CDC
sb admin | June 30, 2010Karen Starko writes: When the "financial crisis" started and the news media started throwing around numbers in the trillions and projected fixes in the billions, I realized I just didn't get it. So I got a little yellow post-it, labeled it "understanding trillions," and started a list of examples. And when I learned that the US GDP in 2006 was 13T and the derivative market, estimated in June 2007, was valued at 500T, I quickly got a sense of the potential drain of the derivative market (in which money is spent on items without real value...my definition, please correct me if I am wrong). I…
sb admin | June 29, 2010Liz Borkowski writes: Mark Pendergrast wrote yesterday about how politics plays into the work of the EIS, and it's something that I kept noticing as I read Inside the Outbreaks. As he points out, my post last week highlighted the solution to the Reye's Syndrome puzzle - which was solved by Karen Starko, who's also one of the Book Club bloggers! - but didn't get into the larger issue: there can be a big difference between solving the puzzle and solving the problem. In yesterday's post, Mark writes:
Although Karen's and subsequent CDC studies clearly demonstrated that giving children aspirin…
lborkowski | June 29, 2010Liz Borkowski writes: Mark Pendergrast wrote yesterday about how politics plays into the work of the EIS, and it's something that I kept noticing as I read Inside the Outbreaks. As he points out, my post last week highlighted the solution to the Reye's Syndrome puzzle - which was solved by Karen Starko, who's also one of the Book Club bloggers! - but didn't get into the larger issue: there can be a big difference between solving the puzzle and solving the problem. In yesterday's post, Mark writes:
Although Karen's and subsequent CDC studies clearly demonstrated that giving children aspirin…
mpendergrast | June 21, 2010Mark Pendergrast writes: To kick off this book club discussion of Inside the Outbreaks, I thought I would explain briefly how I came to write the book and then suggest some possible topics for discussion.
The origin of the book goes back to an email I got in 2004 from my old high school and college friend, Andy Vernon, who wrote that I should consider writing the history of the EIS. I emailed back to say that I was honored, but what was the EIS? I had never heard of it. I knew Andy worked on tuberculosis at the CDC, but I didn't know that he had been a state-based EIS officer from 1978…
mmckenna | June 7, 2010Via ProMED Mail comes a news report that about 2,000 people in 5 states are being sought by health departments so they can be checked for hepatitis B infection. The potential source: the Mission of Mercy Dental Clinic, a free dental-care fair held just about a year ago in Berkeley County in the far north-east corner of West Virginia. The potentially infected include 1,137 people who were treated at the two-day clinic and 826 of the volunteers who worked there, from West Virginia, Washington, D.C., Virginia, Maryland, Pennsylvania and North Carolina. Three patients and two volunteers have…
mmckenna | June 7, 2010So, hi, Scienceblogs. I'm thrilled to be joining the conversation here.
By way of introduction, I'm Maryn McKenna, journalist and author and sole proprietor of Superbug, which has been running for 3+ years at Blogger but moves over here today, thanks to an invitation from the Sb staff and some extremely kind support from friends and colleagues who are already here.
Superbug began as online notes and digital whiteboard for my new book, SUPERBUG: The Fatal Menace of MRSA (Free Press/Simon & Schuster), which is a narrative investigation of the international epidemic of drug-resistant staph.…
revere | April 17, 2010It would be surprising if failure to fund local public health and neutering regulation would result in a decrease in foodborne illness. Alas, there is nothing surprising about CDC's latest report on incidence of foodborne illness in the US. They put the best face on it they could, pointing to a decrease in E. coli O157H7 cases, but they've seen that kind of progress in E. coli before only to slip back.
In reality we aren't sure how much food poisoning occurs each year. Most of it is self-limited and never comes to the attention of medical or public health authorities. It never gets counted.…
revere | April 3, 2010Better late than never. When the Bush administration proposed sweeping airport quarantine rules in 2005, even those of us most concerned about avian influenza thought it was a fruitless policy on scientific grounds, not to mention issues of civili liberties and economics. The airlines hated it, too:
The regulations, proposed in 2005 during the Bush administration amid fears of avian flu, would have given the federal government additional powers to detain sick airline passengers and those exposed to certain diseases. They also would have expanded requirements for airlines to report ill…
revere | March 17, 2010When Thomas Frieden took over as CDC Director less than a year ago, I didn't know what to think. A smart, frenetic and intense former CDC epidemiologist who was most recently head of the New York City Health Department, he hadn't made his reputation as a "people person." He was reputed to being a quick study who sized up the science and once convinced, implemented science-based policy with a vengeance. His occasional appearances as the public face of CDC during the swine flu pandemic last fall were not auspicious. He appeared arrogant and blew off reporters' questions if he didn't know the…
mikethemadbiologist | February 9, 2010The success of a European MRSA surveillance network shows just how stupid, foolish, and short-sighted the Obama Administration's decision to cut CDC antimicrobial resistance surveillance is. But let's turn this frown upside down campers, and look at the really cool website the European Staphylococcal Reference Laboratory Working Group set up.
