Ebola round 2

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I have to say that initially I though the CDC was out of it's damn mind. However ebola arriving on US soil all by itself is a virtual guarantee. There is no way to keep it out in our current world. A person can be infected for days and be asymptomatic. There are no practical portable immunoglobulin based detection systems for ebola so an infected patient can get anywhere in the world and not get flagged.

The CDC had 2 choices: Placate the irrational fears of the uniformed or prepare for the coming **** storm. If you have live patients you can develop effective detection methods for ebola using their immune system, ones that might be practical to manufacture and send to ever airport on earth. They can also test treatments and determine survival rates in first world ideal conditions. Remember that in those countries people die of things that in the first world are little more than an inconvenience.

So on the surface yes bringing ebola infected patient here under strict BL4 quarantine can look like a huge risk. Looking deeper shows that it's the only decision that will save lives. As an additional benefit now local EMS system will not take "FLU like symptoms" lightly. Which is exactly what they did in the case mentioned above. I spent years in EMS, people get complacent unless something buts boot to ***.
 

From my experience, people do not have good practice doffing and donning PPE. We do annual safety courses for our BSL-3 labs, where people get suited up, and then dust their gloves in a powder that simulates contamination by viral or bacterial particles -- it is a fluorescent (definitely not airborne) dust. They then go through the procedure of taking their safety garb off, and then someone with a black light goes over their hands, necks, face, etc. -- every once in a while, someone's wrist, neck, or cheek will light up from when they were taking off their masks -- and these are people who have a LOT of practice. Someone who has never had any sort of training that provides feedback on their technique, especially someone in a hurry like nurses often are, is eventually going to make a mistake!




http://www.glogerm.com/bioterrorism.html
 
I don't think medical professionals get adequate infection control training. My observation is that many of them know diddly squat about cross contamination. In California, dental professionals must take an infection control course every two years for relicensure. Of course, working in saliva, blood and other nastiness with high speed cutting tools generating all kinds of aerosolized ugliness forces dental professionals to look at the dental environment and the health and safety of themselves and their patients.

Wearing PPE and then exposing oneself to pathogens by improper removal of PPE is crazy and self-defeating. People definitely need training in this area.
 
Sad but I hope the rest of the world is taking note. Sneaking into America doesn't mean you are saved.


You lie, you could die. He lied. His lying delayed treatment for another two days. Of course, if he had told the truth, he would not have been allowed on the plane, and he would have never made it to Dallas.
 
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