Contagious TB patient violates federal "do not board" rule

By Sean O'Neill
October 3, 2012

You've heard about the government's no-fly list for suspected terrorists, but did you know there's also a do-not-board list for people with contagious diseases?

The national Centers for Disease Control and Prevention and the Department of Homeland Security have a list of 88 persons with known communicable diseases that pose a serious public health threat. At the moment, all of the people on the list suffer from suspected or confirmed infectious tuberculosis.

The list was created in 2007 in response to Patient Zero, a man with TB who flew across country and possibly imperilled other passengers by coughing infectious material into the cabin air.

Last Friday, a new name was added to the Do Not Board list. Fourteen hours later on January 9, the man stepped aboard US Airways Flight 401 from Philadelphia, Pennsylvania, to San Francisco, says CNN. He had a drug-resistant form of tuberculosis.

The man was intercepted by agents when he landed, before he boarded a second flight headed internationally.

The San Francisco Chronicle reports:

"When transmission does occur, it tends to occur on long-haul flights," longer than eight hours, said Dr. Martin Cetron, CDC director for global migration and quarantine. "Fortunately, we were able to intercept this individual before they took the high-risk flight."

Because the US Airways flight lasted less than 6 hours, the airline has not contacted its passengers to alert them.

"If someone is untreated and they're coughing, they are putting the infectious organisms in the air. They shouldn't be going into enclosed environments," said Dr. L. Masae Kawamura, director of San Francisco's TB Control Section. "Going on a plane, that's not OK until you're safe to be back in the public."

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What's next for airline baggage fees?

As Continental and Delta jack up their fees for checked luggage, Southwest, the lone two-bags-free airline still out there, is asking customers how they'd respond if they too had to pay to check bags. Delta made news by raising its fees to $25 for the first bag (up from $15) and $35 for the second (up from $20), and the increases were promptly matched by Continental. Both airlines charge you a little less if you pay for checked baggage in advance online: There's a $2 discount for the first bag, and a $3 discount for the second (so $23 for your first bag, $32 for the second). Other airlines are expected to follow with baggage fee increases of their own. See a list of current baggage fees at kayak.com/airline-fees. Those "other airlines" would normally exclude Southwest, which has set itself apart from the rest of the carriers by continuing to allow passengers to check two bags for free. If you've got a TV, you're probably well aware of the airline's "Bags Fly Free" promotional campaign. But over at Christopher Elliott's blog, there's some speculation that Southwest may introduce checked baggage fees of its own. At least the airline is looking into the possibility, with surveys sent to customers asking how they'd respond to various fares (some with checked luggage fees) and to potential changes in the carrier's frequent flier program. Southwest responded to Elliott's post by saying it has "no plans" to charge for bags, explaining that "Surveys simply help us learn more about our customers." So Southwest passengers should continue to be able to check baggage fee free for the time being. After all, in light of the big free-bags commercial campaign, the airline would look awfully foolish if it started charging for luggage anytime soon. But down the line? You have to wonder. Airline policies can and do change, often not in the favor of travelers. For some perspective, it wasn't all that long ago that we were praising JetBlue for allowing passengers to check two bags up to 70 pounds apiece for free. JetBlue's current checked luggage policy, which is still better than most, allows one checked bag for free, with a 50-pound maximum.

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San Francisco: MoMA's 75th

Happy Birthday, SFMOMA: The San Francisco Museum of Modern Art's 75th Anniversary weekend starts this Saturday, with free admission all weekend. The museum's special "Best Of" anniversary show features works from big names like Frida Kahlo, Jackson Pollock, and Andy Warhol, all from the permanent collection. Instead of just doing an audio tour for the show, museum curators have invited a group of 75 artists, writers, musicians, and staff members to give quick, 7.5-minute talks about an artist in the collection they are passionate about. Luminaries include designer Yves Behar, New Yorker writer Rebecca Solnit, and California artist Robert Bechtle. The talks will be spread out throughout the museum and among the collection, every hour on the hour. On Saturday night, there's an evening cash bar party with free performances by experimental musicians including cellist Zoe Keating, Loop! Station, and Matmos. Also be sure to check out artist Mike Shine's temporary installation set up in a truck parked outside, on Minna Street between Third and New Montgomery Streets. Shine is a Northern California artist who works with found objects like driftwood. Stay tuned for more of SF MOMA's anniversary events. It's going to be a jam-packed year. 151 Third Street, sfmoma.org, 415/357-4000. Cash-bar party is Saturday from 6 to 10 p.m.; free admission and museum talks are from 11:30 a.m. to 5:30 p.m. Saturday through Monday. Mike Shine's exhibit is Saturday and Sunday from 11 a.m. to 4 p.m.

Radiation and whole-body scanners

When travelers are X-rayed, how dangerous is the radiation? More than a dozen readers recently commented that they were worried about the cancer risk of being X-rayed. The worriers are in the minority, though. A recent USA Today poll found that two-thirds of travelers are comfortable with being examined by the TSA's new whole-body scanners. To answer reader questions, I've put together a short Q&A; on the topic of cancer risk and whole-body scanning machines. The following info is a summary of published reports from respected news sources about how these scanners ought to work in theory. I'm not discussing the specific equipment of any manufacturer. What kind of machine does the TSA use? The TSA has deployed two types of scanners. One type uses X-rays and emits some ionizing radiation. These machines are called "backscatter" scanners. The other type of machine uses high-frequency radio wave technology, does not emit ionizing radiation, and produces fuzzier images. The TSA has 40 whole-body scanners in place. It has purchased 150 more. It intends to buy at least 300 additional ones soon, according to the Associated Press. A majority of these scanners will likely be "backscatter," or X-ray, machines. How do the TSA scanners work? A "backscatter" machine shoots a bean of X-rays at a traveler. Then the machine measures what bounces back from your body. It uses that information to create a two-dimensional image of what's underneath your clothes. Is radiation involved? As summarized by The New York Times, "The X-rays are a form of ionizing radiation, that is, radiation powerful enough to strip molecules in the body of their electrons, creating charged particles that cause cell damage and are thought to be the mechanism through which radiation causes cancer." How many additional cancer deaths might be caused by the machines that would not have happened otherwise? The Times' interviewed Arjun Makhijani, a nuclear physicist, who said that if a billion passengers were screened with the dose assumed by researchers, "that would mean 10 more cancer deaths a year." Other scientists give different estimates. Some even say there is no increased cancer risk at all. No one knows for sure, primarily because it is unethical to perform potentially fatal experiments on people. It is also difficult to measure the effects of "a dose of radiation equivalent to 1 percent or less of the radiation in a dental X-ray." On the one hand, the National Council on Radiation Protection & Measurements, a respected agency, said in a 2002 report that researchers "cannot exclude the possibility of a fatal cancer attributable to radiation in a very large population of people exposed to very low doses of radiation." On the other hand, the TSA says, according to the AP, that "the radiation is equivalent to what a person gets in two minutes of flying on an airplane." In other words, when you fly in a plane, you are exposed to more solar radiation than you are on the Earth's surface because the earth's protective atmosphere is thinner at higher altitudes. (Get details at the TSA website.) The Times quoted a spokeswoman for the Transportation Security Administration, Kristin Lee, sayingthat even for pregnant women, children and people whose genetic makeup made them more susceptible to X-ray damage, "It would take more than 1,000 screenings per individual per year" to exceed radiation standards. EARLIER Is the TSA violating your privacy with its new body scanning machines? (500+comments)