CDC Says Super Bug Spreads To 35 States, Kills 40% Kill Rate

[eyeno]

Higgins has a map at his blog

http://blog.alexanderhiggins.com/2011/0 ... act-10898/




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CDC: “Superbug” Spreads To 35 States; Kills 40% Of The People Who Come In Contact
Posted by Alexander Higgins - March 25, 2011 at 12:40 pm - Permalink - Source via Alexander Higgins Blog
Map of CRE Superbug which kills 40% of people who come in contact
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The CDC and LA Times reports a “Superbug” that kills 40% of the people it comes in contact with has hit 35 US States and is now being spread through California medical facilities.

MAP OF THE DAY: There’s A “Superbug” Spreading Around America Killing 40% Of The People Who Come In Contact

LA Times:

A dangerous drug-resistant bacterium has spread to patients in Southern California, according to a study by Los Angeles County public health officials.

More than 350 cases of the Carbapenem-Resistant Klebsiella pneumoniae, or CRKP, have been reported at healthcare facilities in Los Angeles County, mostly among elderly patients at skilled-nursing and long-term care facilities, according to a study by Dr. Dawn Terashita, an epidemiologist with the Los Angeles County Department of Public Health.

It was not clear from the study how many of the infections proved fatal, but other studies in the U.S. and Israel have shown that about 40% of patients with the infection die. Tereshita was not available for comment Thursday morning but was scheduled to speak about the study in the afternoon.

Here’s a map from the CDC of states where it has been reported:

Map of CRE Superbug which kills 40% of people who come in contact

Map of CRE Superbug which kills 40% of people who come in contact and being spread through California medical facilities.

The Centers for Disease Control Writes:

Public Health update of Carbapenem-Resistant Enterobacteriaceae (CRE) producing metallo-beta-lactamases (NDM, VIM, IMP) in the U.S. reported to CDC

Given the importance of Enterobacteriaceae in healthcare-associated infections (HAI) and the extensive antimicrobial resistance found in these strains, all types of carbapenem-resistant Enterobacteriaceae (CRE) are an important public health problem, regardless of their mechanism of resistance or their country of origin. In addition, as Enterobacteriaceae are a normal part of human flora, the potential for community-associated CRE infections also exists. Carbapenem-resistance in Enterobacteriaceae can occur by many mechanisms, including the production of a metallo-beta-lactamase (such as NDM, VIM, and IMP) or a carbapenemase (such as Klebsiella pneumoniae carbapenemase, KPC).

CDC has been working with partners to prevent CRE infections, including those caused by KPC-producing organisms, which are the most common type of CRE in the United States. The KPC gene makes Enterobacteriaceae bacteria resistant to all beta-lactam/carbapenem antibiotics. KPC producers have been reported in about 35 states and are associated with high mortality, up to 40 percent in one report. They may be present in the other 15 states as well, but have not been reported to CDC. The presence of CRE, regardless of the enzyme that produced that resistance, reinforces the need for better antibiotic stewardship, transmission prevention, and overall HAI prevention in any healthcare setting.

The detection of new mechanisms of carbapenem resistance (ie, metallo-beta-lactamases) in the United States has raised questions about the identification and control of CRE. The mechanism of carbapenem-resistance is of epidemiologic interest but is not necessary for implementation of infection prevention recommendations. Current guidance for the control of all types of epidemiologically important multidrug-resistant organisms is available in the 2006 MDRO Guideline. In addition, see specific guidance for the control of CRE. These recommendations apply regardless of the resistance mechanism.

It is important to note that CRE, unlike other drug-resistant infections such as VRSA, are not a nationally reportable or notifiable disease. Therefore, there is not a requirement to report to CDC and therefore we may not know the true number of infections caused by these organisms in the US (only those voluntarily reported to CDC).
States with confirmed CRE cases caused by the KPC enzyme.
Alabama
Arizona
Arkansas
California (CRE caused by the NDM-1 enzyme and VIM or IMP enzyme)
Colorado
Delaware
Florida
Georgia
Illinois (CRE caused by the NDM-1 enzyme)
Indiana
Iowa
Kentucky
Louisiana
Maryland
Massachusetts (CRE caused by the NDM-1 enzyme)
Michigan
Minnesota
Mississippi Missouri
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
Ohio
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Virginia (CRE caused by the NDM-1 enzyme)
West Virginia
Wisconsin
Wyoming
State(s) with confirmed CRE cases caused by a VIM or IMP enzyme

Washington

[23]

Note the date of the article.

http://www.medscape.com/viewarticle/590369
CDC, HICPAC Issue Guidelines to Treat Carbapenem-Resistant Klebsiella pneumoniae in Acute Care Facilities

March 30, 2009 — The US Centers for Disease Control and Prevention (CDC) and the Healthcare Infection Control Practices Advisory Committee (HICPAC) released a new set of guidelines for infection control to identify undetected carriers of carbapenem-resistant or carbapenemase-producing Enterobacteriaceae (CRE) in acute care inpatient facilities.

