Kitsap Sun - March 6th 2015 edition
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KITSAP SUN « Friday, <strong>March</strong> 6, <strong>2015</strong> «5A<br />
STATE/FROM THE COVER<br />
Widow sues hospital<br />
over ‘superbug’ death<br />
■ Manufacturer<br />
ofthedeviceis<br />
also being sued<br />
By The Associated Press<br />
SEATTLE — AwidowissuingaSeattlehospitalanda<br />
medical device manufacturer<br />
over the death of her husband<br />
after a drug-resistant<br />
“superbug” infection.<br />
In the lawsuit filed in<br />
King County Superior<br />
Court,TheresaBigler,59,<br />
of Woodway, seeks damagesforwhatshesaysis<br />
thewrongfuldeathofher<br />
husband, Richard Bigler,<br />
57.<br />
He was one of 11 patients<br />
whodiedafterbeinginfected<br />
by a contaminated medical<br />
scope made by Olympus<br />
America and used during<br />
diagnostic and treatment<br />
procedures at Virginia<br />
Mason.<br />
“Thisisjustabouthow<br />
andwhydidthishappen,”<br />
Biglersaid.“Ijustwantto<br />
makesurethisdoesn’thappen<br />
again.”<br />
The complaint also notes<br />
that Virginia Mason MedicalCenterdidn’toriginally<br />
informtheBiglersand31<br />
other patients that they<br />
were involved in the outbreak.<br />
“VMMC, contrary to its<br />
well-publicized policy of<br />
‘transparency,’ chose not to<br />
tellthefamilythatMr.Bigler<br />
died due to an infection<br />
caused by a contaminated<br />
Olympus duodenoscope,”<br />
states the complaint, filed<br />
bytheLuveraLawFirmof<br />
Seattle.<br />
Virginia Mason has since<br />
reversed an earlier decision<br />
and is notifying patients and<br />
family members who were<br />
part of the outbreak between2012and2014,The<br />
SeattleTimesreportedin<br />
Thursday’s newspaper.<br />
“In retrospect, we<br />
should have circled back<br />
to these patients about the<br />
likely source of the infection,”<br />
Dr. Gary Kaplan,<br />
the hospital’s chairman<br />
and chief executive, said<br />
Wednesdayinameeting<br />
with The Seattle Times<br />
editorial board.<br />
Health officials have said<br />
it’snotclearwhatrole,if<br />
any,theinfectionsplayed<br />
in the patients’ deaths.<br />
Virginia Mason and<br />
Olympus officials declined<br />
tocommentonthelawsuit.<br />
Thelawsuitisthelatest<br />
developmentinagrowing<br />
national problem of hardto-clean<br />
medical scopes<br />
spreading dangerous bacteria<br />
among patients at<br />
hospitals. At least 135 patients<br />
who underwent socalled<br />
ERCP procedures,<br />
or endoscopic retrograde<br />
cholangiopancreatography,<br />
between 2013 and<br />
2014 developed multidrug-resistant<br />
infections,<br />
according to the federal<br />
Food and Drug Administration.<br />
The Seattle outbreak, one<br />
of the nation’s largest, involvedstrainsofmultidrugresistantE.colibacteria.<br />
It was followed by reportsofseveninfections,<br />
twodeathsandscoresof<br />
patients being notified that<br />
they’d been potentially<br />
exposed to dangerous carbapenem-resistant<br />
Enterobacteriacea,orCRE,ataLos<br />
Angeles hospital between<br />
October and January.<br />
ORCAS<br />
from 1A<br />
onlyafoggyideaofhowfar<br />
theytraveled,whattheyate<br />
and the risks they encounteredduringthewinter.<br />
NOAAplanstoupgrade<br />
habitat protections for the<br />
sound’sorcas—knownas<br />
SouthernResidents—toinclude<br />
the Pacific coast from<br />
Cape Flattery on the Olympic<br />
Peninsula to Monterey,<br />
California.<br />
Hanson said a highlight of<br />
thetripwasspottinganewborn<br />
orca — the third born<br />
in two months.<br />
“It had an impressive energylevel,”hesaid.“Itwas<br />
particularly heartening to<br />
see that.”<br />
Onecalfwasbornin2014;<br />
none was born in 2013. The<br />
mortalityratefornewborn<br />
orcasishigh,andfewsurvive<br />
