Will Influenza Epidemic Repeat History?

Frank Bailey
Frank Bailey
Contributor
Posted by Frank BaileyApril 26, 2009 4:06 PM

The more a person thinks about the recent outbreak of swine flu the more convincing is the argument that these deadly microbes such as MRSA and VRE must be stopped. In 1918 there was a influenza epidemic at a military camp near Boston. Hundreds of people died. Here is a letter written by one of the camp physicians. It is the first idea of a mixed infection.

“Camp Devens is near Boston, and has about 50,000 men, or did have before this epidemic broke loose…. This epidemic started about four weeks ago, and has developed so rapidly that the camp is demoralized and all ordinary work is held up till it has passed….. These men start with what appears to be an ordinary attack of LaGrippe or Influenza, and when brought to the Hosp. they very rapidly develop the most viscous type of Pneumonia that has ever been seen. Two hours after admission they have the Mahogany spots over the cheek bones, and a few hours later you can begin to see the Cyanosis extending from their ears and spreading all over the face, until it is hard to distinguish the colored men from the white. It is only a matter of a few hours then until death comes, and it is simply a struggle for air until they suffocate. It is horrible. One can stand it to see one, two or twenty men die, but to see these poor devils dropping like flies sort of gets on your nerves. We have been averaging about 100 deaths per day, and still keeping it up. There is no doubt in my mind that there is a new mixed infection here, but what I don’t know.”

W. John Martin M.D. Ph.D. first talked about this type of occurrence. Dr. Martin wrote, “Among the bacteria commonly cultured were Pneumococcus, Streptococcus and Staphylococcus. While H1N1 influenza virus has been retrieved from victims of the 1918 epidemic, no formal study has been reported of possible toxin producing bacteria from this period.”

Dr. Martin went on in his interesting article to say, “The vast majority of bacteria are essentially harmless to mankind. Bacteria can, however, become infected with their own sets of viruses, some of which can transfer toxin producing capacities to otherwise relatively harmless bacteria. Bacteria viruses can also transfer the capacity of bacteria to resist certain types of antibiotics. The combination of toxin producing capacity with antibiotic resistance is now occurring, especially among Staphylococcus aureus. Of great concern is a toxin complex known as Panton-Valintine-Leucocidin or PVL. This toxin can easily incapacitate the host inflammatory response by directly killing white blood cells (leucocytes). The toxin can also destroy otherwise healthy tissues if the bacteria producing the toxin can gain entry into the tissues. The PVL toxin was originally detected in antibiotic susceptible bacteria.”

There are so many simple things that can be done to stop the spread of these hospital acquired infections, and some hospitals are making wonderful progress. But, why aren’t all hospitals putting the guidelines into practice?

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9 Comments

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Martin Wuest
Posted by Martin Wuest
April 26, 2009 5:34 PM

What evidence do you have that the current or previous outbreak of H1NI are an "hospital acquired infection"

Michael Bennett
Posted by Michael Bennett
April 26, 2009 5:36 PM

You make some wonderful points in this piece.

Remember the Bird Flu scare? It netted the CDC and industry billions of taxpayer dollars.

Remember the case of Andrew Speaker, the XDR TB patient who supposedly fled the country "against doctors orders" to go on a honeymoon and "jeopardized" the lives of airplane passengers and people all over the globe? He never had XDR TB and the evidence showed that he was not told to remain isolated and not travel. Many opine that this was a public relations extravaganza for the CDC's former director.

Pandemics may come and pandemics may go and entire regions will likely never be able to altogether prevent them. Precautions must be taken and hopefully the suffering will somehow be minimized before they eventually run their course.

The case of MRSA, VRE and other hospital-spread disease is an entirely different matter as controlling the spread of lethal contagion in an enclosed environment is not only possible, it is very doable. The scientific evidence supporting control of MRSA and VRE in healthcare using evidence based guidelines is overwhelming and therefore incontrovertible. They're just not being implemented and complied with.

You ask the all important question, "But why aren't all hospitals putting the guidelines into practice?" One could answer with a litany of reasons, but they would all just be excuses. The simple truth is that healthcare leadership has failed to effectively address this issue because of arrogance, greed and a culture of indifference to human life.

This may sound unbelievable to many. After all, how could those sworn to "First do no harm" want people to suffer and die? To answer that reasonable response perhaps we can look to the physicians and scientists who fought for years against warning labels on cigarettes and seatbelts in automobiles.

