Tuberculosis infected 70- 90% of the urban population in the United States and Europe in the late 19th and early 20th centuries. And an estimated 80% of people who developed active disease died from it. It was a devastating disease. Fortunately, curative treatment was developed in the mid 20th century. It is now an uncommon disease in the United States, but is still common in developing countries, like Haiti.

Ellison is a 4 year old boy who was brought to our clinic in April of this year by another missionary. He was malnourished and had low oxygen. His mother had died in November from suspected tuberculosis. She had declined to seek medical attention.  Ellison also had extensive adenopathy (large lymph nodes) which supported a diagnosis of tuberculosis. A chest x-ray was also consistent with extensive tuberculosis.

Fortunately, it is 2024 and medication to treat tuberculosis is available. Even in Haiti. I’ve written previously that finding anti tuberculosis medication has become more challenging due to gang violence and disruption of health care and imports, but by the Grace of God, we still have these life saving medications. Ellison was started on medication and responded well. He was weaned off of oxygen and recovered strength. After 1 month of treatment he was running and playing like a normal 4 year old. He completed his treatment towards the end of September and was discharged home last week. A happy ending to a story with a scary beginning.