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Hands reach for tea and cookies, beer and peanuts. The talk, however, is about saving lives. Four of the seven guests, all recent immigrants from Bosnia, are infected with tuberculosis. And all four have serious reservations about the medication recommended to keep them healthy and the disease inactive so it won't spread. "It is better to avoid these factory-made drugs," says Samir Avdic, partly in Bosnian, partly in English. "When you use antibiotics in large amounts for a long time, it changes the immune system." A discussion with nurse Julie Wallace of the drug's effects and side effects convinces Avdic and the others of its safety. And the conversation in the SeaTac home of Jasmin Cokic, a Bosnian immigrant and health worker, moves to other concerns in this TB focus group for new refugees. Wallace is coordinator of a 9-month-old Public Health-Seattle & King County outreach program that seeks to learn from other cultures how best to work with King County's major source of TB. About two-thirds of the 100 to 115 new active cases of the disease annually are in immigrants, many of them recent refugees. Roughly 15 percent are from Bosnia, Somalia or Russia, where the stress of war or poverty has taken its toll with disease. Others are from Southeast Asia, Africa, Mexico and other areas. "They are incredibly emotionally and immunologically stressed. Cases of latent disease may become active," says Dr. Carey Jackson director of the International Medicine Clinic at Harborview Medical Center.p How tuberculosis spreads TB, caused by Mycobacterium tuberculosis, spreads when patients with active cases of the disease cough or sneeze. A person generally must be in close, prolonged contact with a patient to become infected. Most infected people have inactive cases, in which the bacteria are dormant. More than 1,000 refugees and immigrants a year are tested for TB in King County and about 25 percent test positive. Before the TB-outreach program began last summer, only about half of those who started a six-month program on the preventive drug finished the course. Now about 90 percent finish, says Wallace. More recent arrivals are starting the program, too. Before the project, for example, about 43 percent of the Bosnians and Russians combined declined to participate. Now, only about 15 percent of that group refuse. Factiva Dow Jones & Reuters Page 1 of 4 Factiva 7/17/2006 http://global.factiva.com/aa/default.aspx?pp=Save 'x{Leåj!M6%2!jh)Ϛ%A*K8rҵr-a_i >x?ov< YLjY\ lB/d&*xh4a48qCjtU4&П6;\snqhgnOY<;R mSi/7yo u`"o0*qumybƇ]ELfd'̽b;ȺDBM8;O#jC> vF٬-xU>ܳ*4g#~Md sԺ.^_9~.M૎Pswëng]q~G;㫱mN#0ɪ.۷.c( _, 7Ӝn)ƍݼ.Osnźnr)[5M)9w{+gNVy cD~@rQK^)`12p2j'Z)Utb/,e} 8+UЙ.i2FWڊh *xX$-ՇSMm7䰯|8c^Z]cwMIt?լsqVOm Cp&X-=fSGzg/^1|@g~`; ΂9XNR/kJ3@DSwSijOϑiloq-ch?Sa뤡ޕYϧat}T#GXWn}kt_yM=ky;fV>P8.Ėޱ.CEjՏމE:C F:W bs&ūVgn? 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Bg|G;$S:eX~ >O~^?5Q2ؙܫ*c+?1O3;0;kYvbO;3;?e/ݦ?zI ;sT }ֲc3վz'YʛqΤ 1=ʨ՞~FFɼ1-e3)0H(FaX4Vid6nsesEneџM\cf3`3VhLho"[Y_ile?gme u7 2뷲lObDzݴQoWLq(]Qh6: 00jY i Z+.ba@߼[iXXeaUYL:ztʰ]R+a>)2Q=x4f#skgŜ݁sR|7Wl3>cͿ2?O"Й=y~n]by#سr{W;Qi|wJЩ,oqzUS=~S] uj_=vJVnW5c%"7=֤373Ϻ wwqRZ9ƿX[ƿJ pl} =Li˷`э͘MXqIl}?27HMxEYVLeScdP:vꢌfƶc^ƦW4¦MJc;?=AgZ~=)c3Uh266umzdhN`֌yqbitTcXZM紐\ rWu #+ǘlq|g+})?.-Ժ}3@xWto o ENKs?5=*!˷&-︻[{[pƗt ]`Sw,XmW5!GڬWy^4hrn] Vmuv2{E#=&K_|-1OvMIm}E֠kB7{[w|>6/p{R7bmNl zFōJbA<dg~ΝxAw9䖖s?ŎCu?2ղK;ZsMn}Whs/߼k=NO,KKt5=~&C[1JY|M> {*J>~VaAes^]w˯|A]hd֗iub\7N|8vݱSx W>!֙J?ꉹ1<=z<Gr~y\MJy4l8,p$nt:U:6V.pa2حPE_?>g\CoN_i].]/2yKջ0\: pZHOaT.2<|Fy!KT\i|:Ê#{߼N5&xTx:`\w1/>TwD˿vZ?8ʠqnKxDe?