---
title: "Apathy: A Tale of Two Cows"
description: "Apathy: A Tale of Two Cows"
---

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## Apathy: A Tale of Two Cows

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568aca5fd63b5f29287799/1498845565747//img.jpg.com/static/595689fc9de4bbc892200518/t/59568aca5fd63b5f29287799/1498843850784/1000w/> My intent for this week's blog was to continue along the  
 vein of apathy in our healthcare system when it comes to cleaning and  
 disinfection, the use and choice of products and instilling compliance  
 regarding their use to ensure positive patient outcomes.  Nothing spells apathy to me then hearing  
 someone say "*I don't care what disinfectant we use, you're the one who  
 pays for it*".... it was then that the narrative for the blog started  
 forming.

And then I came across [The Center for Disease Dynamics,Economics and Policy's](http://www.cddep.org/) blog titled "[*A tale of two cows: Why we have a cowmap and not a healthcare acquired infection map*](http://www.cddep.org/blog/posts/tale_two_cows_why_we_have_cow_map_and_not_healthcare_acquired_infection_map)".  Now that I have sufficiently recovered my  
 composure after reading the blog, I knew I had to share.  My discussion on apathy as it relates to  
 cleaning and disinfection will have to wait until next week!

Drs. Saman and Kavanagh eloquently weave a satirical tale  
 using the agriculture industry's **ABILITY** to account for EVERY cow in EVERY  
 county in the US comparing it to the healthcare industry's **INABILITY** to agree  
 on how to define or how to account for every HAI that occurs within their  
 facilities.  The following is an excerpt  
 that I hope will entice you to read the full blog:

"*First there was intense disagreement on what a cow  
 is.  Not everyone used the same  
 definition.  Some farmers defined cows as  
 black-haired mammals with at least four white spots, while others defined them  
 as four-legged mammals with three black spots. Confusion certainly  
 prevailed.  Some farmers asked whether  
 cows in ponds are counted the same as cows eating grass.   It was then decided to only count cows  
 standing in streams.  Called Cow Stream  
 Infestations (CSIs) or cowteremia, this classification provided data that some  
 praised and all could agree upon.  But the  
 CSIs occurred so infrequently that meaningful comparison between farms could  
 not be made*."

Perhaps I found the comparison so vastly amusing because  
 I grew up on a beef farm and knew how many cows we had, what breed (or  
 crossbreed) they were, and what calf belonged to what cow going back three  
 generations... 

Drs. Saman and Kavanagh summarized by stating "*We  
 believe our vision of cow counting utopia, applied to HAIs, can contribute to  
 reducing unnecessary and mostly preventable infections and deaths.   This satire is not about public reporting,  
 for that introduces another plethora of excuses of why it cannot be done.  The satire is about having the data for  
 action, for community and federal response to a large and dangerous epidemic in  
 our nation.*"

If we are to stop the spread of HAIs we need to work  
 together to agree to black and white definitions.  The definition should not be defined in such  
 a manner as to shed a "better" light on our facilities.  The definitions should be set to allow for  
 clear classification, clear identification and clear means to create an action  
 plan on how to improve.   Are we being  
 apathetic towards the true concern of HAIs due to our inability to create clear  
 definitions that everyone agrees to use?   
 What do you think?

*Bugging Off!*

Nicole

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