, they, like humans are exposed to an attenuated or weakened version of an adversary--and over time, learn to recognize and withstand the onslaught. This is the basic rationale behind vaccinations and it is a similar methodology employed by bacteria subjected to low levels of antibiotics. Enough to remove clinical symptoms, but not enough to eradicate the disease.

[toldyouso21]

On the issue of people being responsible for their own treatment...this is not likely. In that in a lot of cases people are asymptomatic and because they are lay people-many equate feeling fine with actually being fine; it is very difficult to take the advice of doctors who seem to abdicate responsibility anyway, by speaking in ambiguous terms. When a person should not fly or should not leave their home--advice is not what is given--because "advice can be taken or rejected--orders should have been given. When so much is couched into phrases that try to be politically correct, often the meaning is lost. I was given an antibiotic for a wound I received several weeks ago. I was never told the importance of finishing the medication or of the symptoms that could follow if things went awry (it was a very deep puncture wound) The reason we do not leave the use of medicine or treatment to individuals when contagions are involved is that people can be very reckless and seldom believe the risk. Recriminations in that case profit no one. The problem is that treatment has moved from being methodologies employed by drs--to being exercises or treatments bought by consumers. So they are consulted or kowtowed to and often, Drs. KNOW they are not going to follow a regimen anyway..... AIDS is spreading --yet another example of what happens when communicable diseases are left to spread or be treated at the discretion of individuals.....

[sadrn2001]

Sounds like the man was advised to postpone his trip pending test results and he was non-compliant with that advisement. There is nothing the doctor could have done to stop him from flying other than telling him (advising him) not to. The guy is 100% responsible for his decision to put other people at risk. I agree that he sounds like a selfish individual. As far as leaving him in another country...the article says the CDC was thinking of sending it's jet to collect his sorry self. What a burden on other people. The cost of finding and testing all of those other people is going to be great. I'm sure they are REALLY not going to appreciate the fact that the guy couldn't just wait like his doctor advised him to. Jerk. s

[sadrn2001]

erasmus6, I read it the same way emorylaw did. The US advised him not to fly and he did it anyway...now after the fact he is denying that doctors told him not to fly (which sound like a lie to me). Below is the text:

Health officials said the man had been advised not to fly and knew he could expose others when he boarded the jets from Atlanta to Paris, and later from Prague to Montreal.

The man, however, told the Atlanta Journal-Constitution that prior to his departure, doctors did not order him to avoid flying and only suggested he put off his long-planned wedding in Greece.

[weareone2]

How is this worse than the Bush administration falsifying the scientific facts about such things as the amount of mercury from power plants (which damages children's brains), and global warming, for the sake of short term business profits. To the extent that he admits such problems, he says they should be dealt with by voluntary means.

[erasmus6]

The really sad thing is that in todays world, there are a lot more selfish people just like him, where they only think of themselves.

[susanhelit]

How provincial can you be, emorylaw - hospitals in Italy can treat this just fine. Were there anything so unusual that they had to have a particular doctor from the USA, he could have flown to Italy, or they could have chartered a flight with nurses.

I can understand it if you haven't travelled, but this guy was there - there's no excuse for him thinking like all non-american hospitals employ witch doctors and leeches.

[thgdriver]

"I'm a very well-educated, successful, intelligent person.

Hardly, If that were the case he would not have possibly infected others who could infect others and create an epidemic of death and sickness the earth has never seen.

He should be quarantined just the same as typhoid Mary was!