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A28    SCIENCE
                   Thursday 5 april 2018
            CDC: Drug-resistant 'nightmare bacteria' pose growing threat




            By MARILYNN MARCHIONE                                                                  for  Disease  Control  and  and easy to share their re-
            AP Chief Medical Writer                                                                Prevention.                  sistance  tricks  with  other
            "Nightmare  bacteria"  with                                                            "These  verge  on  untreat-  types of bacteria. Of these,
            unusual  resistance  to  an-                                                           able  infections"  where  the  221  had  unusual  genes
            tibiotics  of  last  resort  were                                                      only  option  may  be  sup-  that  conferred  resistance.
            found    more   than    200                                                            portive  care  —  fluids  and  The  cases  were  scattered
            times  in  the  United  States                                                         sometimes  machines  to  throughout 27 states.
            last  year  in  a  first-of-a-kind                                                     maintain life to give the pa-  "Even in remote areas" this
            hunt to see how much of a                                                              tient a chance to recover,  threat is real, because pa-
            threat these rare cases are                                                            Schuchat said.               tients often transfer to and
            becoming,  health  officials                                                           The situation was described  from other places for care,
            said Tuesday.                                                                          in a CDC report.             said  Dr.  Jay  Butler,  chief
            That's more than they had                                                              Bugs  and  drugs  are  in  a  medical  officer  for  the
            expected  to  find,  and  the                                                          constant  battle,  as  germs  state  of  Alaska  and  past
            true  number  is  probably                                                             evolve to resist new and old  president  of  the  Associa-
            higher  because  the  effort                                                           antibiotics.  About  2  million  tion of State and Territorial
            involved  only  certain  labs                                                          Americans  get  infections  Health Officials.
            in each state, officials say.                                                          from     antibiotic-resistant  Others  in  close  contact
            The  problem  mostly  strikes                                                          bacteria  each  year  and  with  the  infected  patient
            people  in  hospitals  and                                                             23,000 die, Schuchat said.   then  were  tested,  and  11
            nursing  homes  who  need                                                              Concern has been growing  percent were found to be
            IVs  and  other  tubes  that                                                           about a rise in bacteria re-  carrying  the  same  super-
            can get infected. In many                                                              sistant to all or most antibiot-  bugs  even  though  they
            cases, others in close con-                                                            ics. Last year, public health  were not sick. This gives the
            tact  with  these  patients                                                            labs  around  the  country  bugs more of a chance to
            also  harbored  the  super-                                                            were  asked  to  watch  for  spread.
            bugs  even  though  they                                                               and  quickly  respond  to  What to do? CDC suggests:
            weren't sick — a risk for fur-                                                         cases of advanced antibi-    —Tell your doctors if you re-
            ther spread.                                                                           otic  resistance,  especially  cently  had  health  care  in
            Some  of  the  sick  patients                                                          to some last-resort antibiot-  another country.
            had traveled for surgery or                                                            ics called carbapenems.      —Talk with them about pre-
            other  health  care  to  an-                                                           In  the  first  nine  months  of  venting  infections,  taking
            other  country  where  drug-  This undated file illustration made available by the Centers for   the  year,  more  than  5,770  care  of  chronic  conditions
            resistant  germs  are  more   Disease Control and Prevention in Atlanta depicts Pseudomo-  samples  were  tested  for  to  help  avoid  them,  and
                                         nas aeruginosa bacteria, one of the germs that can evolve to
            common,  and  the  super-    resist antibiotics.                                       these  "nightmare  bacte-    getting  vaccines  to  pre-
            bug infections were discov-                                           Associated Press   ria,"  as  CDC  calls  them,  vent them.
            ered after they returned to                                                            and  one  quarter  were  —Wash your hands regular-
            the U.S.                     mare  bacteria  in  your  Schuchat, principal deputy  found  to  have  genes  that  ly and keep cuts clean until
            "Essentially, we found night-  backyard,"  said  Dr.  Anne  director of the U.S. Centers  make  them  hard  to  treat  healed.q


            Late-winter storms slow California's dive back into drought



                                                                      By  RICH  PEDRONCELLI  and  Runoff from snow historical-  Gehrke    measured    32.1
                                                                      ELLEN KNICKMEYER             ly supplies a third of Califor-  inches  (812  millimeters)  of
                                                                      PHILLIPS STATION, Calif. (AP)  nia's  water,  and  the  April  snow with a metal rod, one
                                                                      —  A  stormy  close  to  Cali-  snow survey done Monday  of hundreds of manual and
                                                                      fornia's  rainy  season  has  typically is the most impor-  electronic  readings  the
                                                                      slowed  the  state's  plunge  tant for gauging how much  state  uses  to  gauge  Sierra
                                                                      back  into  drought,  bring-  — or how little — water Cal-  snowpack.
                                                                      ing the vital Sierra Nevada  ifornia's  cities,  farms  and  Californians   may   have
                                                                      snowpack to just over half  wildlife  can  expect  after  caught  a  break  thanks  to
                                                                      of  average,  water  officials  the winter.               the late-season storms, but
                                                                      said Monday.                 "A  good  March,  but  cer-  "it's  not  nearly  where  we
                                                                      The  welcome  run  of  rain-  tainly  not  a  great  March,"  would  like  to  be,"  Gehrke
                                                                      and snowstorms last month  state  snow-survey  chief  said.  California  had  only
                                                                      more  than  doubled  the  Frank  Gehrke  told  news  about  a  quarter  of  its  nor-
            In this March 5, 2018 file photo, snow covers the mountain tops   state's  snow  totals  for  the  crews who followed him to  mal  snowpack  going  into
            over looking Lake Tahoe in South Lake Tahoe, Calif.
                                                     Associated Press   year, hiking it to 52 percent  the  snow-covered  Phillips  March,  typically  the  last
                                                                      of normal.                   Station for the survey.      month of the rainy season.
                                                                                                                                The dry winter sent most of
                                                                                                                                arid Southern California slid-
                                                                                                                                ing back into drought, less
                                                                                                                                than a year after Gov. Jer-
                                                                                                                                ry Brown ended the state's
                                                                                                                                drought emergency.
                                                                                                                                "Potentially, we're living off
                                                                                                                                our  savings  from  last  year
                                                                                                                                so  we  have  to  be  very
                                                                                                                                prudent  in  our  water  use,"
                                                                                                                                Gehrke said.q
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