Tracking the next pandemic: Avian Flu Talk |
Ebola is back - Epidemic Coming? |
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Medclinician2013
Valued Member Joined: September 17 2013 Location: Carmel Status: Offline Points: 9020 |
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Posted: June 15 2015 at 5:43am |
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http://www.foxnews.com/health/2015/06/15/ebola-could-hit-again-and-would-hardly-do-better-msf-head-says/
While the virus is spreading more slowly than at the peak last year and Liberia has defeated the outbreak, cases have risen sharply in the past two weeks in Guinea and Sierra Leone. "We've been disappointed by the World Health Assembly and again by the G7 in terms of their recommendations," Liu, the international president of MSF, told Reuters. She was referring also to a World Health Organization (WHO) meeting last month. The WHO did not declare an international public health emergency until August last year, eight months after the first Ebola case, delaying resources to the sick. Jerome Mouton, MSF country head for Guinea, described a state of "semi-denial" about the virus similar to a year ago, adding that another major flare-up of the disease was possible. Medclinician Jerome Mouton, MSF country head for Guinea, described a state of "semi-denial" about the virus similar to a year ago, adding that another major flare-up of the disease was possible. "We are in the same situation where we are overly optimistic, saying that it is almost finished and there's no problem but in fact it's a big problem as there is potential for this to again set off a big epidemic," he said. |
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Medclinician - not if but when - original
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CRS, DrPH
Expert Level Adviser Joined: January 20 2014 Location: Arizona Status: Offline Points: 26660 |
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^Thanks, that is important news to report!
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CRS, DrPH
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Dutch Josh
Adviser Group Joined: May 01 2013 Location: Arnhem-Netherla Status: Online Points: 95297 |
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Ebola might become like cholera in Haïti http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=29715+&Itemid=999999&lang=en that has been around since 2010 (and is worse in 2015 than 2014 !).
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We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein |
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Medclinician
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Cutting to the bottom line as far as America goes, we seem to have this overall spin that it can't happen here because West Africa is less sanitary. Given enough infected people the virus will mutate. However if it is airborne, then the difference vanishes. It could spread in the U.S. as much as it has in West Africa. There was quite a debate on here when I first posted it was airborne. This got into a heavy discussion drawing a fine line between weaponized and spread by droplets. At one time the CDC were taking extensive precautions to protect for something passed by a cough or sneeze and some sources stated it could be for up to 12 feet. http://nationalreport.net/ebola-mutation-confirmed-airborne/ National Report>A preliminary emergency investigation by the Center for Disease Control has determined that a new virulent mutation of the Ebola virus may have come into the U.S. on several international flights from the African continent. Concern over an outbreak of Ebola in the United States had previously been low due to vastly better hygienic practices and the quality of medical facilities and treatments. But information coming out of Africa, which is currently experiencing the worst case of Ebola outbreak in modern history, suggests that the severity of the pandemic has been caused by a new mutation in the Ebola virus; one that has allowed it to live and transit infection in airborne particles of mucus and saliva. Medclinician |
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"not if but when" the original Medclinician
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jacksdad
Executive Admin Joined: September 08 2007 Location: San Diego Status: Offline Points: 47251 |
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Med - that article is almost a year old and the site's credibility is questionable, to say the least.
Ebola is an RNA virus so we should most definitely expect mutations, but surely it would be hard to miss a more virulent airborne strain that was showing up at US airports last year because it would, by it's very nature, spread much faster and further. Other than a resurgence in West Africa that seems likely to be more attributable to a return to unsafe behaviors and complacency, I'm seeing no indication that Ebola has changed significantly. "Stories from the National Report have been taken seriously by third parties such as Fox News Channel and the site drew criticism in October 2014 for running a series of fake stories about Ebola outbreaks in the United States, including the false report that the town of Purdon, Texas has been quarantined after an outbreak. The story led to a traffic spike of two million unique visitors, and although the story was debunked by other websites, the original National Report story received six times as many "shares" on social media sites as the debunking stories did." https://en.wikipedia.org/wiki/National_Report |
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"Buy it cheap. Stack it deep"
"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary. |
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Technophobe
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I'm back as JD's yesman.
Absolutely.
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How do you tell if a politician is lying?
