<!DOCTYPE html><html lang="en"><head><base href="/"><title>Second Death From Flesh-Eating-Bacteria Infection After Hurricane Harvey Is Reported</title><meta charset="UTF-8"><meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1"><meta name="viewport" content="width=device-width,initial-scale=1,maximum-scale=1,user-scalable=no"><link rel="canonical" itemprop="url" href="https://www.forbes.com/sites/robertglatter/2017/10/25/second-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies/"><script>!function(e){function n(r){if(t[r])return t[r].exports;var o=t[r]={i:r,l:!1,exports:{}};return e[r].call(o.exports,o,o.exports,n),o.l=!0,o.exports}var r=window.webpackJsonp;window.webpackJsonp=function(t,c,a){for(var i,u,f,d=0,s=[];d<t.length;d++)u=t[d],o[u]&&s.push(o[u][0]),o[u]=0;for(i in c)Object.prototype.hasOwnProperty.call(c,i)&&(e[i]=c[i]);for(r&&r(t,c,a);s.length;)s.shift()();if(a)for(d=0;d<a.length;d++)f=n(n.s=a[d]);return f};var t={},o={6:0};n.e=function(e){function r(){i.onerror=i.onload=null,clearTimeout(u);var n=o[e];0!==n&&(n&&n[1](new Error("Loading chunk "+e+" failed.")),o[e]=void 0)}var t=o[e];if(0===t)return new Promise(function(e){e()});if(t)return t[2];var c=new Promise(function(n,r){t=o[e]=[n,r]});t[2]=c;var a=document.getElementsByTagName("head")[0],i=document.createElement("script");i.type="text/javascript",i.charset="utf-8",i.async=!0,i.timeout=12e4,n.nc&&i.setAttribute("nonce",n.nc),i.src=n.p+""+{0:"b3056f14109d40f516b9",1:"0d7683a639ce670fd024",2:"592cd7ae7764dbb9d67f",3:"884eb8a9dbd3716da69c",4:"a17266e441f78003f801",5:"034810b611074dbb7c5b"}[e]+"."+e+".chunk.js";var u=setTimeout(r,12e4);return i.onerror=i.onload=r,a.appendChild(i),c},n.m=e,n.c=t,n.d=function(e,r,t){n.o(e,r)||Object.defineProperty(e,r,{configurable:!1,enumerable:!0,get:t})},n.n=function(e){var r=e&&e.__esModule?function(){return e.default}:function(){return e};return n.d(r,"a",r),r},n.o=function(e,n){return Object.prototype.hasOwnProperty.call(e,n)},n.p="https://i.forbesimg.com/ng2/",n.oe=function(e){throw console.error(e),e}}([])</script><script type="text/javascript" src="https://i.forbesimg.com/ng2/592cd7ae7764dbb9d67f.polyfills.js" defer="defer"></script><script type="text/javascript" src="https://i.forbesimg.com/ng2/884eb8a9dbd3716da69c.vendors.js" defer="defer"></script><script type="text/javascript" src="https://i.forbesimg.com/ng2/034810b611074dbb7c5b.fbs.js" defer="defer"></script><script type="text/javascript" src="https://i.forbesimg.com/ng2/a17266e441f78003f801.app.js" defer="defer"></script><style ng-transition="ng-templates">html{font-family:sans-serif;line-height:1.15;-ms-text-size-adjust:100%;-webkit-text-size-adjust:100%}body{margin:0}article,aside,footer,header,nav,section{display:block}h1{font-size:2em;margin:0.67em 0}figcaption,figure,main{display:block}figure{margin:1em 40px}hr{box-sizing:content-box;height:0;overflow:visible}pre{font-family:monospace, monospace;font-size:1em}a{background-color:transparent;-webkit-text-decoration-skip:objects}a:active,a:hover{outline-width:0}abbr[title]{border-bottom:none;text-decoration:underline;text-decoration:underline dotted}b,strong{font-weight:inherit}b,strong{font-weight:bolder}code,kbd,samp{font-family:monospace, monospace;font-size:1em}dfn{font-style:italic}mark{background-color:#ff0;color:#000}small{font-size:80%}sub,sup{font-size:75%;line-height:0;position:relative;vertical-align:baseline}sub{bottom:-0.25em}sup{top:-0.5em}audio,video{display:inline-block}audio:not([controls]){display:none;height:0}img{border-style:none}svg:not(:root){overflow:hidden}button,input,optgroup,select,textarea{font-family:sans-serif;font-size:100%;line-height:1.15;margin:0}button,input{overflow:visible}button,select{text-transform:none}button,html [type="button"],[type="reset"],[type="submit"]{-webkit-appearance:button}button::-moz-focus-inner,[type="button"]::-moz-focus-inner,[type="reset"]::-moz-focus-inner,[type="submit"]::-moz-focus-inner{border-style:none;padding:0}button:-moz-focusring,[type="button"]:-moz-focusring,[type="reset"]:-moz-focusring,[type="submit"]:-moz-focusring{outline:1px dotted ButtonText}fieldset{border:1px solid #c0c0c0;margin:0 2px;padding:0.35em 0.625em 0.75em}legend{box-sizing:border-box;color:inherit;display:table;max-width:100%;padding:0;white-space:normal}progress{display:inline-block;vertical-align:baseline}textarea{overflow:auto}[type="checkbox"],[type="radio"]{box-sizing:border-box;padding:0}[type="number"]::-webkit-inner-spin-button,[type="number"]::-webkit-outer-spin-button{height:auto}[type="search"]{-webkit-appearance:textfield;outline-offset:-2px}[type="search"]::-webkit-search-cancel-button,[type="search"]::-webkit-search-decoration{-webkit-appearance:none}::-webkit-file-upload-button{-webkit-appearance:button;font:inherit}details,menu{display:block}summary{display:list-item}canvas{display:inline-block}template{display:none}[hidden]{display:none}*,*:before,*:after{box-sizing:border-box}html,body{width:100%;height:100%;font-family:"Avenir","Noto Sans","Droid Sans","Helvetica Neue",Corbel,Helvetica,Arial,sans-serif;text-rendering:optimizeLegibility;-webkit-font-feature-settings:'kern';font-feature-settings:'kern';-webkit-font-kerning:normal;-moz-font-kerning:normal;font-kerning:normal;-webkit-font-variant-ligatures:common-ligatures;font-variant-ligatures:common-ligatures}img{width:auto;max-width:100%;height:auto !important;display:block}figure{margin:0}figure img{display:block;max-width:100%}a{cursor:pointer;color:inherit}button{border:none;outline:none;padding:0;background:none;cursor:pointer}i,em{font-style:italic}b,strong{font-weight:bold}table{border-collapse:collapse;border-spacing:0}p a{color:#003891}p a:hover{text-decoration:underline}.container{margin-right:auto;margin-left:auto;padding-left:15px;padding-right:15px}.container:before,.container:after{content:" ";display:table}.container:after{clear:both}@media (min-width: 768px){.container{width:750px}}@media (min-width: 1024px){.container{width:970px}}@media (min-width: 1230px){.container{width:1170px}}.container-fluid{margin-right:auto;margin-left:auto;padding-left:15px;padding-right:15px}.container-fluid:before,.container-fluid:after{content:" ";display:table}.container-fluid:after{clear:both}.row{margin-left:-15px;margin-right:-15px}.row:before,.row:after{content:" ";display:table}.row:after{clear:both}.col-xs-1,.col-sm-1,.col-md-1,.col-lg-1,.col-xs-2,.col-sm-2,.col-md-2,.col-lg-2,.col-xs-3,.col-sm-3,.col-md-3,.col-lg-3,.col-xs-4,.col-sm-4,.col-md-4,.col-lg-4,.col-xs-5,.col-sm-5,.col-md-5,.col-lg-5,.col-xs-6,.col-sm-6,.col-md-6,.col-lg-6,.col-xs-7,.col-sm-7,.col-md-7,.col-lg-7,.col-xs-8,.col-sm-8,.col-md-8,.col-lg-8,.col-xs-9,.col-sm-9,.col-md-9,.col-lg-9,.col-xs-10,.col-sm-10,.col-md-10,.col-lg-10,.col-xs-11,.col-sm-11,.col-md-11,.col-lg-11,.col-xs-12,.col-sm-12,.col-md-12,.col-lg-12{position:relative;min-height:1px;padding-left:15px;padding-right:15px}.col-xs-1,.col-xs-2,.col-xs-3,.col-xs-4,.col-xs-5,.col-xs-6,.col-xs-7,.col-xs-8,.col-xs-9,.col-xs-10,.col-xs-11,.col-xs-12{float:left}.col-xs-1{width:8.33333%}.col-xs-2{width:16.66667%}.col-xs-3{width:25%}.col-xs-4{width:33.33333%}.col-xs-5{width:41.66667%}.col-xs-6{width:50%}.col-xs-7{width:58.33333%}.col-xs-8{width:66.66667%}.col-xs-9{width:75%}.col-xs-10{width:83.33333%}.col-xs-11{width:91.66667%}.col-xs-12{width:100%}.col-xs-pull-0{right:auto}.col-xs-pull-1{right:8.33333%}.col-xs-pull-2{right:16.66667%}.col-xs-pull-3{right:25%}.col-xs-pull-4{right:33.33333%}.col-xs-pull-5{right:41.66667%}.col-xs-pull-6{right:50%}.col-xs-pull-7{right:58.33333%}.col-xs-pull-8{right:66.66667%}.col-xs-pull-9{right:75%}.col-xs-pull-10{right:83.33333%}.col-xs-pull-11{right:91.66667%}.col-xs-pull-12{right:100%}.col-xs-push-0{left:auto}.col-xs-push-1{left:8.33333%}.col-xs-push-2{left:16.66667%}.col-xs-push-3{left:25%}.col-xs-push-4{left:33.33333%}.col-xs-push-5{left:41.66667%}.col-xs-push-6{left:50%}.col-xs-push-7{left:58.33333%}.col-xs-push-8{left:66.66667%}.col-xs-push-9{left:75%}.col-xs-push-10{left:83.33333%}.col-xs-push-11{left:91.66667%}.col-xs-push-12{left:100%}.col-xs-offset-0{margin-left:0%}.col-xs-offset-1{margin-left:8.33333%}.col-xs-offset-2{margin-left:16.66667%}.col-xs-offset-3{margin-left:25%}.col-xs-offset-4{margin-left:33.33333%}.col-xs-offset-5{margin-left:41.66667%}.col-xs-offset-6{margin-left:50%}.col-xs-offset-7{margin-left:58.33333%}.col-xs-offset-8{margin-left:66.66667%}.col-xs-offset-9{margin-left:75%}.col-xs-offset-10{margin-left:83.33333%}.col-xs-offset-11{margin-left:91.66667%}.col-xs-offset-12{margin-left:100%}@media (min-width: 768px){.col-sm-1,.col-sm-2,.col-sm-3,.col-sm-4,.col-sm-5,.col-sm-6,.col-sm-7,.col-sm-8,.col-sm-9,.col-sm-10,.col-sm-11,.col-sm-12{float:left}.col-sm-1{width:8.33333%}.col-sm-2{width:16.66667%}.col-sm-3{width:25%}.col-sm-4{width:33.33333%}.col-sm-5{width:41.66667%}.col-sm-6{width:50%}.col-sm-7{width:58.33333%}.col-sm-8{width:66.66667%}.col-sm-9{width:75%}.col-sm-10{width:83.33333%}.col-sm-11{width:91.66667%}.col-sm-12{width:100%}.col-sm-pull-0{right:auto}.col-sm-pull-1{right:8.33333%}.col-sm-pull-2{right:16.66667%}.col-sm-pull-3{right:25%}.col-sm-pull-4{right:33.33333%}.col-sm-pull-5{right:41.66667%}.col-sm-pull-6{right:50%}.col-sm-pull-7{right:58.33333%}.col-sm-pull-8{right:66.66667%}.col-sm-pull-9{right:75%}.col-sm-pull-10{right:83.33333%}.col-sm-pull-11{right:91.66667%}.col-sm-pull-12{right:100%}.col-sm-push-0{left:auto}.col-sm-push-1{left:8.33333%}.col-sm-push-2{left:16.66667%}.col-sm-push-3{left:25%}.col-sm-push-4{left:33.33333%}.col-sm-push-5{left:41.66667%}.col-sm-push-6{left:50%}.col-sm-push-7{left:58.33333%}.col-sm-push-8{left:66.66667%}.col-sm-push-9{left:75%}.col-sm-push-10{left:83.33333%}.col-sm-push-11{left:91.66667%}.col-sm-push-12{left:100%}.col-sm-offset-0{margin-left:0%}.col-sm-offset-1{margin-left:8.33333%}.col-sm-offset-2{margin-left:16.66667%}.col-sm-offset-3{margin-left:25%}.col-sm-offset-4{margin-left:33.33333%}.col-sm-offset-5{margin-left:41.66667%}.col-sm-offset-6{margin-left:50%}.col-sm-offset-7{margin-left:58.33333%}.col-sm-offset-8{margin-left:66.66667%}.col-sm-offset-9{margin-left:75%}.col-sm-offset-10{margin-left:83.33333%}.col-sm-offset-11{margin-left:91.66667%}.col-sm-offset-12{margin-left:100%}}@media (min-width: 1024px){.col-md-1,.col-md-2,.col-md-3,.col-md-4,.col-md-5,.col-md-6,.col-md-7,.col-md-8,.col-md-9,.col-md-10,.col-md-11,.col-md-12{float:left}.col-md-1{width:8.33333%}.col-md-2{width:16.66667%}.col-md-3{width:25%}.col-md-4{width:33.33333%}.col-md-5{width:41.66667%}.col-md-6{width:50%}.col-md-7{width:58.33333%}.col-md-8{width:66.66667%}.col-md-9{width:75%}.col-md-10{width:83.33333%}.col-md-11{width:91.66667%}.col-md-12{width:100%}.col-md-pull-0{right:auto}.col-md-pull-1{right:8.33333%}.col-md-pull-2{right:16.66667%}.col-md-pull-3{right:25%}.col-md-pull-4{right:33.33333%}.col-md-pull-5{right:41.66667%}.col-md-pull-6{right:50%}.col-md-pull-7{right:58.33333%}.col-md-pull-8{right:66.66667%}.col-md-pull-9{right:75%}.col-md-pull-10{right:83.33333%}.col-md-pull-11{right:91.66667%}.col-md-pull-12{right:100%}.col-md-push-0{left:auto}.col-md-push-1{left:8.33333%}.col-md-push-2{left:16.66667%}.col-md-push-3{left:25%}.col-md-push-4{left:33.33333%}.col-md-push-5{left:41.66667%}.col-md-push-6{left:50%}.col-md-push-7{left:58.33333%}.col-md-push-8{left:66.66667%}.col-md-push-9{left:75%}.col-md-push-10{left:83.33333%}.col-md-push-11{left:91.66667%}.col-md-push-12{left:100%}.col-md-offset-0{margin-left:0%}.col-md-offset-1{margin-left:8.33333%}.col-md-offset-2{margin-left:16.66667%}.col-md-offset-3{margin-left:25%}.col-md-offset-4{margin-left:33.33333%}.col-md-offset-5{margin-left:41.66667%}.col-md-offset-6{margin-left:50%}.col-md-offset-7{margin-left:58.33333%}.col-md-offset-8{margin-left:66.66667%}.col-md-offset-9{margin-left:75%}.col-md-offset-10{margin-left:83.33333%}.col-md-offset-11{margin-left:91.66667%}.col-md-offset-12{margin-left:100%}}@media (min-width: 1230px){.col-lg-1,.col-lg-2,.col-lg-3,.col-lg-4,.col-lg-5,.col-lg-6,.col-lg-7,.col-lg-8,.col-lg-9,.col-lg-10,.col-lg-11,.col-lg-12{float:left}.col-lg-1{width:8.33333%}.col-lg-2{width:16.66667%}.col-lg-3{width:25%}.col-lg-4{width:33.33333%}.col-lg-5{width:41.66667%}.col-lg-6{width:50%}.col-lg-7{width:58.33333%}.col-lg-8{width:66.66667%}.col-lg-9{width:75%}.col-lg-10{width:83.33333%}.col-lg-11{width:91.66667%}.col-lg-12{width:100%}.col-lg-pull-0{right:auto}.col-lg-pull-1{right:8.33333%}.col-lg-pull-2{right:16.66667%}.col-lg-pull-3{right:25%}.col-lg-pull-4{right:33.33333%}.col-lg-pull-5{right:41.66667%}.col-lg-pull-6{right:50%}.col-lg-pull-7{right:58.33333%}.col-lg-pull-8{right:66.66667%}.col-lg-pull-9{right:75%}.col-lg-pull-10{right:83.33333%}.col-lg-pull-11{right:91.66667%}.col-lg-pull-12{right:100%}.col-lg-push-0{left:auto}.col-lg-push-1{left:8.33333%}.col-lg-push-2{left:16.66667%}.col-lg-push-3{left:25%}.col-lg-push-4{left:33.33333%}.col-lg-push-5{left:41.66667%}.col-lg-push-6{left:50%}.col-lg-push-7{left:58.33333%}.col-lg-push-8{left:66.66667%}.col-lg-push-9{left:75%}.col-lg-push-10{left:83.33333%}.col-lg-push-11{left:91.66667%}.col-lg-push-12{left:100%}.col-lg-offset-0{margin-left:0%}.col-lg-offset-1{margin-left:8.33333%}.col-lg-offset-2{margin-left:16.66667%}.col-lg-offset-3{margin-left:25%}.col-lg-offset-4{margin-left:33.33333%}.col-lg-offset-5{margin-left:41.66667%}.col-lg-offset-6{margin-left:50%}.col-lg-offset-7{margin-left:58.33333%}.col-lg-offset-8{margin-left:66.66667%}.col-lg-offset-9{margin-left:75%}.col-lg-offset-10{margin-left:83.33333%}.col-lg-offset-11{margin-left:91.66667%}.col-lg-offset-12{margin-left:100%}}.clearfix:before,.clearfix:after{content:" ";display:table}.clearfix:after{clear:both}.pull-right{float:right !important}.pull-left{float:left !important}.fs-hidden{display:none !important}.fs-clearfix:before,.fs-clearfix:after{content:" ";display:table}.fs-clearfix:after{clear:both}body{font-size:.9375em;-webkit-font-smoothing:antialiased}@media (min-width: 480px){body{font-size:calc(.9375em + (18 - 15) * (100vw - 480px) / (1400 - 480))}}@media (min-width: 1400px){body{font-size:1.125em}}h1,h2,h3,h4,h5,h6,ul,li,ol{-webkit-margin-before:0;-webkit-margin-after:0}h1,.fs-text-xxl{font-size:2.5rem;font-weight:normal}h2,.fs-text-xl{font-size:2rem;font-weight:normal}h3,.fs-text-l{font-size:1.5rem;font-weight:normal}h4,.fs-text-m{font-size:1.25rem;font-weight:normal}h5,.fs-text-s{font-size:0.875rem;font-weight:normal}h6,.fs-text-xs{font-size:0.75rem;font-weight:normal}small,.fs-text-xxs{font-size:0.625rem;font-weight:normal}h1.fs-responsive-text,.fs-text-xxl.fs-responsive-text{font-size:2.5em}h2.fs-responsive-text,.fs-text-xl.fs-responsive-text{font-size:2em}h3.fs-responsive-text,.fs-text-l.fs-responsive-text{font-size:1.5em}h4.fs-responsive-text,.fs-text-m.fs-responsive-text{font-size:1.25em}h5.fs-responsive-text,.fs-text-s.fs-responsive-text{font-size:0.875em}h6.fs-responsive-text,.fs-text-xs.fs-responsive-text{font-size:0.75em}.fs-text-xxs.fs-responsive-text{font-size:0.625em}.fs-headline{line-height:1.25;font-family:"Georgia","Cambria","Times New Roman","Times",serif;font-weight:normal;margin:0}.fs-text-margin{margin:1.6rem 0}ul{list-style:none;-webkit-padding-start:0}button,input,optgroup,select,textarea{font-family:inherit}.fs-text-link{color:#003891;cursor:pointer;text-decoration:none;background-image:linear-gradient(rgba(0,56,145,0.5), rgba(0,56,145,0.5));background-size:1px 1px;background-repeat:repeat-x;background-position:0 1.2em;-webkit-tap-highlight-color:transparent}.fs-text-link:before,.fs-text-link:after,.fs-text-link *,.fs-text-link *:before,.fs-text-link *:after{text-shadow:none}.fs-text-link:visited{color:#003891}.fs-text-link:hover{background-image:linear-gradient(#003891, #003891)}@media (min-width: 48rem){.fs-text-link{background-position:0 1.3em}}.fs-card{padding:1em 0}.fs-card:before,.fs-card:after{content:" ";display:table}.fs-card:after{clear:both}.fs-card-metric{font-size:0.75rem;font-weight:normal;color:gray;display:block;line-height:1;margin-bottom:1em}.fs-card-metric span{margin-right:1.5em}.fs-card-metric-type{font-weight:bold;color:#999}.fs-card-metric-time{font-style:italic;color:#666}.fs-card-metric-views{color:#333}.fs-card-thumb{width:20%;margin-right:1em;float:left;max-width:200px}.fs-card--basic .fs-card-thumb:after{background:gray;content:'';display:block;padding-top:100%;width:100%}.fs-card-info{overflow:auto}.fs-author{display:block;font-style:normal}.fs-author:before,.fs-author:after{content:" ";display:table}.fs-author:after{clear:both}.fs-author-avatar{width:20%;max-width:1em;margin-right:1em;float:left;position:relative}.fs-author-image{border:1px solid rgba(0,0,0,0.15);max-width:100%;border-radius:50%;overflow:hidden}.fs-author-badge{font-size:0.875rem;font-weight:normal;position:absolute;right:0;bottom:0}.fs-author-badge .icon-flame{background:#ffc000;border-radius:50%;width:1.5em;height:1.5em;display:inline-block;line-height:1.5em;text-align:center}.fs-author-name{font-weight:bold}.fs-author--inline{margin-top:.5em}.fs-author--inline .fs-author-info{line-height:1em}.fs-author--inline .fs-author-avatar{margin-right:.5em}.fs-author--inline .fs-author-byline{font-size:0.75rem;font-weight:normal}.fs-author--inline .fs-author-title{margin-left:.5em}.fs-card-description{font-size:0.75em;color:#4D4D4D;line-height:1.5;overflow:auto;margin:.5em 0 0;display:none}@media (min-width: 768px){.fs-card-description{display:block}}.fs-card--dark{color:#fff}.fs-card--dark .fs-author-title .icon-staff-verified{color:rgba(255,255,255,0.7)}.fs-card--cover .fs-card-content{position:relative;overflow:hidden}.fs-card--cover .fs-card-content:before{content:"";display:block;padding-bottom:56.25%}.fs-card--cover .fs-card-thumb{position:absolute;top:0;left:0;right:0;bottom:0;width:100%;margin-right:auto;float:none;max-width:none}.fs-card--cover .fs-card-thumb:after{background-image:linear-gradient(to bottom, transparent, rgba(0,0,0,0.8));bottom:0;content:'';left:0;position:absolute;right:0;top:-2em}.fs-card--cover .fs-card-info{position:absolute;left:0;right:0;bottom:0;padding:1em;z-index:1}.fs-card--cover .fs-headline{font-size:1.25em}.fs-card--cover .fs-card-thumb{background-size:cover}.fs-article{line-height:1.5;max-width:42em}.fs-article h1,.fs-article h2,.fs-article h3,.fs-article h4,.fs-article h5,.fs-article h6,.fs-article p,.fs-article ol,.fs-article pre,.fs-article table,.fs-article blockquote{margin:1.6rem 0}.fs-article>div:first-child>:first-child{margin-top:0}.fs-article a{text-decoration:none;color:#003891}.fs-article a:hover{text-decoration:underline}.fs-article .table-wrapper{margin:10px 0;overflow-x:auto}.fs-article td,.fs-article th{padding:3px 5px;vertical-align:top;font-size:0.75em}.fs-article thead tr{background:#ccc}.fs-article thead th{font-weight:bold;vertical-align:bottom;border-bottom:2px solid #fff;border-left:1px solid #fff}.fs-article tbody tr{border-bottom:2px solid #fff}.fs-article tbody tr:nth-child(odd){background:#F2F2F2}.fs-article tbody tr:nth-child(even){background:#E6E6E6}.fs-article tbody td{border-left:1px solid #fff}.fs-article tbody td p{margin:0}.fs-article tfoot td{color:#999;padding:1px;font-size:0.625em}.fs-article blockquote{position:relative;padding-left:1.75em}.fs-article blockquote:before{position:absolute;top:0;left:0;content:"\201C";color:#B3B3B3;font-size:2.5em}.article-body-image{line-height:0;position:relative}.article-body-image small{position:absolute;bottom:0;line-height:1;padding:.25em;color:#fff;background-color:rgba(0,0,0,0.5)}.fs-main-content h1.fs-headline{margin-top:1rem;margin-bottom:1rem;font-size:22px;position:relative;-webkit-font-smoothing:antialiased}@media (min-width: 480px){.fs-main-content h1.fs-headline{font-size:calc(22px + (40 - 22) * (100vw - 20rem) / (1400 - 320))}}@media (min-width: 1400px){.fs-main-content h1.fs-headline{font-size:40px}}.article-body.fs-responsive-text{font-family:"Georgia","Cambria","Times New Roman","Times",serif;font-size:17.6px;line-height:1.4em}.wp-caption-text{line-height:1.4em}@media all and (min-width: 1401px){.article-body.fs-responsive-text{font-size:21px}.fs-main-content h1.fs-headline{font-size:40.76px}}@media all and (min-width: 1025px) and (max-width: 1400px){.fs-main-content h1.fs-headline{font-size:32.44px;line-height:1.2em}}@media all and (min-width: 768px) and (max-width: 1024px){.fs-main-content h1.fs-headline{font-size:27.44px;line-height:1.3em}}@media all and (max-width: 767px){.fs-main-content h1.fs-headline{font-size:32.64px;line-height:1.3em}}@media print{.article-video-placeholder,.top-ad-container,.ad-rail-container,sidenav,navbar,footer,medianet,speed-bump,fbs-ad,fbs-video,page[aria-current="false"]{display:none !important}channel-path .logo,channel-path .crumb:before{display:inline-block !important;font-size:15px !important}stream.sidebar-expanded{-webkit-transform:none !important;transform:none !important;margin-left:0 !important}.body-container{width:100%}}.fs-article .embedly-embed{height:100%;left:0;position:absolute;top:0;width:100%}.fs-article .embedly-wrap{height:0;position:relative;width:100%}.fs-article .image-embed div,.fs-article .wp-caption div{line-height:0;overflow:hidden;position:relative}.fs-article .image-embed fbs-accordion,.fs-article .wp-caption fbs-accordion{display:block}.fs-article .image-embed fbs-accordion [aria-expanded="false"],.fs-article .wp-caption fbs-accordion [aria-expanded="false"]{height:1.25em}.fs-article .image-embed fbs-accordion.expandable p,.fs-article .wp-caption fbs-accordion.expandable p{padding-right:1em;position:relative}.fs-article .image-embed fbs-accordion.expandable p[aria-expanded="false"]:after,.fs-article .wp-caption fbs-accordion.expandable p[aria-expanded="false"]:after{content:"[+]";position:absolute;right:0;top:0}.fs-article .image-embed fbs-accordion.expandable p[aria-expanded="true"]:after,.fs-article .wp-caption fbs-accordion.expandable p[aria-expanded="true"]:after{content:" [-]";height:auto}.fs-article .image-embed figcaption,.fs-article .wp-caption figcaption{font-size:.75rem;font-style:italic;line-height:1.4;margin-top:0.5em}.fs-article .image-embed p,.fs-article .wp-caption p{margin:0}.fs-article .image-embed p:after,.fs-article .wp-caption p:after{font-style:normal}.fs-article .image-embed small,.fs-article .wp-caption small{background-color:rgba(0,0,0,0.5);bottom:0;color:#fff;line-height:1;padding:0.25em;position:absolute}.fs-article .wp-caption-text{font-size:0.75rem;font-weight:normal;font-style:italic;margin-top:0.5em;position:relative}.fs-article .link-embed{background-color:#F2F2F2;color:#000;display:block;padding:20px;text-decoration:none;width:100%}.fs-article .link-embed header{font-size:1.5rem;font-weight:normal;margin-bottom:20px}.fs-article .link-embed small{display:block}.fs-article .link-embed .provider-name{font-weight:bold;text-transform:uppercase}.btn{font-size:0.875em;display:inline-flex;align-items:center;justify-content:center;font-weight:bold;border-radius:5px;cursor:pointer;line-height:1;border:none;box-sizing:border-box;transition:all 200ms ease}.btn.btn-rect-lg{padding:1.5em 1em}.btn.btn-rect-sm{padding:0.75em 1em}.btn.btn-square{width:45px;height:45px;padding:1.1em 1em}.btn.btn-circle{width:2rem;height:2rem;border-radius:50%}.btn.btn-black{background-color:#000;color:#fff}.btn.btn-black:hover{background-color:#1a1a1a;color:#fff}.btn.btn-black.secondary{background-color:#fff;border:2px solid #000;color:#000;color:#000}.btn.btn-black.secondary:hover{color:#1a1a1a;border:2px solid #1a1a1a}.btn.btn-gray{background-color:#999;color:#fff}.btn.btn-gray:hover{background-color:#b3b3b3;color:#fff}.btn.btn-gray.secondary{background-color:#fff;border:2px solid #999;color:#999;color:#000}.btn.btn-gray.secondary:hover{color:#b3b3b3;border:2px solid #b3b3b3}.btn.btn-blue{background-color:#069eec;color:#fff}.btn.btn-blue:hover{background-color:#2bb4fa;color:#fff}.btn.btn-blue.secondary{background-color:#fff;border:2px solid #069eec;color:#069eec;color:#000}.btn.btn-blue.secondary:hover{color:#2bb4fa;border:2px solid #2bb4fa}.btn.btn-red{background-color:#f0222e;color:#fff}.btn.btn-red:hover{background-color:#f3525b;color:#fff}.btn.btn-red.secondary{background-color:#fff;border:2px solid #f0222e;color:#f0222e;color:#000}.btn.btn-red.secondary:hover{color:#f3525b;border:2px solid #f3525b}.btn.btn-yellow{background-color:#ffc000;color:#000}.btn.btn-yellow:hover{background-color:#ffcd33;color:#1a1a1a}.btn.btn-yellow.secondary{background-color:#fff;border:2px solid #ffc000;color:#ffc000;color:#000}.btn.btn-yellow.secondary:hover{color:#ffcd33;border:2px solid #ffcd33}.btn:hover{box-shadow:0 0 20px rgba(0,0,0,0.2)}.btn:active{box-shadow:none;top:0.5px;left:0.5px}.btn-facebook{background-color:#3b5998;color:#fff;width:2rem;height:2rem;border-radius:50%}.btn-facebook:hover{background-color:#4c70ba;color:#fff}.btn-facebook-secondary{background-color:#fff;border:2px solid #3b5998;color:#3b5998;width:2rem;height:2rem;border-radius:50%}.btn-facebook-secondary:hover{color:#4c70ba;border:2px solid #4c70ba}.btn-google{background-color:#dd4b39;color:#fff;width:2rem;height:2rem;border-radius:50%}.btn-google:hover{background-color:#e47365;color:#fff}.btn-google-secondary{background-color:#fff;border:2px solid #dd4b39;color:#dd4b39;width:2rem;height:2rem;border-radius:50%}.btn-google-secondary:hover{color:#e47365;border:2px solid #e47365}.btn-linkedin{background-color:#0077b5;color:#fff;width:2rem;height:2rem;border-radius:50%}.btn-linkedin:hover{background-color:#0099e8;color:#fff}.btn-linkedin-secondary{background-color:#fff;border:2px solid #0077b5;color:#0077b5;width:2rem;height:2rem;border-radius:50%}.btn-linkedin-secondary:hover{color:#0099e8;border:2px solid #0099e8}.btn-twitter{background-color:#55acee;color:#fff;width:2rem;height:2rem;border-radius:50%}.btn-twitter:hover{background-color:#83c3f3;color:#fff}.btn-twitter-secondary{background-color:#fff;border:2px solid #55acee;color:#55acee;width:2rem;height:2rem;border-radius:50%}.btn-twitter-secondary:hover{color:#83c3f3;border:2px solid #83c3f3}.btn-instagram{background-color:#333;color:#fff;width:2rem;height:2rem;border-radius:50%}.btn-instagram:hover{background-color:#4d4d4d;color:#fff}.btn-instagram-secondary{background-color:#fff;border:2px solid #333;color:#333;width:2rem;height:2rem;border-radius:50%}.btn-instagram-secondary:hover{color:#4d4d4d;border:2px solid #4d4d4d}.btn-youtube{background-color:#cd201f;color:#fff;width:2rem;height:2rem;border-radius:50%}.btn-youtube:hover{background-color:#e23e3d;color:#fff}.btn-youtube-secondary{background-color:#fff;border:2px solid #cd201f;color:#cd201f;width:2rem;height:2rem;border-radius:50%}.btn-youtube-secondary:hover{color:#e23e3d;border:2px solid #e23e3d}.btn-pinterest{background-color:#bd081c;color:#fff;width:2rem;height:2rem;border-radius:50%}.btn-pinterest:hover{background-color:#ee0a23;color:#fff}.btn-pinterest-secondary{background-color:#fff;border:2px solid #bd081c;color:#bd081c;width:2rem;height:2rem;border-radius:50%}.btn-pinterest-secondary:hover{color:#ee0a23;border:2px solid #ee0a23}.btn-email{background-color:#999;color:#fff;width:2rem;height:2rem;border-radius:50%}.btn-email:hover{background-color:#b3b3b3;color:#fff}.btn-email-secondary{background-color:#fff;border:2px solid #999;color:#999;width:2rem;height:2rem;border-radius:50%}.btn-email-secondary:hover{color:#b3b3b3;border:2px solid #b3b3b3}@font-face{font-family:"forbesicon";src:url("https://i.forbesimg.com/assets/fonts/fbs-typography/0233/forbesicon.eot");src:url("https://i.forbesimg.com/assets/fonts/fbs-typography/0233/forbesicon.eot?#iefix") format("embedded-opentype"),url("https://i.forbesimg.com/assets/fonts/fbs-typography/0233/forbesicon.woff") format("woff"),url("https://i.forbesimg.com/assets/fonts/fbs-typography/0233/forbesicon.ttf") format("truetype"),url("https://i.forbesimg.com/assets/fonts/fbs-typography/0233/forbesicon.svg#forbesicon") format("svg");font-weight:normal;font-style:normal}@media screen and (-webkit-min-device-pixel-ratio: 0){@font-face{font-family:"forbesicon";src:url("https://i.forbesimg.com/assets/fonts/fbs-typography/0233/forbesicon.svg#forbesicon") format("svg")}}.icon:before{-moz-osx-font-smoothing:grayscale;-webkit-font-smoothing:antialiased;display:inline-block;font-family:"forbesicon";font-smoothing:antialiased;font-style:normal;font-variant:normal;font-weight:normal;line-height:1;speak:none;text-decoration:inherit;text-rendering:optimizeLegibility;text-transform:none}.icon-add-person:before{content:"\f168"}.icon-amazon:before{content:"\f162"}.icon-arrow-down:before{content:"\f100"}.icon-arrow-down-bar:before{content:"\f149"}.icon-arrow-up:before{content:"\f101"}.icon-authorvoice:before{content:"\f174"}.icon-badge:before{content:"\f15f"}.icon-baidu:before{content:"\f16a"}.icon-book:before{content:"\f102"}.icon-brandvoice-logo:before{content:"\f150"}.icon-brandvoice-logo-brand:before{content:"\f151"}.icon-brandvoice-logo-voice:before{content:"\f152"}.icon-calendar:before{content:"\f143"}.icon-cart:before{content:"\f15b"}.icon-chat:before{content:"\f15c"}.icon-check:before{content:"\f103"}.icon-chevron-down:before{content:"\f135"}.icon-chevron-left:before{content:"\f136"}.icon-chevron-right:before{content:"\f137"}.icon-chevron-up:before{content:"\f138"}.icon-clipboard:before{content:"\f148"}.icon-clock:before{content:"\f146"}.icon-close:before{content:"\f104"}.icon-cog:before{content:"\f134"}.icon-comment-bubble:before{content:"\f105"}.icon-confirmation:before{content:"\f170"}.icon-copy:before{content:"\f153"}.icon-desktop:before{content:"\f164"}.icon-donald-trump:before{content:"\f163"}.icon-download:before{content:"\f14a"}.icon-edit:before{content:"\f141"}.icon-email:before{content:"\f106"}.icon-enlarge:before{content:"\f147"}.icon-error:before{content:"\f171"}.icon-explore:before{content:"\f161"}.icon-facebook:before{content:"\f139"}.icon-flame:before{content:"\f15e"}.icon-forbes-china-logo:before{content:"\f16b"}.icon-forbes-finds-logo:before{content:"\f175"}.icon-forbes-italy:before{content:"\f173"}.icon-forbes-life:before{content:"\f107"}.icon-forbes-logo:before{content:"\f108"}.icon-forbes-logo-f:before{content:"\f109"}.icon-gallery:before{content:"\f140"}.icon-georgia-daquo:before{content:"\f10a"}.icon-georgia-uaquo:before{content:"\f10b"}.icon-google:before{content:"\f13a"}.icon-group:before{content:"\f10c"}.icon-hamburger:before{content:"\f10d"}.icon-handshake:before{content:"\f14b"}.icon-home:before{content:"\f10e"}.icon-insights:before{content:"\f165"}.icon-instagram:before{content:"\f13b"}.icon-italia:before{content:"\f176"}.icon-link:before{content:"\f10f"}.icon-linkedin:before{content:"\f13c"}.icon-location:before{content:"\f156"}.icon-lock:before{content:"\f154"}.icon-megaphone:before{content:"\f14c"}.icon-microphone:before{content:"\f14d"}.icon-mobile:before{content:"\f166"}.icon-pause:before{content:"\f15d"}.icon-phone-call:before{content:"\f14e"}.icon-photo:before{content:"\f167"}.icon-pinterest:before{content:"\f13d"}.icon-plus:before{content:"\f110"}.icon-preview-eye:before{content:"\f145"}.icon-print:before{content:"\f111"}.icon-qzone:before{content:"\f16c"}.icon-renren:before{content:"\f16d"}.icon-reply:before{content:"\f112"}.icon-reset:before{content:"\f113"}.icon-rss-feed:before{content:"\f114"}.icon-search:before{content:"\f115"}.icon-share:before{content:"\f116"}.icon-snapchat:before{content:"\f169"}.icon-square-bracket-left:before{content:"\f11e"}.icon-square-bracket-right:before{content:"\f11f"}.icon-staff-verified:before{content:"\f158"}.icon-star:before{content:"\f120"}.icon-terms:before{content:"\f14f"}.icon-trash:before{content:"\f142"}.icon-tumblr:before{content:"\f13e"}.icon-twitter:before{content:"\f13f"}.icon-twitter-verified:before{content:"\f157"}.icon-u30-logo:before{content:"\f155"}.icon-under-30-logo:before{content:"\f159"}.icon-user:before{content:"\f125"}.icon-video:before{content:"\f126"}.icon-video-rect:before{content:"\f172"}.icon-wechat:before{content:"\f16e"}.icon-weibo:before{content:"\f16f"}.icon-womenforbes-logo:before{content:"\f160"}.icon-youtube:before{content:"\f15a"}html,body{overflow-y:auto}fbs-ad[position="mobile"]{position:fixed;bottom:0;width:100%;text-align:center}*,*:before,*:after{box-sizing:border-box}button{border:none;outline:none;padding:0;background:none;cursor:pointer}img{max-width:100%}a{text-decoration:none;-webkit-tap-highlight-color:transparent}.hidden{display:none !important}h1,h2,h3,h4,h5,h6{margin:0}ul,ol{padding-left:0}fbs-embedly{display:block;height:0;margin:0;overflow:hidden;padding-bottom:67.5%;position:relative;width:100%}fbs-embedly iframe{border:0;height:100%;left:0;position:absolute;top:0;width:100%}fbs-video .brightcove_perform{position:relative;width:100%;height:0;padding-bottom:56.25%;overflow:hidden}fbs-video .vjs-big-play-button .vjs-icon-placeholder:before{content:"" !important}fbs-video .playable-rectangle .vjs-big-play-button,fbs-video .playable-rectangle .play-button-icon{position:absolute;top:50% !important;left:50% !important;width:20% !important;height:0 !important;min-width:30px;max-width:150px;-webkit-transform:translate(-50%, -50%);transform:translate(-50%, -50%);background-color:transparent !important;margin-left:0 !important;margin-top:0 !important;font-family:Arial !important;box-shadow:none !important}fbs-video .playable-rectangle .vjs-big-play-button:before,fbs-video .playable-rectangle .vjs-big-play-button:after,fbs-video .playable-rectangle .play-button-icon:before,fbs-video .playable-rectangle .play-button-icon:after{content:" ";display:block;position:absolute;width:100%;padding-top:100%;transition:all 0.2s ease-in-out;margin-top:-50%}fbs-video .playable-rectangle .vjs-big-play-button:before,fbs-video .playable-rectangle .play-button-icon:before{background:url("data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZpZXdCb3g9Ii0zMjAgMjMyIDE1MCAxNTAiPjxwYXRoIGQ9Ik0tMjQ1IDIzMmMtNDEuNCAwLTc1IDMzLjYtNzUgNzVzMzMuNiA3NSA3NSA3NSA3NS0zMy42IDc1LTc1Uy0yMDMuNiAyMzItMjQ1IDIzMnoiLz48L3N2Zz4=");opacity:0.5}fbs-video .playable-rectangle .vjs-big-play-button:after,fbs-video .playable-rectangle .play-button-icon:after{background:url("data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZpZXdCb3g9Ii0zMjAgMjMyIDE1MCAxNTAiPjxzdHlsZSB0eXBlPSJ0ZXh0L2NzcyI+ICANCgkuc3Qwe2ZpbGw6I0ZGRkZGRjt9DQo8L3N0eWxlPjxwb2x5Z29uIGNsYXNzPSJzdDAiIHBvaW50cz0iLTI2NC4xIDMzOS41IC0yNjQuMSAyNzQuNSAtMjA3LjkgMzA3ICIvPjwvc3ZnPg==")}fbs-video .playable-rectangle:hover .vjs-big-play-button:before,fbs-video .playable-rectangle:hover .play-button-icon:before{-webkit-transform:scale(0);transform:scale(0)}fbs-video .playable-rectangle:hover .vjs-big-play-button:after,fbs-video .playable-rectangle:hover .play-button-icon:after{-webkit-transform:scale(2);transform:scale(2)}fbs-quotecard{display:inline}fbs-quotecard .card-preview{position:relative;display:inline-block;line-height:1.4em;padding-left:4px}fbs-quotecard .card-preview:hover .preview.negative{color:#fff;background-color:#c20c00;border-color:#a70a00}fbs-quotecard .card-preview:hover .preview.positive{color:#fff;background-color:#017200;border-color:#015900}fbs-quotecard a.preview{font-weight:600;padding:0 3px;color:#555;border-radius:4px}fbs-quotecard a.preview.negative{border:1px #f6dbd9 solid;background-color:#faeceb}fbs-quotecard a.preview.positive{border:1px #d6e8d6 solid;background-color:#eaf3ea}fbs-quotecard .card-hover{position:absolute;top:1.2em;left:3px;width:220px}fbs-quotecard .card-hover.reverse-display{left:auto;right:3px}fbs-quotecard .card-hover.reverse-display .card-contents:after{left:auto;right:20px}fbs-quotecard .card-hover.above{top:auto;bottom:2.5em}fbs-quotecard .card-hover.above .card-contents:after{content:'▼';top:auto;bottom:-0.9em;text-shadow:0 3px 2px rgba(0,0,0,0.2)}fbs-quotecard .card-contents{width:100%;position:relative;top:14px;background-color:#fff;padding:20px;z-index:10;border-radius:5px;box-shadow:2px 2px 8px #000}fbs-quotecard .card-contents:after{position:absolute;top:-0.8em;left:20px;content:'▲';display:inline-block;color:#fff;text-shadow:0 -3px 2px rgba(0,0,0,0.2);-webkit-transform:scaleX(1.75);transform:scaleX(1.75)}fbs-quotecard a.company-name{color:black}fbs-quotecard a.company-name:hover{color:#003891;cursor:pointer}fbs-quotecard a.company-name h2{margin-top:0;margin-bottom:3px;font-weight:normal}fbs-quotecard a.ticker{font-weight:bold;text-decoration:underline}fbs-quotecard a.ticker h5{margin-top:0;margin-bottom:0}fbs-quotecard h2,fbs-quotecard h5,fbs-quotecard h5.fs-headline{margin-top:0;margin-bottom:0}fbs-quotecard p.cost,fbs-quotecard p.as-of{margin-left:0}fbs-quotecard .cost{font-weight:bold;color:black;margin-bottom:0;margin-top:0.5em}fbs-quotecard .cost span.difference{font-size:.6em;margin:4px}fbs-quotecard .cost span.difference.negative{color:#c20c00}fbs-quotecard .cost span.difference.negative .icon:before{content:"\f100";padding-right:2px}fbs-quotecard .cost span.difference.positive{color:#017200}fbs-quotecard .cost span.difference.positive .icon:before{content:"\f101";padding-right:2px}fbs-quotecard .cost span.difference span{margin:2px}fbs-quotecard p.as-of{color:#939393;margin-top:0;margin-bottom:1em;line-height:1.4;font-size:13px}fbs-quotecard ul.stories{border:5px solid #ddd;border-width:5px 0 0}fbs-quotecard ul.stories li.story{list-style-type:none;margin:1em 0 0}fbs-quotecard .hidden{display:none}.slick-slider{position:relative;display:block;box-sizing:border-box;-webkit-touch-callout:none;-webkit-user-select:none;-moz-user-select:none;-ms-user-select:none;user-select:none;touch-action:pan-y;-webkit-tap-highlight-color:transparent}.slick-list{position:relative;overflow:hidden;display:block;margin:0;padding:0}.slick-list:focus{outline:none}.slick-list.dragging{cursor:pointer;cursor:hand}.slick-slider .slick-track,.slick-slider .slick-list{-webkit-transform:translate3d(0, 0, 0);transform:translate3d(0, 0, 0)}.slick-track{position:relative;left:0;top:0;display:block;margin-left:auto;margin-right:auto}.slick-track:before,.slick-track:after{content:"";display:table}.slick-track:after{clear:both}.slick-loading .slick-track{visibility:hidden}.slick-slide{float:left;height:100%;min-height:1px;display:none}[dir="rtl"] .slick-slide{float:right}.slick-slide img{display:block}.slick-slide.slick-loading img{display:none}.slick-slide.dragging img{pointer-events:none}.slick-initialized .slick-slide{display:block}.slick-loading .slick-slide{visibility:hidden}.slick-vertical .slick-slide{display:block;height:auto;border:1px solid transparent}.slick-arrow.slick-hidden{display:none}fbs-accordion>*{overflow:hidden}fbs-accordion [aria-expanded="false"]{height:1em}fbs-accordion [aria-expanded="true"]{height:100%}html,body{overflow-y:auto}#server-ad-rail{position:absolute;z-index:1}#server-ad-rail fbs-ad{display:block;margin-top:600px}#server-ad-rail fbs-ad:first-of-type{margin-top:0}.ratio1x1:before{content:'';display:block;padding-bottom:100%}@media all and (max-width: 480px){fbs-ad{text-align:center}}
