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Ebola...

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Over/under on how many more people need to get infected before the government starts to restrict the borders as well as travel to and from Africa?

http://www.cnn.com/2014/10/15/health/texas-ebola-outbreak/index.html?hpt=hp_t1


2nd health care worker tests positive for Ebola at Dallas hospital

(CNN) -- A second health care worker at Texas Health Presbyterian Hospital who cared for Thomas Eric Duncan has tested positive for Ebola, health officials said Wednesday -- casting further doubt on the hospital's ability to handle Ebola and protect employees.

The worker reported a fever Tuesday and was immediately isolated, health department spokeswoman Carrie Williams said.

The preliminary Ebola test was done late Tuesday at the state public health laboratory in Austin, and the results came back around midnight. A second test will be conducted by the Centers for Disease Control and Prevention in Atlanta.

"Health officials have interviewed the latest patient to quickly identify any contacts or potential exposures, and those people will be monitored," the health department said.

But the pool of contacts could be small, since Ebola can only be transmitted when an infected person shows symptoms. Less than a day passed between the onset of the worker's symptoms and isolation at the hospital.

Official: Duncan should have been moved

An official close to the situation says that in hindsight, Duncan should have been transferred immediately to either Emory University Hospital in Atlanta or Nebraska Medical Center in Omaha.

Those hospitals are among only four in the country that have biocontainment units and have been preparing for years to treat a highly infectious disease like Ebola.

"If we knew then what we know now about this hospital's ability to safely care for these patients, then we would have transferred him to Emory or Nebraska," the official told CNN Senior Medical Correspondent Elizabeth Cohen.

"I think there are hospitals that are more than ready, but I think there are some that are not."

The second time

The latest infection marks the second-ever transmission of Ebola in the United States. Both stemmed from Texas Health Presbyterian Hospital.

Late last week, nurse Tina Pham tested positive for Ebola. She also took care of Duncan, the first person to be diagnosed with Ebola in the United States. Duncan died last week.

On Tuesday, Pham said she was doing well.

"I am blessed by the support of family and friends, and am blessed to be cared for by the best team of doctors and nurses in the world," she said.

Troubling allegations

Also Tuesday, National Nurses United made troubling allegationsabout the hospital, claiming "guidelines were constantly changing" and "there were no protocols" about how to deal with the deadly virus."

"The protocols that should have been in place in Dallas were not in place, and that those protocols are not in place anywhere in the United States as far as we can tell," NNU Executive Director RoseAnn DeMoro said. "We're deeply alarmed."

Nurses were told to wrap their necks with medical tape when equipment left their necks exposed; they felt unsupported and unprepared, and they received no hands-on training, union co-president Deborah Burger said.

A Texas Health Presbyterian spokesman did not respond to the specific allegations, but said patient and employee safety is the hospital's top priority.

Global epidemic

While the Texas hospital deals with its third Ebola patient, the situation in West Africa is getting increasingly dire.

More than 4,000 people have died from Ebola this year in Sierra Leone, Liberia and Guinea.

And it could be up to 10,000 new Ebola cases per week in Guinea, Liberia and Sierra Leone by the end of this year as the outbreak spreads, the World Health Organization warned Tuesday.

U.S. President Barack Obama says he'll reach out directly to heads of state to encourage other countries to do more to fight back.

"There are a number of countries that have capacity that have not yet stepped up," he said. "Those that have stepped up, all of us, are going to have to do more."
 
That article above is a bit unnerving but there are places that are worse off, like India.

India has one Level 4 lab and one Level 3 lab...that is two labs that are actually prepared to test samples...for a population of a billion plus people..India and China would be some the worst places for it to go

India because of how densely populated and poor the majority of the country

China because they won't tell anyone about it or will falsify their reports to down play how series it is like they did with Sars




India 'not prepared' for Ebola, medical experts warn
By NEETU CHANDRA SHARMA

PUBLISHED: 18:14 EST, 13 October 2014 | UPDATED: 19:34 EST, 13 October 2014

With the Ebola outbreak in West Africa spreading to countries like the US and Spain, experts have cautioned that India may be “inadequately prepared” to contend with any sudden outbreak of the disease for which an alert has been sounded around the world.

The Health Ministry has initiated several measures to scale up the capacity to fight Ebola, and the Government has advised citizens against all non-essential travel to the four affected countries — Guinea, Liberia, Sierra Leone and Nigeria.

The capacity of the National Institute of Virology in Pune and the National Centre for Disease Control in Delhi to diagnose the disease has also been strengthened, Health Minister Harsh Vardhan has said.

However, experts believe India needs to do more so that it is fully prepared to cope with any cases of Ebola.

“As of now, there is no confirmed or suspected case of Ebola in India. But, there are a lot of other concerns that need to be addressed before we can say that we are adequately prepared.

"Designating just two laboratories for testing for the virus is just too small for a country of over a billion,” said Dr Jugal Kishore, author of a review of India’s effort to tackle the disease that was published in a recent issue of the Indian Journal of Youth and Adolescent Health.


Kishore, an expert on community medicine in the state-run Maulana Azad Medical College, said: “Learning from the past experience of managing the H1N1 pandemic in 2009, it is required that there should be increased number of laboratories designated for testing the virus in suspected cases, preferably in each state.

"Further, some private labs can be liaised with to increase the national capacity for laboratory work.”

The Government has made functional a 24-hour emergency helpline since Aug 9 (011- 23061469, 3205 and 1302).

In-flight announcements regarding the disease prior to landing are being done by airlines. Mandatory reporting of passengers from affected countries has been put in place at all major airports since August 10.

The surveillance system at airports and ports is being strengthened and the Integrated Disease Surveillance Programme has been put on alert. But scientists feel the efforts may not be enough.