His lips or pen are moving. |
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Medclinician
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http://wchildblog.com/2014/08/08/airborne-ebola-virus-confirmed-by-canadas-public-health-agency/
MODE OF TRANSMISSION:Humans may be infected by handling sick or dead non-human primates and are also at risk when handling the bodies of deceased humans in preparation for funerals, suggesting possible transmission through ‘Aerosol Droplets’ (2, 6, 28). In the laboratory, infection through small-particle ‘Aerosols’ has been demonstrated in primates, and AIRBORNE spread among humans is ‘Strongly Suspected’! comment: I did publish quite an extensive lab report from this and it had nothing to do with the tabloids. http://www.bbc.com/news/science-environment-20341423 Canadian scientists have shown that the deadliest form of the ebola virus could be transmitted by air between species. In experiments, they demonstrated that the virus was transmitted from pigs to monkeys without any direct contact between them. The researchers say they believe that limited airborne transmission might be contributing to the spread of the disease in some parts of Africa. They are concerned that pigs might be a natural host for the lethal infection. Ebola viruses cause fatal haemorrhagic fevers in humans and many other species of non human primates. Details of the research were published in the journal Scientific Reports. (Here we show ZEBOV transmission from pigs to cynomolgus macaques without direct contact. Interestingly, transmission between macaques in similar housing conditions was never observed. Piglets inoculated oro-nasally with ZEBOV were transferred to the room housing macaques in an open inaccessible cage system. All macaques became infected. Infectious virus was detected in oro-nasal swabs of piglets, and in blood, swabs, and tissues of macaques. This is the first report of experimental interspecies virus transmission, with the macaques also used as a human surrogate. Our finding may influence prevention and control measures during EBOV outbreaks.) According to the World Health Organization (WHO), the infection gets into humans through close contact with the blood, secretions, organs and other bodily fluids from a number of species including chimpanzees, gorillas and forest antelope. The fruit bat has long been considered the natural reservoir of the infection. But a growing body of experimental evidence suggests that pigs, both wild and domestic, could be a hidden source of Ebola Zaire - the most deadly form of the virus. Now, researchers from the Canadian Food Inspection Agency and the country's Public Health Agency have shown that pigs infected with this form of Ebola can pass the disease on to macaques without any direct contact between the species. In their experiments, the pigs carrying the virus were housed in pens with the monkeys in close proximity but separated by a wire barrier. After eight days, some of the macaques were showing clinical signs typical of Ebola and were euthanized. One possibility is that the monkeys became infected by inhaling large aerosol droplets produced from the respiratory tracts of the pigs. Medclinician |
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"not if but when" the original Medclinician
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Medclinician
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http://wqad.com/2015/06/12/dozens-of-new-ebola-cases-reported-in-west-africa/
(CNN) — It seemed like the number of people contracting Ebola in West Africa was on the decline. But now, officials say that trend has stalled, with dozens of new cases of the deadly virus reported so far this month. Last week, there were 31 new cases of Ebola reported in a growing geographic area in Guinea and Sierra Leone, the World Health Organization said. At the beginning of this week, 14 additional cases were reported. The latest figures mark the second straight week that the number of Ebola cases in West Africa has increased, officials said. Investigators are working to trace how the latest cases of the disease were contracted, the WHO said. |
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"not if but when" the original Medclinician
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Technophobe
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The pig monkey viral contagion was over a year old too, Med. The same researchers realised later that they had made several mistakes and re-ran the experiments with stricter controls. The virus did not jump that time. Hazlepad posted the details earlier in this very forum.
It is true that it can pass without direct contact, by accidentally generated aerosol or splash, but not by the true airborne route, or the ancient idea of miasma. Though you are correct in everything you have said, Med, it would be a good idea to clarify that point. Then we can save up the panic for the MERS virus!
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How do you tell if a politician is lying?
