Ebola outbreak - general thread #4

[CARIIS]

The bold I cant get off - no idea why sometimes I can and others not!

This has been the talking point throughout the airport stuff:

will have their temperatures taken and be screened for signs of illiness

Has anyone heard exactly what the

"and be screened for signs of illiness".

They keep saying it with "and" ... what else are they talking about - it babble talk IMO!

Doesn't an "and" imply something in addition to something!

Temperature and ___________________! (10 bonus points if you can make up something!)
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Here come all the holes in this "plan"

New Ebola screening leaves some flights untouched. While all air travelers leaving the outbreak-affected countries of Guinea, Liberia and Sierra Leone are checked for Ebola symptoms before they depart, they can fly into such cities as Boston, Dallas and Philadelphia without receiving additional screening upon arrival



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Ebola outbreak could lead to an economic disaster in West Africa for years to come

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Sorry guys but it is a great lead:

NBC News -- which has scared the crdp out of American citizens by warning them of the dangers of Ebola and for cautions that must be taken -- did exactly the opposite.
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Why isn't the media over doing this -it is the second child :

Michigan reports Enterovirus D68 death in Clinton Township toddler

Ebola: U.S. troops on the front lines

Soldiers build labs, clinics in Liberia
=================================================================
[h=1]Ebola-Stricken NBC News Freelancer Ashoka Mukpo 'Turned the Corner'[/h]================================================================

http://www.nbcnews.com/storyline/eb...mukpo-turned-corner-n223736ttp://www.cnn.com/

http://outbreaknewstoday.com/michig...-d68-death-in-clinton-township-toddler-89703/

Read more: http://www.tmz.com/2014/10/11/nbc-violates-ebola-quarantine/#ixzz3Fsku1iUe
​

http://www.independent.co.uk/life-s...in-west-africa-for-years-to-come-9789235.html
http://www.cbsnews.com/news/ebola-screening-at-us-airports-wont-cover-all-west-africa-travelers/

 

[badhorsie]

From CARIIS post
"Britain feels ready after Ebola outbreak test

Britain is ready to cope with an Ebola outbreak, Health Secretary Jeremy Hunt declared Saturday, following a nationwide exercise to test the country's readiness. The eight-hour exercise featured actors pretending to have Ebola plus doctors, nurses and the ambulance service treating them around the country.
It was followed by a simulated meeting of the government's emergency committee COBRA, chaired by Hunt."

Oh, that's OK then. I feel very reassured. Not.

 

[SStarr33]

Although I guess if you have Ebola, vomiting is the body's way of rejecting the virus. Keeping it down might be counter-productive.

Not sure about vomiting, but I did read that the one female doc who survived was told not to take Imodium.

 

[WichitaFalls]

Record Details Thomas Eric Duncan's Last Days

http://www.nbcdfw.com/news/local/Record-Details-Thomas-Eric-Duncans-Last-Days-278914731.html

 

[Isabelle]

IF dehydration alone could kill someone, I'd be dead long ago. I have some organ damage from chronic dehydration, and I have constant dizziness due to low blood pressure caused by dehydration.

BUT I don't have a highly communicable disease like Ebola that rehydration by itself isn't going to cure. Someone else suggested that the reason some American citizens survived was due to hydrating themselves.

If it were that simple, thousands of people wouldn't have died by now, and the disease wouldn't keep spreading and infecting people world-wide.

Dehydration can be fatal in babies, children and adults. Multiple problems intermix and cause death. With Ebola, vomiting and diarrhea can be severe. Oral rehydration would most likely not be effective and IV rehydration would be necessary.

As an aside, I always stressed to my patients how important it is to let their doctor know if they had vomiting and/or diarrhea since many medications can be dangerous if taken when dehydrated.

 

[fabvab]

Not sure about vomiting, but I did read that the one female doc who survived was told not to take Imodium.

