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Here it comes: CDC confirms first Ebola case diagnosed in the United States

alexd

Administrator
Staff member
It was only a matter of time, but it didn't take that long. With Millions soon to be stricken with ebola in West Africa it will be impossible to prevent it from spreading worldwide.
 

Primavera

TRIBE Member
Ebola arrives in North America

first confirmed US borne case discovered in an individual in Dallas.

nice knowing you all
 
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praktik

TRIBE Member
You know on the one hand I am truly truly thankful we live in a time where nations have recognized they need orgs like CDC in between everyone keeping an eye on things and spreading best practises, keeping eyes and ears in trouble spots to alert the international medecine brigade to help out where needed, vaccinations saving millions across the developing world.

makes you realize how borders are essentially meaningless to some issues today, and how ill prepared we were back before germ theory and international health cooperatives....


...and then there's this to consider of course: A Virus Called Ebola and The Secret Club From Hell
 

alexd

Administrator
Staff member
Something the CDC seemed to gloss over and avoid: the reason why so many health care practitioners in WEst Africa are being infected, even while using barrier protection (masks gloves, suits etc).
 
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alexd

Administrator
Staff member
How many is "so many"? Do you have a source for this information?
1 is too many but there were more than 1. MSF doctors as well as the early infections of American charity physicians who were taking full barrier precautions. (Foreign doctors).

In fact, this is the first time so many health care practitioners have been infected with ebola compared to previous outbreaks.

IMO,the virus has mutated to make this possible, perhaps by not producing symptoms in a person yet allowing them to be infectious for a longer period before they receive a diagnosis that they are infected. The CDC guy today was assuring everyone at today's news conference that even if people were infected with Ebola, they wouldn't be infectious unless they were showing symptoms. I think they just said that to keep people calm in the USA as well as the people who shared the plane with the guy on the way over.

Also, many African health care workers were infected who may have not been in hazmat suits, but were wearing masks, gloves, and googles, which are traditional barrier protection in hospitals and clinics even in North America You can see how this outbreak was actually launched by health care workers who spread it to other villages in this NEJM graphic:


 

alexd

Administrator
Staff member
They are probably quarantining every single person on that flight right now if they are still in the US.
 

praktik

TRIBE Member
Oh yes - the sinister CDC - offering useful information during a public health crisis in a prudent way designed to reduce panic.

Exactly the kind of thing you'd expect from a concerned group of health care professionals dedicating their lives to safeguarding public health!


The bastards are up to something you can see it in their cold, beady little scientist eyes!!
 

Snuffy

TRIBE Member
They're not going to quarantine the plane. It's spread through bodily fluids, so they're likely to keep tabs on household members and health care workers. It's surprisingly hard to get.
 
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alexd

Administrator
Staff member
Oh yes - the sinister CDC - offering useful information during a public health crisis in a prudent way designed to reduce panic.

Exactly the kind of thing you'd expect from a concerned group of health care professionals dedicating their lives to safeguarding public health!


The bastards are up to something you can see it in their cold, beady little scientist eyes!!
i am not criticizing them. i would have handled the presser the same way. I suppose CDC guy is just thanking his lucky stars that the journalists there did not ask the key questions about the infection of so many barrier protected doctors and medical staff and how that happened.

You watch, as soon as there is another infection in the US or Canada that can be connected to a flight from West Africa they will ban air travel to and from that region.
 

Snuffy

TRIBE Member
The sad thing is this highlights just how miserably impoverished the health care system is there. It's mind boggling that they didn't have proper gloves or equipment. Entire nurse brigades went "fuck it" and left after 1/3 of their coworkers died, leaving towns with zero hospital staff.

So the sick stayed at home, friends and family got infected, and so on...

It was completely preventable.
 

alexd

Administrator
Staff member
http://www.nytimes.com/2014/09/12/opinion/what-were-afraid-to-say-about-ebola.html?_r=1

The above NYT piece talks about the virus mutating to become airborne. What I am saying is that it doesn't have to mutate to that level, just mutate enough to be spreadable by infected but asymptomatic people, like HIV does - that would be enough to be catastrophic. Viruses mutate, that is what they do, and thus my thinking about how doctors and nurses and health care workers could be infected at such an alarming rate.
 
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alexd

Administrator
Staff member
And then there is this piece in CIDRAP about how the virus may already be airborne... At a minimum they outline how the medical community really has no idea how it is transmitted, so ruling out transmission vectors (ie: it only spreads by contact with fluids! It is really hard to get!) is not particularly a smart thing to do.

COMMENTARY: Health workers need optimal respiratory protection for Ebola | CIDRAP

But if you don't want to read through it all, here are the key points:

Adequate protection is essential
To summarize, for the following reasons we believe that Ebola could be an opportunistic aerosol-transmissible disease requiring adequate respiratory protection:

  • Patients and procedures generate aerosols, and Ebola virus remains viable in aerosols for up to 90 minutes.
  • All sizes of aerosol particles are easily inhaled both near to and far from the patient.
  • Crowding, limited air exchange, and close interactions with patients all contribute to the probability that healthcare workers will be exposed to high concentrations of very toxic infectious aerosols.
  • Ebola targets immune response cells found in all epithelial tissues, including in the respiratory and gastrointestinal system.
  • Experimental data support aerosols as a mode of disease transmission in non-human primates.

Risk level and working conditions suggest that a PAPR will be more protective, cost-effective, and comfortable than an N95 filtering facepiece respirator.
 
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