His lips or pen are moving. |
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DebraKay
Valued Member Joined: June 10 2015 Location: High Point, NC Status: Offline Points: 80 |
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I actually paid a visit to my pulmonologist yesterday, and discussed MERS etc. I told him my theory on hospital spread due to the use of nebulizers to administer medications to open lungs, how when one who is having a nebulizer treatment breathes out the medication along with virus now aerosolized goes into HVAC vents lands on door knobs, faucets, sinks, lungs, etc. He said, "we are looking at discontinuing use of nebulizers in the USA. Hmm. wonder why, he says because it is because the people get so much medicine that it causes tachycardia rapid heart beat. So, a neb treatment so effectively delivers medication that it causes medication side effects. Who believes this that would cause them to not use the nebulizer, simply reduce the amount of medication given because it delivers so effectively it is not needed in prior thought doses. Trust me, when I say the military are all very well aware of the danger of nebulizers. I believe that more then tachycardia is why the treatment is discontinued. It does spread it in a hospital environment.
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Debra NC
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CRS, DrPH
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There is absolutely nothing about the spread of MERS that we haven't seen with SARS. We need to remember the lessons that we once learned.
I feel that MERS is still "winding up" in a genetic sense, and is nowhere near optimized for human-to-human spread. This may happen rather quickly, if the South Koreans don't stop playing games with it. Apparently, like the Chinese, they are primarily concerned about the impact of this MERS outbreak upon their economy. Oh, regarding Ebola....it is here, to stay, in Africa. It will smolder in the bush at a low level, and every so often, MSF or other group will go in when it becomes obvious enough. Eventually, a case will break out into a more populated area, and we'll go through the fire drill again. We humans seem to have very short memories.
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CRS, DrPH
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jacksdad
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Isn't that the truth... |
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"Buy it cheap. Stack it deep"
"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary. |
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onefluover
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Huh?
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"And then there were none."
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jacksdad
Executive Admin Joined: September 08 2007 Location: San Diego Status: Offline Points: 47251 |
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I forget.
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"Buy it cheap. Stack it deep"
"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary. |
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Medclinician
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Meanwhile - back to the Ebola Outbreak -
http://reliefweb.int/report/sierra-leone/ebola-outbreak-updates-june-19-2015 CUMULATIVE CASES
Ebola Virus Disease Situation Report comment: So that is a 4!% CFR (case fatality ratio) |
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"not if but when" the original Medclinician
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Medclinician
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http://www.opb.org/news/article/npr-why-ebola-wont-go-away-in-west-africa/
Ebola has dug in its heels. Despite dramatic drops in the overall numbers of reported cases, Sierra Leone and Guinea are still struggling to stop the deadly disease. Case tallies in both countries have dipped towards zero in the past few months, only to bounce back up. Sierra Leone reported 14 new cases this week and Guinea counted 10. To try to finally wipe out Ebola once and for all, Sierra Leone President Ernest Bai Koroma ordered the military last week to enforce new community-wide quarantines around the most recent cases. “The curfew restrictions and the soldier activities will last for a 21-day period,” President Koroma declared on TV last week. Anyone caught violating the quarantine will be arrested, he ordered. People aren’t allowed to leave the quarantined communities, and the government has imposed a curfew from 6 p.m. to 6 a.m. The new restrictions are aimed at “ending the secret movement of cases, contacts, and dead bodies that has propagated transmission over the past 2 months,” the World Health Organization said. Guinea arguably is in a worse position than Sierra Leone. The outbreak has been going on longer in Guinea. Cases are more geographically widespread, and some rural communities in Guinea have blocked health workers from entering. “I think it’s going to be very difficult to actually get to zero cases and stay at zero cases in Sierra Leone and Guinea,” says Dr. Daniel Lucey, a professor of immunology at Georgetown University, who just returned from Guinea last week. Medclinician |
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"not if but when" the original Medclinician
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jacksdad
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It's moved geographically, but it's probably going to behave as it did in the Congo - hiding out in animal hosts and causing outbreaks in humans for the foreseeable future. West Africa is unfortunately going to have to learn how to deal with inevitable outbreaks as it does with other endemic diseases like Lassa Fever. It's not going away anytime soon, if ever, but I think it's shown that it doesn't have pandemic potential even as bad as the recent outbreak was.
