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Ebola Transmission Discussion and More...

Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

Vibrant62 said:
?There was a summit of presidents here that decided to close the borders, but actually the borders are wide open. All the conditions for letting Ebola spread further exist.?
Click to expand...

It sound like the battle in West Africa is already lost and that the only way to protect the rest of Africa is to actually close the borders totally with no exceptions. Is all the airports closed?

Then we have Nigeria, the suspected case in Saudi Arabia and Benin, if these countries can?t stop the first wave of this then their borders also has to be closed.

Western and European health authorities say that we are prepared and that Ebola cannot spread in our countries, due to better healthcare routines and control. Is that why the borders are still open? How can we be so sure of this?
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

At the AllAfrica news site, there is a picture of a health provider, not suited up properly caring for a woman with Ebola. He has on his Tyvek suit, but the hood is down and it isn't zipped up all the way. He has skin showing. I couldn't capture the picture, but, it pops up when you visit the site.

There is also a story there, stating that Patrick Sawyer knew he was sick when he boarded the plane, based on his behavior on closed circuit TV video. He apparently would not have contact with people, would not shake hands and sat by himself. I am sure as Ebola progresses, people get a form of 'dementia' and don't think clearly.

There is yet another story refuting claims that 8 people in Rwanda have Ebola. Internet 'trolls' are blamed for starting the 'rumor'.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

Perhaps we are too overconfident in our ability to contain the virus if it lands here. I don't share the CDC's confidence. Of course what they say in press conferences and what they discuss privately with colleagues are likely worlds apart. During the H1N1 pandemic I started paying much closer attention to actions and ignored what they were saying.

Gemineye said:
I tend to agree that the U.S. may be taking this oubreak a little too lightly. Pride comes before a fall.

Are U.S. Health Authorities Falling Behind the Ebola Curve?

http://www.foxbusiness.com/economy-...ealth-authorities-falling-behind-ebola-curve/
Click to expand...
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

Gemineye said:
I tend to agree that the U.S. may be taking this oubreak a little too lightly. Pride comes before a fall.

Are U.S. Health Authorities Falling Behind the Ebola Curve?

http://www.foxbusiness.com/economy-...ealth-authorities-falling-behind-ebola-curve/
Click to expand...

After reading the article, I disregarded it based on their inaccurate reporting.

The article's reference to the two cases imported to Atlanta implies the Dr.s caught the virus through patient care while wearing full HAZ MAT Suits when it has been widely reported the Dr.s were most likely infected by an ill co-worker when they were not wearing protection.

Furthermore, the co-worker was a community transmission case, not a HCW transmission case.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

Thanks for pointing out inaccuracies in the story. However, your statement that "Dr.s were most likely infected by an ill co-worker when they were not wearing protection" has not been proven to be true.

I still stand by the basic message of this report that the U.S. may be taking this outbreak too lightly. Other countries are taking a more prudent approach
Just my opinion, of course.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

It seems to me, that much of this outbreak is due to poor quarantine. I'm considering airports and airplanes a high risk environment.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

One of the biggest spreaders of the disease is funeral rites...washing and preparation of the body. Religious leaders in that part of the world must address the problem.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

These are cultural practices not sure a top down approach from religious leaders will be very effective. Its the opposite now. Ppl are dumping dead bodies in the streets or simply abandoning corpses in homes.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

Would one of the admins delete my previous post? Not sure what happened.

I've spent a lot of time this last two weeks deflecting hysteria on other boards and forums. Regardless of how the health care workers (specifically the two Americans who were brought back home) contracted the infection, my point has been that the conditions in the two parts of the world are so fundamentally different that it isn't possible to extrapolate from one to the other. People in the developed countries don't hide their sick relatives from health care providers. Most roads are paved and do not become impassable when it rains. People don't eat animals that they have found dead in the woods. Our ambulances, even in the most rural volunteer rescue squads, are better supplied and equipped than most hospitals in Guinea, Sierra Leone and Liberia. Our nurses aren't wanting for gloves. We have body bags to safely contain the dead. And on and on and on.

