According to the government's own bovine-tb-impact-assessment, the public costs of carrying out the cull exceed any money saved from predicted falls in bovine TB (an average 16% reduction in new cases over nine years - in absolute figures, this amounts to preventing 47 out of 292 infected herds, for an area about half the size of the Gloucestershire pilot zone).
The Journal also showed that the WHO's own policies inadvertently helped drug-resistant TB to flourish.
When China released its first nationwide survey this year, it found 5.7% of that country's newly diagnosed TB patients were multi-drug-resistant, according to a study published this year in the New England Journal of Medicine.
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But it's a potential public health catastrophe with the new strain called XDR-TB, for extensively drug resistant tuberculosis.
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In hopes of slowing the epidemic, Dr. Arata Kochi, director of WHO's global TB program, has been promoting DOTS therapy (directly observed treatment, short-course), whereby health-care workers watch patients take their medicine completely and correctly.
And that's why people like Lawrence Gostin are rethinking what public health authorities should do about people with suspected XDR-TB in the weeks before the diagnosis is in.
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By tweaking the design of a cull - expanding the central killing zone, and choosing sites carefully to take advantage of hard boundaries like rivers and motorways - Defra's chief veterinary officer Nigel Gibbens argues it should be possible to maximise the positive impact on bovine TB infection rates in cattle.
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