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NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment - free of Ebola - discharged

Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

Dani said:
Possibly Montana. Believe it or not, there is a level 4 lab there and a treatment unit in Missoula to go with it. They haven't had any Ebola cases to care for, yet.
Click to expand...

If one of the big four is used I wonder if the public will react negatively with respect to Mr. Duncan being at a public hospital? Seems fair to ask why not bring the cameraman to a public hospital with the equivent facilities and staff as Texas?

Also will the medical staff treating the cameraman only need to wear the same protective gear as those being recommended by Dr. Edward Goodman such as two waterproof gowns, gloves, surgical masks, eye protection and shoe protection?

Additionally I would like to applaud the cameraman for being not only being careful but also responsible for himself and those around him.
 
Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

hawkeye said:
If one of the big four is used I wonder if the public will react negatively with respect to Mr. Duncan being at a public hospital? Seems fair to ask why not bring the cameraman to a public hospital with the equivent facilities and staff as Texas?

Also will the medical staff treating the cameraman only need to wear the same protective gear as those being recommended by Dr. Edward Goodman such as two waterproof gowns, gloves, surgical masks, eye protection and shoe protection?

Additionally I would like to applaud the cameraman for being not only being careful but also responsible for himself and those around him.
Click to expand...
It does seem that there is a bit of a disconnect between what is done for people who are known to be infected with Ebola and are cared for at a special facility, vs. Mr. Duncan who showed up at a community hospital. Since Ebola isn't airborne, although I'm not an ID doctor I'd say any good community hospital in the US is capable of taking care of an Ebola patient. That is the saving grace- it's not airborne.

In the end we will also probably find out that Ebola is probably much less lethal in this setting as well, not due to any change in the virus, but just having readily available IV fluids and anticoagulants to tide a patient over until they recover on their own.

I do hope Mr. Duncan survives, not only because that is the decent thing to wish but also because of the very thing you mention regarding potential discrimination. I'm sure Texas Presbyterian didn't worry about his immigration or insurance status, but who needs to give naysayers any reason to think otherwise?
 
Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

Dani said:
.........I'd say any good community hospital in the US is capable of taking care of an Ebola patient. That is the saving grace- it's not airborne.

In the end we will also probably find out that Ebola is probably much less lethal in this setting as well.....
Click to expand...

Perhaps most, but I've visited patients in community hospitals where I was shocked at the poor infection control practices. While they may contain most/some infections, I just pray they'll go into hyper-vigilant mode for Ebola.

.
 
Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

JJackson said:
....... What effect is the sheer scale of the outbreak having. Routes of transmission that were insignificant may now not be. If you are in a very badly infected area you may be getting lots of low risk contacts from low viral load sources to a point it becomes a significant factor in the overall transmission rate. We are in new territory and the phase one trials performed on humans previously may not have fully forewarned us now we have jumped straight to phase 3.
Click to expand...

Yes - very uncharted territory. The complexities of modern urban life in developed countries does not compare to life in remote African villages.

Your point about lots of low risk contacts becoming significant might be applied to both total case numbers and opportunties for viral adaptation.

.
 
Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

JJackson said:
. . . . What effect is the sheer scale of the outbreak having. Routes of transmission that were insignificant may now not be. If you are in a very badly infected area you may be getting lots of low risk contacts from low viral load sources to a point it becomes a significant factor in the overall transmission rate. We are in new territory and the phase one trials performed on humans previously may not have fully forewarned us now we have jumped straight to phase 3.
Click to expand...

This is an important question regarding transmission of Ebola. Data from influenza studies are probably not relevant to filoviruses but one article from 2011 notes:

Abstract

Mean viral loads for patients with pandemic (H1N1) 2009 were ≈1 log<sub>10</sub> times lower than those for patients with seasonal influenza within the first week after symptom onset. Neither pandemic nor seasonal influenza viral loads correlated with clinical severity of illness. No correlation was found between viral loads and concurrent illness.
Click to expand...
from:
Comparison of Pandemic (H1N1) 2009 and Seasonal Influenza Viral Loads, Singapore
 
Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

Graupel said:
Yes, it's a staggering development. It's hard to imagine any scenario where a cameraman would have had anything in the way of direct or high-risk exposures. The PPE I've seen in several taped segments looked pretty reasonable.

Community transmission at a guesthouse? Droplets in a hospital?
Click to expand...

I can imagine desperate people running up to American journalists, grabbing them saying, "Please help my sick mother/sister/brother/child, etc!" It would be all too easy for the journalists to get infected and add to problems in Liberia and here at home.

