Upper
School Becomes Hot Zone of Thinking About Infectious Diseases
by Paulette Bello, Upper School Science
Department Chair &
Anne Howson, Upper School Librarian
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Communications Center
The
phrase “too hot to handle” took on new and somber meanings
in the Upper School in November as the entire Upper School read
and discussed the best-selling book The Hot Zone by Richard
Preston. At the same time, students learned about the interrelatedness
of the global community, and that what happens in a remote cave
in the rainforests of Africa can have horrific significance in their
own lives.
The
Hot Zone, a non-fiction account written with the pacing
and suspense of a good science fiction thriller, focuses on the
Ebola virus and the near outbreak that occurred in Reston, VA, during
the late 80s. The book was selected because of its potential to
open discussion among students and faculty as to the nature of disease
and how a highly infectious virus, predominantly found in central
Africa, can possibly end up at our doorstep in the United States.
Disease
Was Rampant Throughout the Upper School
Ninth grade biology teacher Reggie Titmas introduced
the book and set the stage for the reading. During assembly in the
following weeks, members of the science department delivered weekly
PowerPoint presentations and video clips that centered around other
contagious diseases that can impact our lives. Biology teacher Paulette
Bello spoke on tuberculosis and the epidemic surrounding
drug-resistant strains. Physics instructor Dr. Rodney Sullivan
addressed the possibility of an avian flu epidemic, and chemistry
teacher Dr. Marsha Winston explored
the impact of West Nile Virus on populations across the United States.
Within
the classroom, each department chose to address concepts in the
book from a variety of perspectives. Gayle Key,
chair of the math department, taught her students about exponential
growth and how this relates to bacterial growth. Spanish teachers
Jeanne Kotrady and Julie Bullinger
showed some of their classes a video about the ways in which populations
in Peru are dealing with water-borne diseases, such as cholera,
and developing methods to reduce their prevalence. Honors Biology
students in Ms. Bello’s classes performed a tasty simulation
using candy, in which student groups each followed a different “antibiotic”
regimen to illustrate the importance of finishing all prescribed
medication in order to hinder resistant strains from multiplying
and evolving.
E. coli in the Classroom

Paulette Bello displays a Petri dish in which her
students cultured
fluorescent E. coli bacteria.
In
Ms. Bello’s AP and IB biology classes students transformed
E. coli bacteria so that they contained a jellyfish gene that would
allow the strains to fluoresce under UV light. Using a kit from
a biotech supplier, the students mixed E. coli and a plasmid that
has been engineered to contain a fluorescent gene found in jellyfish.
(A plasmid is an additional, circular piece of genetic material
found in bacteria and is often used in genetic engineering to clone
genes of interest, e.g., the insulin gene.)
After
mixing the E. coli and the plasmid in a vial, the students heat
shocked it. Then they cultured the E. coli on a Petri dish containing
a nutrient agar that will allow the E.coli bacteria to grow only
if it picks up the plasmid and has been transformed with the fluorescent
gene. The students viewed the Petri dish under a UV light to make
their observations. The technique was one of many used by scientists
in The Hot Zone to identify specific viruses and other agents.
Rationing
a Scarce Vaccine
One of the highlight activities conducted during the Upper School
advisee period was an exercise to determine which of ten individuals
should receive a scarce vaccine. The population they discussed ranged
from a pregnant,16-year-old, low-IQ high school dropout to a 75-year-old
clergyman and a 25-year-old, wheelchair-bound disabled person. Students
and their advisors role-played the ten different individuals, vocalizing
why they should receive the vaccine, then voted on which three should
receive a limited vaccine if an epidemic were to strike the United
States. When the votes were tallied, it was decided that the female
physician, the high school teacher, and the pregnant 16-year high
school dropout should receive the vaccine. Valuable skills, wisdom,
and reproductive age and capacity were significant factors that
led the students to choose these individuals.
Gumshoes
and Epidemiology

South Carolina infectious disease specialist Dr. John Weems gave
a
presentation during a special Upper School assembly on December
7.
Noting
that the logo of the Epidemic Intelligence Service, a division of
the Centers for Disease Control (CDC) in Atlanta, includes a gumshoe
imprinted on a globe, infectious disease specialist Dr. John Weems
explained in a special presentation to students that good epidemiology
involves “shoe leather and long division,” a reference
to the field work and statistical analyses that are essential to
tracing the sources and predicting the likely spread of disease
outbreaks. The presentation by Dr. Weems, who works for the Greenville
Hospital System, focused on the job of an epidemiologist and the
various disease concerns in Greenville County and the state of South
Carolina. His talk and the question-and-answer session that followed
helped to illustrate the main point of The Hot Zone: that we are
not beyond the reach of even the most exotic of diseases and that
we are all vulnerable to infection. We need to be aware of our risks
and understand the ways we can work toward prevention of infectious
diseases. Upper School librarian Anne Howson arranged the visit
by Dr. Weems.

Faculty members instrumental in arranging Hot Zone activities in
the
Upper School pose with Dr. Weems. From left to right, Paulette
Bello,
Anne Howson, Dr. Weems, and Melanie
Carmichael.
Outbreak
Hot Zone activities concluded on Monday, December 11, when
75 students attended a screening of the movie, Outbreak,
in the Upper School commons. Interestingly, there had been plans
to make a film based on Preston’s book, but they never came
to fruition. Instead, Outbreak was released in 1995. The
movie is a fictionalized account of an outbreak of a hemorrhagic
virus that proves to be even more deadly than Ebola. There are parallels
between the events in Outbreak and The Hot Zone,
one fictionalized and the other all too real. Both the movie and
the book paint a frightening picture of the destructiveness of deadly
viruses. The Ebola outbreak described in The Hot Zone really
happened, proving that reality can be just as frightening as fiction.
“Our
reading was nothing if not timely!” noted Mrs. Howson. In
a story carried by the major news services on December 11, an outbreak
of Ebola among gorillas in West Africa has been documented. More
than 5,000 gorillas have already died of the disease, and there
are indications that people who hunt the infected apes are also
contracting the virus. The World Health Organization reports that
between its discovery in 1976 and 2004, Ebola hemorrhagic fever
has killed 1,200 people.
Student
Reactions
Mrs. Howson discussed students reactions to the Hot Zone
and the various presentations made during the month. She summarized
their thinking in this manner: "We realize that Ebola probably
isn't going to happen to us. We are more worried about diseases
such as bird flu. And after listening to Dr. Weems, we need to be
a lot more concerned about antibiotic-resistant staph, which really
IS common in our community. It seems that it's the less dramatic
diseases that are the bigger threat to us."
According
to CCES seniors Neal Moseley and Will Guzick,
reading The Hot Zone definitely changed the way they think
about infectious diseases. Neal remarked, “It made me feel
sorry for people in other parts of the world who are affected by
diseases, but I feel safe in this country. It hasn’t made
me wash my hands anymore. I don’t worry about these terrible
diseases because there’s never been a case of Ebola in the
general population of our country. Maybe I’d feel differently
if I lived in Zimbabwe.” Will added, “Reading Preston’s
book definitely has changed my view of Ebola and related viruses.
In The Hot Zone, Preston effectively demonstrates how devastating
the release of a deadly virus could be.”
Next
Year’s Global Science Assignment
Plans are already underway to bring internationally acclaimed author
Alanna Mitchell to the Upper School. She is the author of Dancing
at the Dead Sea: Tracking the World’s Environmental Hotspots,
which will become required reading for all students and faculty
in the Upper School during the 2007-08 school year.
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