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A6   U.S. NEWS
                    Saturday 9 March 2019
            CDC: Unvaccinated Oregon boy almost dies of tetanus




            By GILLIAN FLACCUS                                                                     diagnosed  with  the  highly  2015.  It’s  rare  among  chil-
            Associated Press                                                                       contagious viral illness since  dren; those over 65 are the
            PORTLAND, Ore. (AP) — An                                                               Jan. 1, as well as a handful  most vulnerable.
            unvaccinated     6-year-old                                                            of  people  in  Portland,  Or-  In the case in Oregon, the
            Oregon  boy  was  hospi-                                                               egon.                        boy cut himself on the fore-
            talized  for  two  months  for                                                         Unlike  measles,  which  is  a  head  while  playing  and
            tetanus  and  almost  died                                                             virus,  someone  who  has  his  family  stitched  up  the
            of the bacterial illness after                                                         survived a case of tetanus  wound themselves. Six days
            getting  a  deep  laceration                                                           is not immune and can get  later,  he  began  clenching
            on his forehead while play-                                                            the  illness  again  if  they  re-  his  jaw,  arching  his  neck
            ing on a farm, according to                                                            main  unvaccinated.  Teta-   and back and had uncon-
            a case study published Fri-                                                            nus  also  isn’t  transmitted  trollable muscle spasms.
            day by the U.S. Centers for                                                            person-to-person by sneez-   When  he  began  to  have
            Disease  Control  and  Pre-                                                            ing  or  coughing  like  the  trouble  breathing,  his  par-
            vention.                                                                               measles, but instead comes  ents  called  paramedics
            The  2017  case  is  the  first                                                        from  bacterial  spores  that  and  he  was  transported
            case  of  pediatric  tetanus                                                           are  found  in  the  environ-  by  air  to  Oregon  Health
            in Oregon in more than 30                                                              ment.                        & Science University in
            years  and  alarmed  infec-                                                            Tetanus  spores  exist  ev-  Portland.
            tious  disease  experts  who                                                           erywhere,  particularly  in  When he arrived, he asked
            said  tetanus  is  almost  un-                                                         the soil. When an unvacci-   for  water  but  could  not
            heard  of  in  the  U.S.  since                                                        nated person gets a deep,  open his mouth.
            widespread  immunization                                                               penetrating  wound,  those  The  child  was  sedated,
            began in the 1940s.                                                                    spores can invade the cut  put  on  a  ventilator  and
            The  child  received  an                                                               and  begin  producing  the  cared  for  in  a  darkened
            emergency dose of the tet-                                                             bacteria that causes the ill-  room  while  wearing  ear
            anus vaccine in the hospi-                                                             ness.                        plugs  because  any  stimu-
            tal but his parents declined   In this May 27, 2013 file photo a needle with tetanus vaccine is   The  tetanus  bacterium  se-  lation  made  his  pain  and
            to give him a second dose    prepared by a nurse practitioner on a tornado ravaged street in   cretes a toxin that gets into  muscle  spasms  worse.  His
            —  or  any  other  childhood   Moore, Okla.                                            the bloodstream and latch-   fever  spiked  to  almost  105
            shots — after he recovered,                                           Associated Press   es onto the nervous system.  degrees  (40.5  Celsius)  and
            the paper said.              “This is an awful disease, but  unsuccessful.             Anywhere  from  three  to  he  developed  high  blood
            “When I read that, my jaw  ... we have had a mecha-       News  about  the  tetanus  21  days  after  infection,  pressure  and  a  racing
            dropped.  I  could  not  be-  nism to completely prevent  case  comes  as  lawmak-     symptoms  appear:  muscle  heartbeat.
            lieve  it.  That’s  a  tragedy  it  and  the  reason  that  we  ers  in  Oregon  and  Wash-  spasms,  lockjaw,  difficulty  Forty-four days after he was
            and  a  misunderstanding  have virtually no cases any-    ington are considering bills  swallowing  and  breathing  hospitalized,  the  boy  was
            and  I’m  just  flabbergast-  more in the United States is  that  would  end  non-medi-  and  seizures.  The  disease  able to sip clear liquids. Six
            ed,” said Dr. William Schaff-  because we vaccinate, lit-  cal  exemptions  for  routine  can cause death or severe  days later, he was able to
            ner, an expert in infectious  erally, everyone.”          childhood vaccines as the  disability  in  those  who  sur-  walk  a  short  distance  with
            diseases  and  chair  at  the  The paper did not provide  Pacific Northwest weathers  vive, Schaffner said.         help.  After  another  three
            Department  of  Preventive  any details about the child,  its third month of a measles  About  30  people  contract  weeks  of  inpatient  reha-
            Medicine at the Vanderbilt  his family or where they live  outbreak.  Seventy  people  tetanus  each  year  nation-  bilitation  and  a  month  at
            University  School  of  Medi-  in Oregon and attempts to  in  southwest  Washington,  wide,  according  to  the  home, he could ride a bike
            cine  in  Nashville,  Tennes-  get  that  information  from  most  of  them  unvaccinat-  CDC,  and  16  people  died  and run — a remarkable re-
            see.                         the  paper’s  authors  were  ed  children,  have  been  of  it  between  2009  and  covery, experts said.q