"No science is immune to the infection of politics or the corruption of power."
~Jacob Bronowski

Frank Bailey
Posted by Frank Bailey
April 26, 2009 6:10 PM

Martin, I didn't mean to imply that swine flu was a hospital acquired infection, but the danger of being hospitalized with swine flu and then getting MRSA...scary

Frank Bailey
Posted by Frank Bailey
April 26, 2009 6:11 PM

Michael, thank you for your comment. I hope you are wrong.

Pat Gardiner
Posted by Pat Gardiner
April 26, 2009 6:23 PM

British sources then and now insist that the Spanish flu was first spotted in the British trenches in France late in WW1 and spread from there into the German lines. Presumably it spread back to North America with returning American and Canadian troops.

Quite a lot of research has been done in recent years in Europe, with bodies of victims even being exhumed in Spitsbergen from the permafrost for testing.

It seems to be a matter of fact that there was an epidemic of Swine Fever in European pigs contemporaneously with the human epidemic.

My personal suspicion is that examination of Mexican pig farms will show a similar situation.

Pigs worldwide have been in very poor health for up to a decade. The rot seemed to start in Britain in mid 1999 with an under reported mutation of circovirus, followed by a whole series of epidemics - and, most importantly, movement in and out of the country of live breeding stock as part of a worldwide trade.

I have absolutely no doubt that constant mixing of pigs from different source farms in a pyramid system common to all industrial countries, together with overcrowding, is the root cause.

In the next few days we should hear of the health status of Mexican pigs.

If that was the source it may not help us this time round, but changes will have to be made to the husbandry systems and the regulatory regime.

--
Regards
Pat Gardiner
Release the results of testing British pigs for MRSA and C.Diff now!
www.go-self-sufficient.com and http://animal-epidemics.blogspot.com/

Molly
Posted by Molly
April 26, 2009 8:50 PM

Pat, can this be why the bibile prohibits pork?

Pat Gardiner
Posted by Pat Gardiner
April 27, 2009 4:35 AM

I think most moderate Christians and Jews would agree that the Bible contains much of social rather than religious significance. However, pork is almost certainly a higher risk meat than say beef especially in hot climates with no refrigeration.

I can speak with considerable authority on the matter.

My wife has only recently found out that her late father was a circumcised Jew (English Christian) who operated behind German lines in WW2 blowing things up.

She had no idea as he was well over six foot, blond and started every morning with a hearty breakfast of bacon and egg.

We are now rather proud of him and understand why he had this strange obsession with clockwork timepieces and bits of wire.

He came out of France after Dunkirk on the last ship, no doubt to bacon and eggs in Dover. It was all a British official secret until very recently.

Secretive country Britain, we hide our heroes as well as our rogues and, boy, do we have some in our government veterinarians.

--
Regards
Pat Gardiner
Release the results of testing British pigs for MRSA and C.Diff now!
www.go-self-sufficient.com and http://animal-epidemics.blogspot.com/

Frank Bailey
Posted by Frank Bailey
May 02, 2009 12:29 PM

Pat, any chance the government of England will appoint a special master to investigate the vets?

Pat Gardiner
Posted by Pat Gardiner
May 02, 2009 1:15 PM

Most professions in Britain, including vets, have a royal charter, I think other "old empire" countries such as Canada and Australia retain the system.

That includes lawyers on a slightly different basis (chuckle)

They are regulated by the "Privy Council." That organisation still maintains the ancient tradition of remaining standing when the Queen is present, which must have a beneficial effect on the lengths of meetings.

The Privy Council or rather a subcommittee thereof regulates and disciplines the professions.

It has long since failed to work adequately and is really self-regulation. The result is that whistle blowers from within the profession normally get persecuted and struck off, for bringing the profession into disrepute. Others leave Britain to continue to practice.

Many vets must be deeply troubled in Britain and I presume Canada, by the current situation.

They rely on people like me speaking out on their behalf. I rely on my old friend of the United States to help me.

Change has to come in Britain, but it is really hard work. It is a good country, with good people. but sometimes they resist change for the wrong reasons. It is a rat hole of animal disease with constant epidemics.

Margaret Thatcher, one of my heroines, told the professions to behave like businessmen - and some of them did - the wrong ones - like bad bankers.

The last enquiry into foot and mouth had Tony Blair giving evidence in camera (secret.)The one before into BSE (Mad Cow) did not require evidence under oath, and they all had amnesia.

You will be delighted to hear, I think we need a good dose of vigorous prosecutions and legal, including class, actions.

A touch of the new world practices coming to the aid of the old in the latter case

Regards
Pat Gardiner

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