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| Tracking the next pandemic: Avian Flu Talk |
Ebola Information And Updates |
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 Posted: July 24 2014 at 10:57am |
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http://www.huffingtonpost.com/2014/07/23/doctor-contracts-ebola-sheik-umar-khan_n_5614228.html
Doctor Contracts Ebola After Treating Dozens Infected With The Deadly Virus
Reuters
| By
Umaru Fofana
Posted:
Updated:
FREETOWN (Reuters) - The head doctor fighting an outbreak of the deadly Ebola virus in Sierra Leone has himself caught the disease, one of a growing list of medical workers infected while battling to halt its spread across West Africa. Ebola has killed 632 people across Guinea, Liberia and Sierra Leone since an outbreak began in February, putting strain on a string of weak health systems facing one of the world's deadliest diseases despite waves of international help. In a sign of the growing frustrations with the failure of region's governments to tackle the outbreak, a Liberian whose brother died from the disease set fire to the Health Ministry in protest on Wednesday. A statement from the president's office said 39-year-old Sheik Umar Khan, a Sierra Leonean virologist credited with treating more than 100 Ebola victims, had been transferred to a treatment ward run by medical charity Medecins Sans Frontieres. A source at the ward confirmed that the doctor was alive and receiving treatment, but gave no details of his condition. Khan has been hailed a "national hero" by the Health Ministry for his efforts to lead the fight against an outbreak that has killed 206 people in the West African nation. There is no cure or vaccine for Ebola, which can kill up to 90 percent of those infected, although the mortality rate of the current outbreak is around 60 percent. It was not immediately clear how Khan had caught the virus. His colleagues told Reuters that he was always meticulous with protection, wearing overalls, mask, gloves and special footwear. Three days ago, three nurses working in the same Ebola treatment center alongside Khan died from the disease. Tarik Jasarevic, a spokesman for the World Health Organization, said around 100 health workers had been infected by Ebola in the three countries, with 50 of them dying. "Personal protection equipment is very hot. But there is a very strict procedure how you wear it, how you take it off, what can be re-used or not," he said. Earlier this month, Samuel Muhumuza Mutoro, a senior Ugandan doctor working in Liberia died after treated infected patients. "AFRAID FOR MY LIFE" The latest WHO figures, released on Saturday, showed that there were 19 new deaths and 67 new cases within the four days since its previous statement. The Ebola outbreak started in Guinea's remote southeast and has since spread across the region's poorly controlled borders. Symptoms of the highly infectious disease are diarrhea, vomiting and internal and external bleeding. Part of Liberia's Health Ministry was destroyed on Wednesday when Monrovia resident Edward Deline set fire to the building in protest over the death of his 14-year-old brother from Ebola. "The health (workers) here are not doing enough to fight this virus. They are taking this to be a money making thing while our people are dying," Deline told journalists after he was arrested by police. Local and international health workers face a combination of fear, suspicion and local traditions for burying the dead as they try to prevent Ebola spreading further. During a Reuters visit to the Kenema treatment center in eastern Sierra Leone in late June, Khan said he had installed a mirror in his office, which he called his "policeman", to check for holes in his protective clothing before entering an isolation ward. Nevertheless, Khan said he feared Ebola. "I am afraid for my life, I must say, because I cherish my life," he said in an interview, showing no signs of ill health at the time. "Health workers are prone to the disease because we are the first port of call for somebody who is sickened by disease. Even with the full protective clothing you put on, you are at risk."(Additional reporting by Clair MacDougall, Alphonso Toweh and David Lewis; Writing by David Lewis and Emma Farge; Editing by Daniel Flynn and Alison Williams) |
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Satori
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Posted: July 24 2014 at 5:44pm |
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Moon-like suit is supposed to keep Ebola virus out so why do health care workers keep catching it? http://www.dailykos.com/story/2014/07/24/1316459/--Moon-suit-is-supposed-to-keep-Ebola-virus-out-so-why-do-health-care-workers-keep-catching-it |
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CRS, DrPH
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Joined: January 20 2014 Location: Arizona Status: Offline Points: 26660 |
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Posted: July 24 2014 at 5:54pm |
I have a strong background in hospital infection control....my guess is that he picked it up by touching a contaminated surface or medical instrument that was improperly cleaned. When a patient's body is leaking & bleeding all over the place, just think of the surface contamination issues. We have a damn hard enough time dealing with that in our best US hospitals, and nosocomial infections are one of the leading causes of death in our healthcare system. I dunno, this outbreak seems hopeless to me. I wouldn't go anywhere near Africa. It will spread via air transport before long.
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CRS, DrPH
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Posted: July 24 2014 at 6:42pm |
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Hi DrPhd. if the US gets it via transport will our medical facilities be able to control and stop it?
Let's face it no funeral parlor will touch an Ebola body. So how will the US deal with the bodies? |
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CRS, DrPH
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Posted: July 24 2014 at 7:47pm |
Question 1 = a definite maybe. There is no vaccine nor treatment for Ebola, so the only thing that works is extreme social distancing. However, since our funeral practices are greatly different than those of the Africans, I'm not too worried. Question 2 = handling mass mortalities is something we train for. There is a response function called DMORT, for "Disaster Mortuary Operational Response Teams." "DMORTs are composed of private citizens, each with a particular field of
expertise, who are activated in the event of a disaster. NDMS/DMORT
personnel are required to maintain appropriate certifications and
licensure within their discipline. When personnel are activated,
licensure and certification is recognized by all States, and the
personnel are compensated for their duty time by the Federal government
as a intermittent Federal employee. During an emergency response, DMORTs
work under the guidance of local authorities by providing technical
assistance and personnel to identify and process deceased victims." ....most folks don't know about stuff like this!
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CRS, DrPH
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Posted: July 24 2014 at 8:23pm |
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Ebola mimics influenza and other illnesses in the beginning stage of contagion.
Unless all doctors, nurses and staff are in full protective gear, with every individual that shows up with any random illness, there will be more and more cases among health care providers, and those who have contact with anyone who becomes ill. Very terrifying for those who must work in these dangerous fields, to provide for their family. Many of these people are either uninsured or under insured. The fact is, these individuals are in a war zone of sorts. When they become ill it should be looked at as an on the job injury. Of course I am looking at how it is in America, not in Africa. Africa reminds me of the future world of America etc. after the end of society as we know it. As time passes, and the original Preppers have died off, their children, grand- children, and great grand children, will be like what you see in Africa and other fallen civilizations. One Prepper Gang fighting another Prepper Gang, the new normal for the survivors and their descendents. |
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Satori
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Posted: July 25 2014 at 5:11pm |
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Ebola Biological Warfare – A Pandemic Nightmare http://modernsurvivalblog.com/pandemic/ebola-biological-warfare-a-pandemic-nightmare/#more-36355 this article puts forth a very interesting and frightening theory suicide bombers are willing to strap explosives to themselves now would they be willing to deliberately infect themselves with EBOLA ??? can you imagine an outbreak in the United States??? and just a suggestion if anyone has ANY Ebola news why not post it in this thread and keep everything in one place ? instead of starting dozens of new threads |
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CRS, DrPH
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Posted: July 25 2014 at 5:49pm |
Nearly all bioterrorism agents also present as "influenza like illnesses," or ILI for short. Healthcare facilities are always on a hair-trigger alert status for a sudden surge of ILI, especially out of the regular flu season. The second program, the Bioterrorism Preparedness and Readiness Project,
led by Rebecca Roberts, MD at Stroger Hospital of Cook County and led
by Stephen Roskam, MD at Provident Hospital serves to develop and
evaluate surveillance to rapidly detect influenza-like illnesses (ILI)
and distinguish possible bioterrorism-caused illnesses from other causes
of ILI. The overarching approach is to compare historic emergency
department (ED) ILI data to current and ongoing occurrences by day,
week, and season. |
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CRS, DrPH
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onefluover
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Posted: July 25 2014 at 7:35pm |
Satori, his sister died a month earlier of Ebola and: "The man, a Liberian government official, arrived in Nigeria on Tuesday to attend an 'international conference' and died early Friday. Blood tests for Ebola returned positive from the Lagos University Teaching Hospital later in the day." http://www.cbsnews.com/news/ebola-outbreak-spreads-to-fourth-country/ |
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"And then there were none."