I don't see any change in transmission ability in what little we know about this case. I hope this journalist recovers and was glad to see that NBC didn't use his freelancer status, (most news photographers have been forced into that status lately), to avoid covering his medical bills. (Or at least they say they will pay his bills in the first post.)
 
Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

NBC's Dr. Nancy Snyderman: We Present 'Minimal Risk'

.....Snyderman said she "suggested and requested he self-quarantine. He continued to check his temperature overnight, and this morning he went to the clinic run by Doctors Without Borders to be checked with malaria and also tested positive for Ebola," she said......

......"We all have thermometers on us at all times, we are required not to shake hands, we wash our hands and feet with bleach," Snyderman said.

.
 
Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

The cameraman doesn't know how he acquired Ebola, thinks perhaps while decontaminating a car. Makes me concerned for the Dallas side-walk washer:

http://boston.cbslocal.com/2014/10/03/nbc-news-cameraman-from-providence-diagnosed-with-ebola/

Again, I just think that this virus is a bit easier to get than the CDC says. I don't know why they persist in saying one must have direct contact with a symptomatic individual.
 
Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

NBC News Freelancer Diagnosed With Ebola Headed to U.S.

The freelance NBC News cameraman who was diagnosed in Liberia with the Ebola virus will leave that country Sunday and head to the United States for treatment at an Omaha hospital, the Nebraska Medical Center said. Ashoka Mukpo is due to depart Liberia on a specially-equipped airplane at 4:15 p.m. ET (8:15 p.m. local time), NMC spokesman Taylor Wilson told NBC News.
...
http://www.nbcnews.com/storyline/eb...freelancer-diagnosed-ebola-headed-u-s-n218746
 
Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

I moved some posts about ebola transmission to a thread here.
 
Re: NBC News freelancer in Africa diagnosed with Ebola

Re: NBC News freelancer in Africa diagnosed with Ebola

American Ebola patient arrives in U.S., man in Dallas still 'critical'

By Lisa Maria Garza and Sharon Begley
DALLAS/NEW YORK Mon Oct 6, 2014 10:20am EDT

(Reuters) - The fifth American to contract Ebola in West Africa arrived in the United States for treatment on Monday as the first patient diagnosed with the deadly virus on U.S. soil fought for his life at a Dallas hospital, officials said.

A private plane carrying Ashoka Mukpo, a freelance cameraman for NBC News who contracted Ebola in Liberia, landed in Omaha and was taken to the Nebraska Medical Center. The plane was met by an ambulance manned by workers in yellow protective suits, NBC video showed.

Dr. Thomas Frieden, director of the U.S. Centers for Disease Control and Prevention (CDC), said on Monday his agency would work "very closely" with the Nebraska hospital, which treated another Ebola patient in recent weeks.
...
http://www.reuters.com/article/2014/...0HT0MZ20141006
 
Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

US Journalist Believes He Got Ebola While Cleaning Infected Car

Oct 6, 2014, 12:56 PM ET
By MEGHAN KENEALLY
via Good Morning America
...
Ashoka Mukpo arrived at the Nebraska Medical Center this morning after being flown directly from Liberia.

“He's strong and his symptoms are not more advanced then when he talked to us before he left which is a relief,” said his father Dr. Mitchell Levy said at a news conference today. He said his has a fever and slight nausea.

"Likely he will go into the next phase where his symptoms will be more severe," Levy said.

Levy said that his son is “not certain” when he got the disease, but believes that he could have gotten infected by some of the spray back that came when he was using chlorine to disinfect a car.

"It was a vehicle that somebody had died in," Levy said.
...
http://abcnews.go.com/Health/us-journalist-ebola-nebraska-treatment/story?id=25987193
 
Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Interesting tidbit:

American NBC cameraman with Ebola is 'reincarnation of Tibetan teacher' whose English aristocrat mother married Buddhist guru when aged 16

NBC cameraman Ashoka Mukpo, 33, has been infected with Ebola in Liberia
He is the son of Buddhist monk Ch?gyam Trungpa Rinpoche and Lady Diana Judith Mukpo
However, his biological father is Dr. Mitchell Levy, whom Lady Diana had been sleeping with at the time
Ashoka's mother married the Tibetan Buddhist lama when she was just 16
Trungpa identified Ashoka as a 'tulku', a reincarnation of a Tibetan teacher
NBC's Dr Nancy Snyderman and her crew have quarantined themselves for 21 days over fears they they might have contracted Ebola, as well


Read more: http://www.dailymail.co.uk/news/art...r-married-Buddhist-guru-16.html#ixzz3FPBktHm4
 
Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Second Ebola Patient Receives Experimental Drug

Oct. 7, 2014 - Second Ebola Patient Receives Experimental Drug

The second Ebola patient to be treated in The Nebraska Medical Center?s Biocontainment Unit, Ashoka Mukpo, is now being treated with an experimental drug. The name of the drug is Brincidofovir, made by Chimerix, a biopharmaceutical company. ?After looking at the data on this drug, collaborating with the CDC and FDA and speaking with the patient and his family, we decided this was currently our best option for treatment,? said Phil Smith, M.D., medical director of the Biocontainment Unit. ?Every patient is somewhat different, and we believe Brincidofovir is the best choice.? Doctors are looking at other options for treatment as well.

