Passenger with possible TB infection pulled from plane

Posted at 11:23 AM, Dec 02, 2013

(CNN) — Passengers aboard US Airways Flight 2846 were waiting on the tarmac at Phoenix’s Sky Harbor Airport when their pilot came on the intercom.

“We’ve been notified about a health emergency aboard the aircraft,” passenger Dean Davidson heard.

A few minutes later, Davidson saw a flight attendant walk toward another passenger sitting a few rows ahead of him. The flight attendant handed the slender middle-aged man a medical mask.

Emergency personnel boarded the plane a short time later and removed the man, Davidson said. A firefighter then came on the intercom and announced that the passenger had active tuberculosis and was contagious and that other passengers on the flight had been exposed. He advised them to contact their physicians immediately, Davidson said.

The US Airways flight took off from Austin, Texas, on Friday, according to airline spokesman Bill McGlashen. It landed in Phoenix approximately two hours later on a layover before it was scheduled to fly to Los Angeles. There was no warning or flag on the passenger’s record when he was going through security or when he boarded the plane, McGlashen said.

After the plane took off, the Centers for Disease Control and Prevention notified the Transportation Security Administration of a possible risk. The TSA then notified US Airways, McGlashen said.

The passenger in question has not been confirmed to have an infectious disease, CDC spokeswoman Karen Hunter said Sunday. “And even if a passenger had infectious TB, the duration of the flight was so short that there would likely be no risk of exposure to other passengers.”

Tuberculosis is caused by a bacterium called Mycobacterium tuberculosis, which mainly affects the lungs. It can also infect other parts of the body including the kidneys, spine and brain. There are two types of TB: latent TB infection, which is not contagious, and TB disease, which is contagious.

A person infected with latent TB shows no sign of symptoms and may not feel sick. Someone with TB disease usually feels ill; they may be coughing up blood and may have a fever, night sweats and/or chest pain.

TB spreads through the air when a person with an active TB infection coughs, sneezes or speaks. Germs can stay in the air for hours, but the risk in this case was very small, said Dr. William Schaffner, an expert on infectious diseases at Vanderbilt University.

“The risk is greatest for people sitting two rows ahead of and two rows behind the individuals,” Schaffner said. “We don’t have to worry about the blankets and seat rests and the like. It’s how the air is transmitted and handled in the plane.”

Schaffner said passengers on the plane should have a TB skin test done by their local health care provider. People who contract TB must take several medications for six to nine months, according to the CDC.

Some varieties of the TB bacterium have developed a resistance to common antibiotics and may be more difficult to treat. People with weakened immune systems, such as those with HIV, are particularly susceptible to the disease.

The number of TB cases in the United States has been declining since 1992, according to the CDC. In 2010, the most recent CDC data available, there were 569 deaths from TB.

Davidson was flying home from Austin, where he had been visiting his daughter for Thanksgiving. He said other passengers told him the potentially infected man appeared “awkward” before and during the flight, continually rubbing his face.

Davidson plans to get in touch with his doctor Monday morning. He said he has not heard from US Airways about the incident.

In January 2010, a person infected with an active case of tuberculosis flew from Philadelphia to San Francisco on US Airways despite being on the CDC’s “do not board” list, which is different than the Transportation Security Administration’s “do not fly” list.

The list was created in 2007 after Atlanta lawyer Andrew Speaker traveled abroad with a drug-resistant case of tuberculosis, setting off an international health scare. Speaker insisted that he had not been told he was contagious; public health officials disagreed.

CNN’s Jacque Wilson, Chuck Johnston, Matt Sloane and Miriam Falco contributed to this story.

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