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Police seek man who refused tuberculosis treatment

STOCKTON, Calif. (AP) — Prosecutors in Northern California said Thursday that they have obtained an arrest warrant for a tuberculosis patient who has refused treatment and may be contagious, putting those around him at risk.

Eduardo Rosas Cruz, a 25-year-old transient, went to the San Joaquin General Hospital’s emergency room in March, complaining of a severe cough. Diagnosed with tuberculosis, medical staff told him to stay in a Stockton motel room, where a health worker would deliver his medication and watch him take it. But officials say he took off.

County health officials asked prosecutors to seek the warrant, in part, because Rosas Cruz comes from a part of Mexico known for its drug-resistant strain of tuberculosis. County health officials are searching for Rosas Cruz, and his name is in a statewide law enforcement system, San Joaquin County Deputy District Attorney Stephen Taylor said.

“He could be in a homeless shelter. He could be around the corner from the courthouse,” Taylor said. “We don’t know.”

Tuberculosis spreads through the air when an infected person coughs or sneezes. The disease most commonly infects a person’s lungs. It can cause death if left untreated.

Catching tuberculosis requires extended contact with a contagious person, said San Joaquin County’s public health officer, Dr. Alvaro Garza, adding that it is unclear if Rosas Cruz is contagious. Rosas Cruz needs a nine-month regime of medicine, which Alvaro said the patient is not near to completing.

“If you stop taking it, it comes roaring back,” Alvaro said.

In court papers filed in support of the warrant, public health officials say Rosas Cruz resisted treatment from the start. He also uses crack cocaine and methamphetamine, officials said, adding that he could develop the drug resistant strain if he hasn’t already.

“We need help getting him in,” Alvaro said. “We’ve not been able to find him in places he’s told us he’s going to be.”

Rosas Cruz initially went to the hospital after feeling shortness of breath for two weeks, had a high fever and had lost considerable weight, in addition to the cough, according to court papers.

Taylor, who prosecutors public health cases, said he seeks arrest warrants like this once or twice each year.

In mid-2012, officials in San Joaquin County arrested Armando Rodriguez, who refused tuberculosis treatment. Taylor said Rodriguez, age 34 at the time, was released Jan. 7, 2013.

By law, health officials can’t force a patient to be treated for tuberculosis, but officials can use the courts to isolate him from the public. That is when officials offer treatment.

Taylor, who did not know the status of Rosas Cruz’s residency, said he is not interested in punishing him through the criminal court system. Rather, Taylor said he is using the courts to protect the public’s health.

“We’re interested in this guy because he broke the orders of the health officer,” Taylor said. “It’s all that’s left on the shelf.”

Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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