Tag Archive for Legionnaires’ Disease

First Do No Harm…..

First Do No Harm ImageThe most disturbing aspect of the Flint water quality fiasco was the Legionnaires’ Disease outbreak in Genesee County and its concealment from the public. Eighty-seven people fell ill and ten died, nine if you want to be fussy about one victim lingering more than a month after diagnosis. By MDHHS’ definition, it isn’t Legionnaires’ Disease if you linger longer than 30 days after your hospital stay. So one of the ten Legionnaires’ Disease deaths got scrubbed from the statistics.

Harvey Hollins III

Harvey Hollins III

AP is reporting that Governor Snyder’s immediate subordinates were discussing whether the Legionnaires’ Disease outbreak was related to Flint water quality by March 13, 2015   Harvey Hollins III, Governor Snyder’s Office of Urban and Metropolitan Initiatives Director, received an eMail from former MDEQ Communications Director Brad Wurfel referring to the Genesee County Legionnaires’ Disease cluster.

Far earlier, in 2014, Jim Henry in the Genesee County Health Department was emailing Flint city leaders, the Flint emergency financial managers, MDEQ, and MDHHS. MDHHS Chief Medical Executive Dr. Eden V. Wells said the June 2015 [Bohm] report on the first outbreak was shared with officials from the U.S. Centers for Disease Control and Prevention as well. No one in this vast chain of communications felt compelled to inform the public.

Dr. Eden Wells

Dr. Eden Wells

Dr. Eden Wells replaced Dr. Matthew Davis as MDHHS’ Chief Medical Executive at the end of March, 2015. One has to wonder why Dr. Davis suddenly returned to U of M after only two years as the MDHHS Chief Medical Executive, in the midst of the first Genesee County Legionnaires’ Disease outbreak. Did he jump, or was he pushed?  Perhaps MDHHS Director Nick Lyon found the career MDHHS bureaucrat Dr. Wells more accommodating than Dr. Davis? It was four months after Governor Snyder consolidated MDCH into the new MDHHS.  However, nothing in the U of M faculty manual suggests that Dr. Davis would have had to return to U of M to maintain his status there.

Dr. Matthew Davis

Dr. Matthew Davis

The public was not informed until Governor Snyder’s startling statement on January 13, 2016. Snyder said he himself was not informed of the Legionnaires’ Disease cluster in Genesee County until “days before” his public announcement. Michigan’s lefties have pounced on this 10 month delay, insinuating that Governor Snyder knew well before his announcement. This may or may not be true, and people will draw conclusions according to their political predilections.  Facts no longer matter on this question, even if you could penetrate the wall of obfuscation.

Director Hollins now says there was not enough information to take the issue to the Governor. Essentially, he is saying that no one could prove the source of the Genesee County Legionnaires’ Disease cluster, so there was no reason to disclose it to his superior. The other bureaucrats in this chain of communications also stayed mum, apparently following the same line of reasoning as Director Hollins.

There is a much bigger story here. One without any ‘he said, she said’ doubt.

It is now indisputable that a lot of CDC, MDEQ, MDHHS, and Genesee County Health Department bureaucrats knew of the first Genesee County Legionnaires’ Disease cluster by March 2015 and concealed it from the Michigan public for over 10 months.  Throughout the entire second Genesee County Legionnaires’ Disease cluster .

You Betcha! (14)Nuh Uh.(0)

Legionella Pneumophila

Legionella Pneumophila Image 1aDo you remember reading any stories about a Legionnaires’ Disease outbreak in Genesee County during 2014 or 2015, or this year before last Wednesday? I don’t, and neither does Google. Nor do companies which specialize in tracking Legionnaires’ Disease. It was a real shock when Governor Snyder announced Wednesday that Genesee County had recently experienced 87 cases of this disease, 10 of which were fatal.

The Michigan Department of Health and Human Services quickly put up a ‘FOR IMMEDIATE RELEASE’ web page describing two sequential Genesee County Legionnaires’ Disease outbreaks. A first outbreak from June 2014 to March 2015, followed by a second from May 2015 to November 2015. This web page provides a dead link to a June 2015 preliminary report and a live link to a May 29, 2015 dated summary of the report created by Susan Bohm of the MDHHS Communicable Disease Division on June 4 2015. The Bohm summary was then modified by someone on Wednesday January 13, 2016 at 3:21:26 PM. The Bohm summary only covers the first, June 2014 to March 2015 outbreak, not the subsequent May 2015 to November 2015 outbreak which was developing as her summary was being written.

Governor Snyder said on Wednesday that he had just become aware of this outbreak. You are expected to believe that functionaries deep in the bowels of MDHHS were not communicating with either the Governor or their own superiors, for six months. The Bohm summary specifically and painstakingly categorizes those victims of the first Legionnaires’ Disease outbreak who were exposed to Flint water. Flint water quality was a blazing issue at the beginning of June 2015. This report and the Bohm summary didn’t make it to the Governor’s office at the speed of light? No one in the Michigan government would lie to the public, would they?

The fundamental question here is whether the Genesee County Legionnaires’ Disease outbreaks are related to the coincidental Flint drinking water quality – or lack thereof. Governor Snyder and MDHHS say such a connection has yet to be made scientifically, but they are investigating. Marc Edwards, a professor of Civil and Environmental Engineering at Virginia Tech said “that it’s not 100% sure” that the outbreak of Legionnaires’ is tied to the change to Flint River water, but the association “looks very strong.”

Professor Edwards agrees with Governor Snyder and MDHHS that, even if the Legionnaires’ Disease outbreak is associated with Flint River water sourcing, the risk is over now that Flint has returned to Detroit water. However Ms. Bohm’s summary declared the first June 2014 to March 2015 outbreak over, just as the subsequent May 2015 to November 2015 outbreak was developing.

Are outbreaks of Legionnaires’ Disease in Genesee County now history?

Did Flint’s October switch to Detroit water end the possibility of another outbreak?

Will corrosion control measures really suppress Legionella pneumophila in Flint water?

You Betcha! (18)Nuh Uh.(3)