Microscopic assassins on the beaches of New York

HANAN NOUSHAD
Medical news
Published in
3 min readAug 20, 2023
Enjoy safely on the beach!

As the sun-drenched days of summer begin to fade and the excitement of another school year looms, a wave of eager New Yorkers is making the most of the beaches. These buoyant beachgoers will need to navigate not only the inevitable traffic jams and sunburns but also an unexpected foe — Vibrio vulnificus, a sinister microorganism that thrives in the warm embrace of ocean waters.

The start of July has brought forth an unsettling news: four individuals in the broader New York area have fallen victim to a hazard- a flesh-eating bacteria, with three unfortunate souls succumbing to its grip, as reported by health officials from New York and Connecticut.

Two individuals from Connecticut, after their encounter with saltwater in the Long Island Sound, were left feeling unwell. And to cap it all off, one had even partaken in the delicacy of raw shellfish, a culinary indulgence that can unwittingly harbor this bacterial foe during periods of warm sea breezes. As for the fourth case, which resulted in the tragic loss of a resident from Suffolk County, the origin remains shrouded in mystery.

Dr. William Schaffner, an expert in infectious diseases from Vanderbilt University Institute of Medicine, mused on the shifting landscape of infections, noting, “If we were having this conversation years ago, we’d discuss infections along the Gulf Coast. But now these infections are creeping up the East Coast.”

The culprit, Vibrio vulnificus, bears a disturbing resemblance to the strain responsible for cholera. It’s uncertain whether the high tide observed in the number of cases farther north can be attributed to improved detection methods or the warming waters spurred by climate change.

Vibriosis, the disease borne from these microorganisms, is a result of encounters with a range of related bacteria. Among them, V. vulnificus stands out for its spiteful nature. It is a blue moon, but if cited it will surely make you howl! Highly fatal for the vulnerable among us, with survival rates plunging as low as 33%, as documented in scientific literature.

This bacterium uncovers the assassination plot by accessing through these two entrances -.

  1. When unaware swimmers with an open wound venture into waters tainted by V. vulnificus, the wound transforms into an entry point for the malicious intruder. From there, it spreads, launching a nightmarish assault that converts the injury into a devouring infection, swiftly infiltrating healthy tissue. It can then infiltrate the bloodstream, inducing a life-threatening condition known as sepsis.
  2. The bacterium also spreads through consumption, as those with compromised immune systems or liver ailments feast on raw shellfish that is contaminated. Medical professionals caution individuals in these categories against indulging in the pleasures of raw oysters, as these mollusks filter seawater, becoming a housing colony for the bacterium.

This menace is particularly toxic to the elderly. The trio of patients struck in Connecticut were all above the age of 60. Those utilizing medications to reduce stomach acid might also face a heightened risk of infection or complications following exposure.

For those at risk — defense is key.

  1. While frolicking in the waves, wear sturdy footwear to shield against cuts and abrasions.
  2. When handling raw fish, arm yourself with protective gloves.
  3. Refrain from oceanic swims if a cut, scratch, or abrasion graces your skin — an open invitation for the bacterium. Even wandering close to the shoreline with a fresh wound, be it from a recent surgical operation or a new piercing, warrants caution. In such cases, conceal the injury within a waterproof bandage to shield against saltwater’s touch.
  4. If an injury contacts the saltwater, marine life, or the juices of raw or half-cooked fish, a thorough cleansing with soap and water becomes imperative. Should a skin infection arise, prompt communication with a healthcare provider is vital — this is an ailment that knows no patience.
  5. After handling raw shellfish, thorough cleansing with soap and water serves as a fortress against these cunning adversaries.

With the world on the cusp of environmental crisis, the challenges posed by climate change become increasingly apparent. Vibrio’s haunting presence is a call to action for Northeastern Americans.

For those grappling with cancer, immune compromise, liver maladies, or stomach acid-reducing medications, the message is resounding: abstain from raw or undercooked shellfish. The same directive holds true for expectant mothers, a delicate population that demands equal protection.

Stay safe, everyone!

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