As many as 9,000 patients a year die from Hospital Acquired Infections (HAI) in California. This is a huge number but other causes of death are being cited on statistics and death certificate. If there are underlying reasons for the initial hospital visit these are often cited as the cause of death. This means the scale of HAI is not being recognised fully with potentially thousands of cases going unreported. Recognising the scale of an issue is vital to allow the correct resources to be allocated to tackle the issues. It is good to see the LA Times targeting this area,