Vermont Health Dept. hiding data on active TB cases in refugee population there

Watchdog.org had to use public information request laws to try to get the information, but the effort by the Health Dept. to not answer the request is revealing and perhaps worse than just biting the bullet and supplying the information!

The public everywhere is sick of the secrecy surrounding the UN/US State Department Refugee Admissions Program and this is one more reason why!

patrick Leahy
The buck stops with Vermont Senator Patrick Leahy who has been one of the chief architects and ardent supporters of the UN/US Refugee Admissions Program for decades in Washington.

By the way, we have known for years that refugees were permitted entry into the US with latent TB.  In fact in our early months writing this blog in 2007, we were stunned to learn about how the large number of TB cases among refugees in Fort Wayne, Indiana were swamping the Allen County Health Dept.  However, we, like you, are shocked now to learn that refugees with ACTIVE TB are being permitted entry and quietly treated with your tax dollars.
Here is the latest on the Tuberculosis controversy in Vermont (hat tip: Joanne):

BURLINGTON, Vt. — Epidemiologists at the Vermont Department of Health are concealing the number of refugees with contagious active tuberculosis nearly a month after Watchdog reported that more than one-third of Vermont’s resettled refugees test positive for TB.

Earlier this month, Watchdog revealed that 35 percent of Vermont’s incoming refugees in the past four years tested positive for tuberculosis. How many of those cases are contagious and symptomatic, however, remains a secret, as state epidemiologists and top officials at the Health Department have spent weeks blocking efforts to obtain the data.

Refugees brought to the United States take TB tests as part of comprehensive health screening. For refugees resettled in Vermont, the Department of Health’s Refugee Health Program monitors test results and treats patients who have active TB disease. Unlike latent tuberculosis infection, active TB disease is contagious, symptomatic and even deadly.

According to documents obtained through a public records request, the evasions began May 27, when Watchdog contacted the Health Department to learn how many refugees tested positive for TB in recent years. The inquiry sparked private meetings among state epidemiologists, public health nurses and office staff, who proceeded to conceal the number of contagious active TB disease cases brought to Vermont through the Vermont Refugee Resettlement Program.

Continue reading here to see the degree to which these health officials charged (presumably) with keeping all Vermonters safe and healthy are attempting to hide data on active TB in the state.

What Watchdog.org has done here is a model for what you should be doing where you live, not just on the subject of refugee health, but also investigate who is pushing resettlement and why among your elected officials (Twin Falls!) and expose them!  Find out who is benefiting FINANCIALLY in your town or city!

See our ‘health issues’ category by clicking here.  We have hundreds of posts there on issues of immigrant and refugee health (including the refugee mental health treatment you pay for).

New study: Refugee children arrive with many health issues, diseases

For all of you in the medical field and who are also concerned about refugees, more information is available.
This is from US News.  Maybe we should be suspending the refugee program for the health risks it poses that might in the end be greater than the terrorism risks!

TB screening
Family waits for TB screening in hospital in Thailand. Photo: https://www.iom.int/news/iom-calls-inclusion-migrants-tb-prevention-and-treatment-strategies

Almost the last line was the shocking part.  The article suggests that health screening should be done before the refugee enters the country.  I thought that is what was ALREADY happening!
The news is from a new report published Nov. 12 in the American Journal of Public Health.  I didn’t search for the full report, but you should. Remember we (taxpayers) are paying for their medical treatment!  Emphasis below is mine.

FRIDAY, Nov. 27, 2015 (HealthDay News) — The main health problems of refugee children from Asia and Africa when they arrive in the United States are outlined in a new study.

Based on screenings of more than 8,100 young refugees between 2006 and 2012, the top health concerns were hepatitis B, tuberculosis, parasitic worms, high blood lead levels and anemia, the study found.

The refugees, all younger than 19, were from Bhutan, Myanmar, the Democratic Republic of the Congo, Ethiopia, Iraq and Somalia. The screenings were conducted shortly after they arrived in Colorado, Minnesota, Pennsylvania and Washington state.

In general, these conditions were more common among children from the [African countries—ed] Democratic Republic of the Congo, Ethiopia and Somalia, and lower among those from Iraq, researchers said. [Although we haven’t talked about it because Middle Eastern refugees are making the news, Obama’s 2016 plan calls for our African numbers to increase by 7,000 this year.—ed]

Among refugees from Myanmar [aka Burma—ed], those who came to the United States from Thailand had more diseases than those who came by way of Malaysia, the researchers found.

“Understanding the health profiles of children from different countries allows us to provide better counseling for parents, prioritize specific tests and ensure that we give children a healthy start here in the U.S.,” study lead author Dr. Katherine Yun, a pediatrician in the Children’s Hospital of Philadelphia’s PolicyLab and Refugee Health Program, said in a hospital news release.

The findings may have a number of implications.

Obama-Obamacare-Meme-11
It’s a good thing we have Obamacare to take care of all of these “New Americans!”

“Our data suggest that the existing [U.S. Centers for Disease Control and Prevention] medical screening guidelines remain relevant and hold great value,” Yun said.

