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Tuesday, August 4, 2020

Tuberculosis versus COVID-19

04 AUG 2020
[for those who care about this sort of thing, this was also put out on my FB page as well. I decided to include it here for wider coverage]. Sorry in advance for yelling...

Tuberculosis (TB) vs Covid-19

I've seen too many shared posts about this. So let me see if this former science teacher can spread some truth...

There are posts going around saying "why are we shutting down the world for COVID-19 and not for TB?"

SHORT VERSION: You should worry about COVID-19 way more than TB. How much you worry about COVID-19 is up to you. A little over five hundred TB deaths in the US for 2017. COVID-19 US deaths in the last seven months: 159,000 and counting...You do the math...

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Some TB data: About 1.5 million people died from TB in 2018. That's a lot! This works out to more than 4,000 deaths a day due to TB in 2018. So how come we're all up in arms about COVID-19? Why not shut down the world for TB?

TB, if untreated, has a mortality rate of 45%! OH NO!

What's the mortality rate of COVID-19 you ask? Well, the easy answer is COVID-19 is too new to nail down the mortality rate. We don't know exactly how many cases there are, for several reasons. For example, not everyone is getting tested before/after passing away. Some reports estimate mortality rates for COVID-19 anywhere from 1.5% to 20%, with 20% being the super high range of the estimates for Wuhan, China, where the virus first showed up. Until we get more accurate numbers for who does and doesn't die from COVID-19, we won't be able to nail down the mortality rate for COVID-19 for a while yet.

But how about this to scare you a bit? The CDC is already pretty much guaranteeing COVID-19 is going to be one of the TOP TEN causes of death in the US for 2020. L.A. Country has already said this as well.

FYI: Here are the top 15 causes of death in the US for 2017 (lots of bad things on the list to watch out for -TB is not one of them):


1. Diseases of heart (HEART DISEASE) 647,457 deaths
2. Malignant neoplasms (CANCER)
3. Accidents (unintentional injuries, OOPSIES)
4. Chronic lower respiratory diseases 160,201 deaths
[current COVID-19 deaths in US is right here...]
5. Cerebrovascular diseases (stroke) 146,383 deaths
6. Alzheimer disease
7. Diabetes mellitus (diabetes)
8. Influenza and pneumonia (FLU)
9. Nephritis, nephrotic syndrome and nephrosis
(kidney disease)
10. Intentional self-harm (SUICIDE)
11. Chronic liver disease & cirrhosis (some by over-drinking)
12. Septicemia (blood poisoning)
13. Essential hypertension and hypertensive renal
disease (hypertension, HIGH BLOOD PRESSURE)
14. Parkinson disease
15. Pneumonitis due to solids and liquids (LUNG INFECTIONS)

TB, if untreated, has a mortality rate of 45%! Super deadly you say! BEWARE! But TB, unlike COVID-19, is not only PREVENTABLE, but it is also TREATABLE. WHO data says global success rate for people who started TB treatment in 2018 was 85%. The 45% mortality rate is for people who don't get treated for it.


So, TB, if untreated, is technically way way deadlier than COVID-19. Nearly half of the people with active, untreated TB disease may die, much more than even the highest mortality estimates for COVID-19.

So, how come we don't shut the world down for TB? Well, we have treatments that work for TB, even the drug-resistant varieties. Right now there are no proven treatments for COVID-19 except supportive treatment, however there are many trials underway right now that may lead to workable vaccines and care regimens.