Scenario C: MRSA in Malleith

The Malleith Pandemic Response committee has gathered the following information for the second meeting of your group.

You should evaluate the effect(s) of the actions that you took at your last meeting and evaluate the current state of affairs in Malleith.

You should submit 3-5 specific actions for further actions to control the pandemic, using the workshop 4 pro forma (also available on MyPlace). You should consider whether you want to continue any of the public health measures you implemented at your previous meeting, or whether you want to stop them; and also whether there are any new, additional actions you would like to take. Submit the pro forma by noon on Friday March 15th, via the submission link on MyPlace.

Minutes from the last Pandemic Response Committee Meeting

Actions taken:

  1. Advertise how MRSA is spread (which is through contact of an infected person or item) and how to reduce spread through hygiene and no sharing of towels and razors. Do this advertisement through radio, tv adverts and posters.

  2. Train hospital and clinic staff in the Central Highland hospital in how to reduce spread of MRSA via washing hands before and after seeing patients and covering wounds or cuts they may have. And train them on how to decontaminate MRSA infected patients via antiseptic wash for skin and nose. And train them to not share infected medical items like thermometers and sphygmomanometer (to measure blood pressure)

  3. Isolate infected patients to reduce transmission to healthy patients

  4. Screen hospital staff for MRSA infection via swab from nose. Test swab on denim blue agar: positive= growth of denim blue colonies Negative= inhibition or growth of white colonies CONTACT IN TRACING

  5. Order vancomycin to treat MRSA. Only use in severe MRSA patients to prevent resistance of MRSA towards vancomycin

Pandemic Statistics

Table 1. Data from the Malleith MRSA outbreak.
23/02/2024 data 07/03/2024 data
Deaths caused by the MRSA outbreak (total) 10 24
Verified MRSA cases (total) 140 250
MRSA hospitalisations (weekly) 145 98
Central Highland ICU bed occupancy (current) 15 4
Number of MRSA related GP visits (total) 73 45



Letters from the Public


From:
To:
Cc: Subject: This Terrible Pandemic

Dear Pandemic Response Committee

I am so frightened by the current pandemic that is rampaging through my beloved city. I have never heard of this MRSA before but it is dreadfully scary. The radio advert I heard yesterday made it sound like a huge problem. What is the world coming to, I ask you, with the MRSA plague on top of the COVID19 one already and the monkeypox as well. It feels like a judgement on our times.

Thank you so much for your hard work keeping us safe, I heard that you were buying in some vancomycin to kill these evil superbugs. I think you should distribute this to everyone in Malleith so that we can be safe from this terror.

Kind regards,
Kieran


From:
To:
Cc:
Subject: The state of our hospitals

Dear Pandemic Response Committee,

I am so worried about my nan, who is going into the hospital for a hip replacement surgery this coming Sunday. She really needs it as the cartilage in her joints is completely gone and so it is very painful for her to walk.

I am really worried that she will have caught the MRSA from the hospital and will die. I heard from Nell who is a nurse there that they have new training measures in place to try to prevent the spread of the superbug, but I am just so worried that it will not be enough. Are there any further measures that you can take to help to keep us all safe?

I know the NHS is struggling because it has been underfunded for so many years, but if you can find a little bit of extra money somewhere, I am sure it would make a real difference to my nan.

Thank you so much for all the hard work you do,
Rosemary


News Coverage of the Malleith MRSA outbreak

Malleith Star
Malleith says farewell to pandemic’s youngest victim
by Frank Nicoll 12/03/2023

The MRSA pandemic ravaging Malleith has claimed yet another victim. There have been 24 deaths in the pandemic so far, but perhaps the most tragic loss is Olivia Wright - at only 4, the youngest victim that the pandemic has claimed.

Olivia Wright liked butterflies and goldfish. Friends and family say that she was always a treasure.

Olivia is survived by her parents and grandparents, and by her siblings Livvy and Jane.