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"Buy it cheap. Stack it deep"
"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary. |
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Medclinician
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One of the considerations here is whether their health system or nations help them have improved as far as being to handle the outbreaks. This is a nasty disease that can get through even heavily protected workers with anything less than air isolation and contact gear. Many of the outfits used during the last serious outbreak last year were made by the workers and some just did not protect them enough to prevent infection. The bottom line is whether this is a sanitation issue and whether Europe and the U.S. simply handle their burials with no physical contact. courtesy of Tara at Stanford University and for non-profit and educational use - http://web.stanford.edu/group/virus/filo/transmission.html We still don't know how primates contract filoviruses in nature. The secondary cases of filovirus infection have been the result of contact with contaminated blood, organs, semen or other bodily secretions. Marburg, a filovirus closely related to Ebola, can be transmitted via semen up to 12 weeks after clinical recovery (1). Ebola can also be transmitted through the handling of ill or dead chimpanzees. Amongst humans, Ebola is transmitted by contact with infected bodily fluids and/or tissues (2, 3). There is evidence of a possible respiratory route of transmission of Ebola in nonhuman primates (3). Even if Ebola is transmitted via the respiratory route to nonhuman primates, humans may be resistant to the airborne/aerosol transmission of Ebola (may not have the right receptors). References:
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"not if but when" the original Medclinician
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jacksdad
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I agree, Med. Superstition, burial traditions and lack of education fueled the spread in West Africa. When it arrived, the residents of Liberia, Guinea and Sierra Leone were taken completely by surprise and often chose to seek traditional medicine, hide from the authorities or refuse to comply with quarantines.
By contrast, Lassa Fever has been entrenched in that part of the world for a long time and is well understood, even by the locals. I remember being amazed that countries like Sierra Leone, who are world leaders in dealing with outbreaks of Lassa, were being beaten by a different hemorrhagic disease that was similar in more ways than it was different. |
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"Buy it cheap. Stack it deep"
"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary. |
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Technophobe
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I agree too, Med.. I can't see the dangerous practices changing in sufficient degree anytime soon.
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How do you tell if a politician is lying?
His lips or pen are moving. |
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Medclinician
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I am moving some of my posts to the discussion area as it definitely looks like the Ebola outbreak in West Africa will go into July and beyond.
Total Cases Total Cases Confirmed Deaths
These figures are far from accurate for many people never make it to the hospital or are accurately diagnosed. Also the death count may be much higher. Ebola is not over in West Africa. While some say it may linger on and not become a problem - it is on the rise once more and it would not take much for it to go to the epidemic levels we saw last year. |
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"not if but when" the original Medclinician
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Medclinician
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http://www.inform.kz/eng/article/2790308
GENEVA. KAZINFORM - The World Health Organization (WHO) registered 38 Ebola-related deaths in West Africa since June 16 and 134 new Ebola cases, statistics data released by the WHO on Wednesday said. At least 11,207 people died and 27,443 were infected with the deadly virus in Guinea, Liberia and Sierra Leone since the disease outbreak. In Liberia the maximum number of deaths stands at 4,806 and Ebola cases - at 10,666. The country has been officially declared free from Ebola since May 9. At the same time the virus is still raging in Sierra Leone and Guinea. The Ebola-related death toll in Sierra Leone tops 3,928, with 13,059 Ebola cases. Guinea ranks second with 3,718 deaths and 2,473 Ebola cases. Separate cases have also been registered in Mali, Nigeria, Senegal, Spain, Great Britain and the United States. In most of these countries the number of Ebola-related cases does not exceed ten, with the only exception of Nigeria, where 20 people are infected with Ebola virus and eight have died. |
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"not if but when" the original Medclinician
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Medclinician
