Column: Reporting staph infection case was right thing to do

Stars and Stripes, in an article that appeared in the Europe edition on Oct. 31, reported that a student at a Department of Defense elementary school that serves the Kaiserslautern, Germany, military community had been treated for an antibiotic-resistant staph infection — a so-called “superbug” that has drawn a lot of publicity in the United States. A reader sent a letter to the editor criticizing Stripes for running the story. That illuminated a challenge faced every so often by the media: Do they alert citizens to possible dangers in the community, even if this causes disquiet, and brings objections from authorities?

In this article, reporter Steve Mraz noted that the student, a girl, had returned to Vogelweh Elementary School and posed no threat to other students. He also quoted the mother of another student as saying authorities should have notified parents that someone had contracted the contagious illness. “That’s something all of us — I would think — should be notified of,” the mother, Faith Jacobson, told Mraz.

The letter writer, Nancy Peck from Ramstein Air Base, charged that Stripes had “moved from reporting the news to creating the news.” She accused the paper of “gossip-mongering and innuendos.” Peck argued that the article was unnecessary because everyone had acted responsibly — the girl’s parents, the Landstuhl Regional Medical Center doctors who treated the child, and the Department of Defense Dependents Schools officials who followed guidelines in deciding it was not necessary to alert the community.

In fact, the article quoted DODDS-Europe officials as saying they followed the advice of professionals at Landstuhl who said notification of the public was not needed. Landstuhl’s chief of preventive medicine, Col. (Dr.) William Corr, told the reporter, “With a single case, it was appropriately treated, and the level of concern was minimal. … The disease is preventable and is treatable.” Officials at Landstuhl said they adhered to guidelines issued by the Centers for Disease Control (CDC) and Prevention in Atlanta.

A staffer at the CDC sent me the pertinent guideline, which said: “Usually, it should not be necessary to inform the entire school community about a single MRSA (the acronym by which the staph illness is known) infection. When a MRSA infection occurs within the school population, the school nurse and school physician should determine, based on their medical judgment, whether some or all students, parents and staffs should be notified. Consultation with the local public health authorities should be used to guide this decision.”

In other words, the school nurse and school physician and not medical or school authorities should decide whether the public should be notified. Vogelweh Elementary has no specific physician and the nurse, Sandy Redford, referred me to the school district when I called. There, Matt Syarto, the chief of staff of the Kaiserslautern superintendent’s office, told me that in instances like this “we always refer to the nearest medical facility, in this case Landstuhl.” And he said the nurse was the one to make the call to the Landstuhl officials. So the letter writer was correct: The procedures were followed more or less to the letter.

Nevertheless, in my mind it is hard to argue that the public good was not served by telling the community of this case of a notorious infection in its midst. I think the paper did the right thing reporting the story. (Though the large front-page headline added an unnecessary sense of alarm.) The article pointed out that the “superbug” had raised broad concern in the States because it had resulted in a few deaths among students. A finding by the CDC itself that the staph infection was killing more people than AIDS was widely reported in the U.S. media, including on the network news shows.

A short time before the Kaiserslautern case came to light, Stripes had published news service stories about the illness. A lengthy Los Angeles Times story that appeared a fortnight prior was titled: “Research: Staph infections pose serious risk in America.”

On Oct. 30, one day before Mraz’s story appeared, there was an American Roundup item in the paper. It said an eastern Kentucky school district with one confirmed case of the infection announced it would shut down all 23 of its schools. It planned on “disinfecting classrooms, restrooms, cafeterias, locker rooms, buses and even external areas such as playgrounds and sports fields.” All for one case of the infection.

As a final touch to the Stripes article, Mraz added a definition of the MRSA infection from the Mayo Clinic, and advice from the chief of public health nursing at Landstuhl on ways to avoid the sickness. It’s worth repeating: “Washing your hands, covering wounds with Band-Aids or clothing and maintaining a clean environment …”

staph infection

I would like to comment in regards to letting the public be aware of staph infections. I contracted a staph infection from a hospital while having back surgery 7 months ago and am still fighting it! I have had to endure 2 surgeries to remove diseased tissue & insert drainage tubes in my back to rid the infection which unfortunately engulfed 2 of my vertebra's causing me to now have osteomyelitis (bone infection). I was in and out of the hospital extremely ill, fighting for my life. I spent a week in critical care and a total of a month in the hospital. I was on home nursing care with a pic line (IV) inserted into my arm for months so that I could administer 5 seperate antibiotic infusions a day to myself. I am still on oral antibiotics (7 months now). I have to have MRI's & CAT Scan's every 3 months to make sure the vertebra's fuse together before I can begin a grueling physical therapy program to regain my strength and muscle damage. I wear a back brace to hopefully prevent the vertebra's shifting while they try to fuse. I can NOT express the pain physically, emotionally, mentally and not to mention financially this staph infection has put on me and my family. I am so frustrated and disgusted how our medical facilities and staff do not have to take ANY responsibility for putting someone through this agony and can write it off as a risk of a surgery and the "chance" you take when you are the patient and HAVE to sign a consent form in order to receive care! I want everyone to know what is happening, it is all kept so quiet and hidden. The hospitals bill the insurance companies as a "post-op infection" and its not right. My care has totaled over $500,000.00 and counting! My employer had to replace me and I now no longer have a job although I am still on disability and will be for some time. These staph infections change your life in soooo many ways. No one should have to go to the hospital and basically sign your life away for something that CAN be prevented....sterilization!!! What is it going to take to change these hospital policies??? I can ensure you that if the hospitals were to be held responsible for their sterilization of their staff, the instruments and the environment to prevent these infections and they were to absorb the cost and be required to make amends to the patient for their loss of wages, pain and suffering etc.....that things would change and the staph infection rate would drop significantly!!!
I am trying to tell my story to make people aware what is happening here and for us to ask for help from those in higher places to guide us in getting these policies changed and making the hospitals accountable.....this has to stop being pushed under the carpet and we need to talk about it and change it now.
I look for any advice or help in order to spread this message amongst the public.
Sincerely,
Pam

The only frustrating thing

The only frustrating thing is that no one does something concerning this matters. Frankly that hospital you got the infection from should of been sued or at least they should have the guts to pay for your treatment. But I doubt they do it. It was a cases in our country where a doctor cut a man`s penis...by mistake she said.. but quite an expensive mistake don`t you think? He ruined the mans life and all he lost was his doctor`s license. That`s how things work in our world. I got friends doing drug rehabilitation and there were treated like animals there. And than they come and encourage you to do this things.

More than 90,000 Americans

More than 90,000 Americans get the potentially deadly infections each year. The death of a high school student in Virginia earlier this month raised awareness.
marirea penisului

This type of infection is

This type of infection is very common in the general population -- and more common and more severe in people with weak immune systems. People who have diabetes or weakened immunity are particularly prone to developing cellulitis...........

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About the Author

Dave Mazzarella served as Stars and Stripes ombudsman from 2000 to 2001 before becoming the paper's editorial director. He returned to the ombudsman's chair in February 2007 and served in the role until his retirement in January 2009. He was succeeded by current ombudsman Mark Prendergast.

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