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Posted: July 25 2014 at 9:43pm |
http://www.thestar.com/news/world/2014/07/25/plane_passenger_ill_with_ebola_spreads_outbreak_to_fourth_country.hPlane passenger ill with Ebola spreads outbreak to fourth countryWest Africa’s deadly Ebola outbreak spread to Nigeria Friday after an ill Liberian man travelled became sick on a plane and later died.
By:
Heather Murdock
The Associated Press,
Published on Fri Jul 25 2014
ABUJA, NIGERIA—West Africa’s current Ebola outbreak has spread to a fourth country, after an ill Liberian man vomited, had diarrhea and a high fever on an airplane to Nigeria. As soon as the plane landed on Tuesday the 40-year-old Liberian was moved into an isolation ward and he died Friday. It is the first case of Ebola to be confirmed in Nigeria, Africa’s most populous country, since the current outbreak began in West Africa earlier this year, according to Nigerian Health Minister Onyebuchi Chukwu. “All ports of entry into Nigeria including airports, seaports and land boarders are placed on red alert,” he said. “Ministry of Health specialists have been positioned in all entry points. Active surveillance has also been stepped up.” Authorities are currently investigating all persons who may have come into contact with the deceased, said Chukwu. “We have already gotten in touch with all the passengers,” he said. “We are monitoring and investigating.” The man, a Liberian government official, arrived in Nigeria on Tuesday to attend an international conference and died early Friday. Blood tests for Ebola returned positive from the Lagos University Teaching Hospital later in the day. Ebola, one of the world’s most deadly and contagious diseases, has killed at least 660 and infected 1,093 in Sierra Leone, Liberia, Guinea, and now Nigeria, according to the World Health Organization. |
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onefluover
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Posted: July 25 2014 at 10:13pm |
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In the article I quoted in brief above it said his sister first died of Ebola. It looks almost like he knew he had it (Ebola) from his sister and made a mad dash to attend an international conference. Of course I may be wrong but it looks like an attempt to deliberately spread Ebola to the far reaches of the world. I mean if his sister just died of it WHY would he travel to such a meeting???
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"And then there were none."
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carbon20
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Posted: July 26 2014 at 5:16am |
Nigeria 'placed on red alert' over Ebola death The Ebola virus has already spread from Guinea to Liberia and Sierra LeoneContinue reading the main story Related StoriesNigeria says it has put all entries into the country on red alert after confirming the death of a Liberian man who was carrying the Ebola virus. The man died after arriving at Lagos airport on Tuesday, in the first Ebola case in Africa's most populous country. Surveillance has been stepped up at all "airports, seaports and land borders", says Health Minister Onyebuchi Chukwu. Since February, more than 660 people have died of Ebola in West Africa - the world's deadliest outbreak to date. It began in southern Guinea and spread to Liberia and Sierra Leone. 'Contact avoided'The Liberian man collapsed on arrival in Lagos last Sunday. He was taken from the airport to hospital, where he was put in quarantine. Officials have identified the 40-year-old man as an employee of the Liberian government.  Ebola, which is highly contagious, spreads via bodily fluids, including sweatMr Chukwu confirmed that the other passengers on board the flight had been traced and were being monitored. The patient had "avoided contact with the general public" between the airport and the hospital, he said. Health specialists have been deployed at all entry points into the country, he added. The virus, which kills up to 90% of those infected, spreads through contact with an infected person's bodily fluids. Patients have a better chance of survival if they receive treatment early.  
The red alert in Nigeria comes as Sierra Leone launches a hunt for a woman infected with Ebola, who was forcibly removed from hospital by her relatives. The 32-year-old, who is the first registered Ebola case in the capital Freetown, was described by national radio as a "risk to all".  West African states lack the resources to tackle the world's worst outbreak of EbolaThe Ebola cases in Sierra Leone are centred in the country's eastern districts of Kenema and Kailahun, just over the border from the Guekedou region of Guinea where the outbreak started. Police said thousands of people joined a street protest in Kenema on Friday over the government's handling of the outbreak. Earlier this week, it was announced that the doctor leading Sierra Leone's fight against Ebola was being treated for the virus. On Thursday, the World Health Organization said that 219 people had died of Ebola in Sierra Leone. |
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Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.🖖
Marcus Aurelius |
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Posted: July 26 2014 at 12:14pm |
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Etebele made this comment in regard to the following Wikipedia entry.
