Ebola outbreak - general thread #9

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JudyBolton said:
They eat fried bats in China. You cannot believe the smell as you walk by a sidewalk booth where they are cooking them! They display them on long sticks - I like ethnic foods but had to draw the line there.
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Ewwwwww. That is what I call desperate for something to eat. Certainly don't blame you for drawing the line.
 
BirdycatNY said:
Ebola-carrying bats may be heroes as well as villains, Reuters, By Ben Hirschler

"Bats can carry more than 100 different viruses, including Ebola...without becoming sick themselves... "If we can understand how they do it then that could lead to better ways to treat infections that are highly lethal in people and other mammals," said Olivier Restif, a researcher at the University of Cambridge in Britain."

http://news.yahoo.com/ebola-carrying-bats-may-heroes-well-villains-105559017.html
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Sounds more like villains to me. I mean, it's not their fault, but I am staying away from them. In US they spread rabies. Rabies are nearly 100 % fatal if vaccine isn't used. There have been a number of cases where people found bats in their homes, didn't think they were bit, and then died from rabies.
 
SStarr33 said:
The video is the official CDC video. Right on the page it says:

Video Instructions From the CDC

And you don't get a source better than Medscape.

Do we have a list anywhere of all the CDC screw ups?
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Well if that's what the CDC recommends it is pretty clear why nurses in the US contracted ebola.

We can start a list, but if you click on 'comments' under the video you can read some of them.

She does not use proper hand hygiene technique (she doesn't interlace her fingers),
She does not step into a segmented pad as soon as she exits the patient room,
She steps back into a contaminated area after her shoes are clean,
The observer should have untied her gown,
She should have held the face mask as she was taking it off,
She used an antibacterial wipe on her shoes, she should have used a bleach solution (ebola is a virus, not bacteria),
She touched the lid of the wipe container,
The observer touched her hand with the tip of the alcohol rub container,
The alcohol rub container should have been a squirt bottle.
 
BirdycatNY said:
rtjedarling, imo you are absolutely correct that self-education is important and smart. Medical expertise is important too.

jmo, W.African communities/families affected by Ebola should get basic education and supplies in addition to importing health care workers. As I already mentioned, it is essential that families get things like bleach and cleaning supplies, and food if they truly want to contain disease. The problems these countries face are failing healthcare infrastructure, malnutrition, lack of access to supplies and medical education, but also some continue their burial practices of touching the dead. Even with all this pontification as you say, there are simple things that families can do like clean with bleach and avoid touching. Just teaching households to use bleach, and then actually providing them with basics- bleach and food may help them stave off the disease and prevent the spread a little bit.

<snipped>

.
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A lot of this work is already happening alongside the treatment centres:

Liberia: http://www.who.int/features/2014/liberia-stopping-ebola/en/

Dr Clement said the key to working with a hostile community is listening first. So he patiently listened to the community to understand their fears, then he started to explain about the virus and how people can prevent from getting infected.

Once they knew what Ebola was and how to stop it, they declared together: “No more Ebola in our community from today.”

A plan developed by the community

Immediately, the people living in the community came up with their own plan that spread to all the households. They said:
- Ebola is a disease, not a curse, not a government plot.
- Those that are sick must go to the MSF clinic in Foya.
- No one can bury their loved ones anymore. Effective immediately they would call the people who do it safely.
- Although they are a very friendly people, there would be no more physical contact when greeting one another.
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Sierra Leone: http://www.bbc.co.uk/news/world-africa-29724029

As the Ebola outbreak claims 20 lives a day in Sierra Leone, the BBC's Tulip Mazumdar reports from the capital Freetown on how volunteers are being trained to carry out safe burials
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Oxfam are sending out trained local volunteers to teach villagers about hand washing and how to care for sick relatives more safely They also provide soap to support this.

http://www.oxfamamerica.org/explore/stories/information-is-key-in-the-fight-against-ebola/

Key to the effort are teams of community health workers, trained by Oxfam, who are now fanning out to teach their neighbors about the signs and symptoms of the disease, how to prevent it, and what to do if a family member becomes infected. Sierra Leone's Mary Kamara is among those on the frontlines of prevention.
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There was a clip on the BBC website weeks ago from Sierra Leone showing how local people (I think it was a group of mums that started the ball rolling) were going out to villages to teach everyone the proper way to wash your hand thoroughly and providing them with soap and buckets etc. Unfortunately I cannot find the link anymore.



The problem is finding enough volunteers and supplies.
 
EXPOSED

After an accidental needle stab, a doctor&#8217;s Ebola watch begins

http://www.washingtonpost.com/sf/style/2014/11/03/exposed/

A few days after he accidentally stuck himself with a needle in an Ebola ward in Sierra Leone, Lewis Rubinson&#8217;s temperature topped 103 degrees.

The fever swept in with a headache, muscle pain and nausea. And, soon after he arrived for care at the National Institutes of Health in Bethesda, it brought on the bone-shaking shivers doctors call rigors.
 
SStarr33 said:
EXPOSED

After an accidental needle stab, a doctor&#8217;s Ebola watch begins

http://www.washingtonpost.com/sf/style/2014/11/03/exposed/

A few days after he accidentally stuck himself with a needle in an Ebola ward in Sierra Leone, Lewis Rubinson&#8217;s temperature topped 103 degrees.

The fever swept in with a headache, muscle pain and nausea. And, soon after he arrived for care at the National Institutes of Health in Bethesda, it brought on the bone-shaking shivers doctors call rigors.
Click to expand...

Noticed that, like Emory, NIH treats the patient's waste before flushing. Wonder what Nebraska and Texas did
 
http://www.bbc.co.uk/news/world-africa-29868394

The symptoms of Ebola and Lassa are almost identical. Up until the Ebola outbreak, patients presenting would probably have been assumed to have Lassa fever - now it is assumed they have Ebola which can be a fatal misdiagnosis. Lassa can be treated with medication.

At first sight the symptoms of Lassa are identical to Ebola. There can be bleeding, vomiting and fever. But whereas Ebola is a new outbreak, Lassa is a constant presence. Every year it infects from 300,000 to 500,000 people, killing up to 20,000.

All of the countries worst hit by Ebola are home to Lassa fever. On Friday, Dr Geraldine O'Hara from Doctors Without Borders (MSF) told the BBC that one of her colleagues had died of Lassa despite all efforts to save her.
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Lassa fever can be treated with a drug. Ribavirin is used to help patients recover but it is useless for Ebola and is only given once Lassa has been confirmed. Rapid tests are not widely available and without them only a laboratory can tell the difference between an Ebola patient and a Lassa patient. Delays in treatment can be fatal.
Click to expand...



.
 
SStarr33 said:
EXPOSED

After an accidental needle stab, a doctor’s Ebola watch begins

http://www.washingtonpost.com/sf/style/2014/11/03/exposed/

A few days after he accidentally stuck himself with a needle in an Ebola ward in Sierra Leone, Lewis Rubinson’s temperature topped 103 degrees.

The fever swept in with a headache, muscle pain and nausea. And, soon after he arrived for care at the National Institutes of Health in Bethesda, it brought on the bone-shaking shivers doctors call rigors.
Click to expand...

Sounds like all his symptoms were due to the drug. Why didn't they name what drug he was given?
 
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