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Comments by Mike Adams, the Health Ranger
MRSA was first identified in the United States in 1968. The staph bacteria, which occurs naturally on human skin and in nasal passages, can cause minor infections of the skin or other soft tissue if it enters an open wound. In rare cases, however, the bacteria becomes "invasive," colonizing another part of the body. In these cases, the staph bacteria can infect the bloodstream, urinary tract, lungs or other organs and lead to potentially fatal complications, including pneumonia or the state of whole-body inflammation known as sepsis. Even in less severe cases, a staph infection can lead to skin necrosis and the development of painful abscesses.
Staph infections can be spread by skin-to-skin contact or by sharing a towel with an infected person. This makes staph epidemics particularly likely in institutional settings like hospitals, prisons, nursing homes, sports facilities and schools. In schools, athletes are particularly at risk - the crowding and lack of hygiene in gyms and locker rooms provide a perfect breeding ground for MRSA.
"These situations set up the perfect scenario for the organism to invade the skin," said Dr. Pascal James Imperato, former commissioner of public health for New York City and chairman of the Department of Preventive Medicine at SUNY Downstate Medical Center. "In this setting, you have sweat and good exposure to skin. With youths who play football or lacrosse, the skin might also be cut or scraped, making the skin more vulnerable."
In response to the recent death of a student from MRSA, students in Bedford County, Virginia, demanded that their schools be sterilized. After students organized themselves over text messages and the internet to protest the unsanitary conditions at their schools - including taking the Bedford County Schools Superintendent on a tour of one high school to demonstrate the problem - the schools agreed to comply with their demands. All 21 schools in the county were closed, scrubbed and sanitized on October 17. Schools were also sanitized in Indiana and West Virginia, with a particular emphasis on locker rooms and gyms.
In Illinois, state officials are considering a recommendation that would specifically encourage health care officials to report any cluster of MRSA - defined as three or more cases - in an institutional setting. This rule is intended to alert health officials to any potential epidemics in the making, before the infection spreads too widely. The recommendation was prompted by the recognition that it took officials at Naperville High School weeks to learn about the two infections in their football team, and the fact that infections diagnosed at off-site health care facilities may never be reported to the school.
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