HIV, Kidnapping, armed robbery, child trafficking, assassination,
ritual killing, political thuggery, high profile stealing and
corruption, BOKO HARAM and now EBOLA VIRUS… Oh God of mercy the provider
and the protector of the helpless, please do not ignore the cries and
teeth gnashing of your helpless children. Our sins are too much that
they may block our ways to solving these problem, even if we can. Do not
judge us by any standard, just graciously rescue us – your foolish
children All You Need To Know About Ebola Virus – Wikipedia Ebola Virus spread Ebola virus disease (EVD) or Ebola hemorrhagic fever (EHF) is the human disease caused by ebola viruses. Symptoms start two days to three weeks after contracting the virus with a fever, throat and muscle pains, and headaches. There is then nausea, vomiting and diarrhea along with decreased functioning of the liver and kidneys. At this point some people begin to have problems with bleeding. The disease is first acquired by a population when a person comes into contact with the blood or bodily fluids of an infected animal such as a monkey or fruit bat. Fruit bats are believed to carry and spread the disease without being affected by it. Once infection occurs, the disease may be spread from one person to another. Men who survive may be able to transmit the disease sexually for nearly two months. To make the diagnosis, typically other diseases with similar symptoms such as malaria, cholera and other viral hemorrhagic fever are excluded. The blood may then be tested for either antibodies to the virus, the viral RNA, or the virus itself to confirm the diagnosis. Prevention involves decreasing the spread of the disease from infected monkeys and pigs to humans. This may be done by checking these animals for infection and killing and properly disposing of the bodies if the disease is discovered. Properly cooking meat and wearing protective clothing when handling meat may be helpful, as may wearing protective clothing and washing hands when around someone sick with the disease. Samples from people with the disease should be handled with an extra degree of caution. There is no specific treatment for the virus with efforts to help people including giving the person either oral rehydration therapy or intravenous fluids. The disease has a high death rate: often between 50% and 90%. It typically occurs in outbreaks in tropical regions of Sub-Saharan Africa. Between 1976, when it was first identified, and 2014, fewer than 1,000 people a year have been infected. The largest outbreak as of 2014 is the ongoing 2014 West Africa Ebola outbreak, which is affecting Guinea, Sierra Leone and Liberia. The disease was first identified in the Sudan and the Democratic Republic of the Congo. Efforts are ongoing to develop a vaccine; however, none exists as of 2014. Signs and symptoms Manifestation of Ebola begins abruptly with a sudden onset of an influenza-like stage characterized by general malaise, fever with chills, sore throat, severe headache, weakness, joint pain, muscle pain, and chest pain. Respiratory tract involvement is characterized by pharyngitis with sore throat, cough, dyspnea, and hiccups. The central nervous system is affected as judged by the development of severe headaches, agitation, confusion, fatigue, depression, seizures, and sometimes coma. Cutaneous presentation may include: maculopapular rash, petechiae, purpura, ecchymoses, and hematomas (especially around needle injection sites). In general, development of hemorrhagic symptoms is indicative of a negative prognosis. However, contrary to popular belief, hemorrhage does not lead to hypovolemia and is not the cause of death (total blood loss is low except during labor). Instead, death occurs due to multiple organ dysfunction syndrome (MODS) due to fluid redistribution, hypotension, disseminated intravascular coagulation, and focal tissue necroses. The average time between contracting the infection and the onset of symptoms is 13 days, but can be as long as 25 days. Hemorrhage All people infected show some extent of coagulopathy and impaired
circulatory system symptomology. Bleeding from mucous membranes and
puncture sites is reported in 40–50% of cases, while maculopapular
rashes are evident in approximately 50% of cases. Sources of bleeds
include hematemesis, hemoptysis, melena, and aforementioned bleeding
from mucous membranes (gastrointestinal tract, nose, vagina and
gingiva). However diffuse bleeding (i.e. heavy) is rare; occurrence is
usually exclusive to the gastrointestinal tract. Main article: Ebolavirus EVD is caused by four of five viruses classified in the genus Ebolavirus, family Filoviridae, order Mononegavirales: Bundibugyo virus (BDBV), Ebola virus (EBOV), Sudan virus (SUDV),Taï Forest virus (TAFV). The fifth virus, Reston virus (RESTV), is thought to be not disease causing for humans and therefore not discussed here. Transmission EVD is believed to occur after an ebola virus is transmitted to a human index case via contact with an infected animal host.[citation needed] Human-to-human transmission occurs via direct contact with blood or bodily fluids from an infected person (including embalming of an infected dead person) or by contact with contaminated medical equipment such as needles. In the past, explosive nosocomial transmission has occurred in under-equipped African hospitals due to the reuse of needles and lack of implementation of universal precautions. Aerosol transmission has not been observed during natural EVD outbreaks. The potential for widespread EVD epidemics is considered low due to the high case-fatality rate, the rapidity of demise of patients, and the often remote areas where infections occur… Source: Wikipedia Short URL: http://www.osundefender.org/?p=179107 |
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Posted: July 26 2014 at 12:26pm |
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http://www.chicagotribune.com/news/nationworld/chi-ebola-sierra-leone-20140726,0,6182342.story
Ebola outbreak leaves orphans, economy in its wakeBy Silas Gbandia Bloomberg News 7:42 a.m. CDT, July 26, 2014 FREETOWN, Sierra Leone —
The deadliest outbreak of Ebola on record is forcing farmers and their families to flee cocoa, rice and peanut plantations in northeastern Sierra Leone, where agriculture makes up more than half of the nation's economy. Output of the chocolate-making ingredient will drop this year and peanuts and rice, a staple, will be left unharvested, Edmond Saidu, district agriculture officer in Kailahun District, said in an interview. The area borders Guinea, where the disease was first reported in March, and Liberia, which has confirmed cases of the hemorrhagic fever that has no cure. Ebola can kill up to 90 percent of patients infected, though the current outbreak has proven fatal in about 60 percent of cases. "Ebola has left with us with a
high number of orphans who cannot take care of themselves and family
plantations," Brima Kendor, a plantation owner and spokesman for the
local chief in Kissi Tongi, Kailahun district, said in an interview.
"This is the time to rehabilitate the cocoa farms but we can't do that
now." More than 600 people have died in Guinea, Sierra Leone and Liberia, according to the WHO. Nigeria said Friday a Liberian man died of the virus, the first case in Africa's largest economy. Abandoned farms threaten to curb economic growth in a country struggling to rebuild after a 10-year civil war that ended in 2002 and left the nation's infrastructure in ruins. Agriculture makes up about 57 percent of the $4.9 billion economy, according 2011 World Bank data, the most recent figures available. The virus will probably spread for four more months in West Africa, where more than 600 people have died since the fever was reported in March in Guinea, according to the World Health Organization. Farmers harvest cocoa and coffee in the districts of Kailahun, Kenema and Kono. Kailahun, where most of the Ebola cases have been confirmed, is the largest producer of cocoa in Sierra Leone and agriculture is the major economic activity. "This is the plowing season especially for swamp rice cultivation, and this is also the time for the first harvesting of cocoa in the rains," Saidu, the agriculture officer in Kailahun, said. "But much is not happening." Some international companies have refused to visit the area to buy the seed, Henry Yamba Kamara, managing director of the state-owned producer and buyer Sierra Leone Produce Marketing Company, said by phone. "The buyers have refused to go in," Kamara said. "The outcome will be either the cocoa will rot or nobody will be there to buy, which will lead to a drop in exports." |
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Posted: July 26 2014 at 12:46pm |
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Lagos is the financial Capital of Nigeria, from what I understand. Think about all of the
ways individuals come into contact with another individuals body fluids, in business transactions. Subtle, yet very lethal ways, if one is interacting with one who is positive with Ebola. Think about all of the social situations, where individuals congregate and interact in daily living, in today's time frame. Let your imagination run wild. Engage your intellect into what the financial ramifications would be if individuals on a massive scale, feared public interactions. How many cases would it take to raise the terror to a level of complete economic collapse? The mind is a fascinating tool, when the power of suggestion is in power. |
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Posted: July 26 2014 at 1:01pm |