“We also recommend that multistate public health collaborations monitor the health of newly arrived refugee children, along with resources available to them,” she added.  [Refugees move, sometimes shortly after arrival and this would imply those diagnosed, with say TB etc., may not be tracked.—ed]

Health officials should analyze these data in a timely manner, because refugee populations change significantly over time, she said.

Also, it may be more cost-effective to conduct health screenings of refugees before they leave their countries, Yun said.

Asylum seekers NOT screened upon arrival!

I did spend a few minutes visiting the CDC website and came across this (below).  Remember I told you here the other day that we now have tens of thousands of asylum seekers coming across our borders illegally or overstaying a visa and we grant asylum to about 25,000 a year (they are given all the rights of refugees we fly in once granted asylum).
The legal process can take a year or more, so asylum seekers are in your communities and unscreened for serious medical issues for months and possibly years.
From the Centers for Disease Control on Asylees:

Asylees are persons who meet the definition of a refugee but are already in the United States or are seeking admission at a US port of entry. From 2000 to 2010, the top ten countries of origin for people granted asylum in the United States were China, Colombia, Haiti, India, Ethiopia, Iraq, Armenia, Albania, Iran, and Somalia. Those who are living in the United States or are seeking admission at a US port of entry when they apply for asylum are recommended to have a domestic medical exam once they have been granted asylum status. When an asylee applies for adjustment of status, an I-693 medical examination (including vaccinations) by a civil surgeon is required. Once an asylee has been granted asylum status, their family members may follow to join them in the US, and therefore these family members would undergo the required medical examination overseas, prior to immigration.

Currently, there are very little data available about the health problems of asylees after they migrate to the United States. Many asylum seekers originate in, or transfer through, countries with public health issues similar to those facing refugees arriving through the US Refugee Admissions Program. Therefore we recommend that medical providers screening asylees apply the same screening and treatment recommendations in the CDC Refugee Domestic Guidelines when performing a medical evaluation of an asylee. For individuals who have been in the United States for more than one year, special attention should be paid to diseases with long latency and associated severe morbidity such as tuberculosis, hepatitis B, and Strongyloides infection.

See also our previous 288 posts in our ‘health issues’ category.  A lot of information is archived there on the mental and physical health problems refugees bring to America.  Gee, isn’t it grand that we have Obamacare!

Squabble among aid agencies highlights rise in TB cases among Syrian refugees

This is an article that is mostly about money and aid agencies, but it interested me because I didn’t know that TB was prevalent in the Syrian refugee population flowing into surrounding countries.

News about Tuberculosis among Syrian refugees in Lebanon. http://www.uossm.org/index.php/uossm-urge-the-who-to-implement-preventive-measure-to-stop-the-spreading-of-tuberculosis-among-syrian-refugees-in-lebanon/

It reminds us that we are taking refugees into the US with Tuberculosis and then we, US taxpayers, pay for their treatment.

Watch this incredible film from a few years ago where refugees for the US and for Australia with multi-drug resistant TB are being prepared by the IOM  for resettlement.  We first became aware of the TB issue among Burmese refugees in our earliest months of writing RRW in 2007 when the Allen County, Indiana Health Department was overloaded with expensive TB cases, here.

From Aidspan:

An expression of interest for a $10.18 million regional initiative to develop a harmonized response to a TB crisis among Syrian refugees scattered across neighboring countries was rejected by the Global Fund.

The pitch was determined ineligible because it was submitted by a cluster of UN and international agencies led by the International Organization for Migration (IOM): a violation of the eligibility requirements for regional proposals that limit regional organizations to those that are legally registered entities that are not UN, multilateral or bilateral agencies.

[….]

In submitting the proposal, IOM and partners the UN High Commissioner for Refugees, the World Health Organization, the UN Development Program and the national TB programs in Syria and six of its neighbors, aimed to develop a coordinated response to the widening TB burden among Syrians displaced by four years of conflict.

[….]

The regional TB initiative would have primarily directed funds to support national TB programs in Syria’s neighbors, either in service delivery to the refugee populations or technical assistance to the workers within the health system. Part of the problem is that the TB burden in Syria is higher than in its neighbors; Jordan, for example, was on track for TB elimination but its prevalence rate has trended higher due to the influx of Syrian refugees.

Another problem is that countries now hosting the influx of Syrian refugees have made clear that their communicable disease strategies — and attendant budgets — did not contain provisions to respond to the health needs of refugee populations. Iraq, itself undergoing yet another security crisis and a widening of its own TB burden, has made abundantly clear in conversations at the highest levels that there is just not enough money to diagnose, and treat, the refugee TB caseload.

See our health issues category with more information on refugee health and TB by clicking here.

Obama will soon be announcing how many Syrians we will be resettling in your towns and cities.  I have wondered what is holding up the process and assumed the delay was due to security screening, but perhaps there are some health issues causing the hold up.

Shocking report! Hundreds of refugees resettled in Texas positive for TB, other diseases

I’ve said it before and will say it again, the general public may not fear a terrorist attack from so many Muslims entering the US (legally and illegally), but they will get mighty excited if their kids come home from school with TB (or parasites even)!

