Back Resistance
Chapters (74)
  1. Title Page
  2. 1 - Portland, Oregon
  3. 2 - Vancouver, Canada
  4. 3 - Philadelphia, Pennsylvania
  5. 4 - Seattle, Washington
  6. 5 - Portland, Oregon
  7. 6 - Vancouver, Canada
  8. 7 - Portland, Oregon
  9. 8 - Vancouver, Canada
  10. 9 - Philadelphia, Pennsylvania
  11. 10 - Vancouver, Canada
  12. 11 - Vancouver, Canada
  13. 12 - Portland, Oregon
  14. 13 - Seattle, Washington
  15. 14 - Philadelphia, Pennsylvania
  16. 15 - Portland, Oregon
  17. 16 - Seattle, Washington
  18. 17 - Seattle, Washington
  19. 18 - Vancouver, Canada
  20. 19 - Seattle, Washington
  21. 20 - Philadelphia, Pennsylvania
  22. 21 - Portland, Oregon
  23. 22 - Philadelphia, Pennsylvania
  24. 23 - Vancouver, Canada
  25. 24 - Philadelphia, Pennsylvania
  26. 25 - Seattle, Washington
  27. 26 - Vancouver, Canada
  28. 27 - Portland, Oregon
  29. 28 - Honey Brook, Pennsylvania
  30. 29 - Seattle, Washington
  31. 30 - Vancouver, Canada
  32. 31 - Struble Lake, Pennsylvania
  33. 32 - Seattle, Washington
  34. 33 - Portland, Oregon
  35. 34 - Philadelphia, Pennsylvania
  36. 35 - Seattle, Washington
  37. 36 - Philadelphia, Pennsylvania
  38. 37 - Seattle, Washington
  39. 38 - Portland, Oregon
  40. 39 - Miami, Florida
  41. 40 - Seattle, Washington
  42. 41 - Seattle, Washington
  43. 42 - Philadelphia, Pennsylvania
  44. 43 - Seattle, Washington
  45. 44 - Mt. Airy, Philadelphia, Pennsylvania
  46. 45 - Seattle, Washington
  47. 46 - Philadelphia, Pennsylvania
  48. 47 - Seattle, Washington
  49. 48 - Mt. Airy, Philadelphia, Pennsylvania
  50. 49 - Mt. Airy, Philadelphia, Pennsylvania
  51. 50 - Seattle, Washington
  52. 51 - Mt. Airy, Philadelphia, Pennsylvania
  53. 52 - Philadelphia, Pennsylvania
  54. 53 - Philadelphia, Pennsylvania
  55. 54 - Philadelphia, Pennsylvania
  56. 55 - Philadelphia, Pennsylvania
  57. 56 - Brandywine Valley, Pennsylvania
  58. 57 - Philadelphia, Pennsylvania
  59. 58 - Philadelphia, Pennsylvania
  60. 59 - Philadelphia, Pennsylvania
  61. 60 - Philadelphia, Pennsylvania
  62. 61 - Philadelphia, Pennsylvania
  63. 62 - Philadelphia, Pennsylvania
  64. 63 - Philadelphia, Pennsylvania
  65. 64 - Philadelphia, Pennsylvania
  66. 65 - Philadelphia, Pennsylvania
  67. 66 - Philadelphia, Pennsylvania
  68. 67 - West Chester, Pennsylvania
  69. 68 - Glen Mills, Pennsylvania
  70. 69 - Philadelphia, Pennsylvania
  71. ACKNOWLEDGMENTS
  72. BY DANIEL KALLA FROM TOM DOHERTY ASSOCIATES
  73. ACCLAIM FOR DANIEL KALLA’S NOVELS
  74. Copyright Page

The room went quiet. “Staphylococcus aureus,” Horton said. “One of the most ubiquitous bacteria in existence.” She directed her laser point at the purplish-blue blotches. She circled one of the purple blobs. “There isn’t a person in this room who doesn’t have millions of these organisms growing on their skin as I speak.”

With the lights dimmed and her slides behind her, she felt herself begin to relax. A polished speaker from years of lecturing undergrads, Horton instinctively tailored the level of her talk to the nonscientific audience around her. “Normally, staph aureus is a commensal. In other words, it lives on the skin without causing infection.” She clicked a button and an arm appeared on the screen. It was fire-engine red from the elbow down. In the center of the forearm, the skin rose into a huge whitehead that looked as if a golf ball had erupted through the skin. “But with any break in the skin it can become invasive. Staph aureus is responsible for most boils and abscesses.” She ran the laser pointer over the fiery skin. “Along with group-A streptococcus, or G.A.S., it also causes the vast majority of the type of skin infection known as cellulitis.”

She clicked the remote and the infected arm gave way to the picture of a man whose identity was protected by the black bar running across his eyes and mid-face. His complexion was ashen. A tube led from his mouth to the life-support system by his bed. Other tubes, lines, and wires crisscrossed his body, as if he lay under a power grid.

Horton deliberately paused to allow the deathly image to sink in. “Not uncommonly, staph aureus is responsible for more invasive forms of infection such as bone infections, meningitis, or pneumonia, as we see in this patient. And it can be rapidly fatal.” She paused. “The man on the screen died within hours of this photo being taken.”

She advanced the slide. A steadily climbing line graph popped up on the screen. “In the 1950s, the first penicillin-resistant strains of staph aureus emerged. In the seventies and eighties, resistance to another common antibiotic, methicillin, was first noted. This led to the genesis of the very first of the superbugs, methicillin-resistant Staphylococcus Aureus or MRSA.” She pronounced the latter mer-sa.

Ice tumbled into a water glass and then the room fell into absolute silence. “Superbugs are forms of multiresistant bacteria that live, breed, and spread within hospitals.” Horton stressed the final word. “They are resistant to most classes of common antibiotics. And because of the intrahospital spread, they pose an enormous threat to health care delivery.”