http://in.reuters.com/article/2014/07/26/health-ebola-africa-idINL6N0Q109720140726Protestors march on Ebola centre in Sierra LeoneSat Jul 26, 2014 9:46pm IST * Crowd gathers after former nurse alleges cannibalism * President announces new measures to end Ebola in 90 days * Runaway Ebola sufferer in Freetown turns herself in By Umaru Fofana FREETOWN, July 26 (Reuters) - Thousands marched on an Ebola treatment centre in Sierra Leone on Friday after a former nurse alleged that the deadly virus was invented to conceal "cannibalistic rituals" at the ward, a regional police chief said. Across Guinea, Liberia and Sierra Leone, at least 660 people have died from the illness, according to the World Health Organisation, placing great strain on the health systems of some of Africa's poorest countries. Sierra Leone now has the highest number of cases, at 454, surpassing neighbouring Guinea where the outbreak originated in February. Angry crowds gathered outside the country's main Ebola hospital in Kenema in the West African country's remote east where dozens are receiving treatment for the virus and threatened to burn it down and remove the patients. Residents said that police fired tear gas to disperse the crowds and said that a nine-year-old boy was shot in the leg by a police bullet. Assistant Inspector General Alfred Karrow-Kamara said on Saturday that the protest was sparked off by a former nurse who had told a crowd at a nearby fish market that "Ebola was unreal and a gimmick aimed at carrying out cannibalistic rituals". He said that calm had now been restored to Kenema on Saturday, adding that a strong armed police presence was in place around the clinic and the local police station. Some health workers from the clinic have been reported absent from work because of "misconceptions by some members of the community," according to a local doctor. RUNAWAY FOUND Ebola can kill up to 90 percent of those who catch it, although the fatality rate of the current outbreak is around 60 percent. Highly contagious, its symptoms include vomiting and diarrhoea as well as internal and external bleeding. President Ernest Bai Koroma said on Saturday that the government planned to "intensify activities and interventions in containing the disease and stopping it spread" with a view to ending the disease within 60-90 days. The new strategy will focus on contact tracing, surveillance, communications and social mobilization, psychosocial services, logistics and supplies, according to the president's statement. The WHO has previously said that poor health infrastructure and a lack of manpower were hindering efforts to contain the outbreak in Sierra Leone. Another problem is fear and mistrust of health workers among the local population, many of whom have more faith in traditional medicine. Sierra Leone officials appealed for help on Friday to trace the first known resident in the capital with Ebola whose family forcibly removed her from a Freetown hospital after she tested positive for the deadly disease. Amadu Sisi, senior doctor at King Harman hospital, where the patient originally escaped from, said on Saturday that she had been turned in after seeking refuge in the house of a traditional healer. "Because of media and police pressure they decided to give her up. Maybe they are now convinced it is Ebola," he said. (Reporting by Umaru Fofana and Adam Bailes; Writing by Emma Farge; Editing by Stephen Powell) |
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Posted: July 26 2014 at 1:08pm |
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Another news article, stated that the runaway Ebola patient had died in an ambulance.
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Posted: July 26 2014 at 1:13pm |
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http://www.thespec.com/news-story/4692323-death-in-nigeria-shows-ebola-can-spread-by-air-travel-west-africa-airports-take-precautions/
23 minutes ago
Death in Nigeria shows Ebola can spread by air travel; West Africa airports take precautions
EBOLA VIRUSHO,The Canadian Press A transmission electron micrograph shows the ultrastructural morphology displayed by an Ebola virus virion.
By
Heather Murdock
ABUJA, Nigeria - Nigerian health authorities raced to stop the spread of Ebola on Saturday after a man sick with one of the world's deadliest diseases brought it by plane to Lagos, Africa's largest city with 21 million people. The fact that the traveller from Liberia could board an international flight also raised new fears that other passengers could take the disease beyond Africa due to weak inspection of passengers and the fact Ebola's symptoms are similar to other diseases. Officials in the country of Togo, where the sick man's flight had a stopover, also went on high alert after learning that Ebola could possibly have spread to a fifth country. Screening people as they enter the country may help slow the spread of the disease, but it is no guarantee Ebola won't travel by airplane, according to Dr. Lance Plyler, who heads Ebola medical efforts in Liberia for aid organization Samaritan's Purse. "Unfortunately the initial signs of Ebola imitate other diseases, like malaria or typhoid," he said. Ebola already had caused some 672 deaths across a wide swath of West Africa before the Nigeria case was announced. It is the deadliest outbreak on record for Ebola, and now it threatens Nigeria, Africa's most populous nation. "Lagos is completely different from other cities because we're talking about millions of people," said Plan International's Disaster Response and Preparedness Head, Dr. Unni Krishnan. Nigerian newspapers describe the effort as a "scramble" to contain the threat after the Liberian arrived in Lagos and then died Friday. International airports in Nigeria are screening passengers arriving from foreign countries for symptoms of Ebola, according to Yakubu Dati, the spokesman for Federal Aviation Authority of Nigeria. Health officials are also working with ports and land borders, he said. "They are giving out information in terms of enlightenment, what to do, what to look out for." And Nigerian airports are setting up holding rooms to ready in case another potential Ebola victim lands in Nigeria. Airports in Guinea, Liberia and Sierra Leone, the three other West African countries affected by the current Ebola outbreak, have implemented some preventive measures, according to officials in those countries. But none of the safeguards are foolproof, say health experts. Doctors say health screens could be effective, but Ebola has a variable incubation period of between two and 21 days and cannot be diagnosed on the spot. Patrick Sawyer, a consultant for the Liberian Ministry of Finance arrived in Nigeria on Tuesday and was immediately detained by health authorities suspecting he might have Ebola, Plyler said. On his way to Lagos, Sawyer's plane also stopped in Lome, Togo, according to the World Health Organization. Authorities announced Friday that blood tests from the Lagos University Teaching Hospital confirmed Sawyer died of Ebola earlier that day. Sawyer reportedly did not show Ebola symptoms when he boarded the plane, Plyler said, but by the time he arrived in Nigeria he was vomiting and had diarrhea. There has not been another recently recorded case of Ebola spreading through air travel, he added. Nearly 50 other passengers on the flight are being monitored for signs of Ebola but are not being kept in isolation, said an employee at Nigeria's Ministry of Health, who insisted on anonymity because he was not authorized to speak to the press. Sawyer's sister also died of Ebola in Liberia, according to Liberian officials, but he claimed to have had no contact with her. Ebola is highly contagious and kills more than 70 percent of people infected. An outbreak in Lagos, Africa's megacity where many live in cramped conditions, could be an unprecedented disaster in what is already the largest Ebola outbreak on record. "Lagos is completely different from other cities because we're talking about millions of people," said Plan International's Disaster Response and Preparedness Head, Dr. Unni Krishnan. Ebola is passed by touching bodily fluids of patients even after they die, he said. Traditional burials that include rubbing the bodies of the dead contribute to the spread of the disease, Krishnan added. There is no "magic bullet" cure for Ebola, but early detection and treatment of fluids and nutrition can be effective, said Plyler in Liberia. Quickly isolating patients who show symptoms is also crucial in slowing the spread of the disease. West African hospital systems have weak and "often paralyzed" health care systems, he added, and are not usually equipped to handle Ebola outbreaks. International aid organizations like his and Doctors Without Borders have stepped in, but they also lack enough funding and manpower. "We need more humanitarian workers," he said. "We need resources." The Associated Press |
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onefluover
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Posted: July 26 2014 at 1:30pm |
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His sister died of Ebola but he had no contact with her??? Either thats a lie or highly coincidental or a lot more people have it than we know of. Most likely it's a lie. And if so then why lie about THAT while en route to an international meeting? We may have just witnessed the worlds first true and viable attempt to wipe out most of the human race by way of a suicide biobomb.
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"And then there were none."