This week a reader brought to our attention this very thorough and important report on the health status of refugees resettled in Texas in calendar year 2013.  We didn’t know such reports existed, but apparently in some states where the state itself still has some control over the program, reports like this one are generated.

We assume that in certain states, especially Wilson-Fish states, where contractors (like Catholic Charities) have complete control of who is resettled and how many in a state, that such information is not readily available to the public.  Is the contractor even keeping records?

So here is what we are learning about Texas refugees from the “Texas Refugee Health Program Report 2013” here.  Open: Epidemiological Report. There is lots of really interesting information about which counties refugees went to etc., so check it out.  Here are just some bullets that interested me.

Paging Dr. Obama, the refugees are SICK!

* Texas reported 10,729 new refugees in the state in calendar year 2013.  7,195 were regular refugees, smaller numbers were Cuban parolees, asylees, and those holding special immigrant visas (Iraq and Afghanistan).

* Refuges from Iraq, Cuba and Burma make up the largest groups.

* 92% of arrivals were health-screened which means that about 858 were not screened for one reason or another.  Why?

* 91% of arrivals needed an interpreter (imagine what that is costing Texas).  Be sure to see the pie chart with the myriad languages which health practitioners must wrestle with.

* 3,583 of the arrivals were screened for Tuberculosis and 19% tested positive (that is about 680!).  If you carried out this rate for 100,000 plus refugees resettled in the US every year (and every one was tested) we are looking at over 19,000 refugees each year entering the US with a positive TB skin test. Now some will argue they might not have active TB, but that doesn’t mean they won’t become active at some point in time.  So, who monitors these people as they move on to other cities and states?

*  293, of those screened, tested positive for Hepatitis B.

*  97 were positive for HIV (remember you pay for their treatment!)

*  And, surprisingly there were 76 cases of syphilis largely in the Cuban sample.

*  We didn’t see anything about mental health, a common problem with refugees, but it could be there.  See our ‘health issues’ category for posts on mental health and refugees.

*  There were 231 newly arrived refugees over age 65 and even one between 91 and 95 years of age.

For some end-of-summer reading fun, go here (especially you Texans!).

Our reader sent us reports for Utah ( go here).  And, in Minnesota, out of 2,125 refugees screened, 474 tested positive for TB (22%).

We sure are lucky to have Obamacare taking care of all these “new Americans” health needs, aren’t we?

Illinois ‘man’ jailed for disobeying TB quarantine court order; will be released soon

Diversity is strength alert!

This is a follow-up to the story we posted here about Christian Mbemba Ibanda who refused to obey county health officials when they told him he must stay home in order to keep from spreading Tuberculosis to one and all.

‘Pungentpeppers’ has been following the case.

Christian Mbemba Ibanda

First, he had to be put in jail for disobeying the court order to stay in his apartment. Yesterday, we learned, he was released.

We don’t know Ibanda’s immigration status, but if I were to make a wild guess, I think he may be a refugee possibly from the Congo.   Remember in June of last year Asst. Secretary of State for PRM, Ann Richard, said 50,000 Congolese ‘refugees’ would soon be on their way to America.

‘PP’ noted that according to his facebook page, he speaks French.  If any readers in Illinois know through which (presumably legal) immigration program he entered the US, let us know!

From the News-Gazette:

MONTICELLO — A Champaign tuberculosis patient under a court order to stay home is in jail in Piatt County.

Christian Mbemba Ibanda, 24, of 100 Kenwood Road, C, has been under a Champaign County court order since April 11 to remain confined to his apartment to keep from infecting others with his disease, and a petition for indirect criminal contempt of court for failing to follow court orders was filed against him Thursday.

Deputies arrested Ibanda at his apartment Thursday. At a hearing held at the Piatt County Jail Tuesday with his lawyer present, he denied the allegations. A hearing on the petition has been scheduled for May 5 before Champaign County Associate Judge Chase Leonhard.

Ibanda is incarcerated in Piatt County because its jail has a negative pressure room that doesn’t share the air with other people, according to Champaign County Sheriff Dan Walsh. Champaign County is paying $50 a day plus medical costs to keep Ibanda in that jail, he said.

Health officials begged him to stay home and keep the quarantine sign on his door.  He did neither.

Champaign-Urbana Public Health District Administrator Julie Pryde said the court order wasn’t disobeyed just once. Ibanda was being monitored with an electronic ankle bracelet that alerted authorities if he left his home, and he got numerous warnings, she said.

“He was just like running around,” Pryde said. “I went and talked to him and said, ‘Seriously, please stay in your apartment, keep the sign on the door. Take the medicine. This is not that hard, or you risk going to jail. This is a court order.'”

[…..]

The health district sought the court order initially because Ibanda wouldn’t cooperate with home isolation while he was considered able to infect others, and the order to keep him home was issued without Ibanda present when he didn’t appear for a scheduled hearing.

Update yesterday, no longer testing positive for active TB, he was released, but must take meds for seven more months under the watchful eye of a health worker ($$$).

I continue to be amazed that stories like this one never break out of the local media to make it to the national news.

For more on medical problems brought to America by refugees and immigrants generally, check out our ‘health issues’ category, here.  The foreign-born represent most US TB cases, here.