{"id":12504,"date":"2017-08-04T17:21:00","date_gmt":"2017-08-04T17:21:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2017\/08\/04\/south-texas-fights-tuberculosis-one-blood-test-at-a-time\/"},"modified":"2017-08-04T17:21:00","modified_gmt":"2017-08-04T17:21:00","slug":"south-texas-fights-tuberculosis-one-blood-test-at-a-time","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/south-texas-fights-tuberculosis-one-blood-test-at-a-time\/","title":{"rendered":"South Texas Fights Tuberculosis One Blood Test At A Time"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/04\/539800393\/south-texas-fights-tuberculosis-one-blood-test-at-a-time?utm_medium=RSS&amp;utm_campaign=healthcare\">Wendy Rigby<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/04\/539800393\/south-texas-fights-tuberculosis-one-blood-test-at-a-time?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/07\/27\/tbtesting_james-harrison-b6335f0e3f1ac7b08f5c6967cc28a68747f95470-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/07\/27\/tbtesting_james-harrison-b6335f0e3f1ac7b08f5c6967cc28a68747f95470-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                James Harrison gets a free blood test from Michelle Mutchler with the San Antonio Metropolitan Health District. The test checks for a dormant tuberculosis infection that hasn&#8217;t produced symptoms, but could flare into an active state and become contagious.<\/p>\n<p>                <b><\/p>\n<p>                    Wendy Rigby\/Texas Public Radio<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Wendy Rigby\/Texas Public Radio<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>At San Antonio&#8217;s largest homeless shelter, huge fans cool off the temporary residents. The courtyard can get crowded. One of the hundreds of nightly boarders is James Harrison. &#8220;I lost my apartment and had nowhere else to go,&#8221; he explains.<\/p>\n<p>Like most people at <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.havenforhope.org\/\" target=\"_blank\">Haven for Hope<\/a>, Harrison, who is 55, doesn&#8217;t plan on staying long. But while he&#8217;s here, he&#8217;s taking advantage of some free medical testing \u2014 a screening for dormant tuberculosis.<\/p>\n<p>&#8220;People don&#8217;t even think about TB anymore because you don&#8217;t see it anymore,&#8221; Harrison says. &#8220;There&#8217;s nothing that tells you until it&#8217;s too late that it&#8217;s there.&#8221;<\/p>\n<p><strong>Differences between latent and active TB<\/strong><\/p>\n<p>Tuberculosis is an airborne bacterial infection that attacks the lungs and can be deadly. There&#8217;s a common TB skin test, but the San Antonio health department says the skin test takes 48 to 72 hours to produce a result and is susceptible to false positives. A blood test is more accurate and requires only 24 hours to get results. A vial of blood can be tested to see if people are carrying TB without showing symptoms. That&#8217;s called <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.who.int\/tb\/challenges\/ltbi\/en\/\" target=\"_blank\">latent tuberculosis infection<\/a>, a condition that puts them at much greater risk of developing active, contagious TB if they are exposed again.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p><!-- END ID=\"RES541453310\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;It goes into your lungs and usually it hides there dormant for years and years. Although it sounds very scary, it is completely treatable,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/reach.uthscsa.edu\/faculty\/taylor.shtml\">Dr. Barbara Taylor<\/a>, an infectious disease specialist who is part of a program called Breathe Easy South Texas. BEST is an ambitious $2 million effort to test at-risk people in 20 Texas counties \u2014 an area larger than some entire states.<\/p>\n<p>The <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.dshs.texas.gov\/\" target=\"_blank\">Texas Department of State Health Services<\/a> is teaming up with the <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.sanantonio.gov\/health\" target=\"_blank\">San Antonio Metropolitan Health District<\/a>, <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.uthscsa.edu\/\" target=\"_blank\">UT Health San Antonio <\/a>and <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.universityhealthsystem.com\/\" target=\"_blank\">University Health System<\/a>. They offer testing at places like shelters, diabetes clinics, and medical offices that treat mostly low-income patients.<\/p>\n<div>\n<div><img decoding=\"async\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/07\/27\/tbtesting.thirteen_wide-bd07c32c5b3db04f7c6e22f68217872b6ac53b8f-s800-c15.jpg\" alt=\"\"><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/07\/27\/tbtesting.thirteen_wide-bd07c32c5b3db04f7c6e22f68217872b6ac53b8f-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                The Haven for Hope, a homeless shelter in San Antonio, is one of dozens of locations around 20 South Texas counties where people are now being tested for latent tuberculosis infections.