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Officials investigate pneumonia outbreak in TX federal prison

Shiloh

Editor, Senior Moderator
Source: http://www.chron.com/disp/story.mpl/ap/tx/6842625.html

Officials investigate pneumonia outbreak
? 2010 The Associated Press
Jan. 29, 2010, 5:21PM

BIG SPRING, Texas ? Officials are trying to find the cause of a pneumonia outbreak at the federal prison in Big Spring.

By Friday, 25 cases of an unknown type of pneumonia had been identified from an inmate population of 1,707. Initially, two inmates were diagnosed in November, according to a statement from the prison.

The institution is under normal operations, and visitation has not been affected. Those who are diagnosed with pneumonia are being housed separately for 48 hours and responding well to antibiotics, according to the statement.

The prison is working with health officials "for further evaluation to assist in identifying the exact cause of the pneumonia."
 
Re: Officials investigate pneumonia outbreak in TX federal prison

With onset dates ranging over almost three months (since November), and with antibiotics seeming to work (and no fatalities yet), Legionella is a prime suspect. Obviously, Pandemic H1N1 should also be tested for, but I suspect that would cause more illnesses in a shorter period of time.
 
Re: Officials investigate pneumonia outbreak in TX federal prison

I would expect more severe illness, hospitalizations and potentially deaths if it was Legionella.

It seems they would have identified it by now as well, as it is a relatively common cause of bacterial pneumonia.
 
Re: Officials investigate pneumonia outbreak in TX federal prison

It's not clear how much effort was put into looking for a cause to this point - this is a prison, after all. You might be right about the illness being too mild for Legionella - perhaps Mycoplasma (aka "walking pneumonia") should be considered.

It is also possible that this is just background noise - a population of 1,700 people over three months in the winter with 25 cases of pneumonia is only a 1.5% attack rate - maybe these are just assorted bacterial pneumonia cases.
 
Re: Officials investigate pneumonia outbreak in TX federal prison

Source: http://www.newswest9.com/Global/story.asp?S=12014529

Investigation Continues After Pneumonia Outbreak at State Prison in Big Spring (2-19-10)
by Anayeli Ruiz
NewsWest 9

BIG SPRING - Big Spring authorities are trying to figure out exactly how pneumonia broke out at the Federal Correction Institution. The Center for Disease Control and State Health Services have been collecting data this week on those recent pneumonia cases and are looking for a way to prevent future outbreaks.

Prison officials say during the past four months, they've identified about forty cases of pneumonia from an inmate population of over 1,700.

Those patients have been isolated and have since recovered or are in the process of recovering.

Prison officials are now trying to educate the inmates on precautions they need to take to prevent germs from spreading.

We're told the prison has stopped transferring inmates temporarily to make sure that it doesn't continue to spread.

So far, operation and visitation times have not been affected.

We will continue to follow all the developments.
 
Re: Officials investigate pneumonia outbreak in TX federal prison

Forty pneumonia cases in winter among 1,700 inmates (who might not exactly have the best health habits), especially without a death, sounds like background noise. I don't think this is an outbreak of a single agent - I think these are assorted (mostly) bacterial pneumonia cases, possibly with a little H1N1 or other seasonal pathogens involved.
 
Re: Officials investigate pneumonia outbreak in TX federal prison

Defintiely bacterial, as the cases respond to antibiotics. Obviously, the fact that many of the cases recovered months ago is the main reason this investigation is taking so long (apart from background noise). Also, the term "probable" pneumonia tends to make me suspect that the ill may not have gotten that good medical care (they are prisoners, after all) as many of them apparently did not have X-rays taken that would confirm pneumonia.

http://www.bigspringherald.com/content/view/205439/60/

Officials cite 35-40 cases since November
Thursday, 18 February 2010


Pneumonia outbreak investigated at FCI Big Spring

By THOMAS JENKINS
Staff Writer
Officials at the Big Spring Federal Correctional Institution say representatives from the Centers for Disease Control and Texas Department of State Health Services are at the facility helping to track down the cause of a recent outbreak of pneumonia.

According to information released by Big Spring FCI, health officials arrived at the prison Tuesday and are working with the Bureau of Prisons staff to collect data on the outbreak, which has affected between 35 and 40 of the facility's 1,707 inmates.

“(These agencies are) working with the BOP staff to collect data regarding the recent cases of pneumonia among the inmate population and to assist us in identifying measures to possibly prevent future cases of pneumonia,” reads a press release issued by Big Spring FCI.

Since November the institution has identified approximately 35-40 cases of probable pneumonia — from an inmate population of 1,707. Those diagnosed with pneumonia were housed apart from the general population, responded well to antibiotics, and all have either recovered or are in the process of recovering.”

