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Ebola epidemic

Sometimes I think that unless the issue can be treated right there in the ER, the patient is send home.
I recall some years ago a teacher's assistant brought her young child to my clinic at 7AM or so (yeah, I got there early most of the time). She did not want to take off work unless she had to, she had used up all her sick leave so if she didn't work, she didn't get paid, and those assistants make very little money. The child presented with the classic symptoms of appendicitis, so I told her it was urgent that she take her child to the emergency room immediately, and she went.
Her child was seen, and they were sent home. That day in the late afternoon, according to what she was told on her second, now extremely urgent visit, the appendix ruptured.

Fortunately the child lived. But here, with an infectious disease such as Ebola, the urgency for a correct, early diagnosis is multiplied, it is not only the ill person at risk, but potentially many, many more.

Yeah, think this one through. Now, anyone in the area where this guy with Ebola was located who develops flu like symptoms can expect that if they go to any medical facility there is an excellent chance that they are going to want to isolate and observe him or her for 21 days in case it IS Ebola. Many people knowing this are quite likely going to try to convince themselves that it's "only the flu" and try to tough it out rather than losing work (and pay) and their freedom of mobility for three weeks. Many people are not going to want to be sequestered away and many are not going to be able to afford (not just for monetary reasons) to be locked up away from home.

People are not programmable and controllable robots and there is going to be an awful lot of unpredictability in just how people are going to react to Ebola being in their own home town.
 
Now, anyone in the area where this guy with Ebola was located who develops flu like symptoms can expect that if they go to any medical facility there is an excellent chance that they are going to want to isolate and observe him or her for 21 days in case it IS Ebola.

They might. But remember, this is Texas, and those who live in Texas have Rick (Let's not actually spend any money on public healthcare) Perry as our governor. Unless federal money is involved, exactly who is going to pay for all that monitoring?


Apparently the infected person in Texas was in contact with several school age children.

Here in Texas, schools receive funding from the state based on daily attendance. All kinds of incentives are used to get the kids in the school so that that school receives maximum funding- drawing for bicycles and other nice items based on attendance, perfect attendance parties, films, pop corn, ice-cream.
Teachers would often not send sick kids to the clinic before 10 (that was the magic hour, if the student was there at 10AM, they were counted there for the day). The kids themselves would often not say anything no matter how sick they were prior to 10AM because they wanted the incentive gifts and parties. Some of the parties were organized by classroom, so you can imagine the peer pressure exerted by the kids on each other to not be absent or go home early.

I would not underestimate educational politics and funding weakening the fabric of any quarantine efforts especially in urban areas where students are frequently bussed out of their area rather than attending the local school they are zoned to.
There would be all kinds of wrangling as to who would bear the burden of paying the various schools for their attendance losses due to quarantine. If you question how local politicians could possibly wrangle about money when there were dead people in the street with blood coming out of their orifices, I suggest listening to them closely some time and getting that 'me and mine first' flavor.

While I totally agree with the concept of preparation, stocking food and so on, I also believe that money and politics may defeat the concept of quarantine.
I'm not even going to get started on favoritism for the rich and powerful, but I can't imagine those sorts of people being unable to come and go, quarantine or not.
 
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I wonder if any lawsuits will propagate if others wind up coming down with Ebola from the guy getting turned away from that emergency room? Seems kind of silly, but certainly wouldn't be the silliest lawsuits to ever take place in this country.

Anyway, I know if I lived in the area and started developing flu-like symptoms, I'd have to seriously think it over about going to the doctor and risk betting hawg-tied for 21 days. Of course, what if it IS really Ebola?
 

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Dallas parents pull kids from school

http://www.star-telegram.com/2014/10/01/6165611/officials-say-only-one-ebola-case.html

DALLAS
— Parents rushed to get their children from school Wednesday after learning that five students may have had contact with the Ebola patient in a Dallas hospital, as Gov. Rick Perry and other leaders reassured the public that there is no cause for alarm.

The patient, identified by The Associated Press as Thomas Eric Duncan of Liberia, arrived in the U.S. on Sept. 20 to visit family. Dallas County Health and Human Services Director Zachary Thompson said county officials suspect that 12 to 18 people may have had contact with Duncan.

“Right now, the base number is 18 people, and that could increase,” he said. Thompson said more details are expected by Thursday afternoon. The number includes five students at four schools, Dallas school district Superintendent Mike Miles said.

“This case is serious,” Perry said during a news conference at Texas Health Presbyterian Hospital Dallas, where Duncan is being treated. “Rest assured that our system is working as it should. Professionals on every level on the chain of command know what to do to minimize this potential risk to the people of Texas and of this country.”

