How does a pharmaceutical company create, release, sell, and ship out a steroid with meningitis inside, and not know? How do medical facilities accept and administer said steroid without knowing for sure what's inside?
That ball got dropped about four times. First, where ever that particular steroid was made. I don't know much about chemistry and making medicine, but I'd guess that at some point in the lab, while you're blending compounds or whatever you should be able to identify bacteria that looks deadly.

