On the health equity quiz I only got four of the ten questions correct. Many of the facts were shocking, but the one that stood out the most to me was that the American life expectancy compared to that of other countries put us in 29th place. I thought we would be higher up, I chose that were at least in the top 10. This is surprising considering the amount of money we put into health care and medicine and still we are not top of the list. The case I chose called collateral damage (unnatural cause 6) was about tuberculosis in a small country made up of a chain of islands called the Marshall Islands. The developing country has illnesses that you may find in countries like Africa, and the Middle Eastern. Tuberculosis shows up in countries where the people are poor and cannot maintain the proper health to fight off the disease. The Republic of the Marshall Islands has a tuberculosis rate 23 times that of the Unites States along with many other diseases that have gone rampant in the country. One of the most populated islands in the Marshall Islands, Ebeye, is an example of the struggling countries conditions with overcrowding, poverty, and malnourishment. There are usually over 20 people in each household with each home separated only feet away. Tuberculosis spreads very rapidly as it is airborne, therefore, in these conditions if one person has tuberculosis, it is more than likely to spread throughout the house. Public Health outreach workers are determined to track down patients to make sure they are taking their medication, and tried to keep them isolated from others so they would not spread the disease. The only way to reduce the death rate in the Marshall Islands is to improve their overall living conditions. It is necessary to diminish crowding to prevent it from spreading and improving health by having access to better drinking water. There are some non-genetic factors that played a role in the current health disparities of the Marshall Islands. For example, nuclear testing put the Marshall Islands in extreme poverty and at risk for diseases like tuberculosis. The United States involvement with the Marshall Islands was more political and economic based versus genetic.