As an important challenge in healthcare settings, CRE has emerged as one of the most common gram-negative bacteria encountered by physicians worldwide. At present, carbapenem-resistant Klebsiella pneumoniae (CRKP) is the species of CRE most commonly encountered in the United States. CRKP is resistant to nearly all antimicrobial agents among gram-negative bacteria; infections have been associated with high rates of morbidity and mortality, length of stay, and increased cost, especially in critically ill patients, according to a report published in the March 20 issue of the Morbidity and Mortality Weekly Report.

"The CDC issued this alert for hospitals to [pay] attention to another example of the emergence of resistance in bacteria that [we have been] seeing in increasing numbers on the East Coast in the last months to a year [that] appears [to be] migrating westward across the United States," Mark E. Rupp, MD, president of the Society for Healthcare Epidemiology of America and medical director and healthcare epidemiology/infection control professor, Section of Infectious Diseases, University of Nebraska Medical Center, Omaha, told Medscape Infectious Diseases.

The Organism Can "Pop From 1 Strain to Another"

Dr. Rupp added, "The worrisome thing here is that the organism produces an enzyme that degrades a very powerful antibiotic and confers low-level carbapenem resistance, which removes this major antibiotic choice commonly used in treating these infections. The concern is that it's on a transferable genetic element and can pop from one strain to another — and potentially from one species to another — and [be transmitted] from person to person and patient to patient."

K pneumonia is a necrotizing process with a predilection for debilitated and immunocompromised people, such as patients with poorly controlled diabetes or chronic alcoholism, Dr. Rupp said. The CDC wants all patients who are colonized or infected with CRE placed on contact precautions. Acute care facilities are instructed to establish a protocol, in conjunction with Clinical and Laboratory Standards Institute (CLSI) guidelines, to detect nonsusceptibility and carbapenemase production in Enterobacteriaceae, particularly Klebsiella spp. and Escherichia coli, and to immediately alert epidemiology and infection control staff members if production is identified.

On the basis of the 2006 HICPAC guidelines for management of multidrug-resistant organisms in healthcare settings, the CDC and HICPAC are again recommending an aggressive strategy in these cases, including treating all patients with CRE using contact precautions and implementing CLSI guidelines for detection of carbapenemase production. In areas where CRE are not currently prevalent, acute care facilities have been advised to initiate the following guidelines:

1. Review microbiology records for the preceding 6 to 12 months to determine whether CRE has been recovered at the facility.

2. If the review finds previously unrecognized CRE, perform a point prevalence culture survey in high-risk units to look for other cases of CRE.

3. Perform active surveillance cultures of patients with epidemiologic links to persons from whom CRE has been recovered.

The CDC recommended that in areas where CRE is endemic, facilities should consider additional strategies to reduce rates of CRE because these patients with unrecognized CRKP colonization serve as reservoirs for transmission during healthcare-associated outbreaks. CDC researchers said that CRE is routinely recovered at this time in the New York City metropolitan region and New Jersey in patients who are admitted to hospitals from the community. Carbapenemase production can be confirmed with the modified Hodge test.

Facilities Need to Be Aggressive in Hand-Care Hygiene

"Facilities need to take fairly aggressive measures in looking for patients who are colonized," said Dr. Rupp. "These organisms can be spread on equipment items or environmental surfaces, and the way to combat the spread of these organisms is good hand hygiene by healthcare workers and environmental disinfection — there's no good reason healthcare workers can't be nearly 100% compliant with hand-care hygiene, and there's no good reason hospitals can't do an adequate job in disinfecting the environment."

Dr. Rupp pointed out that the major problem that the CDC has picked up is that there are painfully few antimicrobial choices in treating these resistant pathogens, and there is as yet no new class of antibiotics with a unique mechanism of action on the horizon.

"So hospitals are being urged to be very proactive in looking for the sneaky little organisms," said Dr. Rupp.

[eyeno]

Looks like this super bug business might be in play. I don't know what is happening with it because I have not tried to spec it out yet. I just stumbled across this and decided to throw it in the hopper. I know some people think this sight is sympathetic to scientology. That is not why I am posting it. I am only posting it because it has a lot of details in it. If anybody is offended by it I will take it back out of the thread.

