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Editorials |

Lest the Tide Return

John A. Sbarbaro, MD, MPH, FCCP
Author and Funding Information

Affiliations: Denver, CO 
 ,  Dr. Sbarbaro is Professor of Medicine and Preventive Medicine, University of Colorado Health Sciences Center, Denver, CO.

Correspondence to: John A. Sbarbaro, MD, MPH, FCCP, Professor of Medicine and Preventive Medicine, 4200 E Ninth Ave, Denver, CO 80262



Chest. 2001;120(2):328-330. doi:10.1378/chest.120.2.328
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In 1992, Michael Iseman observed that: “As the epidemic tide of tuberculosis recedes from the shores of America, small tidepools of disease remain behind; pools populated by immigrants, the elderly, and the immunocompromised.”1 The report by Narita and colleagues in this issue of CHEST (see page 343) gives us some insight into the impact of these tidepools on our society.

During the 43 months of their study (January 1, 1994, through July 31, 1997), 5,516 cases of active tuberculosis were identified in Florida, keeping it among the top six states in the United States reporting the highest annual rates of newly diagnosed tuberculosis cases.2 By law, Florida requires all laboratories to report positive cultures, thereby giving credence to the completeness of these data.

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