DENVER, May 31, 2007

Inspector Ignored Warning On TB Patient

Man With Dangerous Strain Of Tuberculosis ID'd As Lawyer, Son-In-Law Of TB Expert

  • Play CBS Video Video TB Patient Flown To Denver

    The XDR-TB patient, Andrew Speaker, has been identified as a personal injury lawyer and Naval Academy graduate. He has been flown to National Jewish Medical Center in Denver. Kelly Cobiella reports.

  • Video Dealing With A TB Epidemic

    A recent study revealed that half the states in America would run out of hospital beds within two weeks of a tuberculosis outbreak. Nancy Cordes has more.

  • Video The Man With Tuberculosis

    The government wants to know how a man could fly to Europe when he knew he had a rare for of TB. Meanwhile, health officials are searching for passengers on the flights. Kelly Cobiella reports.

    • This 2005 photo made available on May 31, 2007, by the Centers for Disease Control and Prevention shows Dr. Robert Cooksey, a CDC microbiologist specializing in the spread of tuberculosis and other bacteria. Cooksey is the father-in-law of Andrew Speaker, the honeymooner quarantined May 25 with a dangerous strain of tuberculosis.

      This 2005 photo made available on May 31, 2007, by the Centers for Disease Control and Prevention shows Dr. Robert Cooksey, a CDC microbiologist specializing in the spread of tuberculosis and other bacteria. Cooksey is the father-in-law of Andrew Speaker, the honeymooner quarantined May 25 with a dangerous strain of tuberculosis.  (AP Photo/CDC, James Gathany)

    • Andrew Harley Speaker

      Andrew Harley Speaker  (The Speaker Law Firm)

    • William Allstetter, a spokesman for National Jewish Medical and Research Center, describes the treatment that a Georgia patient with drug-resistant tuberculosis will receive in Denver during a news conference at the hospital on May 31, 2007.

      William Allstetter, a spokesman for National Jewish Medical and Research Center, describes the treatment that a Georgia patient with drug-resistant tuberculosis will receive in Denver during a news conference at the hospital on May 31, 2007.  (AP Photo/Ed Andrieski)

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  • News Tools TB Traveler

    Track the itinerary of man infected with tuberculosis who traveled to Europe and back.

  • Fast Facts Tuberculosis

    An overview of the disease, how it is spread, its symptoms and treatment.

  • Interactive HealthWatch

    Explore health issues including AIDS, cancer and antibiotics.

(CBS/AP)  Dr. Charles Daley, chief of the hospital's infectious-disease division, said he is optimistic Speaker can be cured because he is believed to be in the early stages of the disease.

Dr. Gwen Huitt of National Jewish described Speaker as "a young, healthy individual" who is "doing extremely well."

"By conventional methods that we traditionally use in the public health arena ... he would be considered low infectivity at this point in time," she said. "He is not coughing, he is healthy, he does not have a fever."

Doctors hope also to determine where he contracted the disease, which has been found around the world and exists in pockets in Russia and Asia.

Read about South Africa's struggles with Extremely Drug-Resistant Tuberculosis
"He may not leave that room much for several weeks," hospital spokesman William Allstetter said.

Speaker's father-in-law has worked at the CDC for 32 years and is in the Division of Tuberculosis Elimination, where he works with TB and other organisms. He has co-authored papers on diabetes, TB and other infectious diseases.

"As part of my job, I am regularly tested for TB. I do not have TB, nor have I ever had TB," he said in a statement. "My son-in-law's TB did not originate from myself or the CDC's labs, which operate under the highest levels of biosecurity."

In a brief telephone interview with The AP, Cooksey said that he gave Speaker "fatherly advice" when he learned the young man had contracted the disease.

"I'm hoping and praying that he's getting the proper treatment, that my daughter is holding up mentally and physically," Cooksey said. "Had I known that my daughter was in any risk, I would not allow her to travel."

According to a biography posted on a Web site connected with Speaker's law firm, the young lawyer attended the U.S. Naval Academy, and recieved his undergraduate and law degree from the University of Georgia. He is in private practice with his father, Ted Speaker, an unsuccessful candidate for a judgeship in 2004.

His wife, Sarah, is a third-year law student at Atlanta's Emory University.

Speaker's father told WSB-TV: "The way he's been shown and spoken about on TV, it's like a terrorist traveling around the world escaping authorities. It's blown out of proportion immensely."

Health officials in North America and Europe are now trying to track down about 80 passengers who sat near him on the two trans-Atlantic flights, and they want passenger lists from four shorter flights he took while in Europe.

However, other passengers are not considered at high risk of infection because tests indicated the amount of TB bacteria in Speaker was low, said Dr. Martin Cetron, director of the CDC's division of global migration and quarantine.

Health law experts said Speaker could be sued if others contract the disease.

Health experts say the confusion surrounding a single TB patient highlights how unprepared the nation is for an outbreak, reports CBS News correspondent Nancy Cordes.

