Hospital Infections Revisited

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Yesterday I posted a chart from a group called Medical Billing and Coding Certification that featured an astonishing statistic: in the U.S., one out of seven hospital-acquired infections (HAIs) leads to death. That’s 14%. In Europe the number is only 1 out 122, or a mere 0.8%.

I guess it was too good to check, so I didn’t check it. But a reader emailed this morning to suggest that this was preposterous, and he seems to be right. I checked the references at the bottom of the MBCC chart, and none of them seemed to back up their numbers. What’s more, a few years ago the CDC estimated 99,000 deaths per year out of 1.7 million HAIs, a mortality rate of 5.8%. For the EU, the European Centre for Disease Prevention and Control estimates 146,000 deaths per year out of 4.5 million HAIs (see p. 27), a mortality rate of 3.3%.

That’s a modest difference, and it gets even more modest when you read more about these estimates, which are very, very rough and depend strongly on exactly how you count infections and how you attribute deaths. You can read much more about it in this WHO report if you’re interested. The chart below, from the WHO report (with U.S. figures added from here), shows HAI prevalence rates in various high-income countries, and on this score the U.S. does pretty well. Most likely, the U.S. is about average both in prevalence of HAI and in mortality rates from HAI. Apologies for the error.

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THE BIG PICTURE

You expect the big picture, and it's our job at Mother Jones to give it to you. And right now, so many of the troubles we face are the making not of a virus, but of the quest for profit, political or economic (and not just from the man in the White House who could have offered leadership and comfort but instead gave us bleach).

In "News Is Just Like Waste Management," we unpack what the coronavirus crisis has meant for journalism, including Mother Jones’, and how we can rise to the challenge. If you're able to, this is a critical moment to support our nonprofit journalism with a donation: We've scoured our budget and made the cuts we can without impairing our mission, and we hope to raise $400,000 from our community of online readers to help keep our big reporting projects going because this extraordinary pandemic-plus-election year is no time to pull back.

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