(NaturalNews) Nuclear meltdowns. Oil spills. More strife in Africa and the Middle East. GMO tainted crops. So what else could happen? Unfortunately, another problem has surfaced that has scientists calling for the "urgent need for global action". This time, it's worrisome news about a gene that turns bacteria into not just superbugs -- but SUPER superbugs.

Bottom line: this gene (dubbed the New Delhi metallo-s-lactamase 1 gene, NDM-1, for short) enables bacteria to resist virtually any and perhaps all antibiotics.

These multidrug-resistant bacteria have been found in public water supplies and urban effluent in New Delhi. But this isn't a problem limited to India. While researchers writing in the latest issue of the journal Lancet say the findings in India pose the worrisome possibility that NDM-1 is widespread in the environment of that country, there are plenty of reasons to be concerned the bacteria could be spreading to other parts of the planet.

http://www.naturalnews.com/032004_super ... teria.html

[82_28]

That is not why I am posting it. I am only posting it because it has a lot of details in it. If anybody is offended by it I will take it back out of the thread.

Get this offensive shit out of this thread. Has no place at RI.

But seriously.

So how the do they "know" that it kills a fairly steady "40%" of people who come into contact with it? How widespread is this? Because they're talking about knowing a variable of contactees which seems to me to be unknowable insofar as who can carry it and not be affected? They do not know this insofar as their sample group.

You ever been to an emergency room? That shit is filled to the gills with people who are, I think just sick of life and that is how the triage treats you and they get attention from their family. There ain't no studyin' goin' on in emergency rooms. They couldn't give fuck one about you, even in the friendlier hospitals, as in, not inner city.

This is so full of holes and a bounty of scare that one really must sit back and wonder how the fuck AIDS came to be what it was, for example.

This is not to say shit is not being done and diseases are not out there. But I think and believe they are fucking with people's heads. Duh.

My paranoid mind that fuels all the crazy sci-fi books I've never written says this all has been a precursor. There are too many diseases now that don't scale with history. And frankly, there is little research to be done once you wade into the history of this culture that has been tuned this way and that other than to see the tuning and call it.

There is no real news other than the FLOW of news as I have spent the past few months just reading and reading old newspapers as I have. The news is, is that it's bullshit and basically all trash. Virtually all of it. All trash.

It all falls within "paradigms" or something or what you have it, per fuzzily demarcated eras via dictates that either hinge on racism, sexism and corporate misanthropy or some other technology that were pushed and touted by the corporations and government groups who wanted to see a little social engineering. People were fucking dumb as far as the readings of all these newspapers are concerned. There was no "golden era" of journalism, ever.

I don't know how I would take it all in this skein without the reading of a lot of PKD when I did in life.

[Nordic]

CDC? Really? The idiots who foisted the whole "swine flu" scam upon all of us?

Right ..........

[eyeno]

82 that was also the first thing that caught my eye. They know too much it seems. Almost sounds like a sales pitch instead of a rendering of findings. If it is a 'tool' I am wondering for what? Timing is good with the fallout and so far that has been my bet. Excuse for illness from fallout, because after all, that radioactivity is almost good for you according them, so it can't be that radioactivity. I am waiting on them to put radioactivity in the nutrient category like they did fluoride. Somebody told me a few months ago that a doctor 'prescribed' fluoride for their son because his fluoride levels were too low. Blew me away. First I had heard of that one.

[Nordic]

That's an interesting connection, Eyeno. Wouldn't surprise me one bit.

Then there's this:

http://www.naturalnews.com/031992_radio ... esium.html


The cesium deception: Why the mainstream media is mostly reporting iodine levels, not radioactive cesium

(NaturalNews) Virtually all the numbers you're seeing about the radioactivity coming out of Fukushima are based on iodine-131 which only has a half-life of 8 days, not the far more dangerous cesium-137 which has a half-life of 30 years. So while the mainstream media reports that "radiation levels are falling rapidly" from the 7.5 million times reading taken a few days ago, what they're not telling you is that the cesium-137 radioactivity will take 30 years just to fall by 50 percent.

It's the great global cover-up in all this: What happens to all the radioactive cesium being dumped into the ocean right now? It doesn't just burn itself out in a few months like iodine-131. This stuff sticks around for centuries.

As part of the cover story, the FDA now says it will test "all imported food products coming from Japan" (http://ecocentric.blogs.time.com/20...). This claim is, of course, ridiculous on its face. Even without this Fukushima emergency in the works, the FDA only tests a tiny fraction of all the food imported into the USA. This agency has no existing infrastructure under which it could test ALL the food being imported from Japan. The very idea is ludicrous.

