Meanwhile, in the once-Golden State of California, Los Angeles has continued its slide into a literal Third World condition. The latest affliction? Leprosy. Excerpt:
“Hansen’s disease still exists, and we need to educate medical students and physicians,” coauthor Dr. Maria Teresa Ochoa from Keck Medical Center of the University of Southern California, Los Angeles, told Reuters Health by email.
Dr. Ochoa and colleagues identified 187 patients with the disease in a review of medical records from their leprosy clinic spanning 1973 to 2018. Most patients were Latino, originating from Mexico, and they experienced a median delay in diagnosis of more than three years, the team reports JAMA Dermatology, online August 7.
Multibacillary leprosy (MB) cases outnumbered paucibacillary leprosy (PB) cases by nearly eight to one (88.6% vs. 11.4%, respectively), and Latino patients were more likely than non-Latino patients to have MB, as were patients from Central or South America (versus other regions).
Most patients (80.7%) received multidrug therapy, and most (92.6%) received antibiotics for more than two years, especially if they had MB.
Only about half of patients (56.7%) had World Health Organization (WHO) grade 0 disability (no signs or symptoms suggestive of leprosy or disability) at the one-year follow-up, whereas 16.0% had grade 1 disability (loss of protective sensation) and 26.2% had grade 2 disability (visible deformity) at the last follow-up.
Among the patients who lost protective sensation, 87.7% (50/57) did not regain it following therapy.
Think on that a moment. Go on, take a minute and really think about that. I’ll wait right here.
All done? OK, good, because I have a few things to say about this utter failure of a city. Not only have they been not only allowing but encouraging bums and winos to camp endlessly on the streets of the city – not only have they been allowing those street people to pile garbage and discarded needles on the sidewalks – now they have been visited by a relic of the 19th century, a literal Biblical plague. The only thing they are missing are the cries of “Leper! Unclean!”
And it’s important to note that the latter follows from the former.
Maybe we can trade the California coast, say, from Huntingdon Beach to the Golden Gate, to Denmark for Greenland. We can keep San Diego, the Central Valley and most of the northern part of the state – the State of Jefferson portion. The problem is, I don’t think Denmark (or anyone else) wants California.
Hell, I’m not so sure most non-Californian Americans want it. Judging from the ongoing exodus of the productive from that state, I’d say there’s evidence for just that.