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http://www.usnews.com/news/world/articles/2015/06/24/ebola-cases-not-slowing-in-guinea-sierra-leone
By YOUSSOUF BAH, Associated Press June 24, 2015 | 10:27 a.m. EDT CONAKRY, Guinea (AP) — Despite hopes that the deadly Ebola outbreak could soon be contained in West Africa, it shows no signs of abating in Guinea and may be flaring up once more in Sierra Leone as people are flouting rules limiting travel meant to stop it. The election in Guinea in October adds a new layer of worry for Guineans and health workers, with some residents saying that campaign events, in which people crowd together, shouldn't be held yet. The deadly virus, which has killed over 11,100 people mostly in West Africa in its worst outbreak ever, has been stamped out in neighboring Liberia, but is hanging on stubbornly in Guinea, where the Ebola outbreak was first reported in March 2014. Impending presidential elections could make it even worse. "Ebola is on the rise again because of population movements. People move from one place to another," said Dr. Amadou Talibe, an Ebola reponse team worker in Dubreka, 30 kilometers (19 miles) north of capital, Conakry. "People who have come into contact with Ebola but have not been identified, they go to another village and only then develop the symptoms of Ebola and then contaminate others." |
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"not if but when" the original Medclinician
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Medclinician
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Despite some really valiant efforts to calm everyone, Ebola continues to mutate whether or not it is less than the 200% suggested by earlier research, it is still evolving and very dangerous. https://www.gov.uk/government/news/phe-study-finds-ebola-virus-mutated-slower-than-first-thought The wording less than expected does not dilute the fact the strain continues to evolve and may become a supervirus. Ebola even in its current form is highly contagious and very deadly. The lower numbers of deaths reported in West Africa may reflect the lack of accurate reporting as many people who get it and die from it never make it to the hospital. What is the real story? The difficulty in keeping an accurate count of cases was noted during last years Ebola outbreak. http://www.cidrap.umn.edu/news-perspective/2014/08/ebola-outbreak-grows-who-notes-case-count-difficulties As West Africa's Ebola toll climbed by another 142 cases and 77 deaths today, the World Health Organization (WHO) conceded that the size of the epidemic has been underestimated and cited a list of reasons for that, from concealment and denial of cases to the closing of treatment centers and clinics. Also today, the WHO's Keiji Fukuda, MD, MPH, speaking at a press conference in Monrovia, Liberia, estimated it will take 6 to 9 months to bring the outbreak under control. He and a United Nations (UN) official promised to scale up WHO support for the Ebola-stricken countries. comment: There is no reason to believe much has changed and the ability to handle an epidemic in West Africa of Ebola is not much better than it was a year ago. People are still escaping the quarantines and ignoring containment efforts. What is the real situation as opposed to the spin and media hype? Well, as posted today - June 27, 2015 on Vanguard |
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Medclinician
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http://www.thesierraleonetelegraph.com/?p=9583
Last Wednesday, 32 medical staff, including nurses and 4 doctors working at the PCMH Hospital in Freetown, were taken into quarantine at the PTS Ebola treatment centre, after attending to a pregnant woman who was later diagnosed with EVD. According to reports from Freetown, the pregnant woman spent five days in the post-natal ward at the PCMH, where she was transfused with one unit of blood, after which she started running temperature and was later confirmed Ebola positive. This latest development once again calls into question, the porosity of the health care system in Sierra Leone, which many believe still lacks the resilience to deal with the ongoing Ebola crisis. Can Ebola be eradicated in Sierra Leone? Is the government able and willing to bring this crisis to an end, after Helen Sirleaf of Liberia has shown how it can be done? Is Sierra Leone sleep walking into yet another round of Ebola epidemic? comment: Ebola is highly contagious. This article will give a person a better idea of what is the cutting edge research being done to cure Ebola. Medclinician |
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"not if but when" the original Medclinician
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CRS, DrPH
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Medclinician, you are doing a great job of keeping us current, thanks!
As I said early on, I could see Ebola smoldering on in the bush of Africa for a long time. Initial symptoms resemble malaria (which is on the upsurge, due to the lack of treatment from diversion of resources to Ebola patients), and burial traditions including touching/washing the dead will continue unabated in rural areas. We'll eventually get another case in the USA or Europe, just a matter of time.