</style><script type="text/javascript">window.LUX=window.LUX||{};window.LUX.samplerate=1;</script><script src="https://cdn.speedcurve.com/js/lux.js?id=22432108" data-key="https://cdn.speedcurve.com/js/lux.js?id=22432108" onload="this.dataset.loaded = true" async="" defer=""></script><style ng-transition="ng-templates">[_nghost-c2]{position:absolute;min-width:768px;width:100%;padding:0;background-color:#F2F2F2}@media all and (min-width: 1025px) and (max-width: 1229px){[_nghost-c2]{padding:0 2.5%}}</style><style ng-transition="ng-templates">[_nghost-c4]{position:fixed;z-index:2}.navbar-expanded[_nghost-c4]   .brand-logo-container[_ngcontent-c4]{display:flex;align-items:center}.navbar-expanded[_nghost-c4]   .homepage-link[_ngcontent-c4]{font-size:0.875rem;font-weight:normal}.top-nav[_ngcontent-c4]{height:100%;width:100%;display:flex;align-items:center;position:relative}li[_ngcontent-c4]{cursor:pointer}.expand-social[_ngcontent-c4], .trending[_ngcontent-c4]{display:none}.core-unit[_ngcontent-c4]{display:flex;margin-right:.5em;padding-right:.5em;border-right:2px solid gray}.core-unit[_ngcontent-c4]   .core-unit-logo[_ngcontent-c4]{max-width:calc(115.9px * 16/13);min-width:calc(115.9px * 16/13);height:16px !important}core-unit-subscription[_ngcontent-c4]{position:absolute;right:5.8%;top:0}a[_ngcontent-c4]{text-transform:uppercase;font-weight:700}.icon-hamburger[_ngcontent-c4], .icon-search[_ngcontent-c4], .icon-close[_ngcontent-c4]{transition:opacity, -webkit-transform;transition:transform, opacity;transition:transform, opacity, -webkit-transform;will-change:transform, opacity}.icon-hamburger[_ngcontent-c4], .icon-search[_ngcontent-c4], .icon-close[_ngcontent-c4]{transition:opacity 0.5s ease-in-out}.icon-close[_ngcontent-c4]:before{transition:-webkit-transform 0.25s ease-in-out;transition:transform 0.25s ease-in-out;transition:transform 0.25s ease-in-out, -webkit-transform 0.25s ease-in-out}.icon-close[_ngcontent-c4]{opacity:0;z-index:0}.icon-close[_ngcontent-c4]:before{-webkit-transform:rotate(90deg);transform:rotate(90deg)}.icon-hamburger[_ngcontent-c4], .icon-search[_ngcontent-c4]{position:absolute;opacity:1;z-index:1}.hamburger[_ngcontent-c4]{margin-right:.5em}.hamburger.open[_ngcontent-c4]   .icon-close[_ngcontent-c4]{opacity:1;z-index:1}.hamburger.open[_ngcontent-c4]   .icon-close[_ngcontent-c4]:before{-webkit-transform:rotate(0deg);transform:rotate(0deg)}.hamburger.open[_ngcontent-c4]   .icon-hamburger[_ngcontent-c4]{z-index:0;opacity:0}.icon-search[_ngcontent-c4]{width:1em}.homepage-link[_ngcontent-c4]{height:1em}.search.open[_ngcontent-c4]   .icon-close[_ngcontent-c4]{opacity:1;z-index:1}.search.open[_ngcontent-c4]   .icon-close[_ngcontent-c4]:before{-webkit-transform:rotate(0deg);transform:rotate(0deg)}.search.open[_ngcontent-c4]   .icon-search[_ngcontent-c4]{opacity:0;z-index:0}sharing[_ngcontent-c4]{display:none}sharing[_ngcontent-c4]     .chat{display:none}@media all and (min-width: 1230px){[_nghost-c4]{height:60px;width:250px;background-color:#333;color:#fff}.navbar-expanded[_nghost-c4]{width:100%}.navbar-expanded[_nghost-c4]   .top-nav[_ngcontent-c4]{width:400px}.top-nav[_ngcontent-c4]{padding:0 1em}.search[_ngcontent-c4]{position:absolute;top:50%;-webkit-transform:translateY(-50%);transform:translateY(-50%)}.search[_ngcontent-c4]{right:1em}.share-expanded[_ngcontent-c4]{display:none}}@media all and (min-width: 1280px){[_nghost-c4]{width:400px}.slotted-swimlaned[_nghost-c4]:not(.navbar-expanded){width:290px}}@media all and (min-width: 1440px){.slotted-swimlaned[_nghost-c4]:not(.navbar-expanded){width:400px}}@media (min-width: 769px) and (max-width: 1229px){[_nghost-c4]{width:60px;height:100%;background:#fff;background-image:url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAoAAAAKAQMAAAHA+21oAAAABlBMVEX///+tra03rAC8AAAAAXRSTlMAQObYZgAAACdJREFUCB1jaGBAAAeGBgYOBgUwKQCkHRgOACUPMDAzMPAwMBgwAABYMQQgMKldwwAAAABJRU5ErkJggg==);background-size:5px 5px;text-align:center;display:flex;flex-direction:column;justify-content:space-between}.navbar-expanded[_nghost-c4]   .top-nav[_ngcontent-c4]{margin-top:0;transition:none}.navbar-expanded[_nghost-c4]   .hamburger[_ngcontent-c4]{margin-right:0}.navbar-expanded[_nghost-c4]   .brand-logo-container[_ngcontent-c4]{display:none}core-unit-subscription[_ngcontent-c4]{display:none}sharing.expanded[_ngcontent-c4]{display:block}sharing[_ngcontent-c4]     .expand-social{display:inline-block}sharing[_ngcontent-c4]     ul{display:flex;width:650px}sharing[_ngcontent-c4]     li{font-size:1.5em}sharing[_ngcontent-c4]     li.permalink{background:#B3B3B3;padding-right:20px;margin-left:-3px}sharing[_ngcontent-c4]     li.permalink button{float:left}sharing[_ngcontent-c4]     button{width:60px;height:60px;border-radius:0}sharing[_ngcontent-c4]     button .icon-share{vertical-align:middle;font-size:1.25rem;font-weight:normal}sharing[_ngcontent-c4]     button.email{background-color:#000}sharing[_ngcontent-c4]     button .icon-link:before{content:"\f10f"}sharing[_ngcontent-c4]     span input{width:200px;height:40px;margin-top:10px}.core-unit[_ngcontent-c4]{display:none}.top-nav[_ngcontent-c4], .bottom-sticky[_ngcontent-c4]{display:flex;flex-direction:column;height:50%}.top-nav[_ngcontent-c4]{margin-top:-60px;transition:margin-top 0.25s ease-in-out}.top-nav.nav-items-container[_ngcontent-c4]{margin-top:0px}.top-nav[_ngcontent-c4]   a[_ngcontent-c4]{display:block;width:60px;height:60px;line-height:60px}.top-nav[_ngcontent-c4]   .share-expanded[_ngcontent-c4]{display:none}.bottom-sticky[_ngcontent-c4]{justify-content:space-between}.brand-logo-container[_ngcontent-c4]{order:-1}.homepage-link[_ngcontent-c4]{color:#fff;background:#333;font-size:0.875rem;font-weight:normal}.expand-social[_ngcontent-c4]{display:inline-block}li[_ngcontent-c4]{width:30px;height:30px;line-height:30px;color:#fff;float:left;text-align:center}li.share-text[_ngcontent-c4]{font-weight:bold;line-height:20px;height:20px;width:100%;color:#333;background:#fff;text-transform:uppercase}.icon-facebook[_ngcontent-c4]{background-color:#3b5998}.icon-twitter[_ngcontent-c4]{background-color:#55acee}.icon-email[_ngcontent-c4]{background:#000}.icon-linkedin[_ngcontent-c4]{background-color:#0077b5}.icon-chevron-right[_ngcontent-c4]{margin-left:3px}.hamburger[_ngcontent-c4]{margin-right:0}.hamburger[_ngcontent-c4]:hover   .icon-hamburger[_ngcontent-c4]:before, .search[_ngcontent-c4]:hover   .icon-search[_ngcontent-c4]:before{color:#fff;background-color:#333}.icon-hamburger[_ngcontent-c4]:before{font-size:1.1em;width:60px;height:auto;padding:20px;background-color:#fff}.icon-search[_ngcontent-c4]:before{font-size:1.1em;width:60px;height:auto;padding:20px;background-color:#fff}.icon-close[_ngcontent-c4]:before{width:100%;color:#fff;padding:20px;background-color:#333}.trending[_ngcontent-c4]{display:block;padding:0;width:60px;height:60px;line-height:60px;background-color:#4D4D4D;color:#fff;font-size:1.6em}.icon-plus[_ngcontent-c4]:before{transition:-webkit-transform 0.25s ease-in-out;transition:transform 0.25s ease-in-out;transition:transform 0.25s ease-in-out, -webkit-transform 0.25s ease-in-out;-webkit-transform:rotate(0deg);transform:rotate(0deg)}.icon-plus.rotate[_ngcontent-c4]:before{-webkit-transform:rotate(45deg);transform:rotate(45deg)}.trending[_ngcontent-c4]   small[_ngcontent-c4]{position:absolute;bottom:0;left:0;width:100%;text-transform:uppercase;line-height:normal}.trending[_ngcontent-c4]   small.closed[_ngcontent-c4]{display:none}}@media all and (max-width: 768px){[_nghost-c4]{width:100%;height:60px;background-color:#fff;color:#1A1A1A;border-bottom:solid #E6E6E6 2px}.navbar-expanded[_nghost-c4]{background-color:#333;color:#fff}.top-nav[_ngcontent-c4]{padding:0 1em}sharing.expanded[_ngcontent-c4]{display:inline}sharing[_ngcontent-c4]{position:fixed;top:60px;right:26px;height:120px;padding:.5em;background-color:#666;border-radius:5px;width:275px;color:#fff;font-size:1.5rem;font-weight:normal}sharing[_ngcontent-c4]     li{font-size:1.5rem;font-weight:normal}sharing[_ngcontent-c4]     button{margin:5px;border-radius:0;width:40px;height:40px;line-height:40px}sharing[_ngcontent-c4]     .share-expanded, sharing[_ngcontent-c4]     .google{display:none}sharing[_ngcontent-c4]     .email{background-color:#333}sharing[_ngcontent-c4]     .chat{display:inline-block;width:40px;height:40px;line-height:40px;text-align:center}sharing[_ngcontent-c4]     .permalink{display:block}sharing[_ngcontent-c4]     .permalink span{position:absolute;right:0.5em}sharing[_ngcontent-c4]     .permalink input{width:200px;height:40px}.search[_ngcontent-c4]   .icon-close[_ngcontent-c4]{display:none}core-unit-subscription[_ngcontent-c4]{right:15%}.search[_ngcontent-c4]{position:absolute;right:2em;width:1em;height:1em}.search[_ngcontent-c4], .share-expanded[_ngcontent-c4]{top:50%;-webkit-transform:translateY(-50%);transform:translateY(-50%)}.share-expanded[_ngcontent-c4]{position:absolute;right:1em}}</style><style ng-transition="ng-templates">fbs-video.sticky-video{position:fixed;top:60px;left:0;z-index:99}@media all and (min-width: 1230px) and (max-width: 1279px){  .sticky-video{width:250px}}@media all and (min-width: 1280px){  .sticky-video{width:400px}  .sticky-video.sticky-sponsored-video{width:290px}}@media all and (min-width: 1440px){  .sticky-video.sticky-sponsored-video{width:400px}}[_nghost-c7]{display:block;height:100%;position:fixed;width:390px;top:0}@media all and (min-width: 1230px){[_nghost-c7]{top:60px}.video-placeholder[_ngcontent-c7]{background-color:#000}.video-placeholder[_ngcontent-c7]   .overlay-title[_ngcontent-c7]{position:absolute;left:0;width:100%;z-index:1;font-weight:bold;line-height:15px;padding:5px 0 5px 1em;color:#fff;background-color:rgba(51,51,51,0.5);display:none}.video-placeholder[_ngcontent-c7]:hover   .overlay-title[_ngcontent-c7]{display:block}}@media all and (min-width: 1230px) and (max-width: 1279px){[_nghost-c7]{width:250px}[_nghost-c7]   .article-sidebar-video[_ngcontent-c7], [_nghost-c7]   .relative-video[_ngcontent-c7]{margin-top:calc(250px * (9/16));height:calc(100% - calc(250px * (9/16)) - 60px)}}@media all and (min-width: 1280px){[_nghost-c7]{width:400px}[_nghost-c7]   .article-sidebar-video[_ngcontent-c7], [_nghost-c7]   .relative-video[_ngcontent-c7]{margin-top:calc(400px * (9/16));height:calc(100% - calc(400px * (9/16)) - 60px)}.slotted-swimlaned[_nghost-c7]{width:290px}.slotted-swimlaned[_nghost-c7]   .article-sidebar-video[_ngcontent-c7], .slotted-swimlaned[_nghost-c7]   .relative-video[_ngcontent-c7]{margin-top:calc(290px * (9/16));height:calc(100% - calc(290px * (9/16)) - 60px)}}@media all and (min-width: 1440px){.slotted-swimlaned[_nghost-c7]{width:400px}.slotted-swimlaned[_nghost-c7]   .article-sidebar-video[_ngcontent-c7], .slotted-swimlaned[_nghost-c7]   .relative-video[_ngcontent-c7]{margin-top:calc(400px * (9/16));height:calc(100% - calc(400px * (9/16)) - 60px)}}@media all and (max-width: 1229px){.navbar-expanded[_nghost-c7]{height:calc(100% - 60px);top:60px}.video-placeholder[_ngcontent-c7]{display:none}}@media all and (min-width: 769px) and (max-width: 1229px){[_nghost-c7]{margin-left:60px}}@media all and (max-width: 768px){[_nghost-c7]{top:60px}}</style><style ng-transition="ng-templates">[_nghost-c13]{margin-left:60px;display:block;position:relative;background-color:#fff;height:100%;z-index:1;transition:-webkit-transform 200ms;transition:transform 200ms;transition:transform 200ms, -webkit-transform 200ms}.sidebar-expanded[_nghost-c13]{will-change:transform;-webkit-transform:translate(390px, 0);transform:translate(390px, 0)}page[_ngcontent-c13]{max-width:1800px;width:100%;margin:0 auto}fbs-ad[_ngcontent-c13]{position:fixed;bottom:0;width:100%;text-align:center}@media all and (min-width: 1230px){[_nghost-c13]{margin-left:250px}.sidebar-expanded[_nghost-c13]{-webkit-transform:none;transform:none;will-change:inherit}}@media all and (min-width: 1230px) and (max-width: 1279px){[_nghost-c13]{margin-left:250px}page[_ngcontent-c13]{padding:0 35px}}@media all and (min-width: 1280px){[_nghost-c13]{margin-left:400px}.slotted-swimlaned[_nghost-c13]{margin-left:290px}page[_ngcontent-c13]{width:95%}}@media all and (min-width: 1440px){.slotted-swimlaned[_nghost-c13]{margin-left:400px}}@media all and (max-width: 768px){[_nghost-c13]{margin:auto}}</style><script src="https://www.googletagservices.com/tag/js/gpt.js" data-key="https://www.googletagservices.com/tag/js/gpt.js" onload="this.dataset.loaded = true" async="" defer=""></script><script src="https://native.sharethrough.com/assets/sfp.js" data-key="https://native.sharethrough.com/assets/sfp.js" onload="this.dataset.loaded = true" async="" defer=""></script><style ng-transition="ng-templates">[_nghost-c14]{padding:0 5%;display:block}[_nghost-c14]     .share-expanded{display:none}.fs-article[_ngcontent-c14]{max-width:initial}featured-image[_ngcontent-c14]{margin-bottom:2em}sharing[_ngcontent-c14]{font-size:1.25em}sharing[_ngcontent-c14]     li{margin-right:8px}sharing[_ngcontent-c14]     .email{background:#000}.article-wrapper[_ngcontent-c14]{position:relative}.article-wrapper[_ngcontent-c14]:before, .article-wrapper[_ngcontent-c14]:after{content:" ";display:table}.article-wrapper[_ngcontent-c14]:after{clear:both}.body-container[_ngcontent-c14]{display:block;padding-right:5%;margin-right:300px}.body-container.no-rail[_ngcontent-c14]{margin-right:0}.body-container.no-rail[_ngcontent-c14]   .fs-article[_ngcontent-c14]{max-width:100%}article-body-container[_ngcontent-c14]{display:block}article-body-container[_ngcontent-c14], contrib-block[_ngcontent-c14], guest-contrib[_ngcontent-c14], group-blog[_ngcontent-c14]{margin-top:1em}footer[_ngcontent-c14]{display:inline-block;width:100%}footer[_ngcontent-c14]   pagination-nav[_ngcontent-c14]{float:right}footer[_ngcontent-c14]   sharing[_ngcontent-c14]{clear:both;float:right;position:relative;margin:5px 0}footer[_ngcontent-c14]   sharing[_ngcontent-c14]:before{content:'Share: ';position:absolute;left:-55px;line-height:30px;color:#333;font-size:0.875rem;font-weight:normal;font-weight:bold;font-family:"Avenir","Noto Sans","Droid Sans","Helvetica Neue",Corbel,Helvetica,Arial,sans-serif}.ad-rail-container[_ngcontent-c14]{float:right;height:auto}fbs-ad-rail[_ngcontent-c14]{display:block;width:300px;height:100%}fbs-ad-rail[_ngcontent-c14]     fbs-ad{margin-top:600px;display:block}fbs-ad-rail[_ngcontent-c14]     fbs-ad[position="spon-logo"], fbs-ad-rail[_ngcontent-c14]     fbs-ad[position="rec"]{margin-top:0}fbs-ad-rail[_ngcontent-c14]     [position="spon-logo"] div:first-child{margin-bottom:20px}@media all and (min-width: 1025px) and (max-width: 1229px){[_nghost-c14]{padding:0 7.5%}}@media all and (max-width: 1229px){sharing[_ngcontent-c14]{display:none}}@media all and (max-width: 768px){[_nghost-c14]{padding-top:60px}}</style><style ng-transition="ng-templates">[_nghost-c15]{width:100%;background:#fff;font-weight:normal;display:inline-block}.core-unit[_nghost-c15]{margin-top:60px}[position="top"][_ngcontent-c15]{display:block;width:100%;min-height:90px;padding:12px 0;text-align:center;z-index:1}[position="top"][_ngcontent-c15]    >div{margin:0 -8.8%;overflow-x:auto;overflow-y:hidden}.top-ad-container[_ngcontent-c15]{min-height:116px;border-bottom:2px solid #E6E6E6;margin:auto;float:none}.sticky[_ngcontent-c15]{position:fixed;top:0;border:none;width:100%;background:#fff;z-index:9999;transition:top 500ms}.sticky.core-unit[_ngcontent-c15]{top:60px}group-blog-blurb[_ngcontent-c15]{margin-top:1em}.women-at-forbes[_ngcontent-c15]{width:135px;height:20px;float:left;margin:10px 20px 0 0}.women-at-forbes[_ngcontent-c15]   img[_ngcontent-c15]{vertical-align:top}.article-meta[_ngcontent-c15]{min-height:1em;line-height:20px;color:gray;display:block;margin-top:1em;font-weight:bold}.article-meta[_ngcontent-c15]   channel-path[_ngcontent-c15]{display:none}.badge[_ngcontent-c15]{display:inline-block;position:relative;margin-left:1em}.forbes-on-trump[_ngcontent-c15]{color:#fff;background-color:#333;padding:2px 7px 0 29px;font-weight:bold}.forbes-on-trump[_ngcontent-c15]   .icon-donald-trump[_ngcontent-c15]{position:absolute;top:1px;left:4px}.forbes-on-trump[_ngcontent-c15]:before{content:'Forbes on trump';text-transform:uppercase}.forbes-100[_ngcontent-c15]{vertical-align:top;background-color:#333}.forbes-100[_ngcontent-c15]   img[_ngcontent-c15]{padding:2px}.editors-pick[_ngcontent-c15]:before{content:'Editor\'s pick';color:#1A1A1A;margin-left:23px;font-weight:bold;text-transform:uppercase}.icon-badge[_ngcontent-c15]{position:absolute;left:0;top:0;color:#ffc000}.icon-star[_ngcontent-c15]{position:absolute;top:-1px;left:3.5px;color:#1A1A1A}div[_ngcontent-c15]{float:right;margin-left:6px}div[_ngcontent-c15]   a[_ngcontent-c15]{padding:3px 5px;background-color:#003891;color:#fff;text-decoration:none;text-transform:uppercase;border-radius:8px;transition:all 0.15s ease-in-out}div[_ngcontent-c15]   a[_ngcontent-c15]:hover{background-color:#000}.circ-link[_ngcontent-c15]{font-weight:bold;color:#c41a23;float:right}featured-image[_ngcontent-c15]{margin:1rem 0}.badge-wrapper[_ngcontent-c15]{display:none}.badge-wrapper[_ngcontent-c15]   .badge[_ngcontent-c15]{display:inline-block;position:relative;margin-left:1em}.badge-wrapper[_ngcontent-c15]   [_ngcontent-c15]:first-child{margin-left:0}.badge-wrapper[_ngcontent-c15]   .women-at-forbes[_ngcontent-c15]{width:162px;height:24px;border:1px solid #000;margin:0}.badge-wrapper[_ngcontent-c15]   .forbes-on-trump[_ngcontent-c15], .badge-wrapper[_ngcontent-c15]   .forbes-100[_ngcontent-c15]{vertical-align:top}.badge-wrapper[_ngcontent-c15]   .forbes-on-trump[_ngcontent-c15]   img[_ngcontent-c15], .badge-wrapper[_ngcontent-c15]   .forbes-100[_ngcontent-c15]   img[_ngcontent-c15]{padding:2px}.badge-wrapper[_ngcontent-c15]   .forbes-on-trump[_ngcontent-c15]{color:#fff;background-color:#333;padding:2px 7px 0 29px;font-weight:bold;line-height:20px}.badge-wrapper[_ngcontent-c15]   .forbes-on-trump[_ngcontent-c15]   .icon-donald-trump[_ngcontent-c15]{position:absolute;top:1px;left:4px}.badge-wrapper[_ngcontent-c15]   .forbes-on-trump[_ngcontent-c15]:before{content:'Forbes on trump';text-transform:uppercase}.badge-wrapper[_ngcontent-c15]   .forbes-100[_ngcontent-c15]{vertical-align:top;background-color:#333}.badge-wrapper[_ngcontent-c15]   .forbes-100[_ngcontent-c15]   img[_ngcontent-c15]{padding:2px}@media all and (max-width: 768px){.core-unit[_nghost-c15]{margin-top:0}channel-path[_ngcontent-c15], .women-at-forbes[_ngcontent-c15], .forbes-on-trump[_ngcontent-c15], .forbes-100[_ngcontent-c15], .circ-link[_ngcontent-c15]{display:none}.article-meta[_ngcontent-c15]   channel-path[_ngcontent-c15]{display:block}.badge-wrapper[_ngcontent-c15]{display:inline-block}}@media all and (min-width: 1230px) and (max-width: 1329px){[position="top"][_ngcontent-c15]    >div{margin:0 -3.6%}}</style><style ng-transition="ng-templates">[_nghost-c26]{display:inline-block;font-weight:bold;text-transform:uppercase}.view-count[_ngcontent-c26]{margin-left:2em}</style><style ng-transition="ng-templates">[_nghost-c10]{text-transform:uppercase;display:block;font-family:forbesicon}.reversible[_nghost-c10]   .icon-facebook[_ngcontent-c10]{background:#3b5998;color:#fff}.reversible[_nghost-c10]   .icon-facebook[_ngcontent-c10]:hover{background:#fff;color:#3b5998}.reversible[_nghost-c10]   .icon-twitter[_ngcontent-c10]{background:#55acee;color:#fff}.reversible[_nghost-c10]   .icon-twitter[_ngcontent-c10]:hover{background:#fff;color:#55acee}.reversible[_nghost-c10]   .icon-linkedin[_ngcontent-c10]{background:#0077b5;color:#fff}.reversible[_nghost-c10]   .icon-linkedin[_ngcontent-c10]:hover{background:#fff;color:#0077b5}.reversible[_nghost-c10]   .icon-google[_ngcontent-c10]{background:#dd4b39;color:#fff}.reversible[_nghost-c10]   .icon-google[_ngcontent-c10]:hover{background:#fff;color:#dd4b39}.reversible[_nghost-c10]   .icon-pinterest[_ngcontent-c10]{background:#bd081c;color:#fff}.reversible[_nghost-c10]   .icon-pinterest[_ngcontent-c10]:hover{background:#fff;color:#bd081c}.reversible[_nghost-c10]   .icon-email[_ngcontent-c10]{background:#B3B3B3;color:#fff}.reversible[_nghost-c10]   .icon-email[_ngcontent-c10]:hover{background:#fff;color:#B3B3B3}li[_ngcontent-c10]{display:inline-block;line-height:1.5em}li.share-expanded[_ngcontent-c10]{background-color:#fff}li.share-expanded[_ngcontent-c10]   button[_ngcontent-c10]{color:#333}li.share-expanded[_ngcontent-c10]   button[_ngcontent-c10]:after{content:'share';text-transform:uppercase;display:block;font-weight:700;font-size:10px;line-height:10px;position:relative;top:-15px}button[_ngcontent-c10]{color:#fff;width:1.5em;height:1.5em;border-radius:50%}input[_ngcontent-c10]{width:auto;height:1.5em;border:0;padding:0 10px;font:400 1rem "Georgia","Cambria","Times New Roman","Times",serif;border-radius:5px;box-shadow:inset 2px 3px 3px rgba(0,0,0,0.1)}.facebook[_ngcontent-c10]{background-color:#3b5998}.twitter[_ngcontent-c10]{background-color:#55acee}.linkedin[_ngcontent-c10]{background-color:#0077b5}.google[_ngcontent-c10]{background-color:#dd4b39}.pinterest[_ngcontent-c10]{background-color:#bd081c}.email[_ngcontent-c10]{background-color:#B3B3B3}.chat[_ngcontent-c10]{background-color:#009623;width:1.5em}.chat[_ngcontent-c10]   i[_ngcontent-c10]:before{content:"\f15c"}</style><style ng-transition="ng-templates">[_nghost-c22]{display:block;margin:20px 0;clear:both}ul[_ngcontent-c22]{display:flex;justify-content:space-between}li[_ngcontent-c22]{display:inline-block;font-weight:bold;color:#333;text-align:left;padding:0 3px}li[_ngcontent-c22]   a[_ngcontent-c22]{text-decoration:underline}li[_ngcontent-c22]   a[_ngcontent-c22]:hover, li[_ngcontent-c22]   a[_ngcontent-c22]:active{color:#069eec}.print[_ngcontent-c22]{padding-left:0}@media all and (max-width: 768px){.print[_ngcontent-c22]{display:none}}@media all and (max-width: 480px){i[_ngcontent-c22]{padding-right:0}li[_ngcontent-c22]{display:block;float:left}}</style><style ng-transition="ng-templates">[_nghost-c17]{display:inline-block;width:100%}contrib-byline.no-disclaimer[_ngcontent-c17]{padding-top:12px}.contrib-container[_ngcontent-c17]{display:flex}.fs-author-avatar[_ngcontent-c17]{width:4em;height:4em;max-width:80px}.fs-author-avatar[_ngcontent-c17]   img[_ngcontent-c17]{min-width:60px;width:100%}.most-popular-icon[_ngcontent-c17]   small[_ngcontent-c17]{display:none;position:absolute;top:0;left:25px;padding:5px;background-color:#ffc000;font-weight:bold;border-radius:4px;text-transform:uppercase;white-space:nowrap}.contrib-tagline[_ngcontent-c17]{color:#999;font-style:italic;line-height:1.25;margin-top:0.5em}.full-bio[_ngcontent-c17]{display:inline-block;color:#003891;font-weight:bold;text-transform:uppercase}.full-bio[_ngcontent-c17]:before{content:'Full Bio'}.bio-expanded[_ngcontent-c17]{background-color:#F2F2F2;position:relative;padding:.8em;margin:-.8em}.bio-expanded[_ngcontent-c17]   .full-bio[_ngcontent-c17]{position:absolute;right:8px;top:5px;color:#000}.bio-expanded[_ngcontent-c17]   .full-bio[_ngcontent-c17]:before{content:''}.bio-expanded[_ngcontent-c17]   .icon-chevron-down[_ngcontent-c17]:before{content:'\f104'}.legal-disclaimer[_ngcontent-c17]{display:block;margin-top:1em}  follow-link{display:block;margin:.2em 0}.social-links[_ngcontent-c17]{display:flex}li[_ngcontent-c17]{padding:0 10px}li[_ngcontent-c17]   .icon[_ngcontent-c17]{color:#666}li[_ngcontent-c17]:first-of-type{padding-left:0}.icon[_ngcontent-c17]:hover.icon-facebook{color:#3b5998}.icon[_ngcontent-c17]:hover.icon-twitter{color:#55acee}.icon[_ngcontent-c17]:hover.icon-linkedin{color:#0077b5}.icon[_ngcontent-c17]:hover.icon-instagram{color:#333}.icon[_ngcontent-c17]:hover.icon-rss-feed{color:#f38521}.icon[_ngcontent-c17]:hover.icon-book{color:#f90}.icon[_ngcontent-c17]:hover.icon-google{color:#dd4b39}.icon[_ngcontent-c17]:hover.icon-youtube{color:#cd201f}@media (max-width: 1024px){.fs-author-avatar[_ngcontent-c17]{max-width:40px;max-height:45px}.fs-author-avatar[_ngcontent-c17]   img[_ngcontent-c17]{min-width:40px}}@media (min-width: 768px){.most-popular-icon[_ngcontent-c17]:hover   small[_ngcontent-c17]{display:inline}}</style><style ng-transition="ng-templates">[_nghost-c27]{display:block}.brand[_ngcontent-c27]{color:#c41a23;font-style:italic;vertical-align:baseline}.comma[_ngcontent-c27]{margin-left:-.25rem}.contrib-byline-type[_ngcontent-c27]{color:#999;text-transform:uppercase}.icon-staff-verified[_ngcontent-c27]{color:#003891}.icon-u30-logo[_ngcontent-c27]{color:#ffc000}.icon-womenforbes-logo[_ngcontent-c27]{color:#000;vertical-align:middle}</style><style ng-transition="ng-templates">.article-gallery-embedded{border-color:#E6E6E6;border-style:solid;border-width:3px 0px;width:100%;padding:1.5em 5%;margin:1em 0;font-size:1.5rem;font-weight:normal;overflow:hidden}  .article-gallery-embedded .article-image-box{width:47%;float:left;margin-right:3%}  .article-gallery-embedded .article-image-box img{display:block}  .article-gallery-embedded .article-text-box{width:50%;float:left}  .article-gallery-embedded .article-text-box header{font:700 0.875em "Helvetica Neue",Helvetica,Arial,sans-serif;color:#003891;margin-bottom:.5em}  .article-gallery-embedded .article-text-box header .icon{color:#999;margin-right:.5em}  .article-gallery-embedded .article-text-box h4{font:normal 1.5em "Georgia","Cambria","Times New Roman","Times",serif;color:#000}  .article-gallery-embedded .article-text-box .article-launch-gallery{display:inline-block;font:700 0.875em "Helvetica Neue",Helvetica,Arial,sans-serif;margin-top:0.75em;margin-right:.5em}  .article-gallery-embedded .article-text-box .article-launch-gallery .article-launch-text{color:#003891}  .article-gallery-embedded .article-text-box .article-launch-gallery .article-slide-count{font-size:0.875em;margin:0;color:#999}  .article-gallery-embedded .article-text-box .article-launch-button{background-color:#069eec;color:#fff;display:inline-block;vertical-align:bottom;width:2em;height:2em;text-align:center;height:40px;width:40px;border-radius:20px;transition:-webkit-transform 0.15s ease-in-out;transition:transform 0.15s ease-in-out;transition:transform 0.15s ease-in-out, -webkit-transform 0.15s ease-in-out;-webkit-transform:translate(0, 0);transform:translate(0, 0)}  .article-gallery-embedded .article-text-box .article-launch-button .icon-chevron-right,   .article-gallery-embedded .article-text-box .article-launch-button .icon-chevron-right:before{vertical-align:middle}@media all and (max-width: 1229px){  .article-gallery-embedded{font-size:1.5rem;font-weight:normal}}@media all and (max-width: 1024px){  .article-gallery-embedded{font-size:1.25rem;font-weight:normal}  .article-gallery-embedded .article-image-box{float:right;margin-right:auto}  .article-gallery-embedded .article-text-box{float:left;margin-right:3%}  .article-gallery-embedded .article-text-box .article-launch-button{font-size:0.75em}}[_nghost-c20]{display:inline-block}[_nghost-c20]     .article-promo-bv{position:relative;max-width:800px;font-size:initial;margin:2em auto 2.5em;text-align:center;transition:max-height 0.3s ease-in-out}[_nghost-c20]     .article-promo-bv h3{font-weight:normal;line-height:1.2em;font-family:"Georgia","Cambria","Times New Roman","Times",serif}[_nghost-c20]     .article-promo-bv a{color:#000;text-decoration:none}[_nghost-c20]     .article-promo-bv .inline-reveal{position:relative;z-index:0;overflow-y:hidden;height:100%;transition:all 0.3s linear}[_nghost-c20]     .article-promo-bv.collapsed .inline-reveal{height:0}[_nghost-c20]     .article-promo-bv:before, [_nghost-c20]     .article-promo-bv:after{height:0;content:"";display:block;position:absolute;left:10%;right:10%;z-index:0}[_nghost-c20]     .article-promo-bv:before{border-top:1px solid #c41a23;top:0}[_nghost-c20]     .article-promo-bv:after{border-top:2px solid #c41a23;bottom:0}[_nghost-c20]     .article-promo-bv .inline-reveal .reveal-this{margin:1.5em 5% 2em}[_nghost-c20]     .article-promo-bv .inline-reveal .reveal-this h3{margin-top:1em}[_nghost-c20]     .article-promo-bv .inline-reveal .reveal-this h3 a{font-size:1.25em}[_nghost-c20]     .article-promo-bv .brandvoice-entity a{display:inline-block}[_nghost-c20]     .article-promo-bv .brandvoice-entity a .avatar{width:2em}[_nghost-c20]     .article-promo-bv .brandvoice-entity a .brandvoice{white-space:nowrap;font:bold 1em "Avenir","Noto Sans","Droid Sans","Helvetica Neue",Corbel,Helvetica,Arial,sans-serif}[_nghost-c20]     .article-promo-bv .inline-peak{position:absolute;width:100%;bottom:0;z-index:1}[_nghost-c20]     .article-promo-bv .slug{display:inline-block;background:#fff;font-family:"Georgia","Cambria","Times New Roman","Times",serif;font-weight:bold;line-height:1em;position:relative;bottom:-.5em;padding-right:30px;padding-left:10px}[_nghost-c20]     .article-promo-bv .brandvoice{color:#c41a23;font-style:italic}[_nghost-c20]     .article-promo-bv .brandvoice .brand{color:#000;font-style:normal}@media all and (max-width: 768px){.article-promo-bv[_ngcontent-c20]   .brandvoice-entity[_ngcontent-c20]   .avatar[_ngcontent-c20]{vertical-align:middle;margin-right:.5em}}@media all and (max-width: 1024px){.article-promo-bv[_ngcontent-c20]   .inline-peak[_ngcontent-c20]   .slug[_ngcontent-c20]   .help[_ngcontent-c20]{top:1px}}@media all and (min-width: 769px){.article-promo-bv[_ngcontent-c20]   .brandvoice-entity[_ngcontent-c20]   .avatar[_ngcontent-c20]{width:3em;margin-bottom:.5em}.article-promo-bv[_ngcontent-c20]   .brandvoice-entity[_ngcontent-c20]   .brandvoice[_ngcontent-c20]{display:block}}@media all and (min-width: 1025px){.article-promo-bv[_ngcontent-c20]{font-size:1.25rem;font-weight:normal}}@media all and (min-width: 1230px){.article-promo-bv[_ngcontent-c20]{font-size:1.5rem;font-weight:normal}}fbs-ad[_ngcontent-c20]{display:block;text-align:center;margin-bottom:30px;overflow-x:auto}p[_ngcontent-c20]{margin-top:0}div[_ngcontent-c20]     {display:block}div[_ngcontent-c20]     img{width:100%}div[_ngcontent-c20]     .progressive-placeholder:before{content:'';display:block;padding-bottom:56.25%}div[_ngcontent-c20]     .fbs-brightcove{margin:1em 0}div[_ngcontent-c20]     .alignleft{float:left;margin:0.5% 3.5% 1.75% 0}div[_ngcontent-c20]     .alignright{float:right;margin:0.5% 0 1.75% 3.5%}div[_ngcontent-c20]     .alignleft, div[_ngcontent-c20]     .alignright{width:40%;line-height:0}div[_ngcontent-c20]     .alignleft .caption-container, div[_ngcontent-c20]     .alignright .caption-container{padding-top:0.5em}div[_ngcontent-c20]     .alignleft .wp-caption-text, div[_ngcontent-c20]     .alignright .wp-caption-text{margin:0;line-height:1.4em}div[_ngcontent-c20]     .tweet_quote{padding:0 3px 0 0}div[_ngcontent-c20]     .tweet_quote:hover a{color:#fff;background-color:#55acee;text-decoration:none}div[_ngcontent-c20]     .tweet_quote:hover span:before{margin-left:-1.3em}div[_ngcontent-c20]     .tweet_quote a{transition:background-color 0.2s ease-in-out;color:#000}div[_ngcontent-c20]     .tweet_quote span{position:relative;color:#55acee;width:1.5em;height:1em;padding:0 .25em;overflow:hidden;display:inline-block}div[_ngcontent-c20]     .tweet_quote span:before, div[_ngcontent-c20]     .tweet_quote span:after{content:"\f13f";font-family:forbesicon;font-size:1.25em;display:block;height:1em;float:left}div[_ngcontent-c20]     .tweet_quote span:before{margin-left:0;transition:margin-left 0.2s ease-in-out}div[_ngcontent-c20]     .tweet_quote span:after{color:#fff}div[_ngcontent-c20]     ul li, div[_ngcontent-c20]     ol li{margin:1em 0;margin-left:3em}div[_ngcontent-c20]     ol li{list-style:decimal}div[_ngcontent-c20]     ul li{list-style:disc}div[_ngcontent-c20]     div[style*="clear"]{clear:left !important}div[_ngcontent-c20]     .slideimgbox>img{margin:auto}  .sticky-video-placeholder{background:#000 url("//i.forbesimg.com/media/assets/logos/forbes-logo-f.png") no-repeat center center;position:relative;width:100%;height:0;padding:56.25% 0 0;overflow:hidden}loading[_ngcontent-c20]{background:lightgrey;color:dimgrey;text-align:center;height:400px;width:calc(100% - 200px)}@media (1230px) and (1400px){[_nghost-c20]     .article-body .alignleft, [_nghost-c20]     .article-body .alignright{padding:3.25% 0}}@media (min-width: 769px){[_nghost-c20]     .article-body .alignleft{margin:1.75% 3.5% 1.75% -3.5%}[_nghost-c20]     .article-body .alignright{margin:1.75% -3.5% 1.75% 3.5%}}@media all and (max-width: 768px){[_nghost-c20]{padding-right:0px;margin-right:0px}[_nghost-c20]     .article-body .alignleft, [_nghost-c20]     .article-body .alignright{float:none;width:auto;margin-left:3%}}</style><style ng-transition="ng-templates">[_nghost-c31]   h5[_ngcontent-c31], [_nghost-c31]   ul[_ngcontent-c31]   li[_ngcontent-c31]{margin:0}h5[_ngcontent-c31]{display:inline-block;padding:.5em;color:#000;font-weight:bold;text-transform:uppercase}ul[_ngcontent-c31]{border-top:2px solid #E6E6E6;list-style:none;line-height:1.4em}li[_ngcontent-c31]{border-bottom:1px solid #E6E6E6;list-style:none;position:relative}li[_ngcontent-c31]     .tweet_quote{padding:0}li[_ngcontent-c31]     .tweet_quote:before{content:"\f13f";font-family:"forbesicon";font-size:1.5rem;font-weight:normal;left:10px;color:#55acee;text-decoration:none;display:block;position:relative;top:50%;-webkit-transform:translate(0, -50%);transform:translate(0, -50%);position:absolute}li[_ngcontent-c31]     .tweet_quote a{padding:.7em 0 .7em 40px;font-weight:400;line-height:1.125em;position:relative;display:block;color:#333}li[_ngcontent-c31]     .tweet_quote a:visited{color:#333}li[_ngcontent-c31]     .tweet_quote a:hover{text-decoration:underline;background-color:transparent}li[_ngcontent-c31]     .tweet_quote a span{display:none}@media (min-width: 1400px){li[_ngcontent-c31]     .tweet_quote a{font-size:initial}}</style><style ng-transition="ng-templates">[_nghost-c24]{display:block;padding-top:1.5rem;border-bottom:2px solid #E6E6E6;padding-bottom:12px;transition:font-size 0.3s ease-out;font-family:"Georgia","Cambria","Times New Roman","Times",serif}.logo[_ngcontent-c24]{display:inline-block}.crumb[_ngcontent-c24], .hashtag[_ngcontent-c24]{vertical-align:baseline}.crumb[_ngcontent-c24]:before, .hashtag[_ngcontent-c24]:before{content:"/";display:inline-block;margin:0 .5em 0 .3em;position:relative;top:-0.15em;color:#ccc;font-size:0.75em}.crumb[_ngcontent-c24]{color:#999}.hashtag[_ngcontent-c24]{text-transform:capitalize;color:#003891}@media (min-width: 1230px){.logo[_ngcontent-c24], .crumb[_ngcontent-c24]:before{display:none}}@media all and (max-width: 768px){[_nghost-c24]{border-bottom:none;padding:0;font-weight:400}.crumb[_ngcontent-c24], .hashtag[_ngcontent-c24]{font-size:0.875rem;font-weight:normal}.crumb[_ngcontent-c24]{color:gray;text-transform:capitalize}.hashtag[_ngcontent-c24]:before{font-size:0.875rem;font-weight:normal}.logo[_ngcontent-c24], .crumb[_ngcontent-c24]:before{display:none}}</style><meta name="apple-itunes-app" content="app-id=588647136"><meta property="fb:app_id" content="123694841080850"><meta property="og:site_name" content="Forbes"><meta name="twitter:site" content="@forbes"><meta name="description" content="A 31-year-old man who helped repair homes in Galveston, Texas, is the second person to die from flesh-eating bacteria after Hurricane Harvey. An infected wound in his arm was the source. Prompt recognition, antibiotics and surgery can be lifesaving." itemprop="description"><meta name="keywords" content="" itemprop="keywords"><meta name="author" content="Robert Glatter, MD" itemprop="author"><meta property="og:title" content="Second Death From Flesh-Eating-Bacteria Infection After Hurricane Harvey Is Reported"><meta property="og:image" content="https://thumbor.forbes.com/thumbor/600x315/smart/https%3A%2F%2Fspecials-images.forbesimg.com%2Fimageserve%2F843769908%2F960x0.jpg%3Ffit%3Dscale"><meta property="og:updated_time" content="2017-10-27T14:01:54-04:00"><meta property="og:url" content="https://www.forbes.com/sites/robertglatter/2017/10/25/second-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies/"><meta property="og:description" content="A 31-year-old man who helped repair homes in Galveston, Texas, is the second person to die from flesh-eating bacteria after Hurricane Harvey. An infected wound in his arm was the source. Prompt recognition, antibiotics and surgery can be lifesaving."><meta property="og:type" content="article"><meta name="twitter:card" content="summary_large_image"><meta name="twitter:title" content="Second Death From Flesh-Eating-Bacteria Infection After Hurricane Harvey Is Reported"><meta name="twitter:description" content="A 31-year-old man who helped repair homes in Galveston, Texas, is the second person to die from flesh-eating bacteria after Hurricane Harvey. An infected wound in his arm was the source. Prompt recognition, antibiotics and surgery can be lifesaving."><meta name="twitter:image" content="https://thumbor.forbes.com/thumbor/600x300/smart/https%3A%2F%2Fspecials-images.forbesimg.com%2Fimageserve%2F843769908%2F960x0.jpg%3Ffit%3Dscale" itemprop="image"><meta name="twitter:creator" content="@robertglatter"><meta name="news_keywords" content="" itemprop="keywords"><meta property="article:publisher" content="https://www.facebook.com/forbes"><meta property="article:author" content="Robert Glatter, MD"><meta property="article:section" content="Business" itemprop="articleSection"><meta property="article:section_url" content="https://www.forbes.com/business/"><meta property="article:id" content="blogAndPostId/blog/post/2002-10197"><meta property="article:published" content="2017-10-26" itemprop="datePublished"><meta property="article:modified" content="2017-10-27" itemprop="dateModified"><link rel="amphtml" href="https://www.forbes.com/sites/robertglatter/2017/10/25/second-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies/amp/"><script id="article-metadata" type="application/ld+json">{"@context":"http://schema.org","publisher":{"@type":"Organization","name":"Forbes","logo":{"@type":"ImageObject","url":"https://i.forbesimg.com/media/amp/images/forbes-logo-dark.png","width":60,"height":60}},"@type":"NewsArticle","author":"Robert Glatter, MD","image":{"@type":"ImageObject","url":"https://thumbor.forbes.com/thumbor/1280x868/smart/https%3A%2F%2Fspecials-images.forbesimg.com%2Fimageserve%2F843769908%2F960x0.jpg%3Ffit%3Dscale","width":1280,"height":868},"headline":"Second Death From Flesh-Eating-Bacteria Infection After Hurricane Harvey Is Reported","datePublished":"Thu Oct 26 2017 00:13:00 GMT+0000","dateModified":"Fri Oct 27 2017 18:01:54 GMT+0000","name":"Second Death From Flesh-Eating-Bacteria Infection After Hurricane Harvey Is Reported","Keywords":"","mainEntityOfPage":"https://www.forbes.com/sites/robertglatter/2017/10/25/second-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies/"}</script><script id="article-speakable" type="application/ld+json">{"@context":"http://schema.org","publisher":{"@type":"Organization","name":"Forbes","logo":{"@type":"ImageObject","url":"https://i.forbesimg.com/media/amp/images/forbes-logo-dark.png","width":60,"height":60}},"@type":"WebPage","name":"Second Death From Flesh-Eating-Bacteria Infection After Hurricane Harvey Is Reported","speakable":{"@type":"SpeakableSpecification","cssSelector":[".speakable-headline",".speakable-author",".speakable-paragraph"]},"url":"https://www.forbes.com/sites/robertglatter/2017/10/25/second-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies/"}</script></head><body><app-root ng-version="5.2.0">
		<!---->
		<router-outlet></router-outlet><app _nghost-c2=""><!---->
<navbar _ngcontent-c2="" _nghost-c4="" class="undefined-expanded"><div _ngcontent-c4="" class="top-nav">
	<a _ngcontent-c4="" class="hamburger fs-text-l">
		<i _ngcontent-c4="" class="icon icon-hamburger" data-ga-track="Hamburger Icon"></i>
		<i _ngcontent-c4="" class="icon icon-close" data-ga-track="Hamburger X Close"></i>
	</a>

