ABSTRACT

Andrew Speaker probably did not intend to cause an international health incident when traveling by plane in May 2007. He just wanted to attend his own wedding in Greece and then fly to Rome for his honeymoon. But Mr. Speaker faced a major obstacle. He was under medical care for pulmonary tuberculosis , and he was advised not to travel ( Markel, Gostin, & Fidler, 2007 ). Tuberculosis (TB) is a communicable disease that can spread when TB germs, sometimes called bacilli , are propelled from a contagious person’s cough, sneeze, talk, or spit, sending the TB germs airborne to other persons sharing the same airspace ( Centers for Disease Control, 2007b ; World Health Organization, 2007b ).