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Medclinician
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Thanks CRS. Despite reassurances, Ebola is spreading in parts of West Africa. It is serious enough that in Sierra Leone they are tightening down control and announcing new curfews. |
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Medclinician
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http://nation.com.pk/international/29-Jun-2015/sierra-leone-announces-new-curfew-to-halt-ebola
Sierra Leone’s President Ernest Bai Koroma said Friday he was imposing a three-week daytime curfew in the last Ebola-hit areas in a bid to curb a resurgence of the deadly virus. Koroma announced on state television he was imposing “with immediate effect a 6:00 am to 6:00 pm chiefdom-level curfew” in parts of the northwestern districts of Kambia and Port Loko, the only areas still reporting new infections. People in the worst-hit chiefdoms, or areas, of those districts will be confined to their homes for 21 days, he said, warning that anyone found flouting the order would find themselves in jail for the same period. “Now, more than ever, is the time for us to remain vigilant,” he said. The World Health Organization (WHO) said on Wednesday the retreat of the virus “that was apparent throughout April and early May has stalled”. comment: It is vital that the leaders in West Africa continue to be vigilant and act aggressively to prevent the spread of this as well as protect the world which could become infected by flights out of these nations. Thanks to Web MD for this which tells us that people with Ebola often have high fevers. These can be scanned for at airports coming into the U.S., especially from West Africa. http://www.webmd.com/a-to-z-guides/ebola-fever-virus-infection for others around the world I would say "Don't panic - prepare." The situation with any dangerous and spreading disease is that some become overly alarmed and panic. As a world, we need to work together, because a single nation response to an outbreak of this will not stop it. Medclinician |
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"not if but when" the original Medclinician
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arirish
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Med- None of us have time to keep up with everything that's going on in the world, so I appreciate your efforts on this one! Normally, Ebola burns itself out after several months! Why do you think this is still going? Is it a different variant or is it social behavior that's letting it spread?
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Buy more ammo!
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jacksdad
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Outbreaks in the Congo have always tended to be in rural communities and villages, but this is the first time we've seen it hit multiple large cities, many of which are basically shanty towns and slums. Larger numbers of people, greater population densities, and a lot of people that still don't fully understand how it spreads and kills - it's a bad combination when we're talking about a bug as nasty as Ebola.
I'd blame the uptick on complacency - people are start to relax and fall back into old habits and traditions thinking there is no longer any danger. |
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"Buy it cheap. Stack it deep"
"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary. |
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CRS, DrPH
Expert Level Adviser Joined: January 20 2014 Location: Arizona Status: Offline Points: 26660 |
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I agree completely. Also, the world is exhausted, MSF folks are definitely burned out, so there will be slip-ups and lost cases.
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CRS, DrPH
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Technophobe
Assistant Admin Joined: January 16 2014 Location: Scotland Status: Offline Points: 88450 |
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SCARY! Thanks for keeping your eye on the ball, Med.
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How do you tell if a politician is lying?
His lips or pen are moving. |
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Medclinician
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Thank you Techno. Today it is in Liberia, again. It's not over - despite assurances there would be no more cases another has been discovered - not in Guinea or Sierra alone but where a major outbreak was before... Liberia - Medclinician http://www.nytimes.com/2015/07/01/world/africa/liberia-ebola-epidemic.html?_r=0 MONROVIA, Liberia — More than a month after being declared free of Ebola, Liberia has experienced a new case of the disease, discovered when the body of 17-year-old boy tested positive for the virus, officials said Tuesday. The World Health Organization declared Liberia Ebola-free on May 9, a landmark moment in the country, which has suffered more deaths from the epidemic than any other. Now, the emergence of a new case ends the nation’s Ebola-free status, said Tolbert Nyenswah, Liberia’s deputy minister for health, at a news conference in the capital, Monrovia. The WHO did not declare an international public health emergency until August last year, eight months after the first Ebola case, delaying resources to the sick. |
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Medclinician
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http://www.washingtonexaminer.com/liberia-has-second-confirmed-ebola-case/article/2567403
Ebola may start flaring up again in West Africa as a country previously rid of the virus is facing new cases. A Liberian official announced a second confirmed case of Ebola Wednesday, but declined to specify who or how it was contracted, according to a report from Reuters. It is unknown whether the case is linked to a confirmed case of a 17-year-old boy who died Sunday of the virus. In May, Liberia was deemed Ebola free from public health organizations after no new cases surfaced in more than 40 days. comment: Those who ignore the past are doomed to repeat it. http://www.philforhumanity.com/Those_Who_Ignore_History_are_Doomed_to_Repeat_It.html The Ebola outbreaks in Sierra Leone and New Guinea may have spread to Liberia. Now is the time to prepare and send workers to West Africa. The past - October 2, 2014 - 7 months after Ebola began spreading in West Africa. "People are getting sick. |
