TB HEALTH EMERGENCY IN MARSHAL ISLANDS

MAJURO - The number of people in the Marshall Islands with the drug-resistant disease has risen from 6 to 10 in less than two months and there are fears it will spread further with health officials tracking an estimated 500 contacts.

An outbreak of drug-resistant tuberculosis in the western Pacific nation has been declared a public health emergency, as the government Saturday considered invoking special powers of quarantine.

• Rachel Powell of the US Centers for Disease Control, which is working with the World Health Organisation to coordinate the response to the newly identified strain, described the escalating situation as "a public health emergency."
• Marshall Islands Health Minister Amenta Matthew said she was drafting legislation to give the director of health power to quarantine people who did not voluntarily comply with TB prevention requirements.
• She said the development of drug-resistant TB was due largely to the refusal of patients to take medicines despite the counselling efforts of physicians.
• "Currently, there are patients who continuously move around the community with TB disease posing the threat of exposing others to the disease," she said.

Health authorities took one patient to court last week for failing to take treatment and remain in isolation.
The judge, lawyers, witnesses and the defendant were required to wear face masks to prevent the spread of TB during the hearing, but the session ended without an immediate result, allowing the patient to remain in the community.

Source: AFP