A recent study found that 25 states would run out of hospital beds within two weeks of even a moderate pandemic flu outbreak, Cordes reports, and most hospitals don't have facilities to keep infectious patients separate from everyone else.

© MMVII, CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.
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by TiaSmith June 20, 2009 12:17 AM EDT
Nice thought.
Tia smith
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by downstreamer-2009 June 2, 2007 3:25 PM EDT
I think the rest of the story is still to be told. When was he diagnosed, what was the biological source of the organism, i.e. tissue, body fluids and such, and why was the TB bug tested for antibiotic resistance. This is not normally done. Concerning the guy from the Institute of Homeland Security that was a guest this June 2, he needs to learn about TB organisms before he opens his mouth and shows his ignorance. TB is a very slow growing organism. It may take weeks to grow and it must be grown before it can be tested for antibiotic sensitivity. Its not just a simple antigen/antibody test like strep or pregnancy. His rantings on why it wasn't known sooner are just rantings of an ignorant man and should be totally disregarded.
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by macdoodle1 June 1, 2007 5:00 PM EDT
looks like lawyers and government both outdoing them selves with incompetence uncaring and then coverup
so what's new
im homless 7+years not dead despiute govt kkesp spulling rug out.
but tht will end soona nd the tacx savings to beign
im not to hafavore d dual diagnoses part your wat y to disblity.
i ahve phiysical/ psyche.
i was told by Va and more
the soemone at hud we fdont care what they do woith theomoney fro wommen and specail needs 10 of 12 woemns beds to drunk men.) too many meical conditons...

none cares none prevents.
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by statflight June 1, 2007 4:41 PM EDT
Mr. Speaker, I have judged you, please forgive me. I know that people should be very careful as to not to judge. You did what you thought was right and okay to do. We all fall into situations that may leave us vulnerable and then we hope that God will help us through it - so those of us who find that we are exempt of this need to question our consciences perhaps one more time if not a second or third time as well. We shouldn't convict. I Thank God that HE is a forgiving God. I thank God that HE is the Judge. Mr. Speaker, you have asked for forgiveness so please know that God in Heaven has forgiven you whether or not those who are bitter or of whom you have asked to forgive you haven't, this is something they will have to work on, so allow it to be released from your heart. May God grant you and your family His loving peace and rest. Please look to the Lord, I have in my exhausted state due to similiar situations. Know that He will provide you the only true comfort. I will be praying for you and your family. Bless you and Be encouraged! (if you can read Psalm 71 God the Rock of Salvation)I thought of you in this Psalm, it is sooo good, don't miss out on the context.
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by gdac88 June 1, 2007 3:57 PM EDT
I do believe that Mr. Speaker's behavior was extremely risky. The fact is, though, that the authorities very clearly explained to him that no one was at risk because he was not contagious. Everyone is so quick to call him "selfish" without taking a look at their own selves. It is time for people to put themselves in his shoes; he is a man trying not to let a disease beat him. He is trying to continue to live his life to the fullest and follow his heart and his dreams. Think about it: the people he loves the most were around him the most and he didn't think he was putting them in danger either! I'm sure that I would be a little angry, too, if I was on that plane or had loved ones on that plane and/who had to be tested now. But there comes a time when we have to realize that it is not OUR place to judge someone...we don't even know what it is like, do we? To be put in a situation where putting someones' lives at risk or dying ourselves are the only two options? To the people being tested now...He was scared. You are scared now, too, but you would have been MORE scared if you were him and your life was very immediately on the line. You could die stepping out into the street...you could die sitting in an office building...there is no point to ruin this man's life because of your fear.
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by NAudra19 June 1, 2007 3:20 PM EDT
Stop judging others. Most U.S. physicians- understand too little about TB. This disease does not respect socio-economic boundaries! The WHO claims 1/3 of the world population,is now infected with some form (latent or active) of TB. To think we are somehow immune,as Americans- is ridiculous! What's bringing TB back as an epidemic, is not just "foreigners or immigrants". All immune compromised people are at risk- including the very young & elderly. HIV/AIDS patient's are at the highest risk. TB is becoming like a dark shadow for them. Most of them will suffer with disseminated, extra-pulmonary TB- the deadliest form of all. This type of TB is rarely contagious. Only pulmonary & laryngeal forms are highly contagious. People must learn to always protect others from their coughs & sneezes! Recent studies have proven 1,000 - 2,000 iu's per day of Vitamin D3 can protect us from this disease- so why does our FDA limit the amount in our multivitamins to only an RDA of 400? These same studies have proven 10,000 iu's of D3 per day, for 9 months, can cure all types of this mycobacteria. So why are we playing deadly games with ancient, ineffective antibiotics? We need to grow up, protect & educate ourselves, & stop acting like hysterical children.