long enough to return<br />
to the sound. The Southern<br />
Resident population stands<br />
at 80.<br />
Thetrip’sunusuallygood<br />
weatherallowedresearcherstospendalotoftimein<br />
smaller vessels collecting<br />
dozens of biological samples,<br />
including feces, mucus and<br />
leftover bits of orca prey.<br />
NOAA will analyze the<br />
samplesoverthenextseveral<br />
months.<br />
Researchers kept tabs on<br />
theorcas’locationsviasatellitetagsembeddedinafew<br />
ofthewhales’dorsalfinsand<br />
through underwater listening<br />
devices that record the<br />
whales’ distinctive vocalizations.<br />
Theorcasarestickingto<br />
their usual diet of salmon<br />
rather than the seals and other<br />
marine mammals favored<br />
by their ocean-roaming<br />
cousins,knownastransient<br />
orcas.<br />
On several occasions, the<br />
orcasdidtheunexpected.<br />
They didn’t range as far<br />
southastheyhaveinthe<br />
past.Lastyearthewhales<br />
ventured to Northern California,butCentralOregon<br />
wasthelimitthiswinter.<br />
The whales, which keep<br />
in regular vocal contact<br />
with each other, would go<br />
mysteriously silent for days<br />
atatime.<br />
On one stretch of coastline<br />
with consistently good<br />
salmon hunting, a group of<br />
whales skipped a meal and<br />
simply“raftedup,”floating<br />
silently on the surface before<br />
swimmingon,Hansonsaid.<br />
Researchers also were<br />
surprised to see the whales<br />
huntinginwatersasshallow<br />
as 25 feet.<br />
Thetrip’sdatawill“directlyinform”whatcoastal<br />
areasneedprotection,said<br />
LynneBarre,aNOAAprotected<br />
resources specialist.<br />
The Sound’s orcas are<br />
listedasadistinctpopulation<br />
under the Endangered<br />
CONTRIBUTED PHOTO/NOAA<br />
A research ship from the National Oceanic and Atmospheric<br />
Administration running along the Pacific coast had an “unprecedented”<br />
opportunity to collect information about Puget Sound’s<br />
SouthernResidentorcas,includingthiscalfinL-pod.<br />
SpeciesAct.In2006,NOAA<br />
designated the Sound as critical<br />
habitat for the whales.<br />
Extendingthecriticalhabitat<br />
designation beyond the<br />
Soundmightconflictwith<br />
aNavyplantodramatically<br />
increase the number sonaremittingbuoysoffWashington’s<br />
coast. The buoys<br />
help Navy aircraft train for<br />
anti-submarine warfare. Environmental<br />
groups say the<br />
noisefromsonardisrupts<br />
whalemigration,nursing,<br />
feeding and communication.<br />
Navy officials acknowledge<br />
that more buoys will harm<br />
marine animals but contend<br />
that much of the impact will<br />
be short-term.<br />
NOAA is required to consider<br />
national security and<br />
economic impacts before<br />
revising its critical habitat<br />
designations.<br />
“The more we understand<br />
(about the orcas), the better<br />
wecanworkwiththeNavy<br />
to mitigate the impacts,”<br />
Barre said.<br />
NOAAexpectstohavea<br />
proposal for coastal habitat<br />
protectionsin2017.<br />
LARRY STEAGALL / KITSAP SUN<br />
TheUSSSeawolfdepartsBremertononTuesdayafternoon.TheNavyhopestomovethe<br />
home port of the Seawolf and the USS Connecticut from Naval Base <strong>Kitsap</strong>-Bremerton to Naval<br />
Base<strong>Kitsap</strong>-Bangor,inpartbecauseofdifficultiesintransitingRichPassage.<br />
NAVY<br />
from 1A<br />
draft environmental impact<br />
statementforthepierwork.<br />
Bangor’s service pier<br />
wouldbeextended540feet<br />
toatotalof1,040,underthe<br />
Navy’s preferred alternative.Theotherchoiceisto<br />
builda975-footextension.<br />
Associated new facilities in<br />
eithercasewouldincludea<br />
pier crane and pier services<br />
and compressor building,<br />
50,000-square-foot waterfront<br />
ship support building,<br />
shoreside emergency<br />