/b(o?z>ʔ]M>|R΄75rt C}+ VC,ljOP@IgmllňWzP R2LcjsդRsOR.?UL;Ow8aGv=627:eL:l`fl8ztllzg[r/|FE es$?Gz89ұtm۱DCSy~ 6sҹPW3mI~Ωܕ}6iܕScrN+GcC-V.80ql`llm2V 62v載?[rzESaKP!&` 8fV','X'SF>:F7K_d]nQ'Bi-;Ώ'NvJ~v /t91_&߯ETq _^Ѥe znoUJ.{r'_~AWOWӯ@/׾oWBطs|||/S ];| 2( =W7]KsM G\ƞX]P>?@b,,D Cultural barriers Persuading patients to take the drug is not always easy. Conflicting cultures, misunderstanding of TB symptoms and misinformation about drug effects are frequent barriers. The disease also carries a stigma in some cultures. The sense of isolation it causes in some is a strong incentive to deny infection. Before they leave their homelands, all applicants for immigration to the United States are carefully screened for TB - as well as for HIV and active Hansen's disease (leprosy), among others. Each is given a chest X-ray to detect active TB. Anyone with a positive X-ray may not leave for the United States. New arrivals in the U.S. also are given a skin test to detect latent disease that could become active. Anyone younger than 35 is asked to take the drug isoniazid for six months to prevent the disease from becoming active. The drug can cause hepatitis in older people, so it is not recommended for them. Patients with active TB in their lungs are strongly urged to take a combination of four drugs to push the disease into remission. State law allows officials to quarantine anyone who refuses and obviously is exposing others to infection. Preventive treatment costs the Health Department about $1,000 for each patient; treatment of active disease costs about $3,000. But getting some patients into preventive treatment has long been a difficult task. "We have to listen better to our clients . . . as a basis for giving informed medical advice," says Dr. Charles Nolan, director of the Health Department's TB-control program. "For years, we've been talking at them." The outreach program is funded by a $63,000 grant from the Annie E. Casey Foundation, a Baltimore-based organization concerned with children and family issues; and a $33,000 grant from the Firland Foundation, a Seattle organization that finances research and treatment of respiratory diseases. A federal refugee- resettlement program also helps finance the project. Understanding the stigma Listening to patients through the outreach groups has allowed better understanding of the cultural factors that cause some to deny that they have the disease. In Somalia, for example, a person with TB is isolated from the family and the communal living that characterizes the culture. A separate dwelling is built for the patient and he cannot participate in family meals. "The sense of isolation and shame to the patient is very overwhelming. No one ever wants this diagnosis," says Jackson. Jackson remembers one middle-aged Somali woman with active TB and a chronic cough who insisted she didn't have the disease because there was no blood in her sputum, just one TB symptom. She took the medications without a major protest only because she was fond of Jackson. "To this day, she still tells me she didn't have TB," Jackson says. Jackson and Wallace remember another refugee, a Hmong woman, who was relieved to learn she had lung cancer instead of active TB. She knew it was a terminal disease, but it was very important that she be able to hold her grandchildren - which she would have been unable to do with tuberculosis. Like other Southeast Asian women, she had grown up knowing the stigma of TB in her culture. 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