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Posted: July 26 2014 at 3:29pm |
I agree onefluover. A lot of unanswered questions, which leads an individual to fill in the holes, with the imagination running full speed ahead. A lot of maybes and what ifs? |
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CRS, DrPH
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Posted: July 26 2014 at 4:47pm |
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Assistant Inspector General Alfred Karrow-Kamara said on
Saturday that the protest was sparked off by a former nurse who
had told a crowd at a nearby fish market that "Ebola was unreal
and a gimmick aimed at carrying out cannibalistic rituals".
Hoo boy! So much for logic & science in this corner of the world. Now, we have a US doctor as a case!! DAKAR—
Dr. Kent Brantly, medical director at one of the country's two treatment centers run by the organization, recognized his own symptoms and confined himself to an isolation ward. It was not immediately clear how he caught Ebola. The relief group's Melissa Strickland said that he had followed strict safety protocols when treating patients. |
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CRS, DrPH
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Posted: July 27 2014 at 10:41am |
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http://www.sltrib.com/sltrib/world/58229457-68/ebola-health-disease-doctor.html.csp
Official: Ebola kills senior doctor in Liberia By JONATHAN PAYE-LAYLEH | The Associated Press |
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Posted: July 27 2014 at 2:28pm |
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http://www.usatoday.com/story/news/world/2014/07/27/ebola-africa-disease-epidemic/13236743/
Ebola now taking toll on doctors
Larry Copeland, USA TODAY
3:52 p.m. EDT July 27, 2014An Ebola outbreak that has killed more than 670 people in Africa is now taking a toll on doctors and health care workers battling the deadly disease. A government official in Liberia said Sunday that one of that country's highest-profile doctors has died in what the World Health Organization (WHO) calls the largest recorded outbreak of the disease. An American doctor who has been working in Liberia since October 2013 for the North Carolina-based aid organization Samaritan's Purse is receiving intensive medical treatment after he was infected with Ebola, according to a spokeswoman for the organization. Melissa Strickland said Kent Brantly, 33, was in stable condition, talking with his doctors and working on his computer while being treated. She cautioned that he is "not out of the woods yet." Strickland said patients have a better chance of survival if they receive treatment immediately after being infected, as Brantly did. Brantly, who is married with two children and is medical director for the Samaritan's Purse Ebola Consolidated Case Management Center in Monrovia, is being treated at a Samaritan's Purse isolation center, according to Strickland. Samaritan's Purse said later Sunday that a second U.S. citizen, Nancy Writebol, also has tested positive for Ebola. Writebol is employed by mission group SIM in Liberia and was helping a joint SIM/Samaritan's Purse team treating Ebola patients in Monrovia. Writebol is married with two children, the organization said. The Ebola outbreak in the West African nations of Liberia, Sierra Leone and Guinea has caused more than 670 deaths and more than 1,000 infections, according to the WHO. Ebola is a severe, often fatal illness with a fatality rate of up to 90% and is one of the world's most virulent diseases, according to the WHO. It is transmitted by direct contact with the blood, body fluids and tissues of infected animals or people. The first Liberian doctor to die of the disease was identified as Samuel Brisbane. He was working as a consultant with the internal medicine unit at the country's largest hospital, the John F. Kennedy Memorial Medical Center in Monrovia. Brisbane, who once was a medical adviser to former Liberian President Charles Taylor, was taken to a treatment center on the outskirts of the capital after falling ill with Ebola and died there, said Tolbert Nyenswah, an assistant health minister. He said another doctor who had been working in Liberia's central Bong County also was being treated for Ebola at the same center where Brisbane died. The situation "is getting more and more scary," Nyenswah said. A Ugandan doctor working in Liberia, where an Ebola outbreak has killed 129 people, died earlier this month. The current outbreak has claimed the lives of 319 in Guinea and 224 in Sierra Leone. Last week, the medical humanitarian organization Doctors Without Borders announced that the chief doctor leading the fight against the Ebola epidemic in Sierra Leone, Sheik Umar Khan, had contracted the disease. Three nurses who worked in the same Ebola treatment Center as Khan, 39, are believed to have died from the disease. "Our international staff are rotated every 4-6 weeks to ensure they are not too tired, which helps reduce risk," Ferir says. "Our staff always work in pairs in a buddy system. They look out for each other to make sure the other is not making any mistakes or is too tired. We try wherever possible to administer oral therapy rather than injections, which reduces the risk of needle stick injuries, and also limit the number of blood tests." Over the weekend, health officials in Nigeria raced to stop the spread of Ebola after a man sick with the disease arrived on a flight in Lagos, Africa's largest city with 21 million people. The man's ability to board an international flight raised new fears that other passengers could carry the disease beyond Africa because of weak passenger inspection and the fact that Ebola's initial symptoms can resemble those of other illnesses. Contributing: Associated Press |
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Posted: July 27 2014 at 2:41pm |
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KiwiMum
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Posted: July 27 2014 at 2:41pm |
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I'm surprised they have medical staff who are prepared to take the risk. I don't know that I would risk it, not with a family at home that I may contaminate.
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Those who got it wrong, for whatever reason, may feel defensive and retrench into a position that doesn’t accord with the facts.
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Posted: July 27 2014 at 2:49pm |
It will be interesting to observe how the doctors and other medical staff react in Australia, New Zealand, Scotland, England, USA etc. when Ebola cases are their responsibility. Will they stay around risking their lives and the lives of their loved ones, or will they bolt for the door? What do you think? |
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Technophobe
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Posted: July 27 2014 at 5:24pm |
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If it were me I would cry "STAMPEDE!" I think, some of these people at least, are more professional/better people than that. For me family first, I love them too much for it to be anything else. They say love is blind. It seems it is amoral too.
Before I met and married WillobyBrat I was quite altruistic. I would happily have risked my life for my fellow man. Now I am much more selfish because those I love want me around (some people have no taste). I don't even know if that makes me a worse person. Everyone is an individual though. You never can tell. |
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How do you tell if a politician is lying?
