Re: Dutch farmer refuses MRSA test on pigs

On Thu, 6 Mar 2008 20:24:17 -0000, "Pat Gardiner"
<patgardiner@xxxxxxxxxxxxxx> wrote:


"Osvald Hotz De Baar" <curtains4U@xxxxxxxxxxxxxxxxx> wrote in message
news:boi0t3drai3n3ujejcmncu39aacnr1llnm@xxxxxxxxxx
On Thu, 6 Mar 2008 19:22:05 -0000, "Pat Gardiner"
<patgardiner@xxxxxxxxxxxxxx> wrote:


Pat's Note: The scientifically inclined can get more information from the
site.

Here we have a likely link between human MRSA in a Dutch hospital and the
pig farmer refusing permission to sample his pigs.

In Britain, the farmer is saved the embarasment of refusing. The last
thing
Defra want to find is MRSA in Britain's pigs.

They are so keen not to find it, they refuse to test them.

They think it is clever and hope to hold out till the government makes
them
"redundant" with bags of our money and a gong.

What a bunch of wallies!

When the great British public find out what Defra's vets have been up to
they will force feed them British pork pies, cartons and all. Probably
followed by the entire ensignia of Knight Commander of the British Empire,
sideways.

The thought that these evil louts have the safety of Britain's kids and
our
hospitals in their hands makes me feel sick.The fact that any government
allows it a disgrace.,

Incidentally, I saw a bit of Richard and Judy where they were comparing
pork
pies, just before Hugh Fearnly Wittington was on proclaiming the death of
poultry factory farming in Britain. I didn't get what it was about? Can
anyone brief me?

Rapid communications

First outbreak of methicillin-resistant Staphylococcus aureus ST398 in a
Dutch hospital, June 2007volume13
issue9
publication dateFebruary 2008


http://www.eurosurveillance.org/edition/v13n09/080228_2.asp

Eurosurveillance edition 2008 > Volume 13 / Issue 9 [ previous page ]

Indexed in MedLine as: Euro Surveill 2008;13(9)Published online February
2008

First outbreak of methicillin-resistant Staphylococcus aureus ST398 in a
Dutch hospital, June 2007



MWH Wulf (mireille.wulf@xxxxxxxxx)1, A Markestein2, FTPM van der Linden3,
A
Voss4, C Klaassen4, CM Verduin1,2
1. Laboratory for Pathology and Medical Microbiology, Veldhoven, the
Netherlands
2. Department of Hospital Infection Control, St Anna Hospital, Geldrop,
the
Netherlands
3. Department of Surgery, St Anna Hospital, Geldrop, the Netherlands
4. Department of Medical Microbiology and Infectious Diseases,
Canisius-Wilhelmina Hospital, Nijmegen, the Netherlands



We describe the first outbreak of non-typable methicillin-resistant
Staphylococcus aureus on a surgical ward in the Netherlands in June 2007.
Nine cases of infection and/or colonisation among patients and healthcare
workers were found.

Background

In the Netherlands, the proportion of methicillin-resistant S. aureus
(MRSA)
among clinical isolates of S. aureus is still low [1], but
community-acquired MRSA occurs more frequently [2]. This increase is
mainly
caused by so called 'non-typable' MRSA (NT-MRSA, i.e. not typable by
pulsed-field gel electrophoresis (PFGE) with Sma1 restriction digest [3])
belonging to multilocus sequence typing (MLST) type ST398 [4].

These strains are widely disseminated among pigs, veal calves and people
in
contact with pigs [5-8]. An association between the use of antibiotics in
pig farming and the dissemination of these strains has been suggested
[6,8],
since the majority of ST398 MRSA are tetracycline-resistant and
oxytetracyclins are the most frequently used antibiotics in pig farming.

Transmission within families, as well as single cases of colonised
healthcare workers, have been described [5]. One report indicates possible
healthcare-acquired infections with a Panton-Valentine leukocidin (PVL)-
positive ST398 strain in China [9], but no nosocomial transmission to
multiple patients or healthcare workers has occurred in the Netherlands to
date.

Outbreak description

In June 2007, MRSA was cultured from a diabetic foot ulcer of a patient on
a
surgical ward. Subsequent screening of contacts among patients and
healthcare workers revealed four additional patients with MRSA infection
and/or colonisation and five healthcare workers who carried MRSA.
Two of the five affected patients (one with prostate carcinoma and one
with
a diabetic foot) were successfully decolonised with mupirocin nasal
ointment, chlorhexidine wash, and treatment with trimetoprim/rifampicin.

A further colonised patient with a gastro-intestinal malignancy and two
patients with infected diabetic foot ulcers remained colonised, despite
several decolonisation regimens.

Of 238 healthcare workers who were screened, five were colonised in the
nose
and/or throat and had no skin conditions. All five have been treated with
mupirocin nasal ointment and chlorhexidine wash and successfully
decolonised.

All strains were resistant to tetracycline and non-typable by PFGE.
Spa-typing showed that all strains were spa-type t567. This spa-type
corresponds to MLST type 398, a type previously found in pigs.

