Tuberculosis isn't just a historical disease. Here's how it spreads and who is at risk
Tuberculosis is often seen as a threat of the past. But it remains a significant concern worldwide, with international travel spreading the disease. While tuberculous is rare in Australia, and we no longer routinely vaccinate against it, clusters of cases in South Australia over the past 17 months have put health authorities on alert. So what exactly is tuberculosis, how is it treated and what is Australia doing to prevent its transmission? It starts as a respiratory infection Tuberculosis, caused by the bacterium Mycobacterium tuberculosis, starts as a respiratory infection when inhaled.
Tuberculosis is often seen as a threat of the past. But it remains a significant concern worldwide, with international travel spreading the disease. While tuberculous is rare in Australia, and we no longer routinely vaccinate against it, clusters of cases in South Australia over the past 17 months have put health authorities on alert. So what exactly is tuberculosis, how is it treated and what is Australia doing to prevent its transmission?
It starts as a respiratory infection
- Tuberculosis, caused by the bacterium Mycobacterium tuberculosis, starts as a respiratory infection when inhaled.
- Once in the lungs, the immune system responds by forming granulomas, clusters of immune cells (mainly macrophages and T cells), in an attempt to contain the infection.
Early treatment is key
- Early diagnosis and treatment reduces the infectious period and helps prevent spreading the disease to others.
- Delayed treatment can lead to complications such as lung damage and scarring; damage to the bones, kidneys, lymph nodes and central nervous system; and infection in the brain and spinal cord.
- Antibiotic treatment, often involving multiple drugs, is highly effective at eliminating the bacteria.
Tackling drug-resistant bacteria
- The Mycobacterium tuberculosis bacteria can quickly become resistant to antibiotics, so routine treatment includes multiple antibiotics which increases adverse effects.
- The emergence of drug-resistant tuberculosis strains is a major concern because it makes treatment significantly more challenging and costly.
Who is susceptible to tuberculosis?
- Children are also at greater risk of tuberculosis, as their immune systems are still developing.
- However, the World Health Organization estimates 11% of the 10.6 million tuberculosis cases worldwide are in children.
- Some 14% of all tuberculosis-related deaths occur in children under 15 years old.
What can we do about TB?
- The Bacille Calmette-Guérin vaccine provides partial protection, primarily against severe forms of tuberculosis.
- It’s not routinely given in Australia because we’re not considered a high-risk country, but it’s given in local regions with tuberculosis outbreaks.
- Visa applicants aged 11 years and over must have a chest X-ray for evidence of active tuberculosis.