lip and shook her head. âAfraid not, Dr. Zol.â
He was disappointed but not surprised. Things never came that easily. âOh well,â he told her, âcarry on.â
Natasha had her clipboard and scribbler at the ready, but she didnât need them for reference. She kept everything in her head. âAs of today, weâve had thirty-five cases of gastro reported to us from Camelot Lodge since the outbreak began two months ago on January eleventh.â
âThatâs an awful lot of diarrhea,â Colleen said. âHow many residents live at Camelot?â
âThirty-eight,â Natasha said.
âSo all but three have had diarrhea?â Colleen asked.
âNatasha can give us the exact numbers,â Zol said. âBut I know that Art and Betty and Earl have had it two or three times. Which means that more than just three of the residents havenât been affected yet.â
âForgive me for stating the obvious,â Colleen said, âbut if residents are getting gastro more than once, the offending microbe isnât stimulating the immune system to protect the body from further infections.â
Again, Zol was impressed how quickly Colleen caught on to the medical stuff. Without any formal training, sheâd run her late husbandâs internal-medicine practice when theyâd emigrated from South Africa. After his death, sheâd not had the heart to cancel his weekly subscription to the
New England Journal of Medicine
. She read the editorials every week, filing the issues meticulously.
âThatâs whatâs got everyone at Camelot spooked,â Zol told her. âThey recover, think theyâre in the clear, then get sick with the same thing again. Or see their friends recover only to succumb the next time it hits them.â
âSuccumb as in . . . you know?â Colleen asked. She was a strong, practical woman, but she never used the words
death
or
dying
. Not even
passed away
. Sheâd been touched too many times by violent death. Her only sibling was killed on his motorcycle at age eighteen. And her parents were bludgeoned by burglars in Cape Town, murdered in their own home for a television set and the equivalent of fifty dollars cash. Then, after sheâd started life over as a newlywed in the promised safety of Canada, her husband perished when Swissair flight III caught fire and came down off the Nova Scotia coast. She hadnât dated again until she and Zol met late last year.
âThe outbreak is intensifying,â Natasha said. âFour of the six deaths have occurred in the past five days. Weâre seeing a very high case fatality rate overall.â She glanced at her scribbler. âSeventeen percent.â
âHellâs bells,â Hamish said. âThatâs worse than pneumonia or meningitis. Must be a high-grade pathogen.â
Zol turned to Natasha. âWhat about the culture of Nickâs rash? Any staph aureus there?â
Natasha shook her head, her mouth sagging in disappointment. âJust the normal bacteria youâd find on anybodyâs skin.â
Hamish squinted in obvious puzzlement. âWhatâs that about?â
Natasha explained their theory, now debunked, about staphylococcus aureus exotoxin making its way into Camelotâs meals from the infected-looking rash on the chefâs arm.
âWhat else have you got, Natasha?â Zol asked.
âWe took twelve samples from the kitchen on Tuesday,â she said. âDrains, surfaces, food. And at the same time, we collected seven stool specimens from the patients with active diarrhea.â
âAnd?â Hamish said.
âNo bacterial or viral pathogens in anything. Not even under the electron microscope.â
âWhat about parasites?â Hamish asked.
Natasha shook her head. âRoutine staining for cryptosporidium was negative in the hospitalâs lab. A parasite specialist next door at the university
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