His lips or pen are moving. |
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Posted: July 27 2014 at 5:31pm |
Second American aid worker is infected with Ebola in Africa amid
fears biggest ever outbreak of incurable virus will spread around the
world
Published: 18:38 EST, 27 July 2014 | Updated: 19:19 EST, 27 July 20,2014
A second American citizen has now become infected with the deadly Ebola virus as the worst outbreak ever of the terrifying and grisly disease rages through four West African nations. Nancy Writebol, an American working for a charity organization in Liberia has tested positive for the virus officials announced Sunday. While her condition was not released. Writebol is undoubtedly fighting for her life against the virus, which kills 90 percent of those infected.  +7 Contagion: Christian missionary Nancy Writebol (seen here with her husband David) has become the second U.S. citizen infected with deadly Ebola in the midst of the worst outbreak of the virus ever in Africa
 +7 Outbreak:: Writebol and her husband are not healthcare personnel, but have spent the last 15 years working in disease and poverty-stricken third world countries
So too is American doctor Kent Brantly, the 33-year-old medical director for charity group Samaritan's Purse whose been working in Liberia since October. Writebol had been working with Ebola victims in the Liberian capital of Monrovia for the groups Serving In Mission and Samaritan's Purse when she became infected, NBC News reports. Writebol and her husband David are not medical personnel, but rather Christian missionaries with 15 years experience serving disease and poverty-stricken third world nations. Originally from Charlotte, North Carolina, the couple raised two sons before moving overseas, first to Ecuador and Zambia before moving to Liberia. Dr. Kent Brantly, meanwhile, was being treated in Monrovia over the weekend for the dreaded disease, said Melissa Strickland, a spokeswoman for Samaritan's Purse. 'We are hopeful, but he is certainly not out of the woods yet,' she said. Early
treatment improves a patient's chances of survival and Strickland said
Brantly recognized his own symptoms and began receiving care
immediately. The
highly contagious virus is one of the most deadly diseases in the
world. The World Health Organization said the outbreak is the largest
ever recorded, killing more than 670 people in Liberia, Guinea and
Sierra Leone since it began earlier this year. Health workers are at serious risk of contracting the disease, which spreads through contact with bodily fluids.  +7 Unprecedented: The outbreak has spread to Guinea, Sierra Leone, Liberia and has now killed a man in far more densely populated Nigeria. The outbreak is the deadliest ever of the terrifying disease as the death toll crept past 700
 +7 Deadly errors: Dr. Kent Brantly of Samaritan's Purse relief organization is shown wearing protective clothing as he works with Ebola patients in Liberia. Brantly is also being treated after somehow becoming infected with the virus. While the protective suits keep infectious fluids out, relief workers do often become victims
 +7 Another victim: Dr Kent Brantly, pictured with his wife and children who were with him in Africa until recently, but who officials don't believe have the virus Photos
of Brantly working in Liberia show him in white coveralls made of a
synthetic material that he wore for hours a day while treating Ebola
patients. There is no known cure for Ebola, which begins with symptoms including fever and sore throat and escalates to vomiting, diarrhea and internal and external bleeding. The
WHO says the disease is not contagious until a person begins to show
symptoms. Brantly's wife and children had been living with him in
Liberia but flew home to the U.S. about a week ago, before the doctor
started showing any signs of illness, Strickland said.  +7 Stable: 33-year-old Brantly, left, was receiving intensive medical care in a Monrovia hospital and was in stable condition, according to a spokeswoman for the aid group, Melissa Strickland
'They have absolutely shown no symptoms,' she said. A
woman who identified herself as Brantly's mother said the family was
declining immediate comment when reached by phone in Indiana late
Saturday. Brantly is a graduate of Indiana University School of Medicine and went to Liberia as part of a two-year fellowship with Samaritan's Purse, shortly after he completed his residency in family medicine at John Peter Smith Hospital in Fort Worth. 'The
caliber of a person like that who says, `I'm going Africa, I'm going to
where people need me the most,' it really speaks to you,' Robert
Earley, president and CEO of JPS Health Network, said Sunday. 'It speaks
to your heart.' Dr. Samuel Brisbane on Sunday became the first Liberian doctor to die in an outbreak the World Health Organization says. A Ugandan doctor working in the country died earlier this month. Brisbane,
who once served as a medical adviser to former Liberian President
Charles Taylor, was working as a consultant with the internal medicine
unit at the country's largest hospital, the John F. Kennedy Memorial
Medical Center in Monrovia. After falling ill with Ebola, he was taken to a treatment center on the outskirts of the capital, where he died, said Tolbert Nyenswah, an assistant health minister. As the death toll continues to rise in Liberia, Guinea and Sierra Leone, a fourth African country was alerted over the weekend to their own case of Ebola: the far more densely populated nation of Nigeria.  +7 Terrifying: A Liberian infected with Ebola terrified the highly-populated Nigerian capital of Lagos when he managed to fly there before becoming seriously ill by the time they landed and dying in the city, becoming the first Ebola death in Nigeria
EBOLA: DEADLY, CONTAGIOUS AND UNCURABLEThe current outbreak of Ebola has spread to at least four countries in West Africa since the start of the year. So far, it has claimed 672 victims, and infected 1,093. Countries affected include Liberia, Guinea, Sierra Leone, and Nigeria. The disease spreads through contact with blood, body fluids or contact with tissue from infected people or animals. It has only a 10 percent survival rate. Nigerian
health authorities raced to stop the spread of Ebola on Saturday after a
man sick with one of the world's deadliest diseases brought it by plane
to Lagos, Africa's largest city with 21 million people. The fact that the traveler from Liberia could board an international flight also raised new fears that other passengers could take the disease beyond Africa due to weak inspection of passengers and the fact Ebola's symptoms are similar to other diseases. Nigerian
officials say a Liberian man died of Ebola in a Lagos hospital Friday
after arriving in the country on Tuesday. It is the first case of Ebola
to be confirmed in Nigeria since the current outbreak began in West
Africa earlier this year. Nigerian Health Minister Onyebuchi Chukwu said all ports of entry in the country are now on 'red alert' and health officials are investigating all people who had contact with the deceased.
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Posted: July 27 2014 at 5:37pm |
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http://af.reuters.com/article/commoditiesNews/idAFL6N0Q218220140728?pageNumber=2&virtualBrandChannel
Liberia shuts border crossings, restricts gatherings to curb Ebola spreadingMon Jul 28, 2014 12:23am GMT |
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Posted: July 27 2014 at 5:41pm |
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http://www.dailymail.co.uk/news/article-2707907/Ebola-virus-spread-globally-plane-brings-Nigeria.html
Deadly Ebola virus 'could spread globally' after plane brings it to Nigeria
By Nick Fagge Published: 19:04 EST, 27 July 2014 | Updated: 19:04 EST, 27 July 2014 |
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rickster58
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Posted: July 27 2014 at 7:01pm |
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This Ebola crisis is like watching a train wreck in slow motion.
You'd think after swine flu in 2009 the 'idiots-in-charge' would have worked out restricting air travel to and from the region should occur as a precautionary measure immediately it becomes clear it is not an isolated incident. |
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onefluover
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Posted: July 27 2014 at 7:20pm |
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Well..... Such a nice looking family. I wish them all well.
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"And then there were none."
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rickster58
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Posted: July 27 2014 at 7:24pm |
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Used PPE in Liberia
Never in my life have I seen such blatant disregard for simple infectious disease control protocols. In this clip, it is revealed to the reporter that the coveralls he is walking past and nearly touches, is in fact a USED suit - i.e. one that has previously been worn in a contaminated environment. And we wonder why the medical staff are getting infected. For a look at the news story where this clip came from, click Ebola - vice news |
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onefluover
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Posted: July 27 2014 at 7:38pm |
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I want to scream some things out, knowing now I was right, that it had only been one week. But seeing their faces, his children and wife, all I can do is put my phone down and go hug my 5 year old son.
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"And then there were none."
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Posted: July 27 2014 at 7:45pm |
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http://www.news.com.au/world/the-arrival-of-an-ebolainfected-air-passenger-in-nigeria-has-airlines-and-airports-scrambling-to-respond-around-the-world/story-fndir2ev-1227004137380
The arrival of an Ebola-infected air passenger in Nigeria has airlines and airports scrambling to respond around the world. |
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EdwinSm,
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Posted: July 28 2014 at 12:40am |
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New WHO totals as of 20.7.2014. 45 new cases and 28 deaths, for a total of 1093 cases and 660 deaths (CFR of 60%).
http://www.who.int/csr/don/2014_07_24_ebola/en/# Many of the above posts refer to a CFR of 90%. I know the WHO rate will go up as currently ill people will die, but I doubt a jump from 60% to 90% is possible given the quick demise of patients. So any idea of the probable CFR? |
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onefluover
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Posted: July 28 2014 at 2:17am |
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I think it will hold at about 60 or drop slightly in the short term but in the longer term it will pick back up as once the scourge reaches a certain point there will be no more treating the sick.
