Elephant-to-Human Transmission of Tuberculosis, 2009

In 2009, the Tennessee Department of Health received reports of 5 tuberculin skin test (TST) conversions among employees of an elephant refuge and isolation of Mycobacterium tuberculosis from a resident elephant. To determine the extent of the outbreak and identify risk factors for TST conversion, we conducted a cohort study and onsite assessment. Risk for conversion was increased for elephant caregivers and administrative employees working in the barn housing the M. tuberculosis–infected elephant or in offices connected to the barn (risk ratio 20.3, 95% confidence interval 2.8–146.7). Indirect exposure to aerosolized M. tuberculosis and delayed or inadequate infection control practices likely contributed to transmission. The following factors are needed to reduce risk for M. tuberculosis transmission in the captive elephant industry: increased knowledge about M. tuberculosis infection in elephants, improved infection control practices, and specific occupational health programs

Local actors in global politics

Globalization and the new information and communication technologies(ICTs) have enabled a variety of local political actors to enter inter-national arenas once exclusive to national states. Multiple types of claim-making and oppositional politics articulate these developments. Going global has been partly facilitated and conditioned by the infrastructure of the global economy, even as the latter is often the object of those oppositional politics. Further, and in my analysis, very importantly, the possibility of global imag-inaries has enabled even those who are geographically immobile to become part of global politics. NGOs and indigenous peoples, immigrants and refugees who become subjects of adjudication in human rights decisions, human rights and environmental activists, and many others are increasingly becoming actors in global politics. That is to say, non-state actors can enter and gain visibility in inter-national fora or global politics as individuals and as collectivities, emerging from the invisibility of aggregate membership in a nation-state exclusively represented by the sovereign. One way of interpreting this is in terms of a