Infectious disease (athletes)
Those involved in the care of athletes should be alert to the possibility of infectious disease for the following reasons:
There is the chance, or even the expectation, of contact or collision with another player, or the playing surface, which may be a mat or artificial turf.
The opportunities for skin breaks, obvious or subtle, are present and compromise skin defenses.
Young people congregate in dormitories, locker rooms, showers, etc.
There is the possibility of sharing personal toilet articles.
Equipment, gloves and pads and protective gear, is difficult to sanitize and can become contaminated.
However, in many cases, the chance of infection can be reduced by relatively simple measures.
Herpes gladiatorum
Wrestlers use mats which are abrasive and the potential for a true contagion (Latin contagion-, contagio, from contingere to have contact with) is very real. The herpes simplex virus, type I, is very infectious and large outbreaks have been documented. A major epidemic threatened the 2007 Minnesota high school wrestling season, but was largely contained by instituting an eight-day isolation period during which time competition was suspended. Practices, such as 'weight cutting', which can at least theoretically reduce immunity, might potentiate the risk. In non-epidemic circumstances, herpes gladiatorum affects about 3% of high school wrestlers and 8% of collegiate wrestlers. There is the potential for prevention of infection, or at least containment, with antiviral agents which are effective in reducing the spread to other athletes when given to those who are herpes positive, or who have recurrent herpes gladiatorum.