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"And then there were none."
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second to contract E
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Posted: July 28 2014 at 5:24am |
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By http://www.wsoctv.com/staff/alexa-ashwell/ - Alexa Ashwell and http://www.wsoctv.com/staff/blake-hanson/ - Blake Hanson WSOC-TV – Charlotte, N.C. BOONE, N.C. — One of the deadliest known viruses in the world hit home on Sunday when a church congregation in Charlotte, N.C., learned one of its members and missionary, Nancy Writebol, tested positive for Ebola. “You could almost hear the congregation gasp,” said Calvary Church Pastor John Munro, who delivered the news at the start of the service Sunday. Munro said the wife and mother of two adult sons contracted Ebola while in Liberia and caring for those already infected with the disease. Writebol worked alongside Dr. Kent Brantly, 33, of Fort Worth, Texas, who also recently contracted the disease. Nancy and her husband, David, have been doing missionary work in Liberia for the past year. http://www.wsoctv.comewsews/local/samaritans-purse-doctor-tests-positive-ebolagpHF/ - Munro told WSOC-TV in Charlotte that he learned Nancy wasn’t feeling well through the Baileys, close family friends of the couple. http://www.ajc.com/listewsational/more-news-lines/aJz4/ - >> Read more trending stories “Nancy told us she had been ill for the past week and had flu-like symptoms,” explained Bill Bailey, outside his home in Charlotte on Sunday. “They told us Friday they thought she may have contracted malaria and were treating her for that.” Bill said he and his wife had been staying in touch with the Writebols through Skype, but on Saturday night, he received the devastating phone call from Nancy’s husband. “David called and said Nancy’s blood test came back positive for Ebola,” said Bailey, holding back tears. “It was the worst possible news you could expect to hear about your best friend. David isn’t able to go into the home they shared. Nancy is isolated and receiving treatment.” When asked, Bailey said the Writebols remain strong in their faith despite the diagnosis. “David said their fate was in God’s hands,” Bailey said. “If this is what it takes for more people to know Christ, then I know they would not object what God has ordained for them.” Bailey said the family is asking for prayers. On Saturday, Samaritan’s Purse, a Christian relief organization based in Boone, N.C., announced one of its doctors had tested positive for Ebola. Ken Isaacs, a vice president of Samaritan's Purse, said that Dr. Kent Brantly — the 33-year-old medical director for the group's Ebola care center on the outskirts of the Liberian capital of Monrovia — was stable and in very serious condition. "We are hopeful and prayerful," Isaacs said from the group headquarters. He said the doctor quickly recognized the symptoms and sought speedy treatment. Isaacs, the group's vice president of program and government relations, said the fact that health care workers have been infected underscores the severity of the West Africa outbreak that has killed hundreds in Liberia, Sierra Leone and Guinea. "It's been a shock to everyone on our team to have two of our players get pounded with the disease," said Isaacs, adding health ministries in those poor nations are challenged to respond. "Our team is frankly getting tired." The highly contagious virus is one of the most deadly diseases in the world. The World Health Organization said the outbreak is the largest ever recorded, killing more than 670 people in Liberia, Guinea and Sierra Leone since it began earlier this year. Health workers are at serious risk of contracting the disease, which spreads through contact with bodily fluids. Photos of Brantly working in Liberia show him in white coveralls made of a synthetic material that he wore for hours a day while treating Ebola patients. There is no known cure for Ebola, which begins with symptoms including fever and sore throat and escalates to vomiting, diarrhea and internal and external bleeding. The WHO says the disease is not contagious until a person begins to show symptoms. Brantly's wife and children had been living with him in Liberia but flew home to the U.S. about a week ago, before the doctor started showing any signs of illness, said Melissa Strickland, a spokeswoman for Samaritan's Purse. "They have absolutely shown no symptoms," she said. A woman who identified herself as Brantly's mother said the family was declining immediate comment when reached by phone in Indiana late Saturday. Brantly is a graduate of Indiana University School of Medicine and went to Liberia as part of a two-year fellowship with Samaritan's Purse, shortly after he completed his residency in family medicine at John Peter Smith Hospital in Fort Worth, Texas. "The caliber of a person like that who says, 'I'm going Africa, I'm going to where people need me the most,' it really speaks to you," Robert Earley, president and CEO of JPS Health Network, said Sunday. "It speaks to your heart." The Associated Press contributed to this story. |
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Posted: July 28 2014 at 7:28am |
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According to some news sources, the Liberian Man who died in the Nigerian hospital
of Ebola, had attended the funeral services of his sister, who had died several weeks earlier from Ebola. If this is true, then contrary to other information stating that he had no contact with his sister, is false. It seems that there are various facts which are either unknown, or are being ignored in this and other situations. Also, from what I understand, Doctor Kent Brantly who is the American Doctor who is now Ebola positive, had sent his wife and 2 children home to America approx. 1 week ago. Experts do not believe they have Ebola. I do not know if they are in isolation, or if those whom they had contact with on the way back to America, have been notified of this situation. |
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onefluover
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Posted: July 28 2014 at 7:52am |
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Thanks. They are of course huge questions. If he attended the funeral and lied about it and he knows better than most the risks of that contact and he then attempted to attend that particular conference, it sure leaves much for my wild imagination. He could of just been in denial and hoping all was OK but that's how this Ebola keeps spreading. The American sending his family home only one week before he showed symptoms and now his colleague having it as well, it's just unfathomable that his family are not in quarentine. That is indisputable proof right there that Ebola CAN get its foot into our country and there is a strong possibility it is already here.
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"And then there were none."
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Posted: July 28 2014 at 10:08am |
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http://news.sky.com/story/1309026/ebola-us-doctors-condition-deteriorates
Ebola: US Doctor's Condition 'Deteriorates' |
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CRS, DrPH
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Posted: July 28 2014 at 2:01pm |
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I'm certified in OSHA Bloodborne Pathogen safety, and Ebola is significantly more infectious than a typical "bloodborne pathogen" such as HIV or Hepatitis B or C....
Two Americans who got infected with Ebola virus as they were trying to save others with the disease are struggling for their lives in Liberia, one of three West African nations at the center of the biggest outbreak yet of the virus. They may have been infected by something as simple as wiping the sweat from their eyes, says another expert who’s worked in the field fighting the outbreak. |
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CRS, DrPH
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onefluover
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Posted: July 28 2014 at 3:08pm |
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Yes Chuck. That appears to be the case or else there would be dramatically more people infected with HIV and Hep B, C then there are just from tattoo shops alone. To date there are very few documented cases and all are related to tainted inks directly injected-not airborne. Incidentally, I am Oregon state certified in Bloodborne Pathogen Safety and California-OSHA Certified in General And Advanced Industrial Safety--a 6000 hour course. Your knowledge about what is important to us though is extraordinary and exemplary.