I keep hearing 'apocalypse' scenarios from paranoid hysterical people. If they want to know what apocalyptic conditions are like, they should visit one of those remote West African villages on a good day. The conditions that we would regard as apocalyptic are the way they live all the time.

Sorry, probably preaching to the choir. I've just been accused of being a troll for the CDC in another forum, when I tried to explain how the virus spreads and why I don't believe there will be an epidemic in the US (though I'll be surprised if we don't see at least a couple of cases). I feel bad for Patrick Sawyer's family, but we're darn lucky he didn't make it back home.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

This is an information and discussion forum and I love that we can ask questions and share thoughts and opinions. :applause:
I maybe don?t believe this is a serious trait to US or Europe but what about Indonesia, or the Saudi Arabia, India, South America. There are many counties with lower standard in healthcare and education in people. If not stopped in West Africa I believe it can/will become a big problem to many countries.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

Indonesia, South and Central America, India, yes, absolutely. I worry less about Saudi Arabia because even if they don't have all the luxuries in place that we have in the US, they do have the money to acquire them quickly. And I think the overall level of education is much higher. Even India and Indonesia have good cell phone systems in place, and better transport than the poor countries of Africa. India has the leftover governmental structures of the British and Indonesia has those of the French. Routine and a general confidence in government play a huge role in a pandemic.

That's one reason the level of paranoia and hysteria in the US troubles me so much. So many people have closed their ears to facts and are running on fear. I've seen suggestions that Dr. Brantly and Nancy Writebol should have been turned out on the street to die, before "bringing it home to kill all of us," and worse. If we do have a serious outbreak here, I think the distrust of authority may be responsible for as many deaths as the virus itself. Some bloggers are accusing the government of starting the outbreak in Africa in order to have an excuse to infect Americans, and you cannot talk to these people. I'm no government shill--the US has a lot to answer for around the world, but Ebola isn't one of them, and the degree of hysteria I'm seeing is worrying.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

China has many interests in Africa and I would be very concerned if ebola made it to parts of China. They certainly don't have a track record of transparency when it comes to public health issues. :rolleyes:
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

In my opinion the ability to control this virus in the US is directly proportional to the willingness to use force to quarantine. Quarantining is an effective method.

I have no doubt that the US government will use any force necessary to stomp out any ebola threat.

I think we will get imported cases as long as this epidemic in West Africa persists. I think these imported cases will infect some of their near contacts. I also think the US government will cast a wide net around the victim and their secondary and tertiary contacts.

So in the US I think we have a potential for some limited spread but the US government will stomp this disease out as each cluster is developing.

Countries without the will and the ability to employ force will face a much more difficult time containing an ebola outbreak.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

sharon sanders said:
In my opinion the ability to control this virus in the US is directly proportional to the willingness to use force to quarantine. Quarantining is an effective method.

I have no doubt that the US government will use any force necessary to stomp out any ebola threat.

I think we will get imported cases as long as this epidemic in West Africa persists. I think these imported cases will infect some of their near contacts. I also think the US government will cast a wide net around the victim and their secondary and tertiary contacts.

So in the US I think we have a potential for some limited spread but the US government will stomp this disease out as each cluster is developing.

Countries without the will and the ability to employ force will face a much more difficult time containing an ebola outbreak.
Click to expand...

One problem I see is that if there are suddenly many suspect cases requiring large quarantine facilities, then we might quaratine ebola infected patients with those having severe cases of norovirus or flu. This would be a modern version of boarding up whole families during the bubonic plague whether all the family member had the plague or not, which was pretty much a death sentence for everyone in the house.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

I keep thinking that this is how it would have been in 1348 when the Black Death came.... It's like turning back time and living history.
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

For quarantines to succeed the authorities will need to provide material and psychological support to the people in quarantine. This especially means water, food and means of communication with those outside of quarantine.

Force is not sufficient to overcome panic or desperation.

http://www.flutrackers.com/forum/showthread.php?p=309971
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

Its good to review what isolation and quarantine mean.