Miles said Dallas school officials learned Wednesday morning that five students at four schools — Tasby Middle, L.L. Hotchkiss Elementary, Dan D. Rogers Elementary and Conrad High — had come in contact with Duncan. Lowe Elementary is also being watched because it connects to Tasby.

“Since none of the students had symptoms, I’m pretty confident that none of the kids were exposed,” Miles said.

At L.L. Hotchkiss, parents pulled their children out of school early.

“I’m scared,” said parent Kia Collins, who has four children at the school ages 5 to 11. “I may keep them home all week.”

District officials said they plan to have counselors and translators reach out to parents: 32 languages are spoken just at Conrad High.

“That’s one of the reasons we’re here is we don’t want misinformation getting out there,” Miles said. “We found out this morning, and then we had a press conference.”

He urged parents to keep their children in school, but some were wary. Marcie Pardo said she picked up her 8-year-old daughter, Soriah, within minutes of being notified by school officials.

“To find out this is a school where it is happening, what are the odds?” Pardo said. “I’m sure there could have been some kind of contact somewhere.”

A letter to parents of children at Hotchkiss, 6929 Town North Drive, said the school was notified Wednesday that “one of our students may have had contact with an individual who was recently diagnosed with the Ebola virus.”

The letter goes on to say that the student has no symptoms, has been told to stay home and is under observation by the Dallas County Health and Human Services Department.
 
From that article:

Just great. Go to the hospital because you feel bad, the health care workers do get told that you've recently arrived from a viral hot zone, and you get sent home with an antibiotic.

The video at this link discusses the failure of the first visit.
The infected person told them right away that he just came from Liberia.

http://www.cnn.com/2014/10/02/health/ebola-us/index.html

Also, now we are up to a 100 people who had contact with this guy. Including five students at four different schools.

Dallas (CNN) -- Health officials are reaching out to as many as 100 people who may have had contact with the first Ebola patient diagnosed in the U.S., a spokeswoman with the Texas Department of State Health Services said Thursday.

These are people who are still being questioned because they may have crossed paths with the patient either at the hospital, at his apartment complex or in the community.

"Out of an abundance of caution, we're starting with this very wide net, including people who have had even brief encounters with the patient or the patient's home," spokeswoman Carrie Williams said. "The number will drop as we focus in on those whose contact may represent a potential risk of infection."

The number of direct contacts who have been identified and are being monitored right now is "more than 12," a federal official told CNN on Thursday.
 
Old news story but
https://www.lifesitenews.com/news/f...ay-ecologist-who-said-ebola-the-solution-to-h
All of which is why the FBI is interested in talking to Texas ecologist and herpetologist, Dr. Eric R. Pianka, who suggested at a meeting of the Texas Academy of Sciences that an airborne version of Ebola that would wipe out 90% of the human population was the solution to the human “overpopulation problem.”

Interesting full read at the link.

I'm wondering what really is the percentage of those that have Ebola will perish.

Before and at the beginning of this outbreak the figure thrown around was 90% would die. Those that survived would then be immune.

Seems like the actual numbers is closer to 50%. So far those treated in the US (The two Doctors) with the experimental vaccine has been 100% survival.

Granted that's only two people. So I'm wondering who would get this vaccine if we see a rapid outbreak here? Why isn't that vaccine being mass produced and sent to Africa now?
 
So I'm wondering who would get this vaccine if we see a rapid outbreak here? Why isn't that vaccine being mass produced and sent to Africa now?

the vaccinations would probably start with the rich, then trickle down to the poor... as usual.

If you are referring to the vaccine z-mapp, they grow it in tobacco plants, extract it, then refine it; a very time consuming process. the manufacturer stated "tobacco plants only grow so fast."

The Texas Hospital's response is alarming, to say the least.
 
I would imagine pharmaceutical companies are scrambling for research, patents, rights, etc. for any upcoming vaccine. If you're willing to gamble, there will be serious stock payouts to be had for those who have correctly guessed the winner.

Noelle
 
“If they’re not lying, they are grossly incompetent,” said Mobley, a microbiologist and emergency trauma physician from Springfield, Mo.

Doctor dons Ebola protection suit to protest ‘asleep at the wheel’ CDC

http://www.ajc.com/news/news/doctor-boards-flight-in-ebola-protection-suit-to-p/nhZk8/
Two days after a man in Texas was diagnosed with Ebola, a Missouri doctor Thursday morning showed up at Atlanta’s Hartsfield-Jackson International Airport dressed in protective gear to protest what he called mismanagement of the crisis by the federal Centers for Disease Control and Prevention.

