Author Topic: Ebola discussion  (Read 10285 times)

Offline KillJoy

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Re: Ebola discussion
« Reply #75 on: September 23, 2014, 01:58:56 PM »
The hospital I work for has received the alerts from the CDC regarding ebola, as all hospitals have. I don't see this as much of a cause for panic, I see it as a proactive heads-up for healthcare professionals to be aware of the possibility of patients infected with ebola to arrive in our ER's. Every hospital has (or should have) isolation protocols in place to deal with these events. Every hospital also has (or should have) isolation rooms to use for these patients, or access to portable isolation units to place in the rooms. We have had a good success rate in treating this virus in the US so far, and I hope to see this trend continue. We know how it spreads, we know how to contain it, and we know the treatment modalities. 

Healthcare professionals keeping ebola in their differential diagnosis for individuals displaying similar signs and symptoms is just one of the reasons why first world medicine CAN contain this thing. It's a good thing we're keeping it on our radar. Not so much a cause for panic. A handful of localized incidents could be successfully contained. What makes me nervous is wide-spread infection leading to stretching of resources. That's when it starts to come unhinged. 

Seeing the PAPR's hanging in their bags on the wall does make me pause every shift and think of the possibility's. I thought accidental needle-sticks were a nerve racking thought before all this...now it's pure pucker factor.

Burt Gummer

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Re: Ebola discussion
« Reply #76 on: September 23, 2014, 02:01:43 PM »
Hey Erick what do you know about the domestic (U.S.) implementation of a regional quarantine?

Offline Erick

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Re: Ebola discussion
« Reply #77 on: September 23, 2014, 06:15:58 PM »
Hey Erick what do you know about the domestic (U.S.) implementation of a regional quarantine?

Quarantining an entire region is not in the planning so far all I've seen is cities.
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Offline Nemo

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Re: Ebola discussion
« Reply #78 on: September 24, 2014, 12:08:31 AM »
A box of Bullets, Jar of Peanut Butter and Silver Coin would be a real good thing to start to get an extra few of a week.  IMHO anyway.  But then what do I know?

Nemo


http://www.foxnews.com/health/2014/09/23/who-forecasts-more-than-20000-ebola-cases-by-november-2

Quote
CDC report predicts as many as 1.4 million cases of Ebola by January
Published September 23, 2014, FoxNews.com

The U.S. Centers for Disease Control and Prevention (CDC) released a report Tuesday predicting as many as 550,000 to 1.4 million cases of the Ebola virus in Liberia and Sierra Leone alone, by the end of January.

The CDC calculations are based, in part, on assumptions that cases have been dramatically underreported. Other projections haven't made the same kind of attempt to quantify illnesses that may have been missed in official counts.

CDC scientists conclude there may be as many as 21,000 reported and unreported cases in just those two countries as soon as the end of this month.

“The model shows — and I don’t think this has been shown by other modeling tools out there — that a surge now can break the back of the epidemic. It also shows that there are severe costs of delay," CDC Director Dr. Thomas Frieden said in a press conference Tuesday.

The agency's numbers seem "somewhat pessimistic" and do not account for infection control efforts already underway, said Dr. Richard Wenzel, a Virginia Commonwealth University scientist who formerly led the International Society for Infectious Diseases.

Separately, the World Health Organization (WHO) warned in a new report that the number of people infected with the Ebola virus could reach 20,000 by the beginning of November if efforts to contain the outbreak are not accelerated.

The outbreak has killed around 2,800 people in five West African countries this year. An estimated 5,800 people have been infected with the virus, which has no known cure. The WHO has repeatedly said that the actual number of infections and deaths is almost certainly higher than the official figures.

The report, published six months after the first cases were reported, is far more pessimistic than an earlier survey published last month, in which the WHO suggested that the number of cases could reach 20,000 by the middle of next year. According to The New York Times, the report also raises the possibility that the outbreak will cause Ebola to become endemic in West Africa.

The WHO said Monday that the Ebola outbreak was "pretty much contained" in Nigeria and Senegal. However, the death rate among infected is currently at around 70 percent in the other three countries touched by the infection: Liberia, Sierra Leone, and Guinea. Of those three, Liberia has reported the most Ebola cases, at just over 3,000.

The epidemic has overwhelmed the healthcare systems of all three countries, which rank among the world's poorest. There aren't enough hospital beds, health workers or even soap and water.

Last week, the U.S. announced it would build more than a dozen medical centers in Liberia and send 3,000 troops to help. Britain and France have also pledged to build treatment centers in Sierra Leone and Guinea and the World Bank and UNICEF have sent more than $1 million worth of supplies to the region.

