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Volume 346:1256 April 18, 2002 Number 16
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Timebomb: The Global Epidemic of Multi-Drug Resistant Tuberculosis

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By Lee Reichman, with Janice Hopkins Tanne. 250 pp. New York, McGraw-Hill, 2001. $24.95. ISBN 0-07-135924-9.

If you wanted to cause an epidemic of multidrug-resistant tuberculosis in a country, what would you do? First, you would create a social and economic environment that promotes poverty and inequity. Second, you would temporarily subject those who have infectious tuberculosis to squalid and overcrowded conditions, let them mix with an uninfected population, and then release them back into the general population. Third, you would provide just enough treatment to prevent those who have the disease from dying but not enough to cure them, so that they would remain infectious longer. Fourth, you would provide inadequate treatment, guaranteed to create . . . [Full Text of this Article]




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