Kansas has been the epicenter of an unprecedented outbreak of tuberculosis in the United States, according to local health authorities. This outbreak, which began at the beginning of January 2024, has already registered 67 cases of active tuberculosis, with 60 of those cases in Wyandotte County, and the other seven in Johnson County. In addition, 79 cases of latent tuberculosis have been confirmed, an inactive form of the disease, which, if not, can evolve to active tuberculosis. Most of these latent cases are found in Wyandotte, which includes a part of the Kansas City metropolitan area, while Johnson, southwest of the city, has registered only two cases.
According to the Department of Health and Environment of Kansas (KDHE), the appearance of these cases marks the largest outbreak of tuberculosis in the country since the centers for disease control and prevention (CDC) began monitoring cases in cases in The 1950s. Health officials also reported that, unfortunately, the outbreak has already caused two deaths, both occurred in 2023. Although the outbreak is still ongoing, the authorities say that the risk for the community in general remains low, and claim to be implementing strict preventive measures following the guidelines of the CDC.
Tuberculosis, a respiratory disease caused by bacteria Mycobacterium tuberculosishas historically been one of the main causes of death in the world. It is transmitted through the air, through goticles expelled by an infected person when coughing, speaking or singing. Symptoms include persistent cough, fever, weight loss, night sweats and fatigue. It is important to note that some people may have latent tuberculosis, where germs remain in the body without causing symptoms and without being contagious. However, if not treated, these cases can progress to active tuberculosis, which represents a risk of transmission to other people.
CDCs have indicated that the number of tuberculosis cases in the United States increased in recent years. In 2023, more than 8,700 cases were recorded, a figure that marks a rebound with respect to the levels prior to the pandemic. This increase may be linked to a variety of factors, including decrease in control efforts during Covid-19 pandemic and the challenges associated with the detection and treatment of tuberculosis in an overloaded medical care environment. Although the tuberculosis rate had been decreasing since the mid -1990s, in recent years they have shown a stabilization of cases, which matched the levels of incidence prior to the pandemic in 2023.
The treatment of tuberculosis generally involves an antibiotic regime between four to nine months, depending on the severity of the disease and the presence of underlying conditions such as diabetes or HIV. Health professionals must adapt treatments to address any additional complication. Regarding prevention, CDC emphasizes that vaccination with the calmette-guérin (BCG) bacillus is common in countries with high prevalence of tuberculosis, although in the United States it is not recommended in a generalized way, since efficiency varies between adults and can interfere with tuberculosis diagnostic tests.
This outbreak in Kansas highlights the importance of maintaining and reinforcing infectious disease control strategies throughout the country, especially in areas with high population and mobility density. Although the immediate risk outside the affected counties is low, the authorities continue to monitor the situation closely and working with the CDCs to minimize the impact on public health.
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(tagstotranslate) tuberculosis