"We're beginning to see some signs in the response that gives us hope this increase in cases won't happen," Christopher Dye, WHO's director of strategy and study co-author, told the Associated Press. "This is a bit like weather forecasting. We can do it a few days in advance, but looking a few weeks or months ahead is very difficult."

Other outside experts questioned the WHO's projections and said Ebola's spread would ultimately be slowed not only by containment measures but by changes in people's behavior.

"It's a big assumption that nothing will change in the current outbreak response," said Dr. Armand Sprecher, an infectious diseases specialist at Doctors Without Borders.

"Ebola outbreaks usually end when people stop touching the sick," he said. "The outbreak is not going to end tomorrow but there are things we can do to reduce the case count."

Local health officials have launched campaigns to educate people about the symptoms of Ebola and not to touch the sick or the dead. Previous Ebola outbreaks have been in other areas of Africa; this is the first to hit West Africa.

The Associated Press contributed to this report.
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Offline APX808

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Re: Ebola discussion
« Reply #79 on: September 26, 2014, 02:55:42 PM »
Ebola now makes people into zombies?  :trolling:

Has been reported that two women who died of ebola resurrected in their funerals.


http://allafrica.com/stories/201409240829.html

Offline thedigininja

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Re: Ebola discussion
« Reply #80 on: September 26, 2014, 04:25:36 PM »
Welcome to Africa!
I'd rather be crazy than dead.

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Offline KillJoy

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Re: Ebola discussion
« Reply #81 on: September 30, 2014, 09:35:26 PM »
http://www.cdc.gov/media/releases/2014/s930-ebola-confirmed-case.html

Well...it's here folks. Let's hope we can contain and execute proper contact tracing.



Offline Erick

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Re: Ebola discussion
« Reply #83 on: October 01, 2014, 09:15:09 AM »
All Ebola strains but this one even more it seems can have many days of no symptoms (and usually w/o symptoms means not infectious)
With ytravel the way it is it was only a matter of time until it got here
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Burt Gummer

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Re: Ebola discussion
« Reply #84 on: October 01, 2014, 12:15:49 PM »
(and usually w/o symptoms means not infectious)
Can you explain to me why that is?

Burt Gummer

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Re: Ebola discussion
« Reply #85 on: October 01, 2014, 12:27:11 PM »
Also do you have any experience with the use of Tyveck in dealing with biologicals?

gadget99

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Re: Ebola discussion
« Reply #86 on: October 01, 2014, 05:23:26 PM »
I am thinking that the wonderful experts we have in control of our infectious disease response protocols may not know as much as they would like us to believe they do.

Not saying it is time to panic. Yet I would always advise that much of the time the human race gets sucker punched by things that the experts predicted won't happen.

I will point to hurricane Katrina as an example. I remember a Discovery documentary years before the event, stating the risks of a cat 5 hurricane to New Orleans. Yet nobody listened and you know what happened.

Keep prepping my friends. Better to be prepped not living in fear due to being ready. Than caught like a sheep in the slaughter.

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Offline Erick

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Re: Ebola discussion
« Reply #87 on: October 01, 2014, 07:52:12 PM »
Also do you have any experience with the use of Tyveck in dealing with biologicals?

yes.
Actually . IMO Tyvek is a bit overkill for Bio. (UNLESS you are in repeated close contact with a very sick Ebola victim)
Used it in Chem incidents in combination with Level C mask before.

Tyvek is easy to use.. if your concerns is so high that you want to use tyvek definitely use gloves  and tape them to the suit sleeves after putting them on and consider a real mask as well. (but in a pinch P95 and goggles work.)
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Offline Erick

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Re: Ebola discussion
« Reply #88 on: October 01, 2014, 08:25:43 PM »
(and usually w/o symptoms means not infectious)
Can you explain to me why that is?

symptoms are generally what sheds virus, runny nose. vomiting, blood out pof eyes, ears anus etc..
Would take a lot of typing to explain why but the thing that does the infecting comes out when symptoms exist.
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Burt Gummer

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Re: Ebola discussion
« Reply #89 on: October 02, 2014, 01:54:50 AM »
Thanks for the responces Erick, i'd hate to be a stickler but it's the 2 - 21 day incubation period that has me concerned.
Things in africa are slow moving this limits the range of a potential infected person before he displays symptoms is discovered or seeks help. here in the US 21 days is an eternity.