As this ABC News story reveals, the FDA says it's "really stretched" just to inspect a mere two percent of imported food: http://abcnews.go.com/Health/radiat...

h/t to Aletho News

[82_28]

82 that was also the first thing that caught my eye. They know too much it seems. Almost sounds like a sales pitch instead of a rendering of findings. If it is a 'tool' I am wondering for what? Timing is good with the fallout and so far that has been my bet. Excuse for illness from fallout, because after all, that radioactivity is almost good for you according them, so it can't be that radioactivity. I am waiting on them to put radioactivity in the nutrient category like they did fluoride. Somebody told me a few months ago that a doctor 'prescribed' fluoride for their son because his fluoride levels were too low. Blew me away. First I had heard of that one.

Well see, that's the vortex of knowledge and comprehension. Once we're at the point where we know we're being fucked with on every which side and from multiple levels and dimensions, we can see that we have not ever been leveled with insofar as what is true.

The vortex is real. It's as real as you feel it and there is no crime in noticing it until we begin to wade into the horrors of a Sartre or a Kafka.

I know that there are motherfuckers smarter than me (see Jack Riddler/barracuda et al), but we all have the same thrust in life, which is why we congregate here at RI.

Because we're running out of fucking time. To me, I'd rather know I figured something out that was hidden than know I now own 15 acres of prime ocean view property with a mansion on it. I'd rather die at the age of 36 and be done with it. But I hope to always add to the bounty of evidence that goddammit, the EMPIRE NEVER ENDED!

Yeah. Dork. Sue me. I write with emotion and what little skills I have at logic. But I try and tie them together.

But the empire, never, fucking, ended.

[eyeno]

SARS Detected in Idaho, CDC Cover Up?


http://theintelhub.com/2011/04/17/sars- ... -cover-up/

[eyeno]

Officials say preventive measures can reduce threat of plague
By Ryan Boetel The Daily Times
Posted: 04/19/2011 09:50:27 AM MDT


FARMINGTON — Three New Mexico pets were diagnosed with the bubonic plague this year, and although the same disease killed millions of Europeans in the 1300s, health officials say the bacterial disease today can be treated with antibiotics.

About 10-20 Americans are diagnosed with plague each year, according to the Center for Disease Control and Prevention.

http://www.daily-times.com/four_corners ... i_17878167

[eyeno]

Close to Half of US Meat contains Drug Resistant Bacteria

By: Daun Lee

Washington 4/15/2011 07:14 PM GMT (TransWorldNews)


According to CNN, a medical journal published a story that close to half of the beef and poultry in the US contains anti-biotic resistant bacteria, staphylococcus aureus or Staph. Staph can lead to rashes and ailments which cause death like pneumonia, sepsis and endocartis. The authors of the study cite that meat producers that use anti-biotic supplements on their animals have helped create the drug resistance of the bacteria. Many of the strains of staph found were resistant to a few different anti-bodies used to treat staph infection which leaves a doctor few options for treatment.

The report also states that the bacteria can be killed by thoroughly cooking the tainted meat but warns people can get infections from cross-contamination. Surfaces that come in contact with the meat that aren’t cleaned can infect a person with staph. The meat producers have been urged to limit their use of anti-biotic but have failed to do so.

Many people can be harmed by another’s carelessness or lack of action in a situation. For people who are injured or made ill by a defective product an accident attorney can obtain compensation for accidental injury victims. The people who are harmed can accumulate costly medical care that deserves to be recouped and accident lawyer can assure they are. Holding negligent parties accountable for their actions is the responsibility of accident attorneys who represent many injured people in the court system.
http://www.transworldnews.com/NewsStory ... 503&cat=10

[justdrew]

Officials say preventive measures can reduce threat of plague
By Ryan Boetel The Daily Times
Posted: 04/19/2011 09:50:27 AM MDT


FARMINGTON — Three New Mexico pets were diagnosed with the bubonic plague this year, and although the same disease killed millions of Europeans in the 1300s, health officials say the bacterial disease today can be treated with antibiotics.

About 10-20 Americans are diagnosed with plague each year, according to the Center for Disease Control and Prevention.

http://www.daily-times.com/four_corners ... i_17878167

errrright. cause none of those plague bacteria will ever ever pickup the drug-resistance genes that are all the rage in the bacteria community. at any rate, no one could possibly foresee that happening



endgame really starting to roll?

[eyeno]