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THE RETURN OF INFECTIOUS DISEASE: WHAT WE CAN DO TO HELP PREVENT THE SPREAD OF TUBERCULOSIS
While the early part of this century saw major improvements in sanitation, housing and the provision of fresh wholefoods accessible to the general population, we are approaching a period in which the growth of our population has led to renewed overcrowding. Also, because of concentrated populations and now saturated disposal sites, a decline in effective sewage and waste disposal, along with a reduction in the quality of wholefoods and increasing exposure to environmental toxins and stresses, all decrease our capacity to resist infection on the one hand and optimise the conditions for its spread on the other.
Nor will the answer come from new medical therapies, not even antibiotics, for the new strains of tuberculosis which are emerging to plague our society are becoming progressively resistant to the antibiotics traditionally used to treat the disease. We can only challenge and change the direction of a society destined for ill health when we become aware of what that direction is. If, as I suspect, we are recreating the optimum conditions for the initiation and spread of infections, along with a whole host of new diseases of civilisation, reliance upon immunisation and therapy will provide little more than a cosmetic treatment of a much deeper health problem.
PRACTICAL PREVENTIVE METHODS
The control of tuberculosis will require a community effort and there are some measures we can all take individually and as a community to help.
We must as a community refuse to allow the problem of homelessness to grow. We need to pressure government bodies capable of improving this situation into action. We also need to organise community support groups, as they are now doing in some American cities, to assist government bodies insufficiently funded and staffed in the eradication of those environmental conditions conducive to the spread of the disease.
REDUCING THE RISK OF TUBERCULOSIS
Everyone can take steps to reduce the risk of contracting tuberculosis or of spreading the disease. These hints also make good sense as a general guide to keeping healthy:
Try to avoid overcrowded, indoor situations whenever possible. If you must expose yourself to high-risk situations, do what you can to ensure that ventilation is adequate. Open windows and doors whenever possible and go outside at regular intervals for fresh air.
Take note of people with persistent coughs in crowded places and keep your distance from them. If you know them well enough and you suspect tuberculosis, ask them discreetly if they have been checked for the disease. Give them this piece on the subject or some other relevant literature to read.
If you have to spend lots of time in crowded nightclubs or other high-risk situations, make certain that you stay away from these places if you are already sick or rundown and feeling unwell or chronically fatigued. When your resistance is down, you are far more likely to become infected. If you are unwell or have the flu, you also have a responsibility to stay away from these places so that you do not infect others.
If you are being treated with antibiotics for the infection, make certain that you take the tablets as directed and finish the course of the drug treatment. Failure to do so may cause mutations in the strains of tuberculosis virus and thus make them drug-resistant.
Make certain that you receive the proper nutritional balance and appropriate variety of whole, fresh foods.
Avoid or minimise the intake of substances such as alcohol, caffeine, tobacco and other drugs.
Monitor your own health and the health of your family, and keep in contact with health professionals who can advise you of the early warning signs of the disease. Do what you can to ensure that the environments in which you live and work are as clean and well ventilated as possible.
Get sufficient rest and exercise regularly.
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