Yes, Dr. Ada Igonoh, who caught Ebola when attending to Patrick Sawyer, was told by her treating physician not to take Imodium to stop the stooping as the "virus would replicate the more inside her". This article is a good read, and she did survive.

http://dailypost.ng/2014/09/15/ebola-second-doctor-infected-patrick-sawyer-survives-tells-full-story/

 

[SStarr33]

Yes, Dr. Ada Igonoh, who caught Ebola when attending to Patrick Sawyer, was told by her treating physician not to take Imodium to stop the stooping as the "virus would replicate the more inside her". This article is a good read, and she did survive.

http://dailypost.ng/2014/09/15/ebola-second-doctor-infected-patrick-sawyer-survives-tells-full-story/

So, maybe that means it is best to release the beast:biggrin:

Here is another interesting study about how it might not be best to administer antipyretics in critically ill pts:

http://www.ncbi.nlm.nih.gov/pubmed/16433601

 

[jjenny]

Yes, Dr. Ada Igonoh, who caught Ebola when attending to Patrick Sawyer, was told by her treating physician not to take Imodium to stop the stooping as the "virus would replicate the more inside her". This article is a good read, and she did survive.

http://dailypost.ng/2014/09/15/ebola-second-doctor-infected-patrick-sawyer-survives-tells-full-story/

I think Mr. Saywer is the one counted as American' #6 with Ebola, as he was a US citizen, i believe. He denied being in contact with Ebola patients, even though his sister died from Ebola and he was taking care of her. The doctor got infected even though she had minimal contact with him.

 

[Yoda]

I think Mr. Saywer is the one counted as American' #6 with Ebola, as he was a US citizen, i believe. He denied being in contact with Ebola patients, even though his sister died from Ebola and he was taking care of her. The doctor got infected even though she had minimal contact with him.

I thought of Saywer, but remembered it was the private plane company that said they had transported six patients to america. Sawyer died in Africa.

 

[jjenny]

I thought of Saywer, but remembered it was the private plane company that said they had transported six patients to america. Sawyer died in Africa.

They didn't say it. I think journalist added 6 because it was in parenthesis. Interestingly that the doctor in Emory has been there for over a month. That is a really long time.

 

[SStarr33]

Liberia already had only a few dozen of its own doctors. Then came Ebola.

http://www.washingtonpost.com/world...f87c5c-50ac-11e4-aa5e-7153e466a02d_story.html

These people are saints

 

[SStarr33]

In Travel Out of Liberia, Nothing Is Simply Routine

http://www.nytimes.com/2014/10/12/w...f-liberia-nothing-is-simply-routine.html?_r=0

 

[Harmony 2]

Continue discussion here...

1) Blogs must be approved before posting.
2) Please read your post before hitting reply. If your post is personal to someone else, don't post it.
3) Posts about the political aspects need to be taken to the designated area on the forum.
4) Post responsibly by linking to information.
5) Keep information relevant to the disease and steer away from bashing victims, conspiracy theories and race.

Please adhere to the guidelines above or you may find yourself looking in from the outside for a brief time period.

Bumping this up for the new posters to the thread.. thanks

 

[WichitaFalls]

Liberia already had only a few dozen of its own doctors. Then came Ebola.

http://www.washingtonpost.com/world...f87c5c-50ac-11e4-aa5e-7153e466a02d_story.html

These people are saints

Wow, just wow. Yes they are saints to the highest degree. It sounds like hell on earth.

 

[WillenFan21]

You know what? This inexcusable in my opinion and I'm glad that health officials laid down the law with NBC and their people. I would not have expected this coming from people who work for a main stream media. Not sure if this was posted or not but prepare to be annoyed or pissed off after reading this.

NBC News -- which has scared the crap out of American citizens by warning them of the dangers of Ebola and the cautions that must be taken -- did exactly the opposite.

The New Jersey Health Department just revealed the NBC crew that had agreed to a voluntary 21-day quarantine after one of its cameraman tested positive for Ebola ... VIOLATED the quarantine.