None of the patients had had contact with pigs or veal calves. One
healthcare worker lived on the grounds of a pig farm but neither she nor
her
partner came into contact with pigs themselves. While we presume that this
health care worker was the source of the infection, this could not be
proven. Permission to sample the pigs on this farm was not granted.

Conclusions

The NT-MRSA strain responsible for this outbreak was spa-type t567, which
corresponds to MLST type ST398, the clonal complex to which most of
NT-MRSA
strains belong. This outbreak shows that transmission on a larger scale
than
a one-on-one transmission between caretaker and patient can occur with
NT-MRSA in a hospital setting.


I wonder at what stage the EU or WHO will step in and start forcing
things? Do we need 100 dead or 100 million!

Since we lack a government that is able to stand up to a mob of corrupt
government vets, we have to make sure that we take action. Others like Dave
Roberts are on the move in a big way.

The really vulnerable ones are the fall guys. The farmers and hanger's on
that got involved and deliberately impeded my efforts in trying to get the
truth.

They are going to look absolutely terrible. Something that seemed like fun,
with a nice little earner at the end, is going to turn into a nightmare for
them.

House, land and reputation. The Yanks will get the lot, if indeed British
claimants have not got there first. They will force the truth out of them as
well

There is no rational reasonable explanation as to why the government should
hide up PMWS in 1999, except that they were scared of the implications. They
thought there was a chance of human health implications and decided to play
it cool.

The reality is truly shocking. The honesty and integrity of the Dutch and
Canadians faced with the same horrible problem is absolutely outstanding.

Why not Britain?

I suspect we caused it and compounded the problem by recklessly exporting
live pigs around the world, despite the fact we knew they might have PMWS -
Circovirus.

The vets didn't care. They thought they were too big and important to be
called to account.

Now they are just scared witless. The possibility (certainty reality) of
MRSA in British pigs is a nightmare they cannot escape.

The involvement of the CLA is a real advantage to getting quick action. The
situation with their National Livestock man deliberately and repeatedly
fabricating lies and arranging their distribution cannot be allowed to
continue. They have to back him or sack him and are running out of time.

I'm sure he would love to back down, but as far as I'm concerned that takes
a public retraction and apology here. He wound up Chelmsford 123 and the mad
islander and now he can't turn them off. There is no way they will be
allowed to continue dissemination with the instigator in the clear.

So, it is at least three of them that have to agree, with the CLA, no doubt,
going into orbit privately.

Doubtless their legal advisors will insist on the CLA indemnifying them
against all and any actions arising from actions taken on behalf and on the
instruction of their National Livestock Advisor.

So in the backroom it is a lawyerfest. It always is, and the CLA have plenty
of those. Their man will get his legal expenses covered no doubt. The other
two will have to divvy up themselves.

That is why I can't understand their man doing something as foolish as not
check with them before he spoke out against me on matters of Public Record.
To be honest, they look a bit silly. Something the Yankee Class Action
Lawyers will spot.

I constantly ask myself "What on earth were they thinking of?" and the only
answer I can think of is that their National Livestock Advisor has never had
a job and consequently simply did not understand the limits of his
authority.

I think they just felt they were untouchable, almost superior to us
peasants. They all got a short sharp shock, from the bent pig to the
alien Afrikaans Nazi exile. The pressure will just continue until they
see the light and crawl back into their hovels like the rest of them
have.

He does now, I suspect and if he still has not told them or told them a half
truth, the bigger the explosion there will be.

So, I expect the CLA to be making the running, a step or two ahead of the
Yanks. Time is everything now.

.

Relevant Pages

  • MRSA - Piggy MRSA - Dutch Hospital - report
    ... Britain should be ashamed of what she has tried to do to the Dutch. ... patients and healthcare workers. ... people in contact with pigs. ... healthcare workers, have been described. ...
    (uk.business.agriculture)
  • Re: Dutch farmer refuses MRSA test on pigs
    ... Defra want to find is MRSA in Britain's pigs. ... hospitals in their hands makes me feel sick.The fact that any government ... multiple patients or healthcare workers has occurred in the Netherlands to ...
    (uk.business.agriculture)
  • Dutch farmer refuses MRSA test on pigs
    ... Defra want to find is MRSA in Britain's pigs. ... hospitals in their hands makes me feel sick.The fact that any government ... Nine cases of infection and/or colonisation among patients and healthcare ...
    (uk.business.agriculture)
  • Re: Dutch farmer refuses MRSA test on pigs
    ... Defra want to find is MRSA in Britain's pigs. ... hospitals in their hands makes me feel sick.The fact that any government ... Nine cases of infection and/or colonisation among patients and healthcare ...
    (uk.business.agriculture)
  • MRSA - Screening
    ... They were so busy hiding up MRSA in Britain's pigs, ... They still have not tackled the resevoir of illness in British pigs, ... Ministers have told hospitals to start rolling out MRSA screening over ... They want to see all patients tested for the superbug to try to curb ...
    (uk.business.agriculture)