“Raising awareness about the disease is an important measure at the time of outbreak. Very little has been done in this regard as far is India is concerned.

"Some information is available for health care providers but absolutely no information education communication material is available for the lay community and general public,” said Kis


All this goes with getting into the new Ebola outbreak in the Congo. Which isn't related to the outbreaks in the rest of Africa (so they say). This means the Congo strain is a new strain or that the current outbreak caused the virus to mutate and they haven't made the connection yet. It takes awhile to break down the pathology of any virus and they won't confirm until they know for sure.

http://www.cdc.gov/vhf/ebola/outbreaks/drc/2014-august.html

October 8, 2014
Outbreak Update - As of October 5, 2014
As of October 5, 2014, there have been 70 cases of Ebola virus disease reported in the Democratic Republic of the Congo. In total, 43 deaths have been reported. This outbreak is unrelated to the current outbreak of Ebola in West Africa.

For information about the outbreak in West Africa, please see the 2014 Ebola Outbreak in West Africa web page.
 
Duncan came here because he knew he would get better care and he knew he had family here.. I think this is the logic for not closing the borders. What if this guy had gone to Brazil for example? If we have two nurses get infected and we think we know what we are doing, can you imagine the result in Brazil? I also question whether or not we really understand how the virus transmits. Lots of emphasis on bodily fluids, but can they be certain the strain has not become airborne transmissible? And how do you know for sure the congo outbreak is unrelated? If I were a west african exposed to the disease, I would be trying like hell to get out of Leone, or liberia to get treatment since the healthcare systems in the original countries are completely overwhelmed.

Please dont misunderstand me, as I think we ought to close the borders if we are able. But I dont think we are able really.
 
Duncan came here because he knew he would get better care and he knew he had family here.. I think this is the logic for not closing the borders.

If that was the logic, then we shouldn't be screening to exclude people at all, but rather should be inviting them here so they don't go elsewhere. We're not doing that, though.

But more importantly, us unwashed members of the public shouldn't be having to fucking guess at the logic of not closing tourist air traffic from those nations. I think it is inexcusable and offensive that the government and CDC aren't being honest with us regarding the real reasons for not shutting down that traffic. The reasons they've given publicly fall apart under any real examination. "Well, we won't be able to get healthcare workers into Liberia." Give me a fucking break. There are so many obvious ways to get around that objection that anyone making it just isn't being honest.

I was having a discussion with someone who is in a STEM field, and his position was "well, if they are completely honest, people would panic, so I can't blame them for downplaying the risks. Probably the right thing to do." Fuck that. I freaking hate the "everyone except me is too stupid to react properly" elitists. How much better do they think the result is going to be when the public correctly determines that it should not trust what the government and CDC are telling them?

What if this guy had gone to Brazil for example? If we have two nurses get infected and we think we know what we are doing, can you imagine the result in Brazil?

That's a good point, but there is absolutely nothing suggesting that people just like Duncan aren't going to Brazil anyway. The article I posted upthread included confirmation that Liberians are coming up through Central America, heading for the U.S.. So if they're not going to Brazil, they're going to somewhere else in South/Central America already.

Please dont misunderstand me, as I think we ought to close the borders if we are able. But I dont think we are able really.

I'd agree we don't have the capability to close the borders 100%. But that doesn't mean that limiting ingress as much as possible from infected nations still isn't a good idea. There are countries adjacent to those with the outbreaks -- even areas within those countries -- that have remained ebola-free by strong efforts to do exactly that.
 
I made it out alive and symptom free!

... 21 day incubation period.

SNL_1350_09_Debbie_Downer.png
 
CDC asking all 132 passengers of Frontier Airlines flight 1143 Cleveland to DFW on Oct. 13 to contact 1-800-CDC-INFO

Apparently the 2nd nurse was on that flight. This is getting out of control. You get every single person out of Africa, put them in a quarantine for 21 days, and let Africa deal with this shit on there own. Anyone who steps foot in Africa, must not be allowed to travel to the US.
 
CDC asking all 132 passengers of Frontier Airlines flight 1143 Cleveland to DFW on Oct. 13 to contact 1-800-CDC-INFO

Apparently the 2nd nurse was on that flight. This is getting out of control. You get every single person out of Africa, put them in a quarantine for 21 days, and let Africa deal with this shit on there own. Anyone who steps foot in Africa, must not be allowed to travel to the US.

The scariest part of this to me is that if you read what the medical people are saying, it takes a lot of resources to care for even one Ebola patient. Our regular hospitals apparently are not good enough, so the CDC has now said it is going to send special teams to any hospital with an Ebola patient. That's a good idea, but the CDC just doesn't have enough people to do that if the problem gets large. And as mobile a people as we are, the rapidity with which this could spread within the country is frightening. We're not a West African village where walking is the primary mode of transportation.

To me, that makes it all the more important to combat this thing at the borders, and do our utmost not to let it get here in the first place. The idea that we can handle it because we have a more advanced health care system is proving to be an illusion. We need to keep the number of cases as small as possible so that they remain as manageable as possible.

Also, what the fuck was one of the nurses who was treating that guy doing on a fucking plane? Weren't they all supposed to be being monitored?
 
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Can anyone give a legitimate reason we're letting anyone travel here from West Africa right now? The fact Duncan got into the country with a tourist visa is mind-boggling. Would the public really panic over necessary flight restrictions?
 
What the fuck??? How are nurses being allowed to travel after having contact with the patient?
 
Why was this bitch allowed to leave after being in contact w Ebola? Let alone fly to Cleveland for a weekend. She landed on the 10th and left on the 13th.
 

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