	<div _ngcontent-c4="" class="brand-logo-container">
		<!---->

		<a _ngcontent-c4="" class="homepage-link fs-text-l" href="//www.forbes.com/">
			<i _ngcontent-c4="" class="icon icon-forbes-logo" data-ga-track="Forbes Logo Link"></i>
		</a>
	</div>

	<a _ngcontent-c4="" class="share-expanded fs-text-l fs-responsive-text"><i _ngcontent-c4="" class="icon icon-share"></i></a>
	<a _ngcontent-c4="" class="search fs-text-l fs-responsive-text">
		<i _ngcontent-c4="" class="icon icon-search" data-ga-track="Search Icon"></i>
		<i _ngcontent-c4="" class="icon icon-close"></i>
	</a>
</div>

<!---->

<div _ngcontent-c4="" class="bottom-sticky">
	<!----><ul _ngcontent-c4="" class="expand-social fs-text-m fs-responsive-text">
		<li _ngcontent-c4="" class="icon icon-facebook"></li>
		<li _ngcontent-c4="" class="icon icon-twitter"></li>
		<li _ngcontent-c4="" class="icon icon-email"></li>
		<li _ngcontent-c4="" class="icon icon-linkedin"></li>
		<li _ngcontent-c4="" class="share-text fs-text-xxs">
			<a _ngcontent-c4="">share</a>
			<i _ngcontent-c4="" class="icon icon-chevron-right"></i>
		</li>
	</ul>

	<!---->

	<a _ngcontent-c4="" class="trending">
		<i _ngcontent-c4="" class="icon icon-plus" data-ga-track="Popular Box"></i>
		<small _ngcontent-c4="">Trending</small>
	</a>
</div>
</navbar>
<!---->

<router-outlet _ngcontent-c2=""></router-outlet><stream _nghost-c13=""><!----><page _ngcontent-c13="" class="fs-main-content" _nghost-c14="" id="article-container-0" aria-current="true"><article-header _ngcontent-c14="" _nghost-c15=""><!----><channel-path _ngcontent-c15="" class="fs-text-l fs-responsive-text" _nghost-c24=""><a _ngcontent-c24="" class="logo" href="//www.forbes.com/">
	<i _ngcontent-c24="" class="icon icon-forbes-logo" data-ga-track="Forbes Logo Link"></i>
</a>
<!----><a _ngcontent-c24="" class="crumb" data-ga-track="Channel Heading Link Top" href="/healthcare">Pharma &amp; Healthcare</a>
<!----><a _ngcontent-c24="" class="hashtag" data-ga-track="Hashtag Click" href="/search/?substream=hashtags&amp;q=PublicHealth">#PublicHealth</a>
</channel-path>

<!----><div _ngcontent-c15="" class="top-ad-container" style="">
	<!---->
</div>

<!---->

<!---->

<small _ngcontent-c15="" class="article-meta">
	<!----><channel-path _ngcontent-c15="" _nghost-c24=""><a _ngcontent-c24="" class="logo" href="//www.forbes.com/">
	<i _ngcontent-c24="" class="icon icon-forbes-logo" data-ga-track="Forbes Logo Link"></i>
</a>
<!----><a _ngcontent-c24="" class="crumb" data-ga-track="Channel Heading Link Top" href="/healthcare">Pharma &amp; Healthcare</a>
<!----><a _ngcontent-c24="" class="hashtag" data-ga-track="Hashtag Click" href="/search/?substream=hashtags&amp;q=PublicHealth">#PublicHealth</a>
</channel-path>
	<metrics _ngcontent-c15="" class="fs-text-xs" _nghost-c26=""><time _ngcontent-c26="">Oct 25, 2017 @ 08:13 PM</time>
<!---->
</metrics>
	<!---->
	<!---->
	<!---->
	<!---->
	<a _ngcontent-c15="" class="circ-link fs-text-xs" href="" data-ga-track="Red Circulation Link"></a>
</small>

<!---->

<!----><h1 _ngcontent-c15="" class="fs-headline speakable-headline">Second Death From Flesh-Eating-Bacteria Infection After Hurricane Harvey Is Reported</h1>

<span _ngcontent-c15="" class="badge-wrapper">
	<!---->
	<!---->
	<!---->
</span>

<div _ngcontent-c15=""><script type="text/javascript">performance.mark = performance.mark || function(s) {}; performance.mark('content_title_end');</script></div>
</article-header>
<div _ngcontent-c14="" class="article-wrapper">
	<!----><div _ngcontent-c14="" class="ad-rail-container">
		<!---->
	</div>
	<!----><div _ngcontent-c14="" class="body-container">
		<!---->
		<sharing _ngcontent-c14="" _nghost-c10=""><!----><ul _ngcontent-c10="" class="fs-text-m">
	<li _ngcontent-c10="" class="share-expanded">
		<button _ngcontent-c10="">
			<i _ngcontent-c10="" class="icon icon-share"></i>
		</button>
	</li>
	<!----><li _ngcontent-c10="">
		<button _ngcontent-c10="" class="social-icon email" classname="social-icon email" data-ga-track="Email Click">
			<i _ngcontent-c10="" class="icon icon-email" classname="icon icon-email" data-ga-track="Email Click"></i>
		</button>
	</li><li _ngcontent-c10="">
		<button _ngcontent-c10="" class="social-icon facebook" classname="social-icon facebook" data-ga-track="Facebook Click">
			<i _ngcontent-c10="" class="icon icon-facebook" classname="icon icon-facebook" data-ga-track="Facebook Click"></i>
		</button>
	</li><li _ngcontent-c10="">
		<button _ngcontent-c10="" class="social-icon twitter" classname="social-icon twitter" data-ga-track="Twitter Click">
			<i _ngcontent-c10="" class="icon icon-twitter" classname="icon icon-twitter" data-ga-track="Twitter Click"></i>
		</button>
	</li><li _ngcontent-c10="">
		<button _ngcontent-c10="" class="social-icon linkedin" classname="social-icon linkedin" data-ga-track="Linkedin Click">
			<i _ngcontent-c10="" class="icon icon-linkedin" classname="icon icon-linkedin" data-ga-track="Linkedin Click"></i>
		</button>
	</li><li _ngcontent-c10="">
		<button _ngcontent-c10="" class="social-icon google" classname="social-icon google" data-ga-track="Google Plus Click">
			<i _ngcontent-c10="" class="icon icon-google" classname="icon icon-google" data-ga-track="Google Plus Click"></i>
		</button>
	</li>

	<!---->

	<!---->
</ul>
</sharing>
		<!----><contrib-block _ngcontent-c14="" _nghost-c17=""><div _ngcontent-c17="" class="contrib-container">
	<!----><a _ngcontent-c17="" class="fs-author-avatar" href="/sites/robertglatter/">
		<!----><img _ngcontent-c17="" class="fs-author-image" src="https://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=400&amp;d=mm&amp;r=g" data-ga-track="Gravatar Link">
		<!---->
	</a>

	<div _ngcontent-c17="" class="contrib-info">
		<contrib-byline _ngcontent-c17="" _nghost-c27=""><span _ngcontent-c27="" class="fs-author-name contrib-byline-author speakable-author">
	<a _ngcontent-c27="" href="/sites/robertglatter/" data-ga-track="contrib block byline">
		<!----><!---->Robert Glatter, MD<!---->
	</a>
</span>

<!----><span _ngcontent-c27="" class="comma">, </span>

<!---->

<!----><span _ngcontent-c27="" class="contrib-byline-type">
	<!---->
	<!---->
	<!----><span _ngcontent-c27="" class="fs-text-s author-type">Contributor</span>
</span>
</contrib-byline>

		<!----><span _ngcontent-c17="" class="contrib-tagline fs-text-xs fs-responsive-text" innerhtml="I cover breaking news in medicine, med tech and public health">I cover breaking news in medicine, med tech and public health</span>
		<!----><a _ngcontent-c17="" class="full-bio fs-text-xs fs-responsive-text" data-ga-track="contrib block expand">
			<span _ngcontent-c17="" class="icon icon-chevron-down"></span>
		</a>

		<!----><small _ngcontent-c17="" class="legal-disclaimer">Opinions expressed by Forbes Contributors are their own.</small>

		<!---->

		<!---->

	</div>
</div>

<!---->
</contrib-block>
		<!---->
		<!---->
		<!----><article-body-container _ngcontent-c14="" class="article-body fs-article fs-responsive-text" _nghost-c20=""><!---->