The funeral service will be held Thursday at St. Ninian’s.


Malleith Star
Malleith says farewell to local legend
by Roselyne McClary 09/03/2023

The MRSA pandemic ravaging Malleith has claimed yet another victim. Edward Wilson, local musician and star, sadly passed away on Tuesday.

Edward was perhaps best known for his 2011 work A Fool’s Errand , but fans say that the rest of his work was equally as memorable.

Edward is survived by his partner, and by his siblings Gloria and Stephen.

The funeral service will be held Tuesday at St. Ninian’s.


Malleith Times
Malleith pandemic council making great strides
by Miguel Holmes 13/03/2023

Citizens of Malleith should be glad that the city’s Pandemic Response Council, hurriedly convened when a new pandemic began to hit Malleith, has been so effective. While the initial death toll from the pandemic appeared to be quite devastating, the actions taken by the PRC seem to have been most effective.

Officials from the World Health Organisation have publicly praised the Malleith PRC, saying that the PRC has done all of the right things

There have been 6 deaths due to MRSA in Malleith this week. This is an enormous decrease, and hopefully Malleith will see the death toll continue to decrease in the coming weeks.


Malleith News
Yet more overreach in the name of “science”
by Abigail Schultz 17/03/2023

Governments across the globe have seen how successful power-grabs in the name of public health can be, following on the wave of restrictions imposed because of so-called viral diseases like COVID-19 and “mpox”. So-called scientists are fearmongering - aerosols, monkeys, “bird” flu - now they think that they can fool us into thinking that the air and water are unsafe. Citizens of Malleith should stand strong against this terrible tyranny! No more mask mandates, no more senseless restrictions!

Our elders should not be left to die alone, left frightened and hopeless in a mandatory lockdown claimed to be “for their benefit.” Our children should not be left to struggle through “pandemic” after “pandemic” - their language and literacy skills have been left behind due to these lockdowns, and their mental health is suffering. It is time that we take back control of our lives and end this tyranny of fear-mongering and so-called science. Citizens of Malleith, stand with me and resist this most recent attack on your freedoms and your lives.


BBC Scotland
MRSA pandemic in Malleith
by Chester Grant 15/03/2023

Hard on the heels of the COVID-19 pandemic and a number of other health scares (monkeypox, or “mpox”, avian flu, and worries about other infectious disease outbreaks), another pandemic has hit the Scottish town of Malleith. This time, it’s MRSA, a bacterium that is resistant to the antibiotic methicillin

There have been 24 deaths in the pandemic so far, but perhaps the most frightening aspect to this new pandemic is rumours that these MRSA strains may have become resistant to even more antibiotics - a truly chilling possibility.

Scientists have been warning about the antibiotic resistance crisis for years, saying that careless use of antibiotics could mean that these precious medicines will no longer be available to us in the future.

Some of the MRSA strains found in Malleith are reportedly resistant to all clinically available antibiotics, and scientists warn that these drug-resistant pathogens might be able to spread to new locations. Will nearby towns be next, or could these MRSA strains go as global as the SARS-COV2 virus did?


Data gathered

Microbiological Investigation of the Malleith MRSA outbreak

Swab samples were plated on Mannitol Salt Agar (MSA) +/- oxacillin

Table 2. Microbiological testing of patients and homes in the Malleith MRSA outbreak.
Hospital Staff # (Names Redacted) Number of colonies on Denim Blue Agar (colour)
# 1 81, white
# 2 93, white
# 3 0
# 4 0
# 5 0
# 6 0
# 7 39, white
# 8 0
# 9 0
# 10 0
# 11 75, white
# 12 0
# 13 0
# 14 79, blue
# 15 0
# 16 0
# 17 0
# 18 0
# 19 0
# 20 0
# 21 0
# 22 0
# 23 0
# 24 0
# 25 0
# 26 67, white
# 27 0
# 28 0
# 29 0
# 30 0