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The Arts and Medicine
July 21, 2022

Art and the Fight Against Tuberculosis

Author Affiliations
  • 1Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Jacksonville
  • 2Infectious Disease Pharmacokinetics Laboratory, Gainesville, Florida
  • 3Coastal Blossom Counseling and Art Therapy, Jacksonville Beach, Florida
JAMA. 2022;328(6):509-510. doi:10.1001/jama.2021.24029

Tuberculosis (TB) was once popularly depicted and even glamorized in art, especially among European literary figures, painters, and artists.1 Today any glamor is replaced with stigma of infection, contagiousness, poverty, malnutrition, and HIV infection.1 Stigma generally leads to isolation with attendant psychological, social, and economic costs, and some studies report it may contribute to delays in TB diagnosis and treatment, especially when the presence of health workers at a person’s home to administer direct observational therapy (DOT) might reveal their infection status to neighbors or community members closeby.2,3

The visual artist Paulina Siniatkina uses her personal experience and art to fight the stigma of TB.4 In 2015 she spent 7 months in a TB clinic in Moscow. For the first 3 months she was not permitted to leave. Isolation from family and friends was difficult, as was finding motivation and meaningful activities. She was afraid and was advised by a physician not to tell anyone she contracted TB at the risk of being “branded for life”; she “thought it [was] shameful to have TB....so, [she] kept silen[t],” and soon learned that others in the clinic experienced the same feelings of isolation and stigma.4

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