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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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.