generatorand421-carparkinglot.Theestimatedcost<br />
is $89 million.<br />
Thechangeswouldallow<br />
maintenance to be performed<br />
on all three subs simultaneously,thoughonly<br />
twowouldnormallybein<br />
portatthesametime.<br />
Problems at Bremerton<br />
cut into the subs’ availability.<br />
Seawolfs can only<br />
transitRichPassage,which<br />
separates Bremerton from<br />
open water, in the daylight<br />
during high slack tides, the<br />
Navy says.<br />
On144daysayearthey<br />
have less than 90 minutes<br />
to slip through. On 12 days<br />
theycan’tgoatall.In2012,<br />
four of every nine transits<br />
weredelayedfrom12to48<br />
hours,resultinginfivelost<br />
days.<br />
Pier D, where they’re<br />
berthed, is designed for<br />
aircraftcarriersandisn’t<br />
configured for submarine<br />
maintenance and ordnance<br />
handling, the Navy says.<br />
TheSeawolfsareassigned<br />
to Submarine DevelopmentSquadronFive,headquartered<br />
at Bangor, and<br />
thetrainingfacilityalsois<br />
there.<br />
What isn’t there is space<br />
for the Seawolfs. The<br />
DeltaPierisfullyusedby<br />
Ohio-class subs and isn’t<br />
configured for Seawolfs,<br />
Project Manager David<br />
Gibson said during a public<br />
meeting Wednesday night at<br />
North<strong>Kitsap</strong>HighSchool.<br />
The Marginal Wharf is 70<br />
yearsold,inroughshape<br />
and appropriate only for<br />
smaller service boats. Subs<br />
canwaitthereinapinch,<br />
butnomaintenancecanbe<br />
performed.<br />
The Navy supports the<br />
shorterpier,wheresubscan<br />
be maintained side by side,<br />
overalongerpierwheretwo<br />
could pull up alongside.<br />
“Itcoststhetaxpayerless<br />
money and has less environmental<br />
footprint,” Gibson<br />
said.“Theshorterpierhas<br />
fewerpilesandlessoverwater<br />
coverage.”<br />
The main disruption<br />
wouldbenoisefrominstalling<br />
the pilings, accordingtothedraftEIS.During<br />
construction, which would<br />
require about 225 workers,<br />
peak-hour delays would<br />
be expected at both gates,<br />
andtherewouldbemore<br />
Hood Canal bridge openings.Workwouldbeginin<br />
July2018andwrapupin<br />
two years.<br />
More than 322 Seawolf<br />
personnel would move<br />
from Bremerton to Bangor.<br />
Gibson said the project’s<br />
primary benefits would be<br />
“theabilitytogetinand<br />
out when they want with<br />
no issues with the tides<br />
and the ability to save<br />
money if you consolidate<br />
the logistics support and<br />
training function already<br />
customized for Seawolf<br />
submarines.”<br />
The project isn’t considered<br />
controversial, and<br />
only a few residents attended<br />
Wednesday’s meeting.Severalothersshowed<br />
up to scout out potential<br />
business opportunities.<br />
Julianna Sullivan, a Port<br />
Gamble S’Klallam Tribe<br />
memberandstudentatThe<br />
Evergreen State College in<br />
Olympia, became interested<br />
in Bangor after writing a<br />
case study about the second<br />
explosives handling wharf.<br />
“I’m just making sure<br />
tribaltreatyrightsarebeing<br />
acknowledged,” she said of<br />
the new project.<br />
TheNavyisaccepting<br />
comments until April 13.<br />
Written comments may be<br />
submitted at www.nbkeis.<br />
com/lwi or by mail to<br />
NAVFAC Northwest, Attn:<br />
Mr. Thomas Dildine, LWI/<br />
SPEEISProjectManager,<br />
1101 Tautog Circle, Suite<br />
203,Silverdale,WA98315-<br />
1101.<br />
In concert with the<br />
pier extension the Navy<br />
is analyzing construction<br />
ofaland-waterinterface.<br />
It would build barriers at<br />
the northern and southern<br />
ends of the waterfront restricted<br />
area to connect the<br />
existing on-water port securitybarrierwiththeonland<br />
waterfront security<br />
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