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She blinked for a second as if her mind was racing with a million different thoughts, then glanced sideways as she realized he was touching her hair. “Why not?” she replied simply.
There was something about the expression on her face that made him suck in his breath. She appeared calm and methodical. He was seeing Amber Berkeley at her best.
He was so used to being in charge. But here? Here, he was just Jack Campbell. This wasn’t a trauma situation. Here, he had to let the person with the most experience lead the case. And that was hard for him. “What can I do?”
He had to ask. He wanted to help. He’d help any colleague who needed it—whether it was his specialty area or not. The army had made him adaptable in more ways than one.
She fixed him with her steady blue eyes and gave him clear instructions. “I need to get histories. I need to find out where these boys have been in the last few days in detail. I need to know every contact. I need names, addresses, dates of birth—contact details if they have them.”
Jack licked his lips and asked the first question that had danced into his brain. “And if they are too sick to tell us?”
She grimaced. “Then we ask their family. Their friends. Whoever admitted them. This is a potentially deadly strain. We can’t wait. There isn’t time.” She shook her head. “I don’t even want to think about what doing this in the middle of a hurricane means.”
He gave a swift nod and reached over to give her arm a squeeze. “I can do detailed histories. I haven’t done any for a while, but I still remember how. Let’s split it. You take one, I’ll take the other and then we can check if there’s any crossover.”
She looked down at his hand on her arm and gave a weary kind of smile. “Thank you for this, Jack. You didn’t have to offer, but I’m glad you did. Usually I’m part of a team. So outside help is appreciated.”
“You okay?”
She nodded. “The meningitis stuff? I can do it in my sleep. The hurricane stuff?” She shook her head. “I don’t have a single clue. I feel completely thrown in at the deep end.”
She gave a smile as the elevator doors slid open again. “Remember your first shift as a resident when it seemed like everyone on the ward was going to die simultaneously?”
He let out a wry laugh. Everyone felt like that their first day on the ward. “Oh, yeah.”
“It feels a bit like that all over again.”
He gave her a smile. “Well, think of me as your backup plan. You lead, I follow. Brief me. What do I need to know?”
She glanced over the notes she had. “Okay, these two kids were both part of a surf club. Zane became sick first, exhibiting some of the normal meningitis signs—high temperature, fever, signs of an early chest infection and, a few hours later, some confusion.”
“So, there are at least a few hours between the disease progression in these kids?”
She gave a slow nod. “They were worried they might have to sedate Zane, but the lumbar-puncture procedure went smoothly and they started him on IV antibiotics straightaway.”
“And the second kid?”
“Aaron came in a few hours after Zane with symptoms of shock. One of the other young guys had gone to see why he hadn’t joined them and called 911 when he found him still in bed. The ER physician connected the cases pretty quickly. Neither of them had been vaccinated against Men W, and both had been bunking down at one of the local student residences.”
Jack let out a slow breath. “Darn it. Close contacts?”
She nodded. “Close contacts. We need names and to find the rest of the kids who were in that residence.”
“What else should I be looking for with close contacts?” He realized he was firing questions at her but he couldn’t help it. He wanted to make sure he covered everything.
“The rules are generally people who’ve slept under the same roof, nursery or childcare contacts, and anyone they’ve shared saliva or food with. Dependent on age, they all need a two-day course of rifampicin.”
Jack pulled a face. “Shared saliva with? You mean anyone they’ve kissed? For two teenage boys at a surf school we might have our work cut out. How far back do we need to go?”
“Seven days from first symptoms.”
“Let’s hope the surf school kept good records, then, and let’s hope the boys know who they kissed.”
The lights around them flickered and they both froze. “Please don’t let us lose power,” said Amber quietly. “This could be a disaster.”
Jack sucked in a breath. He could tell the thought of the hurricane was making her nervous. Truth was, it made him slightly nervous too. But he had to believe that the authorities would have plans in place to take care of things. They couldn’t control the weather. They also couldn’t control time, and it was rapidly slipping away from them. “We have two cases. We can contact trace for these two cases and try and get antibiotics to anyone we think could be affected. Hopefully any younger kids will already be immunized.”
Amber pulled a face. “Usually we would spend a few hours discussing this with the local outbreak center and the DPA. The impending hurricane doesn’t help. What if we can’t get to the people that need antibiotics? We can’t ask people to leave their homes as a hurricane is about to hit. And who knows how long it will last?” She shook her head.
“It’s a disaster,” he said simply.
“Just pray it isn’t an epidemic,” she said swiftly. “Then it really would be a disaster.”
*
By the time they reached the infectious disease unit again it was in chaos. Bed mattresses had been piled against the windows. The curtains around the beds had been taken down and also stretched across the windows with large Xs taped on the glass. A few of the patients who’d been there earlier had been moved out, but Zane and Aaron were still attached to all their monitors.
There was only one adult walking between both beds. Amber and Jack walked over to meet him. “I’m Amber Berkeley with the Disease Prevention Agency. Are you Zane or Aaron’s parent?”
He shook his head. “Ty Manners from the surf school. They’ve both been with me for the last ten days. I can’t believe they’re both sick.”
He glanced toward the covered windows and put his hands on his hips. It was clear he was stressed. “Everything has just happened at once. I should be down at the surf school making it ready—and sorting out the other kids.”
Jack saw Amber word her question carefully. “Ty, I’m sure you’re worried about all the kids in your care, and the surf school. Do you have any records? Do all the kids that go to the surf school stay in the same place? We really need to trace all the contacts that Zane and Aaron have had for the last seven days. It’s really important we find out if other people have been immunized, and that we get some antibiotics to them if appropriate.”
“It’s definitely meningitis??
??
Amber nodded. “It is. Both of their lumbar punctures were positive. And it’s important that we treat things as quickly as possible. We don’t want anyone else to get sick.”
One of the nurses came and stood at Amber’s shoulder with a clipboard in hand. “I’ve contacted both sets of parents. Zane’s mother stays on Oahu. There’s no way she can get here with the imminent hurricane weather but we’re keeping her as up to date as we can. Aaron’s mother and father live just outside Hilo. That’s a two-hour drive to Kailua Kona. State police have told them not to leave their home but I have a horrible feeling they won’t listen.”
Amber walked over to the window and peeled back a tiny corner of the curtain. “Oh, my,” she breathed as she looked outside.
The wind had picked up even more. Enormously tall palm trees were bending in the wind like drinking straws. Public trash cans were rolling down the street like empty soda cans. She watched as an awning at the café opposite was torn away before her eyes by the force of the wind and the red and white material disappeared like a kite being ripped from its string.
It made her heart beat a little faster. She turned to face the nurse. “How soon is the hurricane due to hit?”
The nurse glanced at her watch, then over to a TV screen they had in the corner of the unit. “In about an hour or two. It won’t just be the winds. It will be the rain too. It’s already started but this is nothing. Once it really hits we usually have floods. No one should be out there.”
This was nothing? The rain she’d witnessed as they’d left the hotel had been bad enough. Even with the wipers at maximum their driver had barely been able to see out of the windscreen.
Amber spoke slowly. “But tell that to a parent that thinks their child is at risk.” She closed her eyes for a second. “I wish I’d got a chance to speak to them. Maybe I could have played things down. Given them enough reassurance to wait.”