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Medclinician
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http://www.foxnews.com/health/2015/07/02/liberia-confirms-third-ebola-case-in-new-outbreak/
July 2, 2015 - 4 hours ago Liberia confirmed a third new case of the deadly Ebola virus on Thursday, as the disease re-emerges nearly two months after the outbreak was declared over in the West African nation, a senior health official said. Liberia, where 4,800 people have died out of the 11,200 killed in the West African Ebola outbreak, was declared Ebola-free on May 9 even as the disease has continued to infect new victims in neighboring Sierra Leone and Guinea. But Liberia's success story has been undermined this week by the discovery of new cases. "We have, as of yesterday, three confirmed cases. One expired, who was the 17-year-old boy ... The two live cases are 24 years old and 27 years old. They are stable," Deputy Health Minister Tolbert Nyenswah said on Thursday. Medclinician |
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Medclinician
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http://www.singaporenews.sg/spirituality/africaliberia-ebola-nightmare-is-back-3-new-cases/
Nedowein (Agenzia Fides) - Liberia, declared "Ebola-free" on May 9 by the World Health Organization (WHO), has plunged back into the nightmare of a new epidemic. Three new cases were registered in the same village, Nedowein, located 40 km south from the capital Monrovia. After more than seven weeks (see Fides 11/05/2015), a 17-year-old boy fell ill and died on 21 June 28 for what was thought to be malaria, but he was actually positive to Ebola. On July 1, the local health minister confirmed a second case and today, July 3, a third. Both the infected were transferred to a treatment center in Monrovia. At the moment there are no other probable cases or suspects and the origin of the infection is not known. After the boy's death, the Liberian authorities have quarantined the area. According to the latest WHO report, on June 28, the outbreak of Ebola in Liberia, Sierra Leone and Guinea, has so far resulted in 27,514 cases and 11,120 deaths. The highest number was recorded in Sierra Leone (13,119), while the record of deaths in Liberia (4806). (AP) (Agenzia Fides 03/07/2015) courtesy of Singapore News comment: It is being said that they will contain this outbreak in Liberia. It is not a surprise and some monitoring say actually there have been "shadow cases" which were not reported in the "Ebola Free" months which were the source of these infections in the same village. It is hoped this will be contained and reports from New Guinea and Sierra Leone have added to fears this will become worse. Hopefully, it can be contained and stopped. Medclinician |
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Medclinician
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http://www.wbtv.com/story/29470093/liberia-works-to-contain-ebola-find-source-of-new-cases
MONROVIA, Liberia (AP) - Liberia is working hard to contain Ebola and find the source of the latest infections of the deadly virus recorded this week. The West African country previously succeeded in containing the outbreak, despite being initially the hardest hit with more than 4,800 deaths. The last recorded case before this latest emergence was on March 20, according to the World Health Organization. "We will contain it quickly because of where we are in the learning curve as far as Ebola is concerned," said Dr. Philip Ireland at the John F. Kennedy Medical Center in the capital, Monrovia. Ebola was found on the corpse of a 17-year-old boy who died Sunday. Two new cases have been linked to the teen, the only two known cases as of Friday, said Liberia Ebola response chief Tolbert Nyenswah. Medclinician |
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Medclinician
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http://www.who.int/mediacentre/news/ebola/03-july-2015-liberia/en/
Ebola situation assessment
On 9 May 2015, Liberia marked an important milestone in the management of their Ebola outbreak. On that day, the country was declared free of Ebola transmission because no new cases had been identified for 42 days after the safe burial of the last person confirmed to have been infected with Ebola virus disease. Although transmission of the virus had ceased, Liberia remained at high risk of a recurrence of Ebola due to ongoing transmission in neighbouring Guinea and Sierra Leone. For this reason Liberia then entered a 90-day period of vigilance involving testing anyone with features of Ebola virus disease and testing post-mortem swabs for Ebola virus. On Monday, 29 June 2015, midway through that 90 day period, a post-mortem swab taken from a seventeen-year-old male who died on June 28 from a febrile illness managed as malaria tested positive for Ebola virus disease. In accordance with standard practice for the current period of heightened vigilance throughout Liberia, a Safe and Dignified Burial team buried the young man’s body safely on the same day that he died. That team also took the swab that later tested positive for Ebola virus. Every week, Liberia has been testing hundreds of such swabs and blood samples taken from anyone with symptoms that may be caused by Ebola virus disease. When this first sample proved positive, the Liberian ‘incident management system’ immediately activated a team to carry out a detailed investigation in the area, and began tracing people who had been in contact with the young man while he was symptomatic. The investigation revealed that close to 200 people had been in contact with the young man while he had symptoms of Ebola and these people are now being closely monitored. Two of those people have developed symptoms and have tested positive for Ebola virus. Both of these people are being treated in an Ebola treatment centre that had been kept at the ready as part of the 90-day heightened vigilance period.