Each of the Google Map pins represents a different surveillance laboratory. If you click on the pin, it tells you how many Staphylococcus aureus ('staph') isolates have been typed. You can then click the "view spa types" link. spa is a highly…
mikethemadbiologist | February 8, 2010(from here)
By way of Maryn McKenna, we find that the Obama Administration has decided to massively cut the funding for the CDC's antimicrobial resistance and vaccination efforts. I thought this was the kind of anti-science bullshit that the Bush Administration did. From the IDSA (pdf):
Under CDC's proposed budget, the agency's already severely strapped Antimicrobial Resistance budget would be cut dramatically by $8.6 million--roughly 50 percent. This vital program is necessary to help combat the rising crisis of drug resistance, a critical medical problem that the agency deems "one of the…
revere | February 5, 2010We still don't know if we are experiencing a lull in flu or the virus has burned itself out for the season, but it's as good a time as any to reflect a bit on where we've been and where we still need to go. Being otherwise occupied (I'm sure you are sick of hearing about my grant writing obsession but not half as sick as I am about having it!), I'll start with something relatively straightforward: how CDC did on the epidemiology and surveillance front. Historically this is the agency's strong suit and so it is expected they would have acquitted themselves well. And pretty much, they did. A…
revere | January 3, 2010New York Times correspondent Don McNeil is an excellent medical reporter. He always asks intelligent questions at the CDC pressers and he writes good articles. And he's written one for The Times yesterday that I agree with, although his support for it seems to me less than objective. In essence he asked the country's flu establishment how well the US handled swine flu. None of his sources are CDC employees but all of them are deeply involved in flu and flu policy in one way or another. And they gave themselves a big pat on the back. I hope they didn't wrench their shoulders. That might be a…
mikethemadbiologist | January 1, 2010Who coulda thunk it?
There are two frustrating attitudes held by a fair number of antibiotic resistance/infectious disease specialists about MRSA (methicillin resistant Staphylococcus aureus). First, some argue that we really shouldn't be focusing on MRSA, since it's already evolved--the cat is out of the bag. Never mind that this particular cat kills more people annually in the U.S. than AIDS. While we obviously can't prevent the evolution of MRSA (that's already happened), we can contain the problem: we would rather have one percent of all staph infections be MRSA, rather than the…
revere | December 24, 2009Yesterday CDC had its last press conference of this calendar year on the flu pandemic (.mp3 here). CDC's Anne Schuchat did her usual competent job and was generally upbeat while trying to maintain the need for urgency in the vaccination campaign. She cited numbers of over 100 million swine flu and 100 million seasonal flu doses having been produced for consumption in the US and this is a real accomplishment. She also noted that availability of swine flu vaccine was now much greater. Indeed my medical center notified us that it was generally available regardless of previous priorities. Hence I…
revere | December 23, 2009One of the most dismaying "features" (or is it a bug?) of the US government is the too cozy relationship of key agencies with industries they are either regulating, investigating or affecting in some ways. The revolving door syndrome perhaps reached its peak in the Bush II administration, but it's been a chronic problem going back decades or longer. Yesterday we learned of another example when Big Pharma giant Merck & Company issued a press release announcing it had hired Dr. Julie Gerberding (often referred to by CDC employees simply as "JLG"), the first female Director of CDC (hat tip…
revere | December 7, 2009Any concerns about the current swine flu vaccine inevitably bring up the swine flu episode of 1976. This is not 1976. For starters, this year we have a bona fide pandemic and in 1976 the virus never got out of Fort Dix, NJ. That in itself is a game changer. If there are any risks from a vaccine (and there are usually some risks, even though they are much safer than most over the counter drugs) and they are for a disease no one is at risk for, the risk - benefit equation has nothing on one side and if there is anything, no matter how rare, on the other, it makes it unfavorable for the vaccine…
revere | December 3, 2009Frequent readers here know we are fascinated with the similarities between computer viruses and real viruses. Both use their unwittingly infected hosts (computers or host cells) to make copies of themselves and in the process can cause varying degrees of sickness. It's hard to give any solid criteria which will differentiate one as qualitatively different than the other (except perhaps one is purely carbon based). But now you don't have to choose. You can have both at once:
A new malware campaign uses faked e-mails that appear to inform of H1N1 vaccination programs from the Centers from…
mikethemadbiologist | November 24, 2009From the NY Times, the blame game begins:
At a hearing before the Senate Committee on Homeland Security and Governmental Affairs, representatives of the Centers for Disease Control and Prevention, the Department of Health and Human Services and the Department of Homeland Security argued that they were right not to put immune-boosting adjuvants in the vaccine even though that could have quadrupled the number of doses available now, and that they were also right to leave decisions about allocating vaccine up to local health departments instead of trying to micromanage them from Atlanta or…
revere | October 26, 2009CDC is again warning parents not to send your children to a swine flu party. The idea is to provide them with immunity, like used to be done with chickenpox parties. It's pretty hard to believe this is a live issue and CDC admits it doesn't have evidence that any have actually occurred. When it came up in the spring, during the first wave of H1N1, we and all other flu experts said it was a very bad idea, but at least one could understand the reasoning then. Since there was no vaccine and the worry was that swine flu might come back in the fall in altered and worse form during flu season, it…