                                                                      Feds probe alleged prison


                                                                      cellphone use by ‘Pharma Bro’



                                                                      bidding inmates from con-    posting  regularly  to  social  into  our  facilities,  including
                                                                      ducting  business  and  pos-  media  and  even  firing  the  contraband  cell  phones,”
                                                                      sessing cellphones.          company’s chief executive  the agency said in a state-
                                                                      Shkreli, 35, is serving a sev-  a few weeks ago.          ment  to  The  AP.  “The  BOP
                                                                      en-year sentence for secu-   Shkreli’s  defense  attorney,  continually  evaluates  and
                                                                      rities  fraud  at  the  Federal  Benjamin   Brafman,   de-  deploys  as  appropriate,
                                                                      Correctional  Institution  at  clined to comment.         contraband-detecting
                                                                      Fort Dix, New Jersey, a low-  The  Bureau  of  Prisons  said  technologies,   including
              In this June 19, 2017, file photo, former Turing Pharmaceuticals   security  prison  complex  federal prisoners caught in  walk-through metal detec-
              CEO Martin Shkreli, center, arrives at Brooklyn federal court in   about  40  miles  (65  kilome-  possession  of  cellphones  tors and whole-body imag-
              New York with members of his legal team.                ters)  from  Philadelphia.  He  face  up  to  an  additional  ing devices.”
                                                      Associated Press  was  found  guilty  of  lying  year behind bars if convict-  Shkreli  had  been  charged
            By JIM MUSTIAN               using a contraband smart-    to  investors  in  two  failed  ed. Shkreli also could face  with  eight  counts  of  secu-
            Associated Press             phone.                       hedge funds and cheating  disciplinary sanctions within  rities  fraud,  conspiracy  to
            NEW YORK (AP) — Federal  The  U.S.  Bureau  of  Prisons  them out of millions.         the prison if he is found to  commit  securities  fraud
            authorities said Friday they  told  The  Associated  Press  The  Wall  Street  Journal  re-  have conducted business.  and wire fraud, for his role
            are  investigating  claims  it  has  opened  an  inquiry  ported this week that Shkre-  “Like all correctional agen-  managing  MSMB  Capital
            that Martin Shkreli has been  into whether the man nick-  li  has  used  a  cellphone  to  cies,  the  BOP  continues  to  Management  and  MSMB
            running his pharmaceutical  named  the  “Pharma  Bro”  call  the  shots  at  his  drug  tackle the problem of con-  Healthcare  between  2009
            company from behind bars  violated  prison  rules  for-   company,  Phoenixus  AG,  traband  being  introduced  and 2014. q
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