The "hospital superbug": social representations of MRSA.
The so-called 'hospital superbug' methcillin-resistant Staphylococcus aureus (MRSA) became a topic of media and political concern in Britain from the middle of the 1990s. It was increasingly politicised in the period leading up to the British General Election of 2005. This study examines the meanings of MRSA that circulate in Britain by analysing newspaper coverage of the disease over the 10-year period 1995-2005. It utilises social representations theory and contextualises MRSA within existing research on representations of emerging infectious diseases (EIDs). A key pattern in the representation of EIDs is to externalise the threat they pose by linking the origin, risk and blame to 'the other' of those who represent them. It is in this light that this study investigates who and what MRSA is associated with and the impact that these associations have on levels of alarm and blame. Key findings are that MRSA is represented as a potentially lethal 'superbug', marking the end of a 'golden age of medicine' in which the story of the discovery of antibiotics has played such a key role. Furthermore, MRSA is constructed around an "it could be you/me" set of assumptions by way of the plethora of human interest stories that dominate the coverage. Finally, the blame for MRSA focuses not on its genesis, but rather on why it spreads. This is attributed to poor hygiene in hospitals, which is ultimately caused by mismanagement of the National Health Service and erosion of the authority and morality symbolised by the 'matron' role. This constellation of meanings informs a somewhat different pattern of response to MRSA when compared to many past EIDs.
Washer
Peter
P
Academic Centre for Medical Education, University College London, Archway Campus Highgate Hill, London N19 3LW, UK. peter.washer@ucl.ac.uk
Joffe
Helene
H
D015706:Bibliometrics; D021821:Communicable Diseases, Emerging / Q000382:microbiology* / Q000517:prevention & control; D003428:Cross Infection / Q000382:microbiology* / Q000517:prevention & control; D006779:Hospitals, Public / Q000592:standards*; D006801:Humans; D017053:Infection Control / Q000592:standards; D018156:Journalism, Medical; D008402:Mass Media; D016106:Methicillin Resistance; D009524:Newspapers as Topic; D012938:Social Perception; D013211:Staphylococcus aureus / Q000187:drug effects*; D013222:State Medicine; D006113:United Kingdom