Miguel Afonso Caetano<p>"The cure for TB—roughly half a year on antibiotics—has existed since the 1950s, and works for most patients. Yet, in the decades since, more than 100 million people have died of tuberculosis because the drugs are not widely available in many parts of the world. The most proximate cause of contemporary tuberculosis deaths is not M. tuberculosis, but Homo sapiens. Now, as the Trump administration decimates foreign-aid programs, the U.S. is both making survival less likely for people with TB and risking the disease becoming far more treatment-resistant. After decades of improvement, we could return to something more like the world before the cure.</p><p>Anyone can get tuberculosis—in fact, a quarter of all humans living now, including an estimated 13 million Americans, have been infected with the bacterium, which spreads through coughs, sneezes, and breaths. Most will only ever have a latent form of the infection, in which infection-fighting white blood cells envelop the bacteria so it cannot wreak havoc on the body. But in 5 to 10 percent of infections, the immune system can’t produce enough white blood cells to surround the invader. M. tuberculosis explodes outward, and active disease begins.</p><p>Certain triggers make the disease more likely to go from latent to active, including air pollution and an immune system weakened by malnutrition, stress, or diabetes. The disease spreads especially well along the trails that poverty has blazed for it: in crowded living and working conditions such as slums and poorly ventilated factories. Left untreated, most people who develop active TB will die of the disease."</p><p><a href="https://www.theatlantic.com/health/archive/2025/03/tuberculosis-death-usaid-trump/682062/" rel="nofollow noopener" translate="no" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">theatlantic.com/health/archive</span><span class="invisible">/2025/03/tuberculosis-death-usaid-trump/682062/</span></a></p><p><a href="https://tldr.nettime.org/tags/USA" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>USA</span></a> <a href="https://tldr.nettime.org/tags/Trump" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Trump</span></a> <a href="https://tldr.nettime.org/tags/USAID" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>USAID</span></a> <a href="https://tldr.nettime.org/tags/PublicHealth" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>PublicHealth</span></a> <a href="https://tldr.nettime.org/tags/Tuberculosis" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Tuberculosis</span></a></p>