<!---->

<!----><tweet-quotes _ngcontent-c20="" _nghost-c31=""><h5 _ngcontent-c31="">Tweet This</h5>
<ul _ngcontent-c31="">
	<!----><li _ngcontent-c31="">
		<div _ngcontent-c31="" class="fs-text-xs" innerhtml="<span class=&quot;tweet_quote&quot;> <a href=&quot;https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&amp;amp;text=The%20aggressive%20and%20deadly%20soft%20tissue%20infection%20is%20formally%20referred%20to%20as%20necrotizing%20fasciitis&quot; target=&quot;_blank&quot;>The aggressive and deadly soft tissue infection is formally referred to as necrotizing fasciitis<span></span></a></span>"><span class="tweet_quote"> <a href="https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&amp;text=The%20aggressive%20and%20deadly%20soft%20tissue%20infection%20is%20formally%20referred%20to%20as%20necrotizing%20fasciitis" target="_blank">The aggressive and deadly soft tissue infection is formally referred to as necrotizing fasciitis<span></span></a></span></div>
	</li><li _ngcontent-c31="">
		<div _ngcontent-c31="" class="fs-text-xs" innerhtml="<span class=&quot;tweet_quote&quot;> <a href=&quot;https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&amp;amp;text=Necrotizing%20fasciitis%2C%20or%20%E2%80%9Cnec%20fasc%E2%80%9D%2C%20is%20most%20commonly%20caused%20by%20Group%20A%20Strep&quot; target=&quot;_blank&quot;>Necrotizing fasciitis, or &amp;#8220;nec fasc&amp;#8221;, is most commonly caused by Group A Strep<span></span></a></span>"><span class="tweet_quote"> <a href="https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&amp;text=Necrotizing%20fasciitis%2C%20or%20%E2%80%9Cnec%20fasc%E2%80%9D%2C%20is%20most%20commonly%20caused%20by%20Group%20A%20Strep" target="_blank">Necrotizing fasciitis, or “nec fasc”, is most commonly caused by Group A Strep<span></span></a></span></div>
	</li>
</ul>
</tweet-quotes>
<div _ngcontent-c20="" innerhtml="<div id=&quot;attachment_843769908&quot; class=&quot;wp-caption alignnone&quot;> 
 <div class=&quot;article-body-image&quot;> 
  <progressive-image class=&quot;progressive-placeholder&quot; src=&quot;https://thumbor.forbes.com/thumbor/960x0/smart/https%3A%2F%2Fblogs-images.forbes.com%2Fimageserve%2F843769908%2F960x0.jpg%3Ffit%3Dscale&quot; low-res-src=&quot;https://thumbor.forbes.com/thumbor/100x0/smart/https%3A%2F%2Fblogs-images.forbes.com%2Fimageserve%2F843769908%2F960x0.jpg%3Ffit%3Dscale&quot;></progressive-image> 
 </div> 
 <div article-image-caption=&quot;&quot;> 
  <div class=&quot;caption-container&quot; ng-class=&quot;caption_state&quot;> 
   <fbs-accordion current=&quot;0&quot;> 
    <p class=&quot;wp-caption-text&quot;>Paul Morris checks on neighbors homes in a flooded district of Orange as Texas slowly moves toward recovery from the devastation of Hurricane Harvey on September 7, 2017 in Orange, Texas. (Photo by Spencer Platt/Getty Images)</p> 
   </fbs-accordion> 
  </div> 
 </div> 
</div> 
<p>A 31-year-old man who helped to repair homes in Galveston, Texas after flooding caused by Hurricane Harvey was recently diagnosed with flesh-eating bacteria and died on October 16th after being admitted to a hospital on October 10th, according to a <a href=&quot;http://www.gchd.org/Home/Components/News/News/1748/65&quot; target=&quot;_blank&quot; rel=&quot;nofollow&quot;>statement</a> released by health officials in Galveston on Monday.</p> 
<p>He is the second person to die from flesh-eating bacteria since Hurricane Harvey struck the Gulf Coast. Two weeks ago, a 77 year old woman died after a fall inside her flooded home in which she cut her arm and subsequently contracted the flesh-eating bacteria.</p> 
<p>When&amp;nbsp;the man initially presented to the hospital on October 10th, officials described an infected wound affecting the upper portion of his left arm.</p> 
<p class=&quot;tweet_line&quot;><span class=&quot;tweet_quote&quot;> <a href=&quot;https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&amp;amp;text=The%20aggressive%20and%20deadly%20soft%20tissue%20infection%20is%20formally%20referred%20to%20as%20necrotizing%20fasciitis&quot; target=&quot;_blank&quot; rel=&quot;nofollow&quot;>The aggressive and deadly soft tissue infection is formally referred to as necrotizing fasciitis<span></span></a></span> . It’s a rare infection under normal circumstances, but if promptly recognized, diagnosed and treated with the appropriate antibiotics and surgery to remove dead or dying tissue, the majority of patients recover without any serious consequences.</p> 
<p> 
 </p> 
<p class=&quot;tweet_line&quot;><span class=&quot;tweet_quote&quot;> <a href=&quot;https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&amp;amp;text=Necrotizing%20fasciitis%2C%20or%20%E2%80%9Cnec%20fasc%E2%80%9D%2C%20is%20most%20commonly%20caused%20by%20Group%20A%20Strep&quot; target=&quot;_blank&quot; rel=&quot;nofollow&quot;>Necrotizing fasciitis, or “nec fasc”, is most commonly caused by Group A Strep<span></span></a></span> , but a mixed infection with anaerobic bacteria including Clostridium may also develop, leading to what is commonly known as gas gangrene. Necrotizing fasciitis causes pain out of proportion in the affected area, relative to the degree of injury.</p> 
<p>A cut, scrape, puncture or any break in the skin may serve as a portal of entry for the dangerous bacteria, which then leads to destruction of blood vessels, fat, nerves and a white fibrous covering of the muscle known as the fascia. The infection then proceeds to enter the muscle, compromising blood flow and leading to death of the tissue.</p> 
<div class=&quot;vestpocket&quot; vest-pocket=&quot;&quot;></div> 
<p>Its important to realize that bacteria don't actually digest the tissue, but instead produce a deadly toxin that is responsible for the extensive tissue damage.</p> 
<p>As the bacteria enter the bloodstream, fever, chills and vomiting may rapidly develop, leading to a dangerous condition known as sepsis which is characterized by low blood pressure, rapid and difficult breathing and confusion.</p> 
<p class=&quot;tweet_line&quot;><span class=&quot;tweet_quote&quot;> <a href=&quot;https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&amp;amp;text=Early%20warning%20signs%20include%20severe%20pain%20and%20tenderness%20in%20the%20infected%20area%2C%20spreading%20redness%20and%20warmth&quot; target=&quot;_blank&quot; rel=&quot;nofollow&quot;>Early warning signs include severe pain and tenderness in the infected area, spreading redness and warmth<span></span></a></span>&amp;nbsp;and blue to purple skin discoloration, with darkened tissue in the later stages. The presence of gas or air in the soft tissue known as “crepitus” produces a crackling sound or crunching sensation if the area of skin is palpated. An abscess containing pus may also form as the infection becomes more organized.</p> 
<p>Necrotizing fasciitis is a surgical emergency. Aggressive fluid resuscitation along with broad spectrum antibiotics must be started promptly with emergent preparation for surgery to remove or debride the affected area in order to contain the infection.</p> 
<p>Persons with diabetes, chronic kidney disease and cancer who are receiving chemotherapy are most at risk for complications, due to poor blood supply to skin, muscle and soft tissue from having such chronic conditions.</p> 
<p>Flood waters harboring bacteria (from sewage), along with dirty surfaces or debris contacting the victim’s initial cut or injury, likely led to the onset of this aggressive and deadly infection. As a general rule, it’s best to keep all cuts or blisters covered with a dry gauze and waterproof type dressing if there is any potential to come in contact with floodwater or dirty surfaces or debris.</p> 
<p>The <a href=&quot;https://www.cdc.gov/features/necrotizingfasciitis/index.html&quot; target=&quot;_blank&quot; rel=&quot;nofollow&quot;>CDC </a>describes about 700-1,110 cases annually in the U.S., the result of an active surveillance and reporting network that is set up to monitor such aggressive infections.</p> 
<p>Cases of typhoid and cholera, invasive and aggressive diarrheal illnesses typically associated with floods in developing countries, never materialized after the hurricane, according to data from the CDC. In addition, cases of tetanus, which can develop from heavily contaminated wounds after soil exposure, have generally not been a concern with such flooding in the U.S., as supported by data from the CDC.</p> 
<p>“Necrotizing fasciitis is caused by strep group A (flesh-eating bacteria) or anaerobic bacteria which thrive in areas without oxygen,” said Debra Spicehandler, MD, Co-Chief of Infectious Diseases, Northern Westchester Hospital. &amp;nbsp;&quot;Antibiotics are important but swift surgical debridement is necessary. The cases caused by strep release a toxin which can also cause systemic effects and organ failure leading to mortality.”</p> 
<p>Spicehandler further emphasized that “necrotizing fasciitis is a medical emergency, and the rapidity of onset makes seeking medical care early imperative.&amp;nbsp; Open wounds which were contaminated with dirty water likely led to the onset. However, this disease occurs with a background incidence and may not be related unless the wounds occurred at the time of the hurricane and subsequently became infected.”</p> 
<p>The best advice is to always keep any wound or cut covered with clean dry gauze to prevent any secondary infection that could potentially develop—including one as deadly as necrotizing fasciitis.</p> 
<p>Hand washing for at least 15-20 seconds with soap and water is another practice that is proven to help reduce the spread of infection. Use of hand gels may not be as helpful&amp;nbsp;<span>—&amp;nbsp;</span>especially in the presence of spores associated with particular bacterial infections.</p>"><div id="attachment_843769908" class="wp-caption alignnone"> 
 <div class="article-body-image"> 
  <progressive-image class="progressive-placeholder" src="https://thumbor.forbes.com/thumbor/960x0/smart/https%3A%2F%2Fblogs-images.forbes.com%2Fimageserve%2F843769908%2F960x0.jpg%3Ffit%3Dscale" low-res-src="https://thumbor.forbes.com/thumbor/100x0/smart/https%3A%2F%2Fblogs-images.forbes.com%2Fimageserve%2F843769908%2F960x0.jpg%3Ffit%3Dscale"></progressive-image> 
 </div> 
 <div article-image-caption=""> 
  <div class="caption-container" ng-class="caption_state"> 
   <fbs-accordion current="0"> 
    <p class="wp-caption-text">Paul Morris checks on neighbors homes in a flooded district of Orange as Texas slowly moves toward recovery from the devastation of Hurricane Harvey on September 7, 2017 in Orange, Texas. (Photo by Spencer Platt/Getty Images)</p> 
   </fbs-accordion> 
  </div> 
 </div> 
</div> 
<p class="speakable-paragraph">A 31-year-old man who helped to repair homes in Galveston, Texas after flooding caused by Hurricane Harvey was recently diagnosed with flesh-eating bacteria and died on October 16th after being admitted to a hospital on October 10th, according to a <a href="http://www.gchd.org/Home/Components/News/News/1748/65" target="_blank" rel="nofollow">statement</a> released by health officials in Galveston on Monday.</p> 
<p>He is the second person to die from flesh-eating bacteria since Hurricane Harvey struck the Gulf Coast. Two weeks ago, a 77 year old woman died after a fall inside her flooded home in which she cut her arm and subsequently contracted the flesh-eating bacteria.</p> 
<p>When&nbsp;the man initially presented to the hospital on October 10th, officials described an infected wound affecting the upper portion of his left arm.</p> 
<p class="tweet_line"><span class="tweet_quote"> <a href="https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&amp;text=The%20aggressive%20and%20deadly%20soft%20tissue%20infection%20is%20formally%20referred%20to%20as%20necrotizing%20fasciitis" target="_blank" rel="nofollow">The aggressive and deadly soft tissue infection is formally referred to as necrotizing fasciitis<span></span></a></span> . It’s a rare infection under normal circumstances, but if promptly recognized, diagnosed and treated with the appropriate antibiotics and surgery to remove dead or dying tissue, the majority of patients recover without any serious consequences.</p> 
<p> 
 </p> 
<p class="tweet_line"><span class="tweet_quote"> <a href="https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&amp;text=Necrotizing%20fasciitis%2C%20or%20%E2%80%9Cnec%20fasc%E2%80%9D%2C%20is%20most%20commonly%20caused%20by%20Group%20A%20Strep" target="_blank" rel="nofollow">Necrotizing fasciitis, or “nec fasc”, is most commonly caused by Group A Strep<span></span></a></span> , but a mixed infection with anaerobic bacteria including Clostridium may also develop, leading to what is commonly known as gas gangrene. Necrotizing fasciitis causes pain out of proportion in the affected area, relative to the degree of injury.</p> 
<p>A cut, scrape, puncture or any break in the skin may serve as a portal of entry for the dangerous bacteria, which then leads to destruction of blood vessels, fat, nerves and a white fibrous covering of the muscle known as the fascia. The infection then proceeds to enter the muscle, compromising blood flow and leading to death of the tissue.</p> 
<div class="vestpocket" vest-pocket=""></div> 
<p>Its important to realize that bacteria don't actually digest the tissue, but instead produce a deadly toxin that is responsible for the extensive tissue damage.</p> 
<p>As the bacteria enter the bloodstream, fever, chills and vomiting may rapidly develop, leading to a dangerous condition known as sepsis which is characterized by low blood pressure, rapid and difficult breathing and confusion.</p> 
<p class="tweet_line"><span class="tweet_quote"> <a href="https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&amp;text=Early%20warning%20signs%20include%20severe%20pain%20and%20tenderness%20in%20the%20infected%20area%2C%20spreading%20redness%20and%20warmth" target="_blank" rel="nofollow">Early warning signs include severe pain and tenderness in the infected area, spreading redness and warmth<span></span></a></span>&nbsp;and blue to purple skin discoloration, with darkened tissue in the later stages. The presence of gas or air in the soft tissue known as “crepitus” produces a crackling sound or crunching sensation if the area of skin is palpated. An abscess containing pus may also form as the infection becomes more organized.</p> 
<p>Necrotizing fasciitis is a surgical emergency. Aggressive fluid resuscitation along with broad spectrum antibiotics must be started promptly with emergent preparation for surgery to remove or debride the affected area in order to contain the infection.</p> 
<p>Persons with diabetes, chronic kidney disease and cancer who are receiving chemotherapy are most at risk for complications, due to poor blood supply to skin, muscle and soft tissue from having such chronic conditions.</p> 
<p>Flood waters harboring bacteria (from sewage), along with dirty surfaces or debris contacting the victim’s initial cut or injury, likely led to the onset of this aggressive and deadly infection. As a general rule, it’s best to keep all cuts or blisters covered with a dry gauze and waterproof type dressing if there is any potential to come in contact with floodwater or dirty surfaces or debris.</p> 
<p>The <a href="https://www.cdc.gov/features/necrotizingfasciitis/index.html" target="_blank" rel="nofollow">CDC </a>describes about 700-1,110 cases annually in the U.S., the result of an active surveillance and reporting network that is set up to monitor such aggressive infections.</p> 
<p>Cases of typhoid and cholera, invasive and aggressive diarrheal illnesses typically associated with floods in developing countries, never materialized after the hurricane, according to data from the CDC. In addition, cases of tetanus, which can develop from heavily contaminated wounds after soil exposure, have generally not been a concern with such flooding in the U.S., as supported by data from the CDC.</p> 
<p>“Necrotizing fasciitis is caused by strep group A (flesh-eating bacteria) or anaerobic bacteria which thrive in areas without oxygen,” said Debra Spicehandler, MD, Co-Chief of Infectious Diseases, Northern Westchester Hospital. &nbsp;"Antibiotics are important but swift surgical debridement is necessary. The cases caused by strep release a toxin which can also cause systemic effects and organ failure leading to mortality.”</p> 
<p>Spicehandler further emphasized that “necrotizing fasciitis is a medical emergency, and the rapidity of onset makes seeking medical care early imperative.&nbsp; Open wounds which were contaminated with dirty water likely led to the onset. However, this disease occurs with a background incidence and may not be related unless the wounds occurred at the time of the hurricane and subsequently became infected.”</p> 
<p>The best advice is to always keep any wound or cut covered with clean dry gauze to prevent any secondary infection that could potentially develop—including one as deadly as necrotizing fasciitis.</p> 
<p>Hand washing for at least 15-20 seconds with soap and water is another practice that is proven to help reduce the spread of infection. Use of hand gels may not be as helpful&nbsp;<span>—&nbsp;</span>especially in the presence of spores associated with particular bacterial infections.</p></div>
<!---->
<!---->
<!----><sig-file _ngcontent-c20=""><div innerhtml="<p><em>Follow me on <a href=&quot;https://twitter.com/DrRobertGlatter&quot;>Twitter</a></em><i> @DrRobertGlatter</i></p>"><p><em>Follow me on <a href="https://twitter.com/DrRobertGlatter">Twitter</a></em><i> @DrRobertGlatter</i></p></div></sig-file>
</article-body-container>
		<!---->
		<footer _ngcontent-c14="" class="article-footer">
			<!---->
			<sharing _ngcontent-c14="" _nghost-c10=""><!----><ul _ngcontent-c10="" class="fs-text-m">
	<li _ngcontent-c10="" class="share-expanded">
		<button _ngcontent-c10="">
			<i _ngcontent-c10="" class="icon icon-share"></i>
		</button>
	</li>
	<!----><li _ngcontent-c10="">
		<button _ngcontent-c10="" class="social-icon email" classname="social-icon email" data-ga-track="Email Click">
			<i _ngcontent-c10="" class="icon icon-email" classname="icon icon-email" data-ga-track="Email Click"></i>
		</button>
	</li><li _ngcontent-c10="">
		<button _ngcontent-c10="" class="social-icon facebook" classname="social-icon facebook" data-ga-track="Facebook Click">
			<i _ngcontent-c10="" class="icon icon-facebook" classname="icon icon-facebook" data-ga-track="Facebook Click"></i>
		</button>
	</li><li _ngcontent-c10="">
		<button _ngcontent-c10="" class="social-icon twitter" classname="social-icon twitter" data-ga-track="Twitter Click">
			<i _ngcontent-c10="" class="icon icon-twitter" classname="icon icon-twitter" data-ga-track="Twitter Click"></i>
		</button>
	</li><li _ngcontent-c10="">
		<button _ngcontent-c10="" class="social-icon linkedin" classname="social-icon linkedin" data-ga-track="Linkedin Click">
			<i _ngcontent-c10="" class="icon icon-linkedin" classname="icon icon-linkedin" data-ga-track="Linkedin Click"></i>
		</button>
	</li><li _ngcontent-c10="">
		<button _ngcontent-c10="" class="social-icon google" classname="social-icon google" data-ga-track="Google Plus Click">
			<i _ngcontent-c10="" class="icon icon-google" classname="icon icon-google" data-ga-track="Google Plus Click"></i>
		</button>
	</li>

	<!---->

	<!---->
</ul>
</sharing>
			<printbar _ngcontent-c14="" _nghost-c22=""><ul _ngcontent-c22="" class="fs-text-xxs fs-responsive-text">
	<li _ngcontent-c22="" class="print">
		<a _ngcontent-c22="">Print</a>
	</li>
	<li _ngcontent-c22="">
		<a _ngcontent-c22="" href="mailto:feedback@forbes.com">Website Feedback</a>
	</li>
	<li _ngcontent-c22="">
		<a _ngcontent-c22="" href="https://www.forbes.com/tips/" target="_blank">News Tip</a>
	</li>
	<li _ngcontent-c22="" class="corrections">
		<a _ngcontent-c22="" href="mailto:corrections@forbes.com?subject=Report%20Correction&amp;body=Reporting%20Correction%20for%3A%0A%0ATitle%3A%20Second%20Death%20From%20Flesh-Eating-Bacteria%20Infection%20After%20Hurricane%20Harvey%20Is%20Reported%0AAuthor%3A%20Robert%20Glatter%2C%20MD%0AURL%3A%20%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F%0A%0A--%0A%0AYour%20Name%3A%0ACorrection%20Request%3A%0A%0A--%0A%0AThank%20you%20for%20reporting%20a%20correction.%20Forbes%20staff%20will%20review%20your%20concern%20shortly.">Report Corrections</a>
	</li>
	<li _ngcontent-c22="">
		<a _ngcontent-c22="" href="http://forbesreprints.magreprints.com" target="_blank">Reprints &amp; Permissions</a>
	</li>
</ul></printbar>
			<!---->
		</footer>
	</div>
</div>

<!----><div _ngcontent-c14="">
	<!---->
	<!---->
</div>
</page>
</stream>
<!---->