Officials with the local prison said inmates are being educated on necessary precautionary measures to prevent the spread of germs — for example, hand washing.

According to the most recent update from the facility, the institution remains under normal operation at this time, with only inmate transfers to other prisons suspended.

“In an abundance of caution, the BOP has temporarily halted inmate institution transfers out of the facility in order to ensure that the illness does not spread to other BOP institutions,” reads the report. “Inmate visitation has not been affected.”

Selma Garcia, public information officer for the Big Spring FCI, said neither the CDC or TDSHS have expressed any concerns the outbreak could spread into the surrounding community.

“They are treating this as an institutional problem and haven't expressed any concerns that the community might be in danger,” said Garcia. “They are working to try to determine the cause of the pnuemonia, and once they have made that determination we'll be taking steps to keep this from spreading any further.”

Garcia said the BOP is not taking any special precautions with its guards or other employees that come in contact with the inmate population.

“I can assure you that any steps we are taking to protect the inmates we're also taking to protect our employees,” she said. “However, I'm not aware of any special procedures being taken at this time.”

Garcia also confirmed there have been no deaths attributed to the pneumonia outbreak.


Contact Staff Writer Thomas Jenkins at 263-7331 ext. 232 or by e-mail at citydesk@bigspringherald.comThis e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Last Updated ( Friday, 19 February 2010 )
 
Re: Officials investigate pneumonia outbreak in TX federal prison

Source: http://www.bigspringherald.com/content/view/210524/60/

39 prisoners diagnosed
Thursday, 08 April 2010
FCI still fighting pneumonia outbreak

By THOMAS JENKINS
Staff Writer
Inmate transfers out of the Big Spring Federal Correctional Institution are still on hold, according to facility officials, as measures to stop the spread of a recent outbreak of pneumonia continue.

Selma Garcia, public information officer for the Big Spring FCI, said this week the most recent case in the outbreak was identified at the prison March 29, with nearly 40 inmates having either been treated or undergoing treatment for pneumonia...
 
Re: Officials investigate pneumonia outbreak in TX federal prison

Further text in that article indicates that there were 36 cases by February 5, and 39 to date, so only three cases in the past two months. It is not clear that this isn't just background noise.
 
Re: Officials investigate pneumonia outbreak in TX federal prison

http://www.bigspringherald.com/content/view/210713/60/

Germ ID'd at Big Spring FCI

By THOMAS JENKINS
Staff Writer
Officials with the Big Spring Federal Correctional Institution say the cause of a recent outbreak of pneumonia at the facility hasn't yet been determined by the Centers for Disease Control, but the germ causing the illnesses has been identified.

According to Associate Warden Manny Ocasio, preliminary reports from the CDC ? which, along with the Texas Department of State Health Services, has been assisting prison officials on the matter ? have identified Chlamydia pneumoniae as the germ causing the outbreak, which has affected nearly 40 inmates during the past several months.

?We have not received an official report on the pneumonia outbreak (from the CDC or TDSHS),? said Ocasio. ?However, we have been provided with a preliminary recommendation and management intervention tips for Chlamydia pneumoniae, which is a germ that can cause respiratory illness such as pneumonia or bronchitis. Chlamydia pneumonia is not the same germ that causes the sexually transmitted disease.?

Ocasio said the germ spreads like most pneumoniae bacteria and is treated with antibiotics.

?Chlamydia pneumonia can be spread from person-to-person through coughing or sneezing of infected people,? said Ocasio. ?It is treated with a full course of antibiotics. We continue to provide regular education to inmates on hand hygiene and cough etiquette, and we are educating the inmates on the illness and encouraging them to present to health services for evaluation if they have a cough with fever, headache, myalgia or sore throat. Additionally, Inmates and staff continue to be educated on the precautionary measures needed to prevent the spread of germs.?

According to previous reports issued by Big Spring FCI, the most recent case in the outbreak was identified at the prison March 29, with 39 inmates having either been treated or currently undergoing treatment for pneumonia.

Officials with the prison first identified the outbreak in November, when two inmates were diagnosed with the strain of pneumonia. Another 36 were reported during the first part of February.

Ocasio said inmate transfers to other prisons in the BOP system have been halted in an effort to prevent spreading the illness, but no other services or activities have been effected.

?We've temporarily halted inmate institution transfers out of the facility in order to ensure that the illness does not spread to other BOP institutions,? said Ocasio. ?However, other things, such as inmate visitations, have not been affected.?

Officials with the Big Spring FCI maintain there have been no deaths at the prison as a result of the pneumonia outbreak.
 
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