Read more: http://www.tmz.com#ixzz3FtR8rOTm

 

[SStarr33]

You know what? This inexcusable in my opinion and I'm glad that health officials laid down the law with NBC and their people. I would not have expected this coming from people who work for a main stream media. Not sure if this was posted or not but prepare to be annoyed or pissed off after reading this.

NBC News -- which has scared the crap out of American citizens by warning them of the dangers of Ebola and the cautions that must be taken -- did exactly the opposite.

The New Jersey Health Department just revealed the NBC crew that had agreed to a voluntary 21-day quarantine after one of its cameraman tested positive for Ebola ... VIOLATED the quarantine.

Read more: http://www.tmz.com#ixzz3FtR8rOTm

The way they worded it could not be better. I sure hope it was not Snyderman who broke quarantine.

 

[WillenFan21]

The way they worded it could not be better. I sure hope it was not Snyderman who broke quarantine.

More from the article:

It's pretty ridiculous ... NBC seemed almost breathlessly excited in reporting that it's people became part of the story.

Now the health department has laid down the law and ORDERED medical correspondent Nancy Snyderman and the other crew members to stay put and comply with the basic safety rules.

It's unclear how many members of the NBC crew violated the deal.

Read more: http://www.tmz.com#ixzz3FtSt8DWd

 

[lawstudent]

I went to urgent care once because I kept having symptoms I thought might indicate a kidney stone, and I had a fever of 102. The nurse told me she did not consider that a fever in terms of being clinically significant and could be considered normal. I thought that was a bit weird, but I was fine. What exactly was going on has never been resolved, but I never got worse, which I'm thankful for given how awful I've heard kidney stones are. I'm sure a lot of people do get sent home from the ER because they don't display typical symptoms or have a high pain tolerance. For some reason I almost never get a sore throat, and that includes when I had strep as a child. Because I never displayed typical symptoms, it got misdiagnosed, and one time I had it I got scarlet fever. Mistakes happen.

 

[SwampMama]

Surviving Ebola is on PBS now. I am watching it for the 2nd time. It was really interesting because it gets to the facts and doesn't get lost in the sensationalistic stuff like media does. It is fascinating watching them make the Zmapp. The guy who is shown making it says something like "trying to ramp up the production of Zmapp from the initial 5-7 doses is like trying get a hybrid car to perform like a Ferrarri. I guess it refers to the limits they have because they are just getting starting and the sheer scale of what is needed compared to what they can produce is a huge bridge to gap.

It has only been shown to be effective in the past few months. It has taken 4 years to try and get approval for it and so it only made sense to test it on those who contracted Ebola while working in Africa in the relief effort. They know the risks of an untested drug, understand the implications of it, are informed about medical issues, etc. The people chosen could truly give what is called "informed consent". They would also stay in the circle of the medical group afterwards and be easy to keep an eye on for any side effects, any complications that happen months or years after. They would also be very fluent in medical terminology to be able to describe any problems and such.

Trying out unknown drugs on poor people in another country as a first human trial is not usually seen as a best case scenario. It it did not work or caused other problems then it could become an enormous issue. People who get experimental drugs usually have to give a lot of consent and sign away some rights and know there can be many risks. That would be hard to explain to someone who comes from another country where many of the areas are like a third world country. Also, you would not get a good followup on such foreign patients because they may move after Ebola ravages their village and they need to be followed up on to see what effects the meds might have in the years to come.

 

[SwampMama]

http://www.nola.com/health/index.ssf/2014/10/ashes_of_ebola_victims_belongi.html#incart_m-rpt-2

Ashes of Ebola victim's belongings will be sent to Louisiana landfill

I find it odd that Texas has to send them to Louisiana. With Louisiana being UNDER sea level it is not the kind of place where burying stuff works well, which is why we often don't bury people underground, they are often in tombs above ground. One good flood here and the coffins pop up and float off. Creepy but true.

Not that I think there is any danger from properly incinerated ashes. I just find it interesting that with Texas being so big that they have to send them here.