So that got me thinking of how the disease behave? Is it highly localized such as rabies or chicken pox? That has to slowly spread it's self through out the body?
Or does it disseminate through out and multiply? Then once the host has reached a certain level of infection does the body react to the pathogen and displays symptoms?

Offline special-k

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Re: Ebola discussion
« Reply #90 on: October 02, 2014, 03:38:44 AM »
Good questions Burt.

With winter coming, does anyone know where to find a life expectancy/temperature range chart for the Ebola virus?  I'm talking the virus itself in droplet form... not patients. 
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Offline Erick

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Re: Ebola discussion
« Reply #91 on: October 02, 2014, 06:00:10 PM »

1)Is it highly localized such as rabies or chicken pox?

2) Or does it disseminate through out and multiply?
3) Then once the host has reached a certain level of infection does the body react to the pathogen and displays symptoms?

1) No
2) Yes
3) Yes

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Offline Erick

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Re: Ebola discussion
« Reply #92 on: October 02, 2014, 06:02:01 PM »
, does anyone know where to find a life expectancy/temperature range chart for the Ebola virus?  I'm talking the virus itself in droplet form... not patients.

In those very rare instances where the virus is outside a host in a droplet that is exposed to air the life expectancy of the virus can usually be measured in minutes. The Oxygen in air denatures its coat and glycoproteins which are designed for an aqueous environment not a dry one.
HOWEVER EXCEPTIONS Exist.
Sme cases it has been active for days especially if high humidity was present.
But this is not thought to be common infection route.

Direct contact with blood or vomitus is.
« Last Edit: October 02, 2014, 10:54:28 PM by Erick »
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Offline Erick

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Re: Ebola discussion
« Reply #93 on: October 02, 2014, 09:17:50 PM »
Every day, men who will follow orders to kill you, exercise. Do you?

Burt Gummer

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Re: Ebola discussion
« Reply #94 on: October 03, 2014, 02:11:50 AM »
That was a great read, and thank you again for shedding light on our questions.

Offline Erick

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Re: Ebola discussion
« Reply #95 on: October 03, 2014, 09:28:23 PM »
That was a great read, and thank you again for shedding light on our questions.

My pleasure.
Its all about striking  a balance between fear mongering and downplaying .
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Offline JohnyMac

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Re: Ebola discussion
« Reply #96 on: October 04, 2014, 09:16:11 AM »
I can take or leave Ann Barnhardt however once in awhile she posts something that gives me a chuckle. Here is a C&P of part of a response she gave to a death threat.

Quote
"DEATH THREAT: To:annbarnhardt

I'm going to kill you when I find you. Don't think I won't, I know where you and your parents live and I'll need is one phone-call to kill ya'll.

ANN'S RESPONSE:

Re: Watch your back.

Hello mufcadnan123!

You don't need to "find" me. My address is 9175 Kornbrust Circle, Lone Tree, CO 80124....


To read the rest of her response go here.

In response to Ann's piece: My PC sensitivities do not allow me to agree with her IQ comments however, I do believe that the Dallas Ebola Victim (AKA AS DEV) jumped on a plane to visit relatives in the great state of Texas as a precaution. A precaution to the possibility of acquiring the Big "E" as he handled his infected sister who died of E.

Wouldn't you rather be in the old USofA rather than Liberia if you had the Big E?
 
« Last Edit: October 04, 2014, 09:17:43 AM by JohnyMac »
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Offline Erick

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Re: Ebola discussion
« Reply #97 on: October 04, 2014, 09:28:08 AM »
After perusing the internet today on this subject I will add a remark:

- There is  a lot of Angst out there based on laymen's reading the published MSDS and other data sheets on Ebola.
Because those publication use a rule-it-out standard for decontamination etc.

That's an extremely high standard and Laymen will not always accurately interpret the black letter data given there for  a nuanced balanced risk assessment.

For us preppers it's about managing risk not getting the table so clean it can be govt triple X certified.
« Last Edit: October 04, 2014, 12:47:05 PM by Erick »
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Offline DMCakhunter

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Re: Ebola discussion
« Reply #98 on: October 04, 2014, 08:48:41 PM »
Erick,

I have a question for you because I have not seen this addressed anywhere.
Since west nile virus is transmitted by mosquitos, can ebola be passed by mosquito?
Thank you.

Offline Erick

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Re: Ebola discussion
« Reply #99 on: October 04, 2014, 10:25:31 PM »
Erick,

I have a question for you because I have not seen this addressed anywhere.
Since west nile virus is transmitted by mosquitos, can ebola be passed by mosