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Friday, June 01, 2007
Too many questions on TB
Tonight, there are so many unanswered questions about Andrew Speaker and his rare case of XDR TB. I honestly thought the story was coming to a close; instead it became even more bizarre. His father-in-law, who was also on the wedding trip, is a TB researcher at the CDC. He quickly stated that he was not officially representing the CDC, but many say that is sort of missing the point. What about simply using his vast education to protect the health of the public? He was asked that but he doesn't want to talk about it anymore.

A bigger question: was Andrew Speaker really contagious or not? That really strikes at the heart of this whole issue. Remarkably after a few days, I am still hearing varying answers to this question. Turns out if you are not coughing with a fever and your sputum test -- where they actually look for bacteria in your spit -- is clear, you really aren't contagious. By that standard and according to reports from the hospital, Speaker may never have really been a threat in the first place.

That of course leads to another point. Was this whole scenario overblown? Really depends who you ask. The CDC thought it was enough of a risk that they imposed the first federal quarantine in 44 years. At a minimum though, the whole thing has exposed some serious cracks in the state of our public health system. There was not a unified approach to dealing with this single individual. I can't even imagine what it would've been like if there were suddenly 10 cases or even a hundred.

I am not satisfied with what we have learned so far, so I am flying to Denver to report on the medical center that is charged with taking care of Mr. Speaker and possibly saving his life. As a nation, we have to pay more attention to the invisible invaders that can be far more dangerous that guns or bombs. We have spoken theoretically for so long about the risk of a bio-terror attack and whether or not we would be prepared. If Andrew Speaker is any indication, this time around we blew it.


--By Dr. Sanjay Gupta, CNN Chief Medical Correspondent
Posted By CNN: 7:16 PM ET
  7 Comments
Seems to me, they are in damage control mode. The guy is afterall, an attorney and would likely be all over this lawsuit wise if he wasnt the culprit of this outrageous behavior. I believe this is a perfect example of a whole village of 'educated idiots'
Posted By Lisa, Dallas, TX : 9:52 AM ET
So far, I haven't heard anything about where Andrew Speaker contracted this rare strain of TB. All I'm hearing are hysterical suppositions about terrorism plots and the irresponsibility of Mr. Speaker to choose to travel. In Mr. Speaker's defense, not everything is about terrorism any more than everything is about race or gender. Meanwhile, he doesn't get to see his wife or family, he's sequestered in a sci-fi lighted room and is bearing guilt and remorse he wouldn't have had to incur had there been a policy -- anywhere -- in place about this.
Posted By Kriss - Washington, DC : 10:30 AM ET
We blew it? Yes, the system did fail in that one border guard, charged with following a simple and direct instruction, failed to do his duty. But the onus really lies on Mr. Speaker. He may try to claim that he wasn't told of the seriousness of his TB when he left the US, but his statement that he was afraid of dying in Italy should bring the facts right back into perspective. When told to stay put, he chose to put himself above the welfare of perhaps thousands of other people. He is an attorney. His father works for the CDC. Those facts alone should tell us that he had ample resources of knowledge and contacts. And why did he feel the need to sneak into the US? He could have simply turned himself in at the border, insisting he be hospitalized. Instead he once again had to do it his way. I believe there is more here than meets the eye and I certainly don't view Mr. Speaker as a victim. He's a perpetrator. He's who Shakespeare was referring to. -Rod-
I want to tell you how I enjoyed your show last Friday. I do believe that he knew what he was doing. After all, he has been globetrotting and selfishly spread his TB to other people even the doctor claimed that he is in low risk situation. If the US authorities are aware of, then why are they order him to revoke his passport in the first place? I am well-traveled person and now I have to be careful where I want to go.
Posted By Michele, Douglaston New York : 6:50 PM ET
I appreciate you following this very important news story. Thank you.
Posted By brlewismd : 9:17 PM ET
TB shots are cool. I like the bleb. It's also fun to give them
Posted By Alejandra Rodriguez, Waverly Ohio : 11:16 PM ET
I guess I am another outraged person weighing in as a healthcare professional for 34 years. What can someone be thinking by not listening to advisors prior to travel? There may have been immuno-compromised persons...like cancer or transplant patients who do not have the ability to fight any such infection. I think criminal charges are warranted. Also breakdowns all along the route that failed.
Posted By kathy of clearwater,fl. : 9:45 AM ET
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