I should have clarified. The person with run o’ the mill TB isn’t in hospital purely for isolation, this person is in hospital because they are not a well bunny. We keep them in an isolation room, because it is better than keeping them in the open ward. The MDRTB guys are in isolation because they are still infectious, and one of them is still not a well bunny, months into treatment.
People who need weekly chest xrays, chest physiotherapy on a daily basis, twice weekly blood tests, tube feeding, blood transfusions, highly toxic medications, oxygen etc. do not, in general, do well in their own homes with someone bringing them groceries.
Yup, TB in Ireland is increasing, mostly in part due to the influx of immigrants from parts of the world (Africa, eastern europe) with endemic TB. It’s also because we’re picking up, and treating, a lot more latent TB. None of my three patients has English as a first language and none lived here for more than 12 months before their diagnosis.
No, we don’t routinely isolate or hospitalise everyone with TB, but that’s because most people take their medications and know what they’re not supposed to do until they are no longer infectious. There are monitoring and DOTS systems in place to ensure people take their medications.
However, if someone indicates that they wil not comply with treatment and intend to put others at risk (like by flying across the Atlantic ocean), then yes, I could get a court order and compel them to recieve treatment until they no longer pose a risk to public health, or are willing to comply with treatment.
The less I say about the USA’s policy on the treatment of TB, the better.