NATION Ebola only a plane ride away from USA Liz Szabo and Karen Weintraub, Special for USA TODAY 8 minutes ago Youssouf Bah, AP Medical personnel take care of Ebola patients in a clinic in the Kenema District on the outskirts of Kenema, Sierra Leone, on July 27. The growing Ebola outbreak in West Africa serves as a grim reminder that deadly viruses are only a plane ride away from the USA, health experts say. The outbreak is the largest and deadliest on record, with more than 670 deaths and more than 1,200 infections in Guinea, Liberia and Sierra Leone, according to the Centers for Disease Control and Prevention. Fatality rates for Ebola have been as high as 90% in past outbreaks, according to the World Health Organization. The virus — which has an incubation period of a few days to three weeks — could easily travel to the USA through infected travelers, says Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. EBOLA OUTBREAK: What you need to know MORE: Ebola may extend deadly reach beyond Africa "A case very well could fly out of Africa, only to be detected in some distant country," says Osterholm, who served as an adviser to the George W. Bush administration on bioterrorism. The CDC on Monday announced that it has sent an alert to health care providers in the USA to help them spot symptoms of the disease. Health experts at the CDC have been working with African nations since the Ebola outbreak began in March. But officials are on alert now, after news that a man with Ebola was able to board a plane and arrive in Lagos, the capital of Nigeria. He later died. Two Americans providing humanitarian assistance in West Africa have become infected with Ebola. Family members of one of them, Kent Brantly, a doctor, had been living with him in Africa, but returned to the USA before he began showing symptoms. To be careful, however, the family is on a "21-day fever watch," in which they are being asked to monitor themselves for symptoms, says Stephan Monroe, deputy director of the CDC's national center for emerging and zoonotic infectious diseases. Yet while Ebola is a fearsome disease, the virus "would not pose a major public health risk" in the USA, Osterholm says. That's because people need to be in intimate contact to spread the virus, Osterholm says. Ebola is actually much harder to spread than respiratory infections, such as influenza or measles. Those viruses pose a much greater threat on a plane or in any confined space, says Osterholm, who notes that people cannot spread the Ebola virus simply by sneezing or coughing. Ebola also can only be spread by people with active symptoms, Monroe says. "No Ebola cases have been reported in the United States and the likelihood of this outbreak spreading outside of West Africa is very low," says Monroe, who says that the CDC has sent 12 experts to Africa to help with the crisis. "While it's possible that someone could become infected with Ebola in Africa" before boarding a plane to the USA, "it's very unlikely that they would spread it to other passengers." Ebola does spread readily through body fluids, such as blood and saliva, Osterholm says. On a plane, a sick person could potentially contaminate the bathroom if he or she vomits or has diarrhea. Stephen Morse, an epidemiologist at the Mailman School of Public Health at Columbia University, says the issue of how Ebola spreads is complex. Sweat and saliva carry much lower levels of the Ebola virus than blood and stool, so the virus spreads less readily through those fluids. "I don't think we've seen actual cases (passed through contact with sweat or saliva)," Morse says. "There may someday be a strain that's more capable of doing that, but so far it's more theoretical than actual." Ebola has spread in Africa partly because of religious customs, in which family members wash the bodies of deceased relatives to prepare them for burial. The virus also has spread to health care workers in Africa, where six or seven patients may share a single hospital room. Hospitals in developing countries also may lack certain infection-control measures — such as special containers to dispose of syringes — that are standard in U.S. facilities, Osterholm says. Wearing full-body protective garments – commonly called "moon suits" – is also more of a challenge in open-air clinics, because the restrictive outfits can cause people to quickly overheat. More help is needed from around the world, Morse said. He received an e-mail today from a friend who is treating patients in the region and working 12- to 24-hour days. "When people tell me they're working flat-out 20 hours a day, obviously more resources are needed," he said. The region needs more health care workers, especially those well trained in infection control procedures, he said, more equipment to keep health care workers and family members safe while treating patients, and more training for the general public about how to avoid and cope with the virus. "With something this size, it's obvious that we're under resourced right now," Morse said. Symptoms of Ebola include fever, muscle aches, chills, sore throat, vomiting and diarrhea and a rash, according to the WHO. Advanced cases also can cause heavy bleeding, both internally and from the mouth and nose. Ebola can damage multiple organs, causing kidney and liver failure. Only about half of patients begin hemorrhaging, Monroe says. That makes it easy for health care workers in Africa to mistake Ebola for diseases with similar symptoms, such as malaria and Lassa fever, another viral illness common in that region. "Most people who contract Ebola are those who live with and care for those who have already caught the disease and are showing symptoms," Monroe says. Hospitals in the USA are on high alert for Ebola, however, and would quickly isolate anyone with suspicious symptoms who has recently returned from Africa, Osterholm says. "Right now, we'd have to assume every case is an Ebola case," in people with suspicious symptoms, Osterholm says. In a worst-case scenario, Osterholm says, a handful of emergency room workers could be exposed before a sick person is diagnosed. Once people are infected, however, there is no effective treatment, Osterholm says. Anti-viral medications used for other illnesses, such as the flu and HIV, don't appear to work on Ebola. Instead, hospitals could provide supportive care, dealing with symptoms as they occur. Among the federal travel restriction procedures the Centers for Disease Control can use to protect travelers and the public from communicable diseases that pose a serious threat is to put travelers' names on a "Do Not Board" list that is enforced by the Transportation Security Administration. However, it's unclear how well the list works. CDC still has not released records requested by USA TODAY in 2010 under the Freedom of Information Act relating to failures of the "Do Not Board" list to stop passengers from flying. As of April, CDC had transferred the gathered records for further review by officials at CDC's parent agency, the U.S. Department of Health and Human Services, according to e-mail correspondence. . Contributing: Alison Young |
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"And then there were none."
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CRS, DrPH
Expert Level Adviser
Joined: January 20 2014 Location: Arizona Status: Offline Points: 26660 |
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Posted: July 28 2014 at 6:23pm |
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Why are the MDs even trying?? This thing is going to blow wide open with this sort of nonsense.
http://www.nytimes.com/2014/07/28/world/africa/ebola-epidemic-west-africa-guinea.html?_r=3
Workers and officials, blamed by panicked populations for spreading the virus, have been threatened with knives, stones and machetes, their vehicles sometimes surrounded by hostile mobs. Log barriers across narrow dirt roads block medical teams from reaching villages where the virus is suspected. Sick and dead villagers, cut off from help, are infecting others. “This is very unusual, that we are not trusted,” said Marc Poncin, the emergency coordinator in Guinea for Doctors Without Borders, the main group fighting the disease here. “We’re not stopping the epidemic.” Efforts to monitor it are grinding to a halt because of “intimidation,” he said. People appear to have more confidence in witch doctors. |
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CRS, DrPH
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arirish
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Joined: June 19 2013 Location: Arkansas Status: Offline Points: 39215 |
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Posted: July 28 2014 at 8:41pm |
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CRS, DrPH - Why aren't they in West Virginia, the Appalachians or the southern Delta? They are evangelist trying to save souls. "People appear to have more confidence in witch doctors". I hope their God has mercy on them, the people they are serving don't seem to!
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Buy more ammo!
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Satori wrote: