Diagnostic Delays and Treatment Implications for Patients with Isoniazid-Resistant Tuberculosis

Drug-resistant tuberculosis remains a major public health threat. A 23-year-old man presented with fever, dyspnea, and a pleural effusion. After a delay, he was diagnosed with isoniazid (INH)-resistant TB. We review the literature describing the epidemiological and clinical significance of INH-resistant TB and its relevance for low-incidence countries, such as the United States. Continue reading Diagnostic Delays and Treatment Implications for Patients with Isoniazid-Resistant Tuberculosis

Cool but Dangerous: Climate Change is Increasing the Risk of Airborne Infections

Less obvious but more certain and immediate than future droughts and floods, escalating use of air-conditioning globally is directly resulting in conditions favoring increased person to person transmission of airborne infections- tuberculosis and influenza in particular. Check out our new poster from the Conference of The Union North America Region. Continue reading Cool but Dangerous: Climate Change is Increasing the Risk of Airborne Infections

‘City Council holds hearing on pedestrian safety’

My latest letter, published in the JP Gazette: Bravo to local heroes such as Councilor Ed Flynn and Boston Transportation Department (BTD) Director of Planning Vineet Gupta. They are making our city streets safer for children, cyclists, and all pedestrians. While officials investigate automated enforcement/ camera systems for speeding and running red lights (which are critically important), a few points bear mentioning: Small Victories are Urgently … Continue reading ‘City Council holds hearing on pedestrian safety’