The press performed a minor mea culpa over the weekend, explaining that a new multidrug-resistant and especially virulent strain of MRSA staph infection, USA300, is not the new “gay disease.”
Articles on Newsweek’s Web site on Friday and in The New York Times on Sunday, analyzed some of the overwrought reporting that followed the announcement last Monday that a new strain of USA300 is “spreading rapidly” in the gay communities of San Francisco and Boston. A separate part of the underlying scientific study also found that in San Francisco, gay men are thirteen times more likely to be infected as other city residents.
“In a matter of days, it jumped from routine press release to a medical controversy,” the Times’ Jesse McKinley wrote on Sunday. “And sure enough, the study, published online in Annals of Internal Medicine, was quickly picked up by reporters round the world and across the Internet, including a London tabloid which dubbed the disease, ‘the new H.I.V.’”
Such mischaracterizations were a problem in many of the news articles last week. Few of them made any factual errors, but their general (and perhaps unwarranted) emphasis on the infection’s link to sexual activity may have left many readers with the impression that USA300 is a sexually transmitted disease. And a few good sentences notwithstanding, the coverage obscured the fact that USA300 (though not necessarily the new, multidrug-resistant strain) is spreading in the general population, often from casual skin-to-skin, asexual contact.
This prompted Newsweek’s Karen Springen to ask, “But is there a new HIV-like public health epidemic on the horizon?” The answer, she found, is not likely. “This definitely is not the new AIDS,” Dr. Henry Chambers, the study’s coauthor told her.
But why should readers even think that, especially given that most articles weren’t entirely wrong? A few problems that are common to science journalism cropped up, including a tendency to glaze over important scientific details and to mischaracterize the science in order to emphasize its (in this case literally) sexier aspects. Take, for example, an article from Reuters last Monday with the entirely misleading headline, “Drug-resistant staph passed in gay sex - U.S. study.”
This is not what the study found. It found that USA300 is “spreading rapidly” and is more common among gay men than other populations. That it is spreading sexually is presumed because staph bacteria tend to collect around the groin, as well as in armpits and other bodily crevices-but it is only presumed. The study clearly stated (and some reporters did as well) that:
Specific sexual behaviors were not assessed or documented in clinic charts; we therefore cannot comment on the association between multidrug-resistant USA300 infection and specific male-male sexual practices.
To peg “gay sex” as the culprit in a headline is completely misleading and journalistically irresponsible.
As McKinley pointed out in the Times this weekend, the report itself offered “ammunition” to antigay groups, who responded with accusations of sexual deviancy, and media mischaracterizations only exacerbate that problem. Indeed, after the onslaught of overreaching coverage, the University of California, San Francisco researchers that published the study had to issue this apology for their press release:
We regret that our recent news report about an important population-based study on MRSA USA300 with public health implications contained some information that could be interpreted as misleading. We deplore negative targeting of specific populations in association with MRSA infections or other public health concerns, and we will be working to ensure that accurate information about the research is disseminated to the health community and the general public.
Unfortunately, UCSF was bearing the burden of an apology that should have been made by journalists. The university’s press release was actually very straightforward. It’s more likely that reporters didn’t read the original scientific paper carefully enough. We can turn once again to the example of Reuters’ article, which noted that MRSA “is beginning to appear outside hospitals in San Francisco, Boston, New York and Los Angeles.” First of all, MRSA began to appear outside hospitals (where such staph infections are particularly common) over a decade ago. Worse still, the article does not even mention the USA300 strain, which is what researchers were actually studying, and continues to refer to MRSA generally, surely sowing confusion among inattentive readers.