<\/p>\n<p>                <b><\/p>\n<p>                    Wendy Rigby\/Texas Public Radio<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Wendy Rigby\/Texas Public Radio<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>&#8220;It&#8217;s not a problem that&#8217;s on the south side or east side. It&#8217;s a problem all across Bexar County,&#8221; says Tommy Camden, TB services manager with San Antonio&#8217;s health department. He says tuberculosis it rears its ugly head in urban and rural communities.<\/p>\n<p>&#8220;It doesn&#8217;t care what color you are, how much money you make,&#8221; he adds. &#8220;As long as you&#8217;re breathing, you&#8217;re susceptible to catching tuberculosis.&#8221;<\/p>\n<p>Still, some populations are at greater risk of carrying the TB bacterium: the homeless, IV drug abusers, people with diabetes and those born in some other countries. For most people who test positive, the diagnosis of latent TB comes as a surprise. But testing is easy.<\/p>\n<p><strong>A third of the world&#8217;s population is infected<br \/><\/strong><\/p>\n<p>&#8220;We&#8217;ve got some huge challenges ahead of us,&#8221; Camden says, because there is so much latent TB out there.<\/p>\n<p>Texas, California, Florida and New York have the highest rates of tuberculosis in the U.S. Camden says he hopes those states can mimic the BEST program, which has screened 3,500 people a year. Roughly 9 to 10 percent were found to have latent TB.<\/p>\n<p>&#8220;I am passionate about this because this condition can affect you when you least expect it,&#8221; says nurse Diana Cavazos with University Health System. She says those who test positive are given X-rays and a 12-week course of antibiotics \u2014 even transportation to the appointments if they need it, free of charge.<\/p>\n<p><!-- END ID=\"RES541452587\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;Testing, supplies, treatment, X-rays \u2014 it&#8217;s completely covered,&#8221; Cavazos explains.<\/p>\n<p>It&#8217;s covered by Medicaid. But future funding is a question mark. The threats in Washington, D.C., of cuts to Medicaid are creating uncertainty at precisely the time the testing program has plans to expand.<\/p>\n<p><em>This story is part of NPR&#8217;s reporting partnership with Texas Public Radio and <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a>.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/04\/539800393\/south-texas-fights-tuberculosis-one-blood-test-at-a-time?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"South Texas Fights Tuberculosis One Blood Test At A Time\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/04\/539800393\/south-texas-fights-tuberculosis-one-blood-test-at-a-time?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/04\/539800393\/south-texas-fights-tuberculosis-one-blood-test-at-a-time?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/07\/27\/tbtesting_james-harrison-b6335f0e3f1ac7b08f5c6967cc28a68747f95470-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/07\/27\/tbtesting_james-harrison-b6335f0e3f1ac7b08f5c6967cc28a68747f95470-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                James Harrison gets a free blood test from Michelle Mutchler with the San Antonio Metropolitan Health District. The test checks for a dormant tuberculosis infection that hasn&#8217;t produced symptoms, but could flare into an active state and become contagious.<\/p>\n<p>                <b><\/p>\n<p>                    Wendy Rigby\/Texas Public Radio<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Wendy Rigby\/Texas Public Radio<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>At San Antonio&#8217;s largest homeless shelter, huge fans cool off the temporary residents. The courtyard can get crowded. One of the hundreds of nightly boarders is James Harrison. &#8220;I lost my apartment and had nowhere else to go,&#8221; he explains.<\/p>\n<p>Like most people at <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.havenforhope.org\/\" target=\"_blank\">Haven for Hope<\/a>, Harrison, who is 55, doesn&#8217;t plan on staying long. But while he&#8217;s here, he&#8217;s taking advantage of some free medical testing \u2014 a screening for dormant tuberculosis.<\/p>\n<p>&#8220;People don&#8217;t even think about TB anymore because you don&#8217;t see it anymore,&#8221; Harrison says. &#8220;There&#8217;s nothing that tells you until it&#8217;s too late that it&#8217;s there.&#8221;<\/p>\n<p><strong>Differences between latent and active TB<\/strong><\/p>\n<p>Tuberculosis is an airborne bacterial infection that attacks the lungs and can be deadly. There&#8217;s a common TB skin test, but the San Antonio health department says the skin test takes 48 to 72 hours to produce a result and is susceptible to false positives. A blood test is more accurate and requires only 24 hours to get results. A vial of blood can be tested to see if people are carrying TB without showing symptoms. That&#8217;s called <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.who.int\/tb\/challenges\/ltbi\/en\/\" target=\"_blank\">latent tuberculosis infection<\/a>, a condition that puts them at much greater risk of developing active, contagious TB if they are exposed again.