Dr. Khan has completed his graduate degree in medicine (MD) from Kng Edward Medical College. He obtained Masters in Public Health (MPH) from New York Mecial College, with specialized training in tropical medicine and obtained Diploma in Tropical Medicine (DTMH). Dr. Khan started his career as research clinical epidemiologist at Kingsbrook Jewish Medical Center, Brooklyn, New York. He worked as Direcor of Hospital Epidemiology and Infection Control at Long Island College of State University of New York and Director of Epidemiology and Occupational Health at Lourdes Health System in New Jersey. Dr. Khan worked as Director of Public Health and Communicable Disease at WHO Collaborative Infection ControlCenter in Saudi Arabia. Currently he is system Director of Epidemiology and Infection Control at major healthcare system in south west florida. He consulted for Joint Commission International and presented at international conferences.
South West Florida red tides are a natural phenomenon caused by dense aggregations of single cell or several species of unicellular organisms. Patches of discolored water, dead or dying fish, and respiratory irritants in the air often characterize these algal blooms. In humans, two distinct clinical entities, depending on the route of exposure, are associated with exposure to the Florida red tide toxins (particularly the brevetoxins). The two known forms of red tide toxins-associated clinical entities in humans first characterized in Florida are an acute gastroenteritis with neurologic symptoms after ingestion of contaminated shellfish (i.e. NSP) and an apparently reversible upper respiratory syndrome after the inhalation of the aerosols of the dinoflagellate and their toxins. Red Tide Symptoms: IRRITATED EYES AND THROAT, COUGH, RUNNY NOSE TIGHTNESS OF CHEST OR WHEEZING,, SHORTNESS OF BREATH. Blue Green Algae Symptoms: Direct contact with the organism or breathing of toxin, Rash, Stomach cramps, Nausea, Diarrhea , Vomiting, Liver toxicity, Nervous system effects, Irritation of eyes, notes, throat.. Blue Green Algae is Cyanobacteria can live in freshwater, saltwater or brackish water, most blue-green algae do not produce chemicals harmful to humans or animals, some types make natural substances called cyantotoxins. Safety concerns refrain form recreational, Fish caught near the bloom may have high accumulation of cyanotoxins in the organs
Dr. Satsuki Nakamura graduated from Sapporo Medical University School of Medicine in 2002, and have been engaged in respiratory practice as a clinician in Japan. She holds a specialist from the Japanese Respiratory Society, and now works in Ootakanomori hospital in Chiba Prefecture
Introduction: The incidence of tuberculosis in Japan is 13.3/100000, which is on a downward trend, but is higher than in Western countries, and those patients are more common in the elderly. Also, in Japan, lung cancer death is the third most common disease, and the number of deaths is first among all neoplasm. Case report: An 86-year-old woman who was referred to our hospital during an outpatient clinic because of chest abnormal shadow. While CT findings were two tumor, one was a diameter of 2.5 cm in the upper right lobe and the other was diameter of 5 cm in the middle lobe was observed. We thought they must be lung cancer, and surgery was performed. The tissue of upper lung tumor showed epithelioid cell granuloma, and the middle lobe tumor showed invasive adenocarcinoma with HE staining. With those results, and in addition, whole-blood interferon gamma release assay was positive, we diagnosis that she had lung cancer with tuberculosis. Because of her age and performance state, we didn’t do chemical treatment for her cancer, and we just did standard treatment for her tuberculosis. 6 weeks later, M. avium（MA） was detected in mycobacterial cultures of tissue lavage fluid submitted at the time of surgery, and the epithelioid granuloma of the upper lobe tissue was diagnosed to be due to pulmonary MAC disease. Conclusions: When finding an abnormal shadow on the chest, careful differential diagnosis is needed especially in the elderly people in countries where TB is endemic.