title: Natural disasters and nontuberculous mycobacteria: a recipe for increased disease?
abstract: Infectious diseases acquired by survivors of large-scale natural disasters complicate the recovery process. During events such as tsunamis, hurricanes, earthquakes, and tornados and well into the recovery period, victims often are exposed to water-soil mixtures that have relocated with indigenous microbes. Because nontuberculous mycobacteria (NTM) are ubiquitous in water and soil, there is potential for increased exposure to these organisms during natural disasters. In this hypothesis-driven commentary, we discuss the rise in NTM lung disease and natural disasters and examine the geographic overlap of NTM infections and disaster frequencies in the United States. Moreover, we show an increased number of positive NTM cultures from Louisiana residents in the years following three of the relatively recent epic hurricanes and posit that such natural disasters may help to drive the increased number of NTM infections. Finally, we advocate for increased environmental studies and surveillance of NTM infections before and after natural disasters.
authors: Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz Medical Campus, Aurora; National Jewish Health, Denver Veterans Affairs Medical Center, Denver, CO. Electronic address: Jennifer.Honda@ucdenver.edu.
authors: Jennifer R
authors: JR
authors: Honda
authors: Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz Medical Campus, Aurora.
authors: Jon N
authors: JN
authors: Bernhard
authors: Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz Medical Campus, Aurora; National Jewish Health, Denver Veterans Affairs Medical Center, Denver, CO.
authors: Edward D
authors: ED
authors: Chan
mesh_terms: D055867:Cyclonic Storms / Q000706:statistics & numerical data; D004190:Disasters; D006801:Humans; D015994:Incidence; D008145:Louisiana / Q000453:epidemiology; D008171:Lung Diseases / Q000453:epidemiology* / Q000382:microbiology; D009165:Mycobacterium Infections, Nontuberculous / Q000453:epidemiology* / Q000209:etiology; D015995:Prevalence
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