Same thing that happens in the medical industry, awareness. Once people are aware of the issue, then diagnoses skyrocket. The aquarium industry will eventually get on board and react, then diagnoses will begin to drop and it will become common knowledge to not bottom out your nutrients.
Very true. Our state usually leads the country in the number of diagnosed cases of TB. I don't think we have any more TB than other states but a lot of the research in to diagnosing and treating was done here so we are more aware of it and look for it more often.
Looking back I've had a few very minor flares of dinos through the years but it didn't really get bad till I let my nutrients get to zero (after treating with Vibrant and GFO to battle a hair algae outbreak that would have probably gone away on it's own).