?Ashoka continues to be nauseated,? said Dr. Mitchell Levy, the patient?s father. ?He?s experiencing some vomiting and diarrhea. These symptoms are exactly what?s to be expected at this stage of the disease,? said Dr. Levy. He said he was glad his son was able to make it to The Nebraska Medical Center as quickly as he did. ?We?re so happy he was able to get here in such a timely manner to give him his best possible chance of recovery. We are thrilled with the quality of medical care we see going on here.?

Doctors say the operation of the unit is going smoothly and the experience treating Dr. Rick Sacra is making a difference this time around. ?Having the lab inside the unit has been key,? said Shelly Schwedhelm, director of ED, trauma and emergency preparedness at The Nebraska Medical Center. ?The staff is upbeat and the mood of the entire team treating Mr. Muckpo is extremely positive.?

http://www.nebraskamed.com/article/236/ashoka-mukpo-updates
 
Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Ebola Survivor Dr. Kent Brantly Donates Blood to Ashoka Mukpo

The first American flown back to the U.S. after contracting Ebola has donated blood to an NBC News freelance cameraman who was also diagnosed with the virus. Photojournalist Ashoka Mukpo?s family told NBC News early Wednesday that Dr. Kent Brantly was contacted by the Nebraska Medical Center and asked to give plasma. Experts hope the survivor?s antibodies will kick-start Mukpo's immune system. Brantly was on a road trip from Indiana to Texas when he received a call from the medical center telling him his blood type matched Mukpo?s. Within minutes, he stopped off at the Community Blood Center in Kansas City, Missouri, and his donation was flown to Omaha.
...
http://www.nbcnews.com/storyline/eb...nt-brantly-donates-blood-ashoka-mukpo-n220811
 
Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

October 11, 2014
...
New Jersey Department of Health Statement on NBC News Crew

Before returning to the United States, the NBC crew made an agreement with the New Jersey Department of Health and local health officials to voluntarily self-confine themselves for the remainder of the 21 days following their low risk of exposure on October 1 to an individual who is being treated for Ebola. Unfortunately, the NBC crew violated this agreement and so the Department of Health Friday evening issued a mandatory quarantine order to ensure that the crew will remain confined until Oct. 22. The NBC crew remains symptom-free, so there is no reason for concern of exposure to the community.

http://www.nj.gov/health/news/2014/approved/20141011a.html

--------------------------------------------------------------------------------------------------------------------

Providence Ebola patient Ashoka Mukpo continues to improve

Published: October 13, 2014 03:47 PM
By Paul Davis

PROVIDENCE, R.I. ? ...

?He?s doing better today,? said Taylor Wilson. ?He?s sitting up. These are small steps, but significant ones.?

Wilson said Mukpo?s doctors have not prescribed any new treatment for the 33-year-old patient. Doctors last week gave Mukpo an experimental drug and blood from an Ebola survivor.
...
http://www.providencejournal.com/ne...patient-ashoka-mukpo-continues-to-improve.ece
 
Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Journalist Being Treated for Ebola Still Improving

OMAHA, Neb. ? Oct 20, 2014, 3:23 PM ET

The Nebraska doctors treating an American video journalist for Ebola say he could be released by the end of the week if tests show he's free of the deadly virus.
...
He has been improving steadily since receiving an experimental Ebola drug and a blood transfusion from someone who survived the virus although he remains weak.
...
http://abcnews.go.com/US/wireStory/journalist-treated-ebola-improving-26326378
 
Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Re: NBC News freelancer in Africa diagnosed with Ebola - now in US for treatment

Source: http://www.huffingtonpost.com/2014/10/21/ashoka-mukpo-ebola-free_n_6024766.html


Nebraska Hospital Says NBC Freelance Cameraman Ashoka Mukpo Is Free Of Ebola
Reuters
Posted: 10/21/2014 7:04 pm EDT Updated: 26 minutes ago

Oct 21 (Reuters) - Ebola patient Ashoka Mukpo, an NBC freelance cameraman, is free of the virus and will leave the Nebraska Medical Center on Wednesday, the hospital said...
 
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