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Tags: cdc | cre | frieden | hospital | infections

Trump's Next Healthcare Battlefront Should Be Hospital Infections

Trump's Next Healthcare Battlefront Should Be Hospital Infections
In this 2016 photo, a microbiologist demonstrates working with bacteria at the Centers for Disease Control and Prevention in Atlanta. A March 2017 proposal to replace the Obama healthcare law would cut out some funding for the CDC. Experts say that would likely curtail programs nationwide to prevent problems like hospital infections. (Branden Camp/AP)

Betsy McCaughey By Tuesday, 18 April 2017 03:07 PM EDT Current | Bio | Archive

Going into a hospital? It’s getting riskier, because of drug-resistant infections — the kind almost no drug can cure. Despite one federal government action plan after another, the germs are winning. Government authorities are clueless about how many infections there are, or how many patients are dying.

Alarming new research shows one of the deadliest bugs, nicknamed CRE, is actually striking three times more patients than the Centers for Disease Control and Prevention (CDC) tells us. One lesson from the war against AIDS — level with the public about the enormity of a problem if you want to start defeating it.

Government authorities are doing the opposite, helping hospitals conceal superbug outbreaks from the public and deliberately leaving infections off death certificates.

Within three decades, these bugs will kill more people globally than all cancers and diabetes combined, according to the World Health Organization (WHO). These germs attack young and old. Researchers report an "ominous" seven-fold increase in drug-resistant infections over eight years among hospitalized children in the U.S.

There are at least a dozen lethal superbugs the CDC has labelled "nightmare bacteria." They’re causing tens of thousands of deaths a year in American hospitals. But you wouldn’t know it, reading death certificates. At least half the time, the infection that actually killed the patient is omitted.

President Obama’s CDC head, Dr. Tom Frieden, resisted requests from victims’ families for honest death certificates. Families urged him to recommend that certificates start documenting when infection caused or contributed to death. But Frieden did nothing. True, it’s each state’s decision, but most follow CDC guidance. The agency and the states are guilty of a coverup mentality. It’s time that death certificates tell the truth and hold hospitals accountable.

Health authorities also must stop the conspiracy of silence about outbreaks. Would you choose to give birth at a hospital knowing there’s a superbug outbreak in the nursery? Last year, MRSA (resistant Staph) raged through the neonatal intensive care unit at University of California Irvine Medical Center, sickening 10 newborns. But hospital and county health officials kept the outbreak hushed. The truth came out later, when a hospital employee leaked the information. Consumer Reports rightly insists hospitals should be required to notify the public about outbreaks in real time.

What about the federal government’s highly touted goal to halve MRSA infections by 2020? Not even close, says leading patient advocate Dr. Kevin Kavanagh.

One newer superbug isn’t as common as MRSA, but it’s deadlier. It’s called CRE, short for Carbapenem-resistant bacteria. Patients who get it in their bloodstream have only a 50 percent chance of surviving. That makes it as deadly as Ebola, and it’s right here in local hospitals.

CRE is spreading like wildfire. It increased 800 perecent from 2009 to 2015, mostly in New York and surrounding states, though it has reached 44 states in all.

Where's the Centers for Disease Control? Out to lunch. The agency guesstimated CRE’s threat at less than one third its actual size. As a Reuters investigation reveals, the agency’s flim-flam number is based on 6-year-old data from a tiny sampling of hospitals — none from population centers like Florida, New York City, Boston, or southern California. No way to stalk a killer.

To get serious about stopping CRE, hospitals should also be testing incoming patients for the germ. Then, precautions can be taken to prevent patients carrying the germ from spreading it to others, explains Dr. Joshua Thaden of Duke University's medical school.

It’s a no brainer. Except to federal health authorities, who are repeating the mistake made four decades ago, when they failed to recommend testing patients for MRSA and allowed that menace to take hold in hospitals everywhere.

This time, President Trump has an opportunity to start solving this deadly problem by appointing a CDC head who will go to bat for patients, demand honest reporting of infection rates and insist on the truth on death certificates.

Betsy McCaughey is a patient advocate, and is chairman of the Committee to Reduce Infection Deaths. She is also a constitutional scholar, syndicated columnist, regular contributor on Fox News and CNBC, and former lieutenant governor of New York. In 1993 she read the 1,362-page Clinton health bill, warned the nation of what it said, and made history. McCaughey earned her Ph.D. in constitutional history from Columbia University. She is author of "Beating Obamacare 2014" and "Government by Choice: Inventing the United States Constitution." For more of Betsy's reports, Go Here Now.

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Decades ago, federal health authorities failed to recommend testing patients for MRSA and it took hold in hospitals everywhere. President Trump now has an opportunity to start solving a deadly problem by appointing a CDC head who will go to bat for patients, demanding honest reporting of infections.
cdc, cre, frieden, hospital, infections
Tuesday, 18 April 2017 03:07 PM
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