Legal Authorities for Isolation and Quarantine

Isolation is used to separate ill persons who have a communicable disease from those who are healthy. Isolation restricts the movement of ill persons to help stop the spread of certain diseases. For example, hospitals use isolation for patients with infectious tuberculosis.

Quarantine is used to separate and restrict the movement of well persons who may have been exposed to a communicable disease to see if they become ill. These people may have been exposed to a disease and do not know it, or they may have the disease but do not show symptoms. Quarantine can also help limit the spread of communicable disease.

Isolation and quarantine are used to protect the public by preventing exposure to infected persons or to persons who may be infected.

-- MUCH MORE AT LINK --

Source = http://www.cdc.gov/quarantine/aboutlawsregulationsquarantineisolation.html
 
Re: Ebola Transmission Discussion

Re: Ebola Transmission Discussion

Re: Canada - Un homme aux sympt?mes similaires ? ceux de l'Ebola est plac? en isolement en Ontario
Patient at Ontario hospital with Ebola-like symptoms, but no diagnosis yet

ANQI SHEN AND ADRIAN MORROW
BRAMPTON, ONT. ? THE GLOBE AND MAIL
Last updated Saturday, Aug. 09 2014, 9:08 AM EDT

A patient at a Brampton, Ont., hospital who recently travelled to Nigeria has been placed in isolation after showing flu-like symptoms, according to a public health official.

Dr. Eileen de Villa of Peel Public Health told The Globe and Mail that "infection prevention and control measures" have been put in place at Brampton Civic Hospital because a patient "with a recent travel history to Nigeria" has presented fever and other flu-like symptoms.


The latest Ebola outbreak emerged in Guinea in March and has since spread to Sierra Leone, Liberia and Nigeria - which on Friday declared a state of emergency because of the virus.

"An appropriate measure that has been put into place in this case is isolation of the patient," she told The Globe and Mail.

"I think those measures are absolutely appropriate to ensure the safety of other patients within the hospital, those who may be visiting, and those who work at the hospital."

Dr. de Villa said she received information from her colleagues at Brampton Civic Hospital and representatives from the Ministry of Health and Long-Term Care.

And she said the hospital will be working with public health laboratories to confirm a diagnosis. "Any subsequent actions will of course depend on what the ultimate diagnosis is," she said.

A spokesperson for Eric Hoskins, Minister of Health and Long-Term Care, released a statement saying the minister is monitoring the situation, but "initial signs and symptoms of Ebola are similar to many more common diseases. One such disease relevant to African travel is malaria.

There are currently no confirmed cases of Ebola in Ontario."

The statement stressed that Ontario is prepared to deal with emergencies: "With the experience and lessons learned from the SARS epidemic, our hospitals have sophisticated infection control systems and procedures to protect health providers, patients, and all Ontarians, and are fully equipped to deal with any potential cases of Ebola."

Ebola is a rare and severe disease that can infect both humans and non-human primates. The virus is contagious and is spread by direct contact with bodily fluids such as blood, sweat, urine, saliva and diarrhea from a sick person.

In its early stages Ebola has non-specific symptoms similar to the flu or malaria, which is common in parts of Africa. The virus causes symptoms including fever, vomiting, muscle pain and bleeding.

The latest Ebola outbreak in Africa is the largest and longest ever recorded for the disease, which has a death rate of about 50 per cent and has so far killed at least 961 people, according to the World Health Organization.

There have been false alarms about Ebola in places like Britain and Hong Kong.

The Public Health Agency of Canada is advising Canadians to avoid all non-essential travel to Guinea, Liberia and Sierra Leone due to the outbreak, but has issued a statement saying the risk of Ebola to Canada is very low.

It says travellers to Nigeria should practise special precautions such as avoiding direct contact with blood and other bodily fluids of people with Ebola virus or unknown illnesses, among other steps.

The World Health Agency on Friday declared the outbreak to be an international public health emergency that requires an extraordinary response to stop its spread.
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