Scenario G: Tuberculosis in Glenleith

The Glenleith Pandemic Response committee has gathered the following information for the second meeting of your group.

You should evaluate the effect(s) of the actions that you took at your last meeting and evaluate the current state of affairs in Glenleith.

You should submit 3-5 specific actions for further actions to control the pandemic, using the workshop 4 pro forma (also available on MyPlace). You should consider whether you want to continue any of the public health measures you implemented at your previous meeting, or whether you want to stop them; and also whether there are any new, additional actions you would like to take. Submit the pro forma by noon on Friday March 15th, via the submission link on MyPlace.

Minutes from the last Pandemic Response Committee Meeting

Actions taken:

  1. Educate the public on TB, its dangers, and its transmission using multiple formats → posters in public areas, newspapers, online articles, text messages from local Government. Any posters/adverts should be easy to read and understand.

  2. Offer BCG vaccine to people at risk - babies, young children and immunocompromised individuals or people likely to come into contact with an infected individual. If the budget allows and enough vaccine, then offer vaccine to more groups of people.

  3. Track the source of the pandemic (the strain of pathogen, country of origin etc. to pinpoint what brought it to Glenleith)

  4. Restrictions for the public, stay within ‘bubble’ (same household) → people at risk (children < 5 years, elderly, immunosuppressed, people with diabetes etc) should receive 2 tests for TB 12 weeks apart

Pandemic Statistics

Table 1. Data from the Glenleith Tuberculosis outbreak.
23/02/2024 data 07/03/2024 data
Deaths caused by the Tuberculosis outbreak (total) 13 15
Verified Tuberculosis cases (total) 150 155
Tuberculosis hospitalisations (weekly) 171 105
Riverview ICU bed occupancy (current) 15 12
Number of Tuberculosis related GP visits (total) 80 66



Letters from the Public


From:
To:
Cc: Subject: This Bloody Pandemic

Dear Pandemic Response Committee

I am so outraged by all of the restrictions that you are imposing on our beautiful city, this is exactly the same as was done to us during COVID, it is a trespass on the freedom of all right-minded individuals. Your tests are probably just the devil’s trickery, trying to manipulate good people into putting their DNA information in some government database somewhere. It is an absolute outrage and a crime what you are doing, I hope you are able to sleep at night because I certainly wouldn’t be able to in your shoes. This pandemic is absolutely just manufactured fake news, I have asked everyone I know and not a single person is infected with this so-called “bacteria” that you claim exists.

Best wishes,
Eleanor


From:
To:
Cc:
Subject: The BCG vaccines

Dear Pandemic Response Committee,

I am so frightened about new pandemic, the news you read about it is very scary. Thank you so much for all your hard work you are doing to protect us.

I heard that there was a BCG vaccine that can help protect us, but I am not eligible for this, I was wondering what should I do? Can you please get extra vaccine supplies so that everyone can be eligible? It would be great if we were all protected by the vaccine.

Thank you so much for all the hard work you do,
Roman


News Coverage of the Glenleith Tuberculosis outbreak

Glenleith Star
Glenleith says farewell to pandemic’s youngest victim
by Perry Collins 12/03/2023

The Mycobacterium tuberculosis pandemic ravaging Glenleith has claimed yet another victim. There have been 15 deaths in the pandemic so far, but perhaps the most tragic loss is Noah Lewis - at only 3, the youngest victim that the pandemic has claimed.

Noah Lewis liked zebras and movies. Friends and family say that he was always a treasure.

Noah is survived by his parents and grandparents, and by his siblings Rory and Susan.

The funeral service will be held Thursday at Westlake Memorial.


Glenleith Star
Glenleith says farewell to local legend
by Hugh Elliot 10/03/2023

The Mycobacterium tuberculosis pandemic ravaging Glenleith has claimed yet another victim. Maisie Marshall, local author and star, sadly passed away on Monday.

Maisie was perhaps best known for her 2004 work Harmful , but fans say that the rest of her work was equally as excellent.

Maisie is survived by her wife, and by her siblings Jim, Ella, and Evie.

The funeral service will be held Monday at Trinity Church.


Glenleith Evening News
Glenleith pandemic council making great strides
by David Locke 05/03/2023

Citizens of Glenleith should be thankful that the city’s Pandemic Response Council, hurriedly convened when a new pandemic began to hit Glenleith, has been so effective. While the initial death toll from the pandemic appeared to be quite devastating, the actions taken by the PRC seem to have been most effective.

Officials from the World Health Organisation have publicly praised the Glenleith PRC, saying that their actions have been extremely effective

There have been 6 deaths due to Mycobacterium tuberculosis in Glenleith this week. This is an enormous decrease, and hopefully Glenleith will see the death toll continue to decrease in the coming weeks.


Glenleith Evening News
Yet more overreach in the name of “science”
by David Morris 10/03/2023

Governments across the globe have seen how successful power-grabs in the name of public health can be, following on the wave of restrictions imposed because of so-called viral diseases like COVID-19 and “mpox”. So-called scientists are fearmongering - aerosols, monkeys, “bird” flu - now they think that they can fool us into thinking that the air and water are unsafe. Citizens of Glenleith should stand strong against this terrible tyranny! No more mask mandates, no more senseless restrictions!

Our elders should not be left to die alone, left frightened and hopeless in a mandatory lockdown claimed to be “for their benefit.” Our children should not be left to struggle through “pandemic” after “pandemic” - their language and literacy skills have been left behind due to these lockdowns, and their mental health is suffering. It is time that we take back control of our lives and end this tyranny of fear-mongering and so-called science. Citizens of Glenleith, stand with me and resist this most recent attack on your freedoms and your lives.


BBC Scotland
Mycobacterium tuberculosis pandemic in Glenleith
by Barbara Matthews 12/03/2023

Hard on the heels of the COVID-19 pandemic and a number of other health scares (monkeypox, or “mpox”, avian flu, and worries about other infectious disease outbreaks), another pandemic has hit the Scottish town of Glenleith. This time, it’s Mycobacterium, a bacterium that is particularly fatal to the elderly and to pregnant women.

There have been 15 deaths in the pandemic so far, but perhaps the most frightening aspect to this new pandemic is rumours that these Mycobacterium strains may have become resistant to even more antibiotics - a truly chilling possibility.

Scientists have been warning about the antibiotic resistance crisis for years, saying that careless use of antibiotics could mean that these precious medicines will no longer be available to us in the future.

Some of the Mycobacterium strains found in Glenleith are reportedly resistant to all clinically available antibiotics, and scientists warn that these drug-resistant pathogens might be able to spread to new locations. Will nearby towns be next, or could these Mycobacterium strains go as global as the SARS-COV2 virus did?


Data gathered

Test results are based on blood interferon gamma release assay (IGRA). A representative sample of test results are shown.

Table 2. Identification of M. tuberculosis from patient samples taken during the Glenleith outbreak.
Test sample # M. tuberculosis +ve test
1 -
2 -
3 -
4 -
5 +
6 -
7 -
8 +
9 -
10 +
11 -
12 -
13 +
14 +
15 -
16 +
17 +
18 -
19 +
20 -
21 +
22 +
23 -
24 -
25 +
26 -
27 +
28 -
29 -
30 -
31 -