Dr. Gil Mobley checked in and cleared airport security wearing a mask, goggles, gloves, boots and a hooded white jumpsuit emblazoned on the back with the words, “CDC is lying!”

“If they’re not lying, they are grossly incompetent,” said Mobley, a microbiologist and emergency trauma physician from Springfield, Mo.

Mobley said the CDC is “sugar-coating” the risk of the virus spreading in the United States.

Efforts to reach a CDC spokesperson for comments on Mobley’s criticism have been unsuccessful.

Watch the CDC discuss the Ebola case here.

“For them to say last week that the likelihood of importing an Ebola case was extremely small was a real bad call,” he said.

“Once this disease consumes every third world country, as surely it will, because they lack the same basic infrastructure as Sierra Leone and Liberia, at that point, we will be importing clusters of Ebola on a daily basis,” Mobley predicted. “That will overwhelm any advanced country’s ability to contain the clusters in isolation and quarantine. That spells bad news.”

Mobley, a Medical College of Georgia graduate who had an overnight layover after flying to Atlanta from Guatemala on Wednesday, said that he feels that the CDC is “asleep at the wheel” when it comes to screening passengers arriving in the United States from other countries.

“Yesterday, I came through international customs at the Atlanta airport,” the doctor told The Atlanta Journal-Constitution. “The only question they asked arriving passengers is if they had tobacco or alcohol.”

Mobley is director of a free-standing emergency clinic in Springfield that specializes in workplace injuries. He has been an advocate of medical marijuana use, and formerly operated a clinic in Seattle that specialized in medical cannabis authorizations.

The doctor also does volunteer work at a hospital he helped rebuild in Guatemala and operates a charity, “The Largest Project,” which works to provide safe drinking water to a Mayan village in Guatemala.

In an article on Mobley’s work in Guatemala in 417 Magazine, the Springfield publication referred to the doctor as being “mostly known for his ‘Medical Minute’ spots on local radio, which earned him a reputation as a publicity hound.”

Efforts to reach a CDC spokesperson for comments on Mobley’s criticism have been unsuccessful.

The CDC on Wednesday sent a team to the airport in Monrovia, Liberia, where the Texas patient began his recent trip to the United States, to make sure health officials there are screening passengers properly.

“There were no signs of any disease when the gentleman boarded the flight,” said Dr. Tom Kenyon, director of the CDC’s Center for Global Health. “This was not a failure of the screening process at the airport.”

Also Wednesday, customs workers at Hartsfield started handing out Ebola information leaflets to passengers holding passports from West African countries such as Guinea, Liberia and Sierra Leone. Information on Ebola is also displayed on posters and TV monitors in the customs area.

The Associated Press contributed to this article.
 
Somebody just send them a dictionary with the page with the word "quarantine" earmarked and the definition highlighted. Sheesh...... :shrug01:

One person comes into Dallas carrying Ebola and they have 100 possible infections to monitor. Suppose that had been 50 people?

Not that I think even that would be a wake-up call for them...

http://www.breitbart.com/Breitbart-...cted-After-Working-in-Ebola-Exposed-Ambulance

That's it. We're Doomed.
I don't even know what else to say.
If this is the way things are handled, we are utterly f-ed.
You would think the ambulance and the workers would be the first to be quarantined.
Absolute incompetence.
 
Regardless of the crap CDC is trying to feed us about this to keep things calm, the USA is completely unprepared for something of this nature. Health services will be completely overwhelmed in pretty short order if this starts to get out of hand.

Can you imagine how they are going to handle multiple patients likely only having the flu, but are within an area with a known Ebola infected person? They are going to HAVE to institute quarantine procedures for each and every one of them. They can't afford not to. But will they? CAN they?

Not only that, how many people who come down with "flu-like" symptoms believing that all it is is a cold of flu, but realizing that this will get them hawg tied for 21 days will just avoid going to the doctor's. Many people cannot afford to take off from work for that length of time. But suppose some of them HAVE contracted Ebola without realizing it?

By the time anyone with half a brain realizes the potential seriousness of this (like perhaps Obama taking the drastic measure of cancelling one of his golf games or free vacations to address it) it's going to be far too late to do much about it.
 
No words...

http://www.wnd.com/2014/10/dogs-eating-ebola-victims-spreading-epidemic/

Dogs eat Ebola victims

NEW YORK – A horrifying threat has surfaced in the fight West Africans are waging against the epidemic of Ebola – dogs digging up corpses of virus victims and feasting on the remains, then carrying the infection with them wherever they go next.

A recent report in the Mail Online in the U.K. said villagers in Liberia were complaining dogs were found digging up the corpses of Ebola victims buried in shallow graves and eating them in the street.

