Mississippi Today
Medicine-resistant fungal infection, C. auris, potentially linked to four deaths in Mississippi
Medicine-resistant fungal infection, C. auris, potentially linked to four deaths in Mississippi
Mississippi is battling an outbreak of C. auris, a fungal infection resistant to medication, which the Department of Health says may be responsible for the deaths of four people.
“Our investigation is ongoing and fluid,” said health department spokesperson Liz Sharlot.
Sharlot said the department has identified 12 clinical cases of the infection and four “potentially associated deaths.” Both those numbers doubled since State Epidemiologist Dr. Paul Byers last gave a report about the infections to the Board of Health in January.
C. auris is still rare in the United States. The people most vulnerable to an invasive infection – such as in the blood, heart or brain — are already sick from other medical conditions.
At the center of the Mississippi outbreak is a long-term care facility in central Mississippi. Some patients with the infection have also received care at the University of Mississippi Medical Center in Jackson.
When patients with a C. auris infection arrive at the hospital, they are each assigned one nurse who cares for them exclusively, according to UMMC Chief Medical Officer Dr. Lisa Didion.
“That's how dangerous this is,” Didion said last week during a Mississippi Institutions of Higher Learning Health Affairs Committee meeting.
Doctors first identified C. auris — or Candida auris — in Asia in 2009. It has quickly become a cause of severe infections around the world with some strains resistant to all three available classes of antifungals.
The yeast — a type of fungus — can be carried on patients' skin without causing infection or symptoms, allowing it to easily spread to others.
The Department of Health says it has identified 53 “colonized” patients, meaning patients who aren't sick with an active infection but were found to be carrying the organism somewhere on their body. That number was 37 about four weeks ago.
“When we get patients from that facility (in Central Mississippi), we really have to be sure that we isolate them appropriately,” Didion said of the care at UMMC. “This particular organism is extremely transmissible and has a very high mortality rate.”
The CDC has found that C. auris spreads most often in long-term health care facilities among patients with severe medical problems. The fungus can cause bloodstream infections and death. More than 1 in 3 patients with an invasive infection of C. auris will die, according to CDC research.
Mississippi's first cases were identified in November 2022, Byers wrote in a January update on the outbreak.
“This is a rapidly expanding and serious situation,” Byers said at the time.
The majority of cases are based in one long-term care facility but a second central Mississippi facility has some patients with detected colonization. A handful of other cases have been reported at other health care facilities across the state, according to Byers' update.
C. auris is resistant to some commonly used disinfectants. In response, the health department has asked health care facilities across the state to obtain the appropriate products in preparation should the outbreak grow.
Didion said while they have treated patients with the infection, they have had no transmission of the fungus within the hospital so far.
“But it is a reason to stay focused,” she said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1961
MAY 14, 1961
On this Mother's Day, a group of Freedom Riders traveling by bus from Washington, D.C., to New Orleans arrived in Anniston, Alabama. A mob of white men led by a Klansman attacked the bus with baseball bats and iron pipes. They also slashed the tires.
After the attack ended, the hobbled bus pulled over, the mob hurled a firebomb into the bus, and someone cried out, “Burn them alive.” The riders escaped as the bus burst into flames, only to be beaten with pipes by the mob.
The Rev. Fred Shuttlesworth organized several cars of Black citizens to rescue the injured Freedom Riders. The photograph of the Greyhound bus engulfed in flames, the black smoke filling the sky became an unforgettable image of the civil rights movement.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Reeves vetoes bills. Lawmakers won’t return to challenge them
Gov. Tate Reeves has vetoed several bills passed by the Legislature, but lawmakers will not reconvene Tuesday to attempt to override them.
On Monday, the last day for him to address bills passed in the 2024 legislative session, the governor vetoed a bill transferring money between state agencies, and part of another similar transfer bill. He vetoed four bills restoring voting rights to people convicted of felonies. He let 16 such bills restoring voting rights pass.
Before legislators adjourned earlier this month, they set aside one day – Tuesday — to possibly return for the purpose of overriding gubernatorial vetoes. When legislators provided themselves the option to return on Tuesday, there was a belief they would need to do so to take up an expected veto by Reeves of a bill to expand Medicaid to provide health care for the working poor. But late in the session, legislators could not reach a compromise on efforts to expand Medicaid and the measure died.
Reeves had also vetoed a bill late Friday.
Reeves said he vetoed Senate Bill 2180 because it required the Capitol Police Force to enforce ordinances of the city of Jackson. The Capitol Police Force has jurisdiction in all of the city and primary jurisdiction in a portion of the city known as the Capitol Complex Improvement District.
The governor said the bill might have prevented the Capitol Police from working with federal officials to detain undocumented immigrants.
But, according to language in the bill, it did not require the Capitol Police to enforce city ordinances, but said they may enforce the ordinances, such as to control loud noises.
The bill also removed the requirement that people get permission from Capitol Police officials to protest outside of state-owned buildings, such as the Governor's Mansion. A federal judge issued a temporary injunction blocking the requirement of a permit from Capitol Police for protests last year.
The bill also would have added another judge to hear misdemeanor cases in the Capitol Complex Improvement District.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1862
MAY 13, 1862
During the Civil War, Robert Smalls and other Black Americans who were enslaved commandeered an armed Confederate ship in Charleston. Wearing a straw hat to cover his face, Smalls disguised himself as a Confederate captain. His wife, Hannah, and members of other families joined them.
Smalls sailed safely through Confederate territory by using hand signals contained in the captain's code book, and when he and the 17 Black passengers landed in Union territory, they went from slavery to freedom. He became a hero in the North, helped convince Union leaders to permit Black soldiers to fight and became part of the war effort.
After the war ended, he returned to his native Beaufort, South Carolina, where he bought his former slaveholder's home (and allowed his widow to live there until her death). He served five terms in Congress, one of more than a dozen Black Americans to serve during Reconstruction. He also authored legislation that enabled South Carolina to have one of the nation's first free and compulsory public school systems and bought a building to use as a school for Black children.
After Reconstruction ended, however, white lawmakers passed laws to disenfranchise Black voters.
“My race needs no special defense for the past history of them and this country,” he said. “All they need is an equal chance in the battle of life.”
He survived slavery, the Civil War, Reconstruction and the beginnings of Jim Crow. He died in 1915, the same year Hollywood's racist epic film, “Birth of a Nation”, was released.
A century later, his hometown of Beaufort opened the Reconstruction Era National Monument, which features a bust of Smalls — the only known statue in the South of any of the pioneering congressmen of Reconstruction. In 2004, the U.S. named a ship after Smalls. It was the first Army ship named after a Black American. A highway into Beaufort now bears his name.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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