Nolin: The first patient with him in Nairobi was a man with widely resistant tuberculosis, XDR-TB-there is a very little chance because the only drugs that we know will already treat. We are outside the options. It came that day, as he had very optimistic every day for a week, to pick up Delamanid. It was outside the stock.
green: Oh, my God.
Nolin: And you were, like, “This is terrible for you, Barak. This is terrible for your wife and your five children.” They were all examined, and so far everyone was free of tuberculosis. But like many people, he went bankrupt because of his enemies. He had to send his wife and children to the village because he could not keep them in the city.
XDR-TB is shocking for him, his family and all the people who care about him. But it is also terrifying for the rest of us, for this man to go to this clinic every day and then return to this apartment building, where he lives in his cheek with 500 other people, with tuberculosis he can no longer treat. This is very bad for him. But it is also very bad for everyone.
green: Yes. I think it is important to understand that this is a tragedy on the individual level, on hundreds of thousands of individual levels, but also – I do not know what I feel about the phrase “global health” sometimes, because I think we are only talking about health in poor societies. The truth is that this is a crisis for human health, and human beings everywhere. The person is exposed to antibiotics, we hope it will work. After that, due to the presence of a stock of the United States government, their enemies now have an opportunity to develop resistance to this drug, as well as developing resistance to many other drugs.
We can easily end up in a position where we have no tools to combat tuberculosis. This brings us back to the early twentieth century. It brings us back when my old aunt died due to tuberculosis when he was 29 years old. He was working as a line in Alabama power and light. His father was a doctor, and there was nothing at all that his father or anyone else could do to save his life.
Nolin: Does anyone in the United States get it anymore?
green: Yes, we will have about 10,000 cases of active tuberculosis in the United States this year. In fact, the rate of tuberculosis in the United States rises.
Nolin: Why?
green: We transfer public health care systems, as well as a terrible work in obtaining treatment to places where treatment is required.
Nolin: Earlier, I said that we know exactly how to live in a world without tuberculosis, but we choose not to. Why do you think we were satisfied with living in this world?
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