<sidenav _ngcontent-c2="" _nghost-c7="" class="undefined-expanded"><!---->

<!---->

<!---->
</sidenav>

<!---->
</app>
	</app-root><script id="ng-templates-state" type="application/json">{&q;environmentName&q;:&q;prod&q;,&q;is_mobile&q;:false,&q;/forbesapi/content/uri.json?shortcodes=true&a;slides=true&a;type=ng&a;tickers=true&a;bvallpages=true&a;autovpslider=true&a;stream=true&a;compressimages=true&a;mobile=false&a;prgsmobileads=false&a;relativeVideo=true&a;videoplayertype=brightcove_perform_with_keyvalues&a;swimlane=&a;uri=http://www.forbes.com/sites/robertglatter/2017/10/25/second-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies/&q;:{&q;content&q;:{&q;id&q;:&q;content_59f10f9e64aaf9293e090184&q;,&q;naturalId&q;:&q;blogAndPostId/blog/post/2002-10197&q;,&q;source&q;:&q;blogs&q;,&q;author&q;:&q;Robert Glatter, MD&q;,&q;title&q;:&q;Second Death From Flesh-Eating-Bacteria Infection After Hurricane Harvey Is Reported&q;,&q;date&q;:1508976780000,&q;body&q;:&q;&l;p&g;[caption id=\&q;attachment_843769908\&q; photocredit=\&q;\&q;  align=\&q;\&q; width=\&q;960\&q;]&l;img class=\&q;dam-image getty size-large wp-image-843769908\&q; src=\&q;http://specials-images.forbesimg.com/imageserve/843769908/960x0.jpg?fit=scale\&q; data-height=\&q;654\&q; data-width=\&q;960\&q;&g; Paul Morris checks on neighbors homes in a flooded district of Orange as Texas slowly moves toward recovery from the devastation of Hurricane Harvey on September 7, 2017 in Orange, Texas. (Photo by Spencer Platt/Getty Images)[/caption]\r\n\r\nA 31-year-old man who helped to repair homes in Galveston, Texas after flooding caused by Hurricane Harvey was recently diagnosed with flesh-eating bacteria and died on October 16th after being admitted to a hospital on October 10th, according to a &l;a href=\&q;http://www.gchd.org/Home/Components/News/News/1748/65\&q; target=\&q;_blank\&q;&g;statement&l;/a&g; released by health officials in Galveston on Monday.\r\n\r\nHe is the second person to die from flesh-eating bacteria since Hurricane Harvey struck the Gulf Coast. Two weeks ago, a 77 year old woman died after a fall inside her flooded home in which she cut her arm and subsequently contracted the flesh-eating bacteria.\r\n\r\nWhen&a;nbsp;the man initially presented to the hospital on October 10th, officials described an infected wound affecting the upper portion of his left arm.\r\n&l;p class=\&q;tweet_line\&q;&g;[tweet_quote display=\&q;The aggressive and deadly soft tissue infection is formally referred to as necrotizing fasciitis\&q;]The aggressive and deadly soft tissue infection is formally referred to as necrotizing fasciitis[/tweet_quote] . It&a;rsquo;s a rare infection under normal circumstances, but if promptly recognized, diagnosed and treated with the appropriate antibiotics and surgery to remove dead or dying tissue, the majority of patients recover without any serious consequences.\r\n&l;p class=\&q;tweet_line\&q;&g;[tweet_quote display=\&q;Necrotizing fasciitis, or &a;ldquo;nec fasc&a;rdquo;, is most commonly caused by Group A Strep\&q;]Necrotizing fasciitis, or &a;ldquo;nec fasc&a;rdquo;, is most commonly caused by Group A Strep[/tweet_quote] , but a mixed infection with anaerobic bacteria including Clostridium may also develop, leading to what is commonly known as gas gangrene. Necrotizing fasciitis causes pain out of proportion in the affected area, relative to the degree of injury.\r\n\r\nA cut, scrape, puncture or any break in the skin may serve as a portal of entry for the dangerous bacteria, which then leads to destruction of blood vessels, fat, nerves and a white fibrous covering of the muscle known as the fascia. The infection then proceeds to enter the muscle, compromising blood flow and leading to death of the tissue.\r\n\r\nIts important to realize that bacteria don&s;t actually digest the tissue, but instead produce a deadly toxin that is responsible for the extensive tissue damage.\r\n&l;!--donotpaginate--&g;\r\nAs the bacteria enter the bloodstream, fever, chills and vomiting may rapidly develop, leading to a dangerous condition known as sepsis which is characterized by low blood pressure, rapid and difficult breathing and confusion.\r\n&l;p class=\&q;tweet_line\&q;&g;[tweet_quote display=\&q;Early warning signs include severe pain and tenderness in the infected area, spreading redness and warmth\&q;]Early warning signs include severe pain and tenderness in the infected area, spreading redness and warmth[/tweet_quote]&a;nbsp;and blue to purple skin discoloration, with darkened tissue in the later stages. The presence of gas or air in the soft tissue known as &a;ldquo;crepitus&a;rdquo; produces a crackling sound or crunching sensation if the area of skin is palpated. An abscess containing pus may also form as the infection becomes more organized.\r\n\r\nNecrotizing fasciitis is a surgical emergency. Aggressive fluid resuscitation along with broad spectrum antibiotics must be started promptly with emergent preparation for surgery to remove or debride the affected area in order to contain the infection.\r\n\r\nPersons with diabetes, chronic kidney disease and cancer who are receiving chemotherapy are most at risk for complications, due to poor blood supply to skin, muscle and soft tissue from having such chronic conditions.\r\n\r\nFlood waters harboring bacteria (from sewage), along with dirty surfaces or debris contacting the victim&a;rsquo;s initial cut or injury, likely led to the onset of this aggressive and deadly infection. As a general rule, it&a;rsquo;s best to keep all cuts or blisters covered with a dry gauze and waterproof type dressing if there is any potential to come in contact with floodwater or dirty surfaces or debris.\r\n\r\nThe &l;a href=\&q;https://www.cdc.gov/features/necrotizingfasciitis/index.html\&q; target=\&q;_blank\&q;&g;CDC &l;/a&g;describes about 700-1,110 cases annually in the U.S., the result of an active surveillance and reporting network that is set up to monitor such aggressive infections.\r\n\r\nCases of typhoid and cholera, invasive and aggressive diarrheal illnesses typically associated with floods in developing countries, never materialized after the hurricane, according to data from the CDC. In addition, cases of tetanus, which can develop from heavily contaminated wounds after soil exposure, have generally not been a concern with such flooding in the U.S., as supported by data from the CDC.\r\n\r\n&a;ldquo;Necrotizing fasciitis is caused by strep group A (flesh-eating bacteria) or anaerobic bacteria which thrive in areas without oxygen,&a;rdquo; said Debra Spicehandler, MD, Co-Chief of Infectious Diseases, Northern Westchester Hospital. &a;nbsp;\&q;Antibiotics are important but swift surgical debridement is necessary. The cases caused by strep release a toxin which can also cause systemic effects and organ failure leading to mortality.&a;rdquo;\r\n\r\nSpicehandler further emphasized that &a;ldquo;necrotizing fasciitis is a medical emergency, and the rapidity of onset makes seeking medical care early imperative.&a;nbsp; Open wounds which were contaminated with dirty water likely led to the onset. However, this disease occurs with a background incidence and may not be related unless the wounds occurred at the time of the hurricane and subsequently became infected.&a;rdquo;\r\n\r\nThe best advice is to always keep any wound or cut covered with clean dry gauze to prevent any secondary infection that could potentially develop&a;mdash;including one as deadly as necrotizing fasciitis.\r\n\r\nHand washing for at least 15-20 seconds with soap and water is another practice that is proven to help reduce the spread of infection. Use of hand gels may not be as helpful&a;nbsp;&l;span&g;&a;mdash;&a;nbsp;&l;/span&g;especially in the presence of spores associated with particular bacterial infections.&l;/p&g;&q;,&q;description&q;:&q;A 31-year-old man who helped repair homes in Galveston, Texas, is the second person to die from flesh-eating bacteria after Hurricane Harvey. An infected wound in his arm was the source. Prompt recognition, antibiotics and surgery can be lifesaving.&q;,&q;image&q;:&q;http://specials-images.forbesimg.com/imageserve/843769908/960x0.jpg?fit=scale&q;,&q;type&q;:&q;blog&q;,&q;storyType&q;:&q;post&q;,&q;uri&q;:&q;http://www.forbes.com/sites/robertglatter/2017/10/25/second-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies/&q;,&q;comments&q;:[],&q;visible&q;:true,&q;authors&q;:[{&q;naturalId&q;:&q;blogAuthorId/blog/author/230867&q;,&q;name&q;:&q;Robert Glatter, MD&q;,&q;avatars&q;:[{&q;size&q;:400,&q;image&q;:&q;https://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=400&a;d=mm&a;r=g&q;},{&q;size&q;:136,&q;image&q;:&q;https://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=136&a;d=mm&a;r=g&q;},{&q;size&q;:62,&q;image&q;:&q;https://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=62&a;d=mm&a;r=g&q;},{&q;size&q;:40,&q;image&q;:&q;https://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=40&a;d=mm&a;r=g&q;}],&q;url&q;:&q;http://www.forbes.com/sites/robertglatter/&q;,&q;type&q;:&q;Contributor&q;,&q;profileUrl&q;:&q;/sites/robertglatter/&q;,&q;twitterName&q;:&q;drrobertglatter&q;,&q;authorType&q;:&q;individual&q;,&q;email&q;:&q;rdglatter@gmail.com&q;,&q;blog&q;:false,&q;timestamp&q;:1489622211390,&q;shortBio&q;:&q;I cover breaking news in medicine, med tech and public health&q;,&q;webSite&q;:&q;http://www.DR911MD.com&q;,&q;topics&q;:[&q;lifestyle&q;,&q;tech&q;,&q;business&q;,&q;health&q;,&q;pharma-and-health&q;,&q;forbeslife-magazine&q;,&q;innovation-and-science&q;,&q;fact-and-comment&q;,&q;small-business-roundtable&q;,&q;oped&q;],&q;recentFlag&q;:false,&q;description&q;:&q;I am an emergency physician on staff at Lenox Hill Hospital in New York City, where I have practiced for the past 15 years.  I also serve as an adviser and editor to Medscape Emergency Medicine, an educational portal for physicians, and an affiliate of WebMD. My other time is spent with my private house call practice, DR 911, providing medical care to both travelers and residents in Manhattan. I have a keen interest in medical technology and public health education.&q;,&q;recentActivityCount&q;:0,&q;latestActivityDate&q;:1447713600000,&q;dailyActivityCount&q;:0,&q;primaryBlogNaturalId&q;:&q;blogAuthorId/blog/author/blog-2002&q;,&q;shortUri&q;:&q;http://onforb.es/SVfTVT&q;,&q;displayChannel&q;:&q;business&q;,&q;displaySection&q;:&q;pharma&q;,&q;contributorSince&q;:1328327055000,&q;slug&q;:&q;robertglatter&q;,&q;showNoVestPocket&q;:false,&q;embargo&q;:false,&q;primaryChannelId&q;:&q;channel_1&q;,&q;primarySectionId&q;:&q;section_4&q;,&q;enableContribContact&q;:true,&q;sigfile&q;:&q;&l;em&g;Follow me on &l;a href=\&q;https://twitter.com/DrRobertGlatter\&q;&g;Twitter&l;/a&g;&l;/em&g;&l;i&g; @DrRobertGlatter&l;/i&g;&q;,&q;enableTwitterFeed&q;:false,&q;disableCanonical&q;:false,&q;disableDigest&q;:false,&q;forbesTwitterProfile&q;:{&q;screenName&q;:&q;DrRobertGlatter&q;,&q;name&q;:&q;Dr. Robert Glatter&q;,&q;profileImageUrl&q;:&q;http://pbs.twimg.com/profile_images/3205354709/e86606d63be3687e090f032669e80d53.jpeg&q;,&q;description&q;:&q;ER Physician, Lenox Hill Hospital/Forbes/CBS News/Medscape EM Editor/Former NY Jets Sideline MD/DR 911(https://t.co/DdtPoE6r84) Physician for @nbcolympics @rio2016&q;,&q;createdDate&q;:1335443739000,&q;location&q;:&q;New York City&q;,&q;url&q;:&q;https://t.co/FKAKfy6Rz2&q;,&q;expandedUrl&q;:&q;https://www.forbes.com/sites/robertglatter/&q;,&q;displayUrl&q;:&q;forbes.com/sites/robertgl…&q;,&q;verified&q;:false},&q;inactive&q;:true,&q;badges&q;:[],&q;primaryChannel&q;:{&q;id&q;:&q;channel_1&q;,&q;channelId&q;:&q;channel_1&q;,&q;channelName&q;:&q;Business&q;,&q;sectionId&q;:&q;section_4&q;,&q;sectionName&q;:&q;Pharma &a; Healthcare&q;,&q;url&q;:&q;/healthcare&q;,&q;shortName&q;:&q;Pharma &a; Healthcare&q;},&q;allowEmail&q;:false,&q;avatar_map&q;:{}},{&q;naturalId&q;:&q;blogAuthorId/blog/author/blog-2002&q;,&q;avatars&q;:[{&q;size&q;:0,&q;image&q;:&q;&q;},{&q;size&q;:0,&q;image&q;:&q;&q;},{&q;size&q;:0,&q;image&q;:&q;&q;},{&q;size&q;:0,&q;image&q;:&q;&q;}],&q;url&q;:&q;http://www.forbes.com/sites/robertglatter/&q;,&q;profileUrl&q;:&q;https://blogs.forbes.com/robertglatter/profile/&q;,&q;authorType&q;:&q;individual&q;,&q;blog&q;:true,&q;timestamp&q;:1518448620626,&q;topics&q;:[&q;lifestyle&q;,&q;tech&q;,&q;business&q;,&q;leadership&q;,&q;health&q;,&q;pharma-and-health&q;,&q;technology&q;,&q;social-media&q;,&q;travel&q;,&q;human-ingenuity&q;,&q;entrepreneurs&q;,&q;innovation-and-science&q;,&q;media--entertainment&q;,&q;autos&q;,&q;wall-street&q;,&q;managing&q;,&q;politics&q;,&q;oped&q;,&q;corporate-responsibility&q;,&q;economics&q;,&q;forbes-travel-guide&q;,&q;drinks&q;,&q;forbeslife-magazine&q;,&q;strategies-solutions&q;,&q;sports--leisure&q;,&q;fact-and-comment&q;,&q;arts--entertainment&q;,&q;intelligent-tech&q;,&q;policy&q;,&q;logistics-transportation&q;,&q;data-driven&q;,&q;retail&q;,&q;small-business-roundtable&q;,&q;regulation&q;,&q;mobile&q;,&q;healthcare-innovation&q;,&q;powering-productivity&q;,&q;global-2000-leading-companies&q;,&q;talent-strategies&q;],&q;recentActivityCount&q;:2,&q;latestActivityDate&q;:1447713600000,&q;dailyActivityCount&q;:1,&q;primaryBlogNaturalId&q;:&q;blogAuthorId/blog/author/blog-2002&q;,&q;primaryContributor&q;:&q;blogAuthorId/blog/author/230867&q;,&q;primaryContributorData&q;:{&q;naturalId&q;:&q;blogAuthorId/blog/author/230867&q;,&q;name&q;:&q;Robert Glatter, MD&q;,&q;avatars&q;:[{&q;size&q;:136,&q;image&q;:&q;https://secure.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=136&a;#038;d=mm&a;#038;r=g&q;},{&q;size&q;:400,&q;image&q;:&q;https://secure.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=400&a;#038;d=mm&a;#038;r=g&q;},{&q;size&q;:40,&q;image&q;:&q;https://secure.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=40&a;#038;d=mm&a;#038;r=g&q;},{&q;size&q;:62,&q;image&q;:&q;https://secure.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=62&a;#038;d=mm&a;#038;r=g&q;}],&q;blog&q;:false,&q;shortBio&q;:&q;I cover breaking news in medicine, med tech and public health&q;,&q;description&q;:&q;I am an emergency physician on staff at Lenox Hill Hospital in New York City, where I have practiced for the past 15 years.  I also serve as an adviser and editor to Medscape Emergency Medicine, an educational portal for physicians, and an affiliate of WebMD. My other time is spent with my private house call practice, DR 911, providing medical care to both travelers and residents in Manhattan. I have a keen interest in medical technology and public health education.&q;,&q;allowEmail&q;:false},&q;shortUri&q;:&q;http://onforb.es/SVfTVT&q;,&q;displayChannel&q;:&q;business&q;,&q;displaySection&q;:&q;pharma&q;,&q;contributorSince&q;:1328309174000,&q;slug&q;:&q;robertglatter&q;,&q;showNoVestPocket&q;:false,&q;embargo&q;:false,&q;primaryChannelId&q;:&q;channel_1&q;,&q;primarySectionId&q;:&q;section_4&q;,&q;enableContribContact&q;:false,&q;enableTwitterFeed&q;:false,&q;disableCanonical&q;:false,&q;disableDigest&q;:false,&q;inactive&q;:false,&q;primaryChannel&q;:{&q;id&q;:&q;channel_1&q;,&q;channelId&q;:&q;channel_1&q;,&q;channelName&q;:&q;Business&q;,&q;sectionId&q;:&q;section_4&q;,&q;sectionName&q;:&q;Pharma &a; Healthcare&q;,&q;url&q;:&q;/healthcare&q;,&q;shortName&q;:&q;Pharma &a; Healthcare&q;},&q;allowEmail&q;:false,&q;avatar_map&q;:{}}],&q;channelSection&q;:[{&q;channelId&q;:&q;channel_1&q;},{&q;channelId&q;:&q;channel_1&q;,&q;sectionId&q;:&q;section_4&q;}],&q;blogType&q;:&q;individual&q;,&q;sitePage&q;:&q;forbes.com/business/blogs/robertglatter/index.html&q;,&q;displayChannel&q;:&q;business&q;,&q;displaySection&q;:&q;pharma&q;,&q;vestPocketList&q;:[{&q;id&q;:&q;59e4029464aaf922be63ac66&q;,&q;type&q;:&q;blog&q;,&q;uri&q;:&q;http://www.forbes.com/sites/robertglatter/2017/10/16/anthem-at-odds-with-your-decision-to-visit-the-er-and-refusing-to-pay-in-certain-states/&q;,&q;image&q;:&q;/thumbnails/blog_2002/pt_2002_10159_o.jpg?t=1508149804&q;,&q;title&q;:&q;In 3 States, If Anthem Thinks You Shouldn&s;t Have Gone To ER, It Won&s;t Pay&q;,&q;contentType&q;:&q;blog&q;,&q;position&q;:0,&q;naturalId&q;:&q;blogAndPostId/blog/post/2002-10159&q;,&q;authorImage&q;:&q;http://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=40&a;d=mm&a;r=g&q;,&q;authorUrl&q;:&q;http://www.forbes.com/sites/robertglatter/&q;,&q;authorType&q;:&q;Contributor&q;,&q;authorName&q;:&q;Robert Glatter, MD&q;,&q;blogType&q;:&q;individual&q;},{&q;id&q;:&q;59c3b8bb64aaf90dc3a689a6&q;,&q;type&q;:&q;blog&q;,&q;uri&q;:&q;http://www.forbes.com/sites/robertglatter/2017/09/21/playing-tackle-football-before-age-12-linked-to-neurologic-problems-later-in-life-study-finds/&q;,&q;image&q;:&q;https://specials-images.forbesimg.com/imageserve/470027795/960x0.jpg?fit=scale&q;,&q;title&q;:&q;Playing Tackle Football Before Age 12 Linked To Neurologic Problems Later In...&q;,&q;contentType&q;:&q;blog&q;,&q;position&q;:1,&q;naturalId&q;:&q;blogAndPostId/blog/post/2002-10075&q;,&q;authorImage&q;:&q;http://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=40&a;d=mm&a;r=g&q;,&q;authorUrl&q;:&q;http://www.forbes.com/sites/robertglatter/&q;,&q;authorType&q;:&q;Contributor&q;,&q;authorName&q;:&q;Robert Glatter, MD&q;,&q;blogType&q;:&q;individual&q;},{&q;id&q;:&q;59da701664aaf92289ef516d&q;,&q;type&q;:&q;blog&q;,&q;uri&q;:&q;http://www.forbes.com/sites/robertglatter/2017/10/08/the-surgical-glue-that-can-repair-an-injury-in-60-seconds/&q;,&q;image&q;:&q;https://blogs-images.forbes.com/robertglatter/files/2017/10/IMG_0165.png&q;,&q;title&q;:&q;The Surgical Glue That Can Repair An Injury In 60 Seconds&q;,&q;contentType&q;:&q;blog&q;,&q;position&q;:2,&q;naturalId&q;:&q;blogAndPostId/blog/post/2002-10119&q;,&q;authorImage&q;:&q;http://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=40&a;d=mm&a;r=g&q;,&q;authorUrl&q;:&q;http://www.forbes.com/sites/robertglatter/&q;,&q;authorType&q;:&q;Contributor&q;,&q;authorName&q;:&q;Robert Glatter, MD&q;,&q;blogType&q;:&q;individual&q;},{&q;type&q;:&q;slide&q;,&q;uri&q;:&q;https://www.forbes.com/pictures/mlj45jggj/1-detroit/&q;,&q;image&q;:&q;http://specials-images.forbesimg.com/imageserve/026M72T8ElbzS/&q;,&q;title&q;:&q;The 10 Most Dangerous U.S. Cities&q;,&q;naturalId&q;:&q;blogAndSlideId/blog/slide/986-6336&q;,&q;count&q;:39026,&q;reason&q;:&q;MP-G&q;},{&q;type&q;:&q;blog&q;,&q;uri&q;:&q;https://www.forbes.com/sites/lizryan/2018/02/12/ten-things-only-lousy-managers-say-2/&q;,&q;image&q;:&q;https://specials-images.forbesimg.com/dam/imageserve/1022439613/960x0.jpg?fit=scale&q;,&q;title&q;:&q;Ten Things Only Lousy Managers Say&q;,&q;naturalId&q;:&q;blogAndPostId/blog/post/2989-32902&q;,&q;count&q;:0,&q;reason&q;:&q;LI&q;}],&q;generatedId&q;:&q;fddf45edemk&q;,&q;manualDescription&q;:&q;A 31-year-old man who helped repair homes in Galveston, Texas, is the second person to die from flesh-eating bacteria after Hurricane Harvey. An infected wound in his arm was the source. Prompt recognition, antibiotics and surgery can be lifesaving.