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p><!-- END ID=\"RES541453310\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;It goes into your lungs and usually it hides there dormant for years and years. Although it sounds very scary, it is completely treatable,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/reach.uthscsa.edu\/faculty\/taylor.shtml\">Dr. Barbara Taylor<\/a>, an infectious disease specialist who is part of a program called Breathe Easy South Texas. BEST is an ambitious $2 million effort to test at-risk people in 20 Texas counties \u2014 an area larger than some entire states.<\/p>\n<p>The <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.dshs.texas.gov\/\" target=\"_blank\">Texas Department of State Health Services<\/a> is teaming up with the <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.sanantonio.gov\/health\" target=\"_blank\">San Antonio Metropolitan Health District<\/a>, <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.uthscsa.edu\/\" target=\"_blank\">UT Health San Antonio <\/a>and <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.universityhealthsystem.com\/\" target=\"_blank\">University Health System<\/a>. They offer testing at places like shelters, diabetes clinics, and medical offices that treat mostly low-income patients.<\/p>\n<div>\n<div><img decoding=\"async\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/07\/27\/tbtesting.thirteen_wide-bd07c32c5b3db04f7c6e22f68217872b6ac53b8f-s800-c15.jpg\" alt=\"\"><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/07\/27\/tbtesting.thirteen_wide-bd07c32c5b3db04f7c6e22f68217872b6ac53b8f-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                The Haven for Hope, a homeless shelter in San Antonio, is one of dozens of locations around 20 South Texas counties where people are now being tested for latent tuberculosis infections.<\/p>\n<p>                <b><\/p>\n<p>                    Wendy Rigby\/Texas Public Radio<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Wendy Rigby\/Texas Public Radio<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>&#8220;It&#8217;s not a problem that&#8217;s on the south side or east side. It&#8217;s a problem all across Bexar County,&#8221; says Tommy Camden, TB services manager with San Antonio&#8217;s health department. He says tuberculosis it rears its ugly head in urban and rural communities.<\/p>\n<p>&#8220;It doesn&#8217;t care what color you are, how much money you make,&#8221; he adds. &#8220;As long as you&#8217;re breathing, you&#8217;re susceptible to catching tuberculosis.&#8221;<\/p>\n<p>Still, some populations are at greater risk of carrying the TB bacterium: the homeless, IV drug abusers, people with diabetes and those born in some other countries. For most people who test positive, the diagnosis of latent TB comes as a surprise. But testing is easy.<\/p>\n<p><strong>A third of the world&#8217;s population is infected<br \/><\/strong><\/p>\n<p>&#8220;We&#8217;ve got some huge challenges ahead of us,&#8221; Camden says, because there is so much latent TB out there.<\/p>\n<p>Texas, California, Florida and New York have the highest rates of tuberculosis in the U.S. Camden says he hopes those states can mimic the BEST program, which has screened 3,500 people a year. Roughly 9 to 10 percent were found to have latent TB.<\/p>\n<p>&#8220;I am passionate about this because this condition can affect you when you least expect it,&#8221; says nurse Diana Cavazos with University Health System. She says those who test positive are given X-rays and a 12-week course of antibiotics \u2014 even transportation to the appointments if they need it, free of charge.<\/p>\n<p><!-- END ID=\"RES541452587\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;Testing, supplies, treatment, X-rays \u2014 it&#8217;s completely covered,&#8221; Cavazos explains.<\/p>\n<p>It&#8217;s covered by Medicaid. But future funding is a question mark. The threats in Washington, D.C., of cuts to Medicaid are creating uncertainty at precisely the time the testing program has plans to expand.<\/p>\n<p><em>This story is part of NPR&#8217;s reporting partnership with Texas Public Radio and <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a>.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-12504","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/12504","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=12504"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/12504\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=12504"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=12504"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=12504"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}