Ebola round 2

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Dan F

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golfhacker

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Tweets of the Day:

"Don't worry, Ebola is a total JV disease." - Iowahawk


"Govt last month: There is no risk Ebola will come to US.

Govt today: There is no risk this patient infected anyone." - John Nolte


"ISIS, Ebola: Govt keeps telling us it's all under control as it gets worse and worse.

Same with the economy." - John Nolte
 

heatherbeast

Jack Dempsey
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It's been expected that people who don't have symptoms yet (ie, no fever when leaving western Africa and no fever when arriving in the US) would show up, hence the notifications sent out to emergency departments in hospitals across the country -- guess when? MORE than a month ago. Sorry Nolte.

http://emergency.cdc.gov/han/han00364.asp
 

pacu mom

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Jun 8, 2006
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So they supposedly closed off borders in Liberia, and yet this guy was able to fly out of there and come to the US. Just like that man who left Liberia and infected and killed health care workers and others in Nigeria. I'm sick of all the "authorities" stating that we have nothing to worry about. I wouldn't put it past the authorities to feed the public lies just to avoid mass hysteria and panic. So much for notifications being sent out to ERs more than a month ago. This guy went in and they sent him home. A few days later he went back because he was much worse. What about all the hospital workers that were exposed the first time he went in? How do they know that a person is not contagious if they are asymptomatic? Presumably, all the physicians and nurses who have contracted ebola were using universal precautions, and yet they still became infected. Every one of them is totally clueless about how they became infected. Ebola is supposedly not an airborne virus, yet I'm reading about respirators instead of masks being considered for health care workers working with ebola patients. Ebola is transmitted through body fluids. Every time a person coughs, body fluids are being aerosolized. I am reassured by the authorities that doesn't count. If they really want to contain ebola in this country, every person "patient zero" has come in contact with should be quarantined, and every person they came in contact with should be monitored.
 

pacu mom

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Ha ha. They are quickly revamping the news reports. The news now states "The patient sought health care on Sept. 26 and was admitted on Sept. 28." They have edited out that the patient was sent home.
 

Warborg

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And now one of his buddies most likely has it too. He's undergoing tests. Seems this is going spread quickly. Love the fact that they brought it here to Austin to test it.
 

heatherbeast

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The widest and fastest spread of Ebola has been seen in three of the world's most impoverished countries which have very few doctors, and healthcare facilities that would be illegal to operate here in the US as veterinary practices. We are talking about a population in which superstition is still prevalent enough that people will frequently attempt to dismantle undetonated landmines, grenades, and bombs in an attempt to extract a fictitious compound (red mercury) to get rich quickly: http://www.newsdzezimbabwe.co.uk/2013/01/chitown-blast-beheaded-goblin-fought.html

The situation in Texas has been expected -- a person who is very recently infected, but without symptoms and thus unable to transmit it, passes the screening both in west Africa and when they arrive here in the United States. Doctors are in a very good position to help stop these cases from spreading within our borders. They see a person who is not feeling well, which is right when they start becoming infectious. They can notify the health department, when then does what is called contact tracing -- getting in touch with everyone who was near the person from the time they were first ill to when they were isolated. In the specific case of Texas, that means they were able to identify everyone, mostly family members, that had been in contact with the patient between September 24-28th. These people will be placed on a fever watch with twice-daily temperature taking. Once 21 days passes, they will given the all clear. This method has already worked in countries that are considered poor to middling when it comes to health, economic, and government resources. http://www.usatoday.com/story/news/nation/2014/09/30/ebola-over-in-nigeria/16473339/

Now, about the funeral homes being told to prepare for body disposal. This one is a little bit harder for most folks to hear and NOT think there is going to be wide-spread ebola in the continental United States. It makes sense to prepare EVERYONE in the undertaking business, though, because we ARE going to get imported cases. It is prudent to expect some of them to not survive, even if they are isolated early and do not infect anyone else. So, how to handle the corpses? It is important to remember that handling of corpses is the absolute #1 way to get Ebola. MOST funeral customs in the United States are very different than in the regions where this Ebola outbreak has occurred. However, there may be small communities that have traditional practices that may, without hearing the handling instructions early and often, repeat the same touching and washing customs that have caused Ebola to spread so widely in Liberia, Sierra Leone, and Guinea.

As for the stories changing, well... There are a lot of unknowns that get uncovered when these sort of investigations take place! That is the POINT of good science and public health. To take new information as it comes up, and to respond and adapt to the current reality, as opposed to ignoring it and burying our heads in the sand as happens in other cultures (see Japan re: ***ushima). I would be REALLY wary of someone who claims to have all the answers. If you would like to learn more about what contingency planning might look like for Ebola, you may want to look up 'emergency management planning' related to the 2003 SARS and the 2009 H1N1 outbreaks.
 
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