Border agent ignored warning for TB traveler

updated 7:41 p.m. ET May 31, 2007

ATLANTA - A globe-trotting Atlanta lawyer with a dangerous strain of tuberculosis was allowed back into the U.S. by a border inspector who disregarded a computer warning to stop him and don protective gear, officials said Thursday.

The inspector has been removed from border duty.

The unidentified inspector explained that he was no doctor but that the infected man seemed perfectly healthy and that he thought the warning was merely “discretionary,” officials briefed on the case told The Associated Press. They spoke on condition of anonymity because the matter is still under investigation.

The patient was identified as Andrew Speaker, a 31-year-old personal injury lawyer who returned last week from his wedding and honeymoon trip through Italy, the Greek isles and other spots in Europe. His new father-in-law, Robert C. Cooksey, is a CDC microbiologist whose specialty is TB and other bacteria.

Cooksey would not comment on whether he reported his son-in-law to federal health authorities. Nor did the Centers for Disease Control and Prevention explain how the case came to their attention. However, Cooksey said that neither he nor his CDC laboratory was the source of his son-in-law’s TB.

Speaker is now under quarantine at a hospital in Denver. He is the first infected person to be quarantined by the U.S. government since 1963.

‘It's selfish’
The disclosure that the patient is a lawyer — and specifically a personal injury lawyer — outraged many people on the Internet and elsewhere. Some travelers who flew on the same planes with Speaker angrily accused him of selfishly putting hundreds of people’s lives in danger.

“It’s still very scary,” 21-year-old Laney Wiggins, one of more than two dozen University of South Carolina-Aiken students who are getting skin tests for TB. “That is an outrageous number of people that he was very reckless with their health. It’s not fair. It’s selfish.”

MSNBC video TB patient identified May 31: The patient with the rare strain of drug-resistant tuberculosis has been identified as Andrew Speaker, 31, of Georgia. MSNBC

Speaker said in a newspaper interview that he knew he had TB when he flew from Atlanta to Europe in mid-May for his wedding and honeymoon, but that he did not find out until he was already in Rome that it was an extensively drug-resistant strain considered especially dangerous.

Despite warnings from federal health officials not to board another long flight, he flew home for treatment, fearing he wouldn’t survive if he didn’t reach the U.S., he said. He said he tried to sneak home by way of Canada instead of flying directly into the U.S.

He was quarantined May 25, a day after he was allowed to pass through the border crossing at Champlain, N.Y., along the Canadian border.

The inspector ran Speaker’s passport through a computer, and a warning — including instructions to hold the traveler, don a protective mask in dealing with him, and telephone health authorities — popped up, officials said. About a minute later, Speaker was instead cleared to continue on his journey, according to officials familiar with the records.

The Homeland Security Department is investigating.

“The border agent who questioned that person is at present performing administrative duties,” said Homeland Security spokesman Russ Knocke, adding those duties do not include checking people at the land border crossing.

Colleen Kelley, president of the union that represents customs and border agents, declined to comment on the specifics of the case, but said “public health issues were not receiving adequate attention and training” within the agency.

MORE FROM INFECTIOUS DISEASES

Infectious diseases Section Front

Mystery disease causes rampant bleeding Scientists map genomes of malaria parasites Climate change helps spread deadly diseases Natalie Cole on bed rest after Hep C bout Mail carriers to bring drugs in anthrax attack Scientists learn how Listeria attacks the unborn Hospital worker may have exposed babies to TB Vaccine-wary parents spark public health worry Vaccine refusals fuel jump in measles outbreaks Bacteria a big killer in 1918 flu pandemic: study Infectious diseases Section Front   Add Infectious diseases headlines to your news reader: