The US is more alert to the risks of strep infections, but the UK has better data. It’s not clear which makes more difference in controlling disease.
a healthy 12-year-old named Rory Staunton dove after a basketball in his gym class in Queens, New York. He tripped and scraped his elbow; it didn’t look serious, so his gym teacher patched the wound with a few Band-Aids and sent him back into play. At the end of the school day, he headed home to his family: mom Orlaith, dad Ciarán, and a younger sister.Rory woke up in the middle of the night complaining of sharp pains in his leg, and then threw up.
This time, the diagnosis was different. Bloodwork and Rory’s other symptoms showed he had a profound bloodstream infection, and was sliding into septic shock. He died in the intensive care unit two days after being admitted. “It was so fast,” Orlaith Staunton remembers. “We could not understand what had killed such a healthy child in just a couple of days.”
The pathogen that attacked Rory and sent him into sepsis, an overwhelming immune-system response to infection, was group A streptococcus, bacteria that cause strep throat and live on skin and in the throat lining. It’s the same pathogen that has killed 19 children and teens in the United Kingdom in the past few weeks during a brutal wave of strep infections.
The answer may be awareness: The story of Rory Staunton’s death inspired legislation, was written up in journals, and is taught in medical schools. Or the answer may be data—or possibly a data gap. The US has no connected system that can gather infection reports in real time the way the UK’s system can. And that could mean cases have been missed.
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