We are hearing numerous reports of people getting infected by the bacteria causing necrotising fasciitis (known as the flesh-eating disease) in the warm coastal waters of the US. Grateful if you could tell us what the DoE, DEH and government health officials are doing to regularly check the bacteria counts in our much-used coastal waters.


Ask Auntie, CNS Local Life, Caymanian status

Auntie’s answer: After checking with the Department of the Environment, the Department of Environmental Health, the Public Health Department and, for good measure, Water Authority-Cayman, I feel confident in reporting that this awful disease does not pose a threat to Cayman. In fact, there has never been a case reported locally of necrotising fasciitis.

Before I get into the specifics of why there is no real concern of the disease striking here, I want to acknowledge the help of all of the above entities. Each one not only responded with very useful information but did so promptly. In addition, and more importantly I think, the departments contacted each other to ensure they were offering a comprehensive answer. Everyone was helpful and willing to help, so I wanted to note their efforts publicly. (I know some people will say that’s their job, but in this case, with all the emails back and forth between everyone and the speed of corresponding, I believe they went beyond what would be expected.)

Now for the details, which I have collated from the various sources. While DEH, DoE and the Water Authority conduct tests for various bacteria in recreational and drinking water, they do not check for the type that could cause necrotising fasciitis. In addition to the disease being rare, Cayman’s marine environment is not “friendly” to the bacteria that causes it.

“The apparently growing issue with necrotising fasciitis along the Gulf Coast and other southern coastal states in the USA is likely linked to increased temperatures associated with climate change and the presence of contaminated coastal waters,” the DoE explained.

The DEH and DoE agree that after assessing the risk – or in this case, the lack thereof – they would not prioritise testing for the related bacteria, with the DoE saying, “These bacteria prefer brackish environments and are also associated with the rearing and production of seafood. Thankfully we do not have large, shallow estuarine areas and we are very fortunate to have limited land-based sources of pollution in comparison to many other countries in the region.”

As examples, Cayman does not have effluent streams from large fresh/brackish water aquaculture industries or polluted rivers emptying into coastal waters. We also do not have sewage outfalls or the direct discharge of treated sewage into our surrounding water.

Even so, the DoE stressed, “We will be keeping a watchful eye on this issue, together with our colleagues at the DEH and the Public Health Department.”  

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