“Furious residents of Johnsonville Township, outside capital Monrovia, raised the alarm after packs of wild dogs were spotted digging up corpses from a specially designated ‘Ebola graveyard,’ dragging them into the open and feeding on their flesh,” the Mail Online noted.

“Now fears are mounting that the dogs – which cannot grow sick from the strain of Ebola running rampant through West Africa but can carry it – will be able to pass it on to humans through licking or biting.”

A YouTube video documented the problem with dogs eating corpses of buried Ebola-infected dead in Johnsonville Township.

In addition, a scientific study published in Emerging Infectious Diseases 2005 and posted on the CDC website demonstrated that dogs eating the corpses of Ebola-infected humans can become infected with Ebola, posing a risk of spreading the disease to humans as well as to other animals.

“During the 2001–2002 outbreak in Gabon, we observed that several dogs were highly exposed to Ebola virus by eating infected dead animals,” wrote lead author Lois Allela, a veterinary inspector with the Ministry of Environment of Gabon.

“Ebola hemorrhagic fever outbreaks occurred in villages where people keep domestic animals, including dogs,” the study continued.

“The dogs are not fed and have to scavenge for their food. They eat small dead animals found near the villages and also internal organs of wild animals hunted and slaughtered by villagers. Some dogs are also used for hunting in the dense forested area.”

The scientists compared a control group of 102 dogs living in France to 258 dogs sampled in the area of Gabon hit by the 2001-2001 outbreak.

“We found evidence that dogs can be infected by Ebola virus, a finding that raises important human health issues,” the researchers concluded.

Said the study:

Given the frequency of contact between humans and domestic dogs, canine Ebola infection must be considered as a potential risk factor for human infection and virus spread. Human infection could occur through licking, biting, or grooming. Asymptomatically infected dogs could be a potential source of human Ebola outbreaks and of virus spread during human outbreaks …

The scientists stressed these findings “strongly suggest that dogs should be taken into consideration during the management of human Ebola outbreaks.”

On Sept. 12, dog expert Stanley Coren, Ph.D., said in Psychology Today:

Although dogs are susceptible to Ebola, the CDC concluded that “infected dogs are asymptomatic,” meaning that they do not develop symptoms. During the early phase of their infection, however, they can spread the disease to humans and other animals through licking, biting, urine, and feces. However, the good news is that once the virus is cleared from the dog it is no longer contagious. Dogs do not die from Ebola infections.

Coren downplayed the risk here, noting at the time of publication, “The good news is that there is no known source of Ebola infection outside of the affected areas in Africa.”

He concluded, “In the developed world, most countries have more stringent rules concerning food production and sanitation, which means that, in the same way that humans are protected from this deadly disease, so are our dogs.”
 
However, the good news is that once the virus is cleared from the dog it is no longer contagious. Dogs do not die from Ebola infections.

So, how is the virus "cleared" from a dog?

And can we presume that rodents and anything else feasting on either a corpse or living person or animal that is infected carries the same risks? Has anyone thought about vultures becoming a reservoir for the virus? Evidently the virus CAN live in one or more creatures and not be "cleared" from it.

Anyone else thinking about the possibility of dogs lapping up the vomit from Thomas Eric Duncan (aka "Ebola Tom") outside his apartment?

This all is beginning to sound a lot like some sort of script for a horror movie being produced.
 
Gotta love Advil...

Prescription for avoiding Ebola airport screening: ibuprofen

NEW YORK (Reuters) - People who contract Ebola in West Africa can get through airport screenings and onto a plane with a lie and a lot of ibuprofen, according to healthcare experts who believe more must be done to identify infected travelers.

At the very least, they said, travelers arriving from Ebola-stricken countries should be screened for fever, which is currently done on departure from Liberia, Guinea and Sierra Leone. But such safeguards are not foolproof.

"The fever-screening instruments run low and aren't that accurate," said infection control specialist Sean Kaufman, president of Behavioral-Based Improvement Solutions, a biosafety company based in Atlanta.

"And people can take ibuprofen to reduce their fever enough to pass screening, and why wouldn't they? If it will get them on a plane so they can come to the United States and get effective treatment after they're exposed to Ebola, wouldn't you do that to save your life?"
 
I loled at the mention in the link above that air travelers in some of the countries mentioned are 'screened for fever' and not permitted to fly if they have one. All someone needs to do is take a Tylenol before going to the airport and an elevated temp will come down for a few hours, long enough to get on the plane.

I think people are going to do this as well as fill out any form put in front of them with information that allows them to board the plane, not necessarily a factual answer.
 
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