&q;,&q;primaryChannelId&q;:&q;channel_1&q;,&q;primarySectionId&q;:&q;section_4&q;,&q;vestPocketPosition&q;:6,&q;siteSlug&q;:&q;robertglatter&q;,&q;preview&q;:false,&q;showComments&q;:true,&q;timestamp&q;:1509127314277,&q;statsEntities&q;:[{&q;id&q;:null,&q;name&q;:&q;Health_Medical_Pharma&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Disaster_Accident&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Medicine&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Necrosis&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Bacteria&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Biology&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Bacterial diseases&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Gangrene&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;RTT&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Necrotizing fasciitis&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Fasciitis&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Pus&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Gas gangrene&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Streptococcus pyogenes&q;,&q;type&q;:null,&q;relevance&q;:null},{&q;id&q;:null,&q;name&q;:&q;Integrated Telecommunications Services - NEC&q;,&q;type&q;:null,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Digital Media Agencies&q;,&q;type&q;:null,&q;relevance&q;:0},{&q;id&q;:null,&q;name&q;:&q;IT Services &a; Consulting - NEC&q;,&q;type&q;:null,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;blisters&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Texas&q;,&q;type&q;:&q;ProvinceOrState&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;cuts&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Getty Images&q;,&q;type&q;:&q;Company&q;,&q;relevance&q;:0},{&q;id&q;:null,&q;name&q;:&q;aggressive and deadly infection&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;cancer&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Orange&q;,&q;type&q;:&q;Company&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;disease&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Necrotizing fasciitis causes pain&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Paul Morris&q;,&q;type&q;:&q;Person&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;mixed infection&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;chills&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;United States&q;,&q;type&q;:&q;Country&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;such aggressive infections&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;tetanus&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;soft tissue infection&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;diabetes&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;chemotherapy&q;,&q;type&q;:&q;Technology&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;antibiotics&q;,&q;type&q;:&q;MedicalTreatment&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Northern Westchester Hospital&q;,&q;type&q;:&q;Organization&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;fever&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;secondary infection&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;resuscitation&q;,&q;type&q;:&q;MedicalTreatment&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;rare infection&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Gulf Coast&q;,&q;type&q;:&q;Region&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;low blood pressure&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;typhoid&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;pain&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;vomiting&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;cut&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;injury&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;necrotizing fasciitis&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Orange&q;,&q;type&q;:&q;City&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;chronic kidney disease&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Spencer Platt&q;,&q;type&q;:&q;Person&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;chemotherapy&q;,&q;type&q;:&q;MedicalTreatment&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;gas gangrene&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Co-Chief&q;,&q;type&q;:&q;Position&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;cholera&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Debra Spicehandler&q;,&q;type&q;:&q;Person&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Infectious Diseases&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;gas gangrene&q;,&q;type&q;:&q;IndustryTerm&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;infection&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;such chronic conditions&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;Northern Westchester Hospital&q;,&q;type&q;:&q;Facility&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;surgery&q;,&q;type&q;:&q;MedicalTreatment&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;&a;ldquo;Necrotizing fasciitis&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;abscess containing pus&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;particular bacterial infections&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;sepsis&q;,&q;type&q;:&q;MedicalCondition&q;,&q;relevance&q;:0.2},{&q;id&q;:null,&q;name&q;:&q;wounds&q;,&q;type&q;:&q;Product&q;,&q;relevance&q;:0.2}],&q;showNoVestPocket&q;:false,&q;googleKeywords&q;:[&q;flesh eating bacteria&q;,&q; necrotizing fasciitis&q;,&q; group a strep&q;,&q; clostridium&q;],&q;writtenByForbesStaff&q;:false,&q;templateType&q;:&q;standard&q;,&q;enableSigfile&q;:true,&q;tweetQuotes&q;:[&q;&l;span class=\&q;tweet_quote\&q;&g; &l;a href=https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&a;text=The%20aggressive%20and%20deadly%20soft%20tissue%20infection%20is%20formally%20referred%20to%20as%20necrotizing%20fasciitis target=\&q;_blank\&q; data-track=\&q;article-tweet-quote\&q;&g;The aggressive and deadly soft tissue infection is formally referred to as necrotizing fasciitis&l;span&g;&l;/span&g;&l;/a&g;&l;/span&g;&q;,&q;&l;span class=\&q;tweet_quote\&q;&g; &l;a href=https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&a;text=Necrotizing%20fasciitis%2C%20or%20%E2%80%9Cnec%20fasc%E2%80%9D%2C%20is%20most%20commonly%20caused%20by%20Group%20A%20Strep target=\&q;_blank\&q; data-track=\&q;article-tweet-quote\&q;&g;Necrotizing fasciitis, or &a;ldquo;nec fasc&a;rdquo;, is most commonly caused by Group A Strep&l;span&g;&l;/span&g;&l;/a&g;&l;/span&g;&q;],&q;primaryChannel&q;:{&q;id&q;:&q;channel_1&q;,&q;channelId&q;:&q;channel_1&q;,&q;channelName&q;:&q;Business&q;,&q;sectionId&q;:&q;section_4&q;,&q;sectionName&q;:&q;Pharma &a; Healthcare&q;,&q;url&q;:&q;/healthcare&q;,&q;shortName&q;:&q;Pharma &a; Healthcare&q;},&q;pages&q;:[&q;&l;div id=\&q;attachment_843769908\&q; class=\&q;wp-caption alignnone\&q;&g; \n &l;div class=\&q;article-body-image\&q;&g; \n  &l;img class=\&q;dam-image getty size-large wp-image-843769908\&q; src=\&q;//specials-images.forbesimg.com/imageserve/843769908/960x0.jpg?fit=scale\&q; data-height=\&q;654\&q; data-width=\&q;960\&q; /&g; \n &l;/div&g; \n &l;div article-image-caption=\&q;\&q;&g; \n  &l;div class=\&q;caption-container\&q; ng-class=\&q;caption_state\&q;&g; \n   &l;fbs-accordion current=\&q;0\&q;&g; \n    &l;p class=\&q;wp-caption-text\&q;&g;Paul Morris checks on neighbors homes in a flooded district of Orange as Texas slowly moves toward recovery from the devastation of Hurricane Harvey on September 7, 2017 in Orange, Texas. (Photo by Spencer Platt/Getty Images)&l;/p&g; \n   &l;/fbs-accordion&g; \n  &l;/div&g; \n &l;/div&g; \n&l;/div&g; \n&l;p&g;A 31-year-old man who helped to repair homes in Galveston, Texas after flooding caused by Hurricane Harvey was recently diagnosed with flesh-eating bacteria and died on October 16th after being admitted to a hospital on October 10th, according to a &l;a href=\&q;http://www.gchd.org/Home/Components/News/News/1748/65\&q; target=\&q;_blank\&q; rel=\&q;nofollow\&q;&g;statement&l;/a&g; released by health officials in Galveston on Monday.&l;/p&g; \n&l;p&g;He is the second person to die from flesh-eating bacteria since Hurricane Harvey struck the Gulf Coast. Two weeks ago, a 77 year old woman died after a fall inside her flooded home in which she cut her arm and subsequently contracted the flesh-eating bacteria.&l;/p&g; \n&l;p&g;When&a;nbsp;the man initially presented to the hospital on October 10th, officials described an infected wound affecting the upper portion of his left arm.&l;/p&g; \n&l;p class=\&q;tweet_line\&q;&g;&l;span class=\&q;tweet_quote\&q;&g; &l;a href=\&q;https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&a;amp;text=The%20aggressive%20and%20deadly%20soft%20tissue%20infection%20is%20formally%20referred%20to%20as%20necrotizing%20fasciitis\&q; target=\&q;_blank\&q; rel=\&q;nofollow\&q;&g;The aggressive and deadly soft tissue infection is formally referred to as necrotizing fasciitis&l;span&g;&l;/span&g;&l;/a&g;&l;/span&g; . It’s a rare infection under normal circumstances, but if promptly recognized, diagnosed and treated with the appropriate antibiotics and surgery to remove dead or dying tissue, the majority of patients recover without any serious consequences.&l;/p&g; \n&l;p&g; \n &l;fbs-ad position=\&q;inread\&q; progressive=\&q;\&q;&g;&l;/fbs-ad&g;&l;/p&g; \n&l;p class=\&q;tweet_line\&q;&g;&l;span class=\&q;tweet_quote\&q;&g; &l;a href=\&q;https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&a;amp;text=Necrotizing%20fasciitis%2C%20or%20%E2%80%9Cnec%20fasc%E2%80%9D%2C%20is%20most%20commonly%20caused%20by%20Group%20A%20Strep\&q; target=\&q;_blank\&q; rel=\&q;nofollow\&q;&g;Necrotizing fasciitis, or “nec fasc”, is most commonly caused by Group A Strep&l;span&g;&l;/span&g;&l;/a&g;&l;/span&g; , but a mixed infection with anaerobic bacteria including Clostridium may also develop, leading to what is commonly known as gas gangrene. Necrotizing fasciitis causes pain out of proportion in the affected area, relative to the degree of injury.&l;/p&g; \n&l;p&g;A cut, scrape, puncture or any break in the skin may serve as a portal of entry for the dangerous bacteria, which then leads to destruction of blood vessels, fat, nerves and a white fibrous covering of the muscle known as the fascia. The infection then proceeds to enter the muscle, compromising blood flow and leading to death of the tissue.&l;/p&g; \n&l;div class=\&q;vestpocket\&q; vest-pocket=\&q;\&q;&g;&l;/div&g; \n&l;p&g;Its important to realize that bacteria don&s;t actually digest the tissue, but instead produce a deadly toxin that is responsible for the extensive tissue damage.&l;/p&g; \n&l;p&g;As the bacteria enter the bloodstream, fever, chills and vomiting may rapidly develop, leading to a dangerous condition known as sepsis which is characterized by low blood pressure, rapid and difficult breathing and confusion.&l;/p&g; \n&l;p class=\&q;tweet_line\&q;&g;&l;span class=\&q;tweet_quote\&q;&g; &l;a href=\&q;https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F10%2F25%2Fsecond-victim-of-flesh-eating-bacteria-after-hurricane-harvey-dies%2F&a;amp;text=Early%20warning%20signs%20include%20severe%20pain%20and%20tenderness%20in%20the%20infected%20area%2C%20spreading%20redness%20and%20warmth\&q; target=\&q;_blank\&q; rel=\&q;nofollow\&q;&g;Early warning signs include severe pain and tenderness in the infected area, spreading redness and warmth&l;span&g;&l;/span&g;&l;/a&g;&l;/span&g;&a;nbsp;and blue to purple skin discoloration, with darkened tissue in the later stages. The presence of gas or air in the soft tissue known as “crepitus” produces a crackling sound or crunching sensation if the area of skin is palpated. An abscess containing pus may also form as the infection becomes more organized.&l;/p&g; \n&l;p&g;Necrotizing fasciitis is a surgical emergency. Aggressive fluid resuscitation along with broad spectrum antibiotics must be started promptly with emergent preparation for surgery to remove or debride the affected area in order to contain the infection.&l;/p&g; \n&l;p&g;Persons with diabetes, chronic kidney disease and cancer who are receiving chemotherapy are most at risk for complications, due to poor blood supply to skin, muscle and soft tissue from having such chronic conditions.&l;/p&g; \n&l;p&g;Flood waters harboring bacteria (from sewage), along with dirty surfaces or debris contacting the victim’s initial cut or injury, likely led to the onset of this aggressive and deadly infection. As a general rule, it’s best to keep all cuts or blisters covered with a dry gauze and waterproof type dressing if there is any potential to come in contact with floodwater or dirty surfaces or debris.&l;/p&g; \n&l;p&g;The &l;a href=\&q;https://www.cdc.gov/features/necrotizingfasciitis/index.html\&q; target=\&q;_blank\&q; rel=\&q;nofollow\&q;&g;CDC &l;/a&g;describes about 700-1,110 cases annually in the U.S., the result of an active surveillance and reporting network that is set up to monitor such aggressive infections.&l;/p&g; \n&l;p&g;Cases of typhoid and cholera, invasive and aggressive diarrheal illnesses typically associated with floods in developing countries, never materialized after the hurricane, according to data from the CDC. In addition, cases of tetanus, which can develop from heavily contaminated wounds after soil exposure, have generally not been a concern with such flooding in the U.S., as supported by data from the CDC.&l;/p&g; \n&l;p&g;“Necrotizing fasciitis is caused by strep group A (flesh-eating bacteria) or anaerobic bacteria which thrive in areas without oxygen,” said Debra Spicehandler, MD, Co-Chief of Infectious Diseases, Northern Westchester Hospital. &a;nbsp;&a;quot;Antibiotics are important but swift surgical debridement is necessary. The cases caused by strep release a toxin which can also cause systemic effects and organ failure leading to mortality.”&l;/p&g; \n&l;p&g;Spicehandler further emphasized that “necrotizing fasciitis is a medical emergency, and the rapidity of onset makes seeking medical care early imperative.&a;nbsp; Open wounds which were contaminated with dirty water likely led to the onset. However, this disease occurs with a background incidence and may not be related unless the wounds occurred at the time of the hurricane and subsequently became infected.”&l;/p&g; \n&l;p&g;The best advice is to always keep any wound or cut covered with clean dry gauze to prevent any secondary infection that could potentially develop—including one as deadly as necrotizing fasciitis.&l;/p&g; \n&l;p&g;Hand washing for at least 15-20 seconds with soap and water is another practice that is proven to help reduce the spread of infection. Use of hand gels may not be as helpful&a;nbsp;&l;span&g;—&a;nbsp;&l;/span&g;especially in the presence of spores associated with particular bacterial infections.&l;/p&g;&q;],&q;channelSectionMappings&q;:[{&q;id&q;:&q;channel_1&q;,&q;channelName&q;:&q;Business&q;,&q;url&q;:&q;/business&q;},{&q;id&q;:&q;channel_1section_4&q;,&q;channelName&q;:&q;Business&q;,&q;sectionName&q;:&q;Pharma &a; Healthcare&q;,&q;url&q;:&q;/healthcare&q;}],&q;blogId&q;:&q;2002&q;,&q;disableDigest&q;:false,&q;pTagCount&q;:16,&q;hashtags&q;:[&q;PublicHealth&q;],&q;hideDescription&q;:false,&q;sponsored&q;:false,&q;doNotPaginate&q;:true,&q;editorsPick&q;:false,&q;sentimentScore&q;:-0.651436,&q;numberOfImages&q;:1,&q;relativeVideo&q;:{&q;videoId&q;:&q;5170520412001&q;,&q;title&q;:&q;Study Finds You Can&s;t Believe Everything You See On Fitbit Or Other Wrist-Worn Heart Rate Trackers&q;,&q;playerId&q;:&q;S1EBSbDn&q;,&q;keyValues&q;:&q;displaysection=pharma&a;fl=&a;channel=business&a;swimlane=&a;specialslot=&a;section=business:pharma&a;healthcare&a;id=blogAndPostId/blog/post/2002-10197&a;brand=&a;displaychannel=business&q;,&q;autoPlay&q;:true},&q;relativeVideos&q;:[{&q;videoId&q;:&q;5170520412001&q;,&q;title&q;:&q;Study Finds You Can&s;t Believe Everything You See On Fitbit Or Other Wrist-Worn Heart Rate Trackers&q;,&q;playerId&q;:&q;S1EBSbDn&q;,&q;keyValues&q;:&q;displaysection=pharma&a;fl=&a;channel=business&a;swimlane=&a;specialslot=&a;section=business:pharma&a;healthcare&a;id=blogAndPostId/blog/post/2002-10197&a;brand=&a;displaychannel=business&q;,&q;autoPlay&q;:true},{&q;videoId&q;:&q;5168707640001&q;,&q;title&q;:&q;Adults Not Getting Vaccinated Cost The U.S. $7.1B In 2015&q;,&q;playerId&q;:&q;S1EBSbDn&q;,&q;keyValues&q;:&q;displaysection=pharma&a;fl=&a;channel=business&a;swimlane=&a;specialslot=&a;section=business:pharma&a;healthcare&a;id=blogAndPostId/blog/post/2002-10197&a;brand=&a;displaychannel=business&q;,&q;autoPlay&q;:true},{&q;videoId&q;:&q;2566145544001&q;,&q;title&q;:&q;Transparency Gap in Healthcare&q;,&q;playerId&q;:&q;S1EBSbDn&q;,&q;keyValues&q;:&q;displaysection=pharma&a;fl=&a;channel=business&a;swimlane=&a;specialslot=&a;section=business:pharma&a;healthcare&a;id=blogAndPostId/blog/post/2002-10197&a;brand=&a;displaychannel=business&q;,&q;autoPlay&q;:true},{&q;videoId&q;:&q;5187234469001&q;,&q;title&q;:&q;How Gig Workers Feel About Health Insurance&q;,&q;playerId&q;:&q;S1EBSbDn&q;,&q;keyValues&q;:&q;displaysection=pharma&a;fl=&a;channel=business&a;swimlane=&a;specialslot=&a;section=business:pharma&a;healthcare&a;id=blogAndPostId/blog/post/2002-10197&a;brand=&a;displaychannel=business&q;,&q;autoPlay&q;:true},{&q;videoId&q;:&q;5188986573001&q;,&q;title&q;:&q;Scrubs And Superbug Transmission In ICU: What We Still Don&s;t Know Can Kill You&q;,&q;playerId&q;:&q;S1EBSbDn&q;,&q;keyValues&q;:&q;displaysection=pharma&a;fl=&a;channel=business&a;swimlane=&a;specialslot=&a;section=business:pharma&a;healthcare&a;id=blogAndPostId/blog/post/2002-10197&a;brand=&a;displaychannel=business&q;,&q;autoPlay&q;:true}],&q;hasVideo&q;:false,&q;hasInfographic&q;:false,&q;bulletList&q;:[null,null,null],&q;trumpContent&q;:false,&q;wordCount&q;:895,&q;hashtagSetting&q;:{&q;hashtag&q;:&q;PublicHealth&q;,&q;autoplay&q;:true,&q;specialSlot&q;:&q;&q;,&q;sponsored&q;:false,&q;active&q;:true},&q;fully_loaded&q;:true}},&q;adsConfig&q;:{&q;mobile&q;:false,&q;ad_unit_path&q;:&q;/7175/fdc.forbes/article-d&q;,&q;amazonSlots&q;:[{&q;slotID&q;:&q;top&q;,&q;sizes&q;:[[728,90],[970,250]]},{&q;slotID&q;:&q;rec&q;,&q;sizes&q;:[[300,250],[300,600]]},{&q;slotID&q;:&q;recx&q;,&q;sizes&q;:[[300,250],[300,600]]},{&q;slotID&q;:&q;loge&q;,&q;sizes&q;:[[300,250],[300,600]]}],&q;positions&q;:{&q;top&q;:{&q;slot_id&q;:&q;top&q;,&q;sizes&q;:[[728,90],[970,250],[970,90],[970,66],[640,360],[1,1],&q;fluid&q;]},&q;rec&q;:{&q;slot_id&q;:&q;rec&q;,&q;sizes&q;:[[300,250],[336,280],[300,600],[1,1],&q;fluid&q;]},&q;mobile&q;:{&q;slot_id&q;:&q;mobile&q;,&q;sizes&q;:[[300,50],[320,50],[1,1]]},&q;mobilerec&q;:{&q;slot_id&q;:&q;mobilerec&q;,&q;sizes&q;:[[300,250],[300,50],[320,180],[320,50],[1,1]]},&q;recx&q;:{&q;slot_id&q;:&q;recx&q;,&q;sizes&q;:[[300,250],[336,280],[300,600],[1,1],&q;fluid&q;],&q;incremental&q;:true},&q;loge&q;:{&q;slot_id&q;:&q;loge&q;,&q;sizes&q;:[[336,280],[300,600],[300,250],[1,1],&q;fluid&q;]},&q;mobilex&q;:{&q;slot_id&q;:&q;mobilex&q;,&q;sizes&q;:[[300,250],[300,50],[320,180],[320,50],[1,1]],&q;incremental&q;:true},&q;mob-stream&q;:{&q;slot_id&q;:&q;mob-stream&q;,&q;sizes&q;:[[300,250],[300,50],[320,180],[320,50],[1,1]]},&q;mob-stream2&q;:{&q;slot_id&q;:&q;mob-stream2&q;,&q;sizes&q;:[[300,250],[300,50],[320,180],[320,50],[1,1]]},&q;mobiletext&q;:{&q;slot_id&q;:&q;mobiletext&q;,&q;sizes&q;:[[300,250],[336,280],[1,1],&q;fluid&q;]},&q;ntv-article&q;:{&q;slot_id&q;:&q;ntv-article&q;,&q;div_id&q;:&q;brandvoice_inline&q;,&q;sizes&q;:[[2,3],[1,1],&q;fluid&q;],&q;params&q;:{&q;strnativekey&q;:&q;3e7e0323&q;}},&q;ntv-belt&q;:{&q;slot_id&q;:&q;ntv-belt&q;,&q;params&q;:{&q;strnativekey&q;:&q;12653cf9&q;},&q;sizes&q;:[[2,3],[1,1]]},&q;ntv-rail&q;:{&q;sizes&q;:[[2,3],[1,1],&q;fluid&q;],&q;breaks&q;:{&q;xxlarge&q;:[[2,3],[1,1],&q;fluid&q;],&q;xlarge&q;:[[2,3],[1,1],&q;fluid&q;],&q;large&q;:[[2,3],[1,1],&q;fluid&q;],&q;medium&q;:[[2,3],[1,1],&q;fluid&q;],&q;small&q;:[[2,3],[1,1],&q;fluid&q;]},&q;slot_id&q;:&q;ntv-rail&q;,&q;params&q;:{&q;strnativekey&q;:&q;4kSaBGZvyd5bZ4yDRLQWW9u8&q;}},&q;ntv-rail-2&q;:{&q;sizes&q;:[[2,3],[1,1],&q;fluid&q;],&q;breaks&q;:{&q;xxlarge&q;:[[2,3],[1,1],&q;fluid&q;],&q;xlarge&q;:[[2,3],[1,1],&q;fluid&q;],&q;large&q;:[[2,3],[1,1],&q;fluid&q;],&q;medium&q;:[[2,3],[1,1],&q;fluid&q;],&q;small&q;:[[2,3],[1,1],&q;fluid&q;]},&q;slot_id&q;:&q;ntv-rail-2&q;,&q;params&q;:{&q;strnativekey&q;:&q;t5toAgo73taamHDf2P739tD4&q;}},&q;spon-logo&q;:{&q;slot_id&q;:&q;spon-logo&q;,&q;sizes&q;:[[120,40],[300,170],[300,100],[1,1],&q;fluid&q;]},&q;mob-logo&q;:{&q;slot_id&q;:&q;mob-logo&q;,&q;sizes&q;:[[300,50],[300,75],[1,1],&q;fluid&q;]},&q;inread&q;:{&q;slot_id&q;:&q;inread&q;,&q;progressive&q;:true,&q;sizes&q;:[[600,575],[528,297],[1,1],&q;fluid&q;]},&q;topx&q;:{&q;slot_id&q;:&q;topx&q;,&q;sizes&q;:[[728,90],[970,250],[970,90],[970,66],[640,360],[1,1],&q;fluid&q;]},&q;artbottom&q;:{&q;slot_id&q;:&q;artbottom&q;,&q;sizes&q;:[[1,1],&q;fluid&q;]}},&q;params&q;:{&q;author&q;:&q;robertglattermd&q;,&q;bbgterm&q;:false,&q;channel&q;:[&q;business&q;],&q;displaychannel&q;:&q;business&q;,&q;displaysection&q;:&q;pharma&q;,&q;fl&q;:null,&q;fvid&q;:&q;&q;,&q;ht&q;:&q;PublicHealth&q;,&q;id&q;:&q;blogAndPostId/blog/post/2002-10197&q;,&q;img&q;:null,&q;login&q;:false,&q;section&q;:[&q;business:pharma&a;healthcare&q;],&q;specialslot&q;:&q;&q;,&q;templatetype&q;:&q;standard&q;,&q;type&q;:&q;contributor&q;}},&q;hasLoginCookies&q;:false,&q;REQUEST_HEADERS&q;:{&q;user-agent&q;:&q;python-requests/2.10.0&q;}}</script></body></html>