People in the community where the young man died - Nedowein,
Margibi - are now very involved in ensuring that all people, who have
been in contact with others infected with Ebola, do not leave the area
and are monitored closely. Where households are quarantined, food and
supplies - such as bedding and tents to ease household crowding - are
being provided by UN agencies, including UNICEF and the World Food
Program. Medclinician |
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Medclinician
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http://cocorioko.info/ebola-update-for-today-july-10-2014/
Ministry of Health and Sanitation - Sierra Leone Ebola Update July 10, 2014
Ebola Viral Disease Situation Report – Ministry of Health and Sanitation, Sierra Leone For more information please contact – District Health Management Team at District level National level – Directorate of Disease Prevention and Control: dpcsurveillance@gmail.com Mobile:- +23276913000 Medclinician |
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"not if but when" the original Medclinician
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Medclinician
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http://thenationonlineng.net/new/again-ebola-alert/
There seems to be fresh trepidation in the country about Ebola, the lethal virus disease, as its West African neighbors, Liberia and Sierra Leone, have in the past few days recorded fresh outbreaks. Two new cases of the disease were recorded recently in Freetown, the capital city of Sierra Leone, negating the assumption that the capital city had already defeated the deadly virus. This was immediately followed by a fresh outbreak in Liberia penultimate Sunday, when a 17-year-old boy tested positive and died. The devastating development occurred seven weeks after the West African country was declared free of the virus. The fresh outbreaks, according medical experts, portend grave danger for the country as “all the necessary measures that are needed to nib any outbreak in the bud are totally not on ground” comment: Ebola is once again in West Africa. Even if there is not a formally declared epidemic, its effect on births, newborns, and the population which does not have adequate health care is serious. Medclinician |
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Medclinician
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The Outbreak begins - now that Ebola is once more in Liberia, as well as
in Guinea and Sierra Leone- it must be contained. It did not end in
June and here is a map of the new areas of infection.
SMedclinician |
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Hi Med, I really do not think we will ever be rid of Ebola. It will keep popping up because of where it is. Africa is just not a healthy place due to poverty and lack of education.
The problem the world has is will it spread. We must keep watching. I worry about my son at college as kids return from Africa to attend school. |
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Medclinician
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I agree - FluMom - the question is whether we will have an outbreak like last year. It is starting up in Liberia. |
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Medclinician
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http://www.reuters.com/article/2015/07/14/us-health-ebola-idUSKCN0PO1EN20150714
A Liberian woman has died of Ebola in a hospital in Monrovia shortly after being admitted, becoming the sixth confirmed case of the virus since it resurfaced last month after a seven-week lull, a senior medical official said on Tuesday. The victim from Montserrado County, which contains Monrovia, is thought to be linked to the other five cases from neighboring Margibi County, where the disease reemerged. Her detection raised fears that the infection may be spreading in a new area of the country. "There is one new case. This time, the response area is Montserrado county. The person died in Monrovia," Liberia's Chief Medical Officer Dr. Francis Ketteh told Reuters. A health report sent to officials in the anti-Ebola response said that the woman died a few hours after admission, indicating that surveillance of known contacts from the earlier cases had not been rigorous enough. Medclinician |
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Medclinician
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http://www.thenews.com.pk/article-191040-Ebola-patients-escape-spreads-alarm-in-Sierra-Leone
FREETOWN: Sierra Leone said Monday it had launched an emergency operation to prevent a serious spread of Ebola after two patients escaped for several hours from a treatment centre.
A highly-infectious 32-year-old woman and eight-year-old girl sparked a nationwide alert by absconding together from the clinic on the outskirts of the capital Freetown on Saturday.
The pair, who are not related, were tracked down at an undisclosed location in the evening and returned to the clinic after radio appeals were made to the public, the National Ebola Response Centre told reporters in Freetown.
"Our contact tracers and surveillance officers are meanwhile tracking the level of contacts the two would have made during the period of their escape," a spokesman said. Medclinician |
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