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by bacardistuff June 1, 2007 3:09 PM EDT
I agree with the poster who compared what this guy did to people with AIDS who sleep with others knowing they can infect them. This guy wasn't stupid as evidenced by the fact that he tried to sneak into the U.S. by way of Canada. Putting people at risk AGAIN! I hope he's a better lawyer than he is a human being.
Reply to this comment
by pollyannaa June 1, 2007 2:38 PM EDT
You have a healthy young man, Andrew Speaker, contracting a case of XDR TB, a very rare form of TB, so rare that less than 50 cases have been diagnosed in the US in the last 15 years in a country of 300 million people. This same young man is the son-in-law of Robert Cooksey, a microbiologist at the Centers for Disease Control who, coincidentally, specializes in TB bacteria research. Robert Cooksey says he was fully aware that his soon-to-be son-in-law was infected, yet this expert in the spread of this highly deadly TB did nothing to stop his son-in-law from boarding an international flight with 200 people on it? I'm not buying it. Connect the dots, people.
Reply to this comment
by pollyannaa June 1, 2007 2:34 PM EDT
You have a healthy young man, Andrew Speaker, contracting a case of XDR TB, a very rare form of TB, so rare that less than 50 cases have been diagnosed in the US in the last 15 years in a country of 300 million people. This same young man is the son-in-law of Robert Cooksey, a microbiologist at the Centers for Disease Control who, coincidentally, specializes in TB bacteria research. Robert Cooksey says he was fully aware that his soon-to-be son-in-law was infected, yet this expert in the spread of this highly deadly TB did nothing to stop his son-in-law from boarding an international flight with 200 people on it? I'm not buying it. Connect the dots, people.
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by rhs648 June 1, 2007 11:00 AM EDT
It's not about class warfare - I'm not short myself. It's that this guy had no excuses. He's got everything - you can't say he was undereducated, and just didn't know, you can't say he has had any lack that explains his callousness to the lives of his fellow man.

Posted by SusanHelit

Agreed
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by perm3800 June 1, 2007 10:58 AM EDT
From their local rag, APril 24, 2007:
"Dr. and Mrs. Robert C. Cooksey of Roswell are pleased to announce the engagement of their daughter, Sarah Spence, to Andrew Harley Speaker, son of Mr. and Mrs. Theodore Speaker of Buckhead.

The bride-elect is an honor graduate of The Georgia Institute of Technology and a third year merit scholar at Emory University School of Law."

So, they got engaged on April 24th and felt they could not postpone a May 12th wedding in Europe....can anyone count forward 40 weeks from April 24th? The girl's stats show she isn't without some brain function. Had to be some reason other than cussed "I wanna!!" that made them risk the lives of others so that they could have a dream wedding only three weeks after getting engaged.
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by trillion1 June 1, 2007 10:24 AM EDT
They won't protect our borders, they won't protect our food, they won't protect our jobs. The American people have a goverment in name only.
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by advanceus June 1, 2007 10:11 AM EDT
People who have AIDS and have *** with unknowing partners are arrested for attempted murder. This guy should receive the same. I would imagine he told his future father in-law and maybe was advised to ignore the no travel. His daughter must be a real dog!!!
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by hikinmike June 1, 2007 10:06 AM EDT
TB Andy showed no sense of responsibility to the community. We depend on the good citizenship of those admonished to isolate themselves to avid the possbility of spreading serious disease.

The border guard took far too much authority upon him/her self and should be fired.

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by ahrats June 1, 2007 9:55 AM EDT
TB is still very dangerous. It can easily be spread by just breathing since it is in the human lungs. My big concern is where he got from? He was very stupid for traving with it. Airplanes have a closed ventilatiion/air conditioning system so you did not have to sit near him to possible be infected. TB is treatable because of the advances in medical science, but is still contagous. As a personal injury lawyer he knows his chances for being sued is now greatly increased, someone may not have TB now but anytime in the future if they delvelop it they can blame him, if they were on any of the flights he took. It just like someone with aids and knows it but has unprotected *** anyway.
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by andor3 June 1, 2007 7:15 AM EDT
It's hard to fault Mr. Speaker for anything--some doctor tells him he has a terrible lung disease, yet he jogs every day. He is not contagious. He has wedding plans in Europe. I've been misdiagnosed and misadvised by doctors more often than not and I'd probably do just as he did in the same circumstances.

Even now he seems to have no difficulty although doctors continue to claim he has some disease that is untreatable and nearly always fatal.

And it's not like any cases of this disease are showing up--they're having to search very hard to even find people he might have infected.

There is something very weird going on here, and the father in law connection is odd too. I fault the doctors not the patient.
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by rudy654-2009 June 1, 2007 6:10 AM EDT
Well, the latest news is the man was NOT contagious! So all you hysterical nuts can stop trying to form a lynch mob!! My only question is, did 9/11 make you all so paranoid and violent, or were you always this way?? The hysterical mentality here is so unreal.
Reply to this comment
by erasmus6 June 1, 2007 5:42 AM EDT
robert121 - the answer to your question is: NO

He needs to be strung up by his you know what and then everybody can take turns throwing stones at him.
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