• Facts: o Also known as consumption o Firland Sanatorium (WA) was one of many facilities that took in TB patients and helped them get better ♣ Getting more rest, getting fresh air, and not exercising o 1 in 7 people in all of history have died of TB o “Lungers” which helped increase the knowledge about how TB can be contagious but also increased the idea of prejudice o There were tenement buildings for those infected o 1 active person can infect as many as 20 other people o During the WWII years nursing staff had reduced o MDR-TB: Multi-drug resistant to TB o XDR-TB which is an extremely drug resistant to TB • Transmission/Symptoms: o Spread by air ♣ There was a guinea pig experiment where hundreds of animals were under the same roof of TB patients ♣ Bacteria survives in the droplets for about 4 hours, so a person can still be infected ♣ Latent versus Active • Latent is less contagious and does not require isolation o Germs are “sleeping” • Active needs treatment and may require isolation because they are contagious and can effect other people o cough, fever, weight loss, night sweats ♣ Miliary TB ♣ Extrapulmonary TB ♣ Scrofula ♣ Pott’s Disease: misshapen of the spine ♣ TB meningitis • Not eradicated • Treatment: o Artificial Pneumothorax o Phrenic Nerve Crush o Thoracoplasty o Plombage where they integrated ping pong o Anti-biotics • Historical Events: o 1882: Robert Koch discovered the bacterium o 1911: Firland Sanatorium opened in Washington state ♣ occupational therapy o 1800s: Where there was an urbanization experiment and the population in France/England tripled which was ♣ A 10 year old would die before 36 o 1928: Fleming introduced penicillin o 1944: before antibiotics there was about 130,000 new cases in the US o 1992: Soon Ye is an example of a active carrier who traveled from Asia to Hawaii and infected 29 people o 2007: Andrew Speaker is an example of a latent carrier who traveled internationally, but did not infect anyone