Dr. Drew Pinsky has warned that the city of Los Angeles is in “a complete breakdown” due to a lack of rodent control and poor sanitation, Fox News reports.

“We have a complete breakdown of the basic needs of civilization in Los Angeles right now,” Pinsky, who is widely known as Dr. Drew, told Laura Ingraham Thursday night. “We have the three prongs of airborne disease, tuberculosis is exploding, [and] rodent-borne. We are one of the only cities in the country that doesn’t have a rodent control program, and sanitation has broken down.”

The interview came after news broke that a Los Angeles police officer had contracted typhoid fever, a rare disease caused by bacteria often from water contaminated by sewage.

Fewer than 350 Americans typically contract typhoid in a year, but Los Angeles encountered a typhus outbreak last year, and will most likely see another soon. Pinsky also warned that the bubonic plague, “The Black Death” that killed millions in the Middle Ages, is “likely” already in Los Angeles.

“This is unbelievable. I can’t believe I live in a city where this is not Third World. This is medieval,” he said. “Third World countries are insulted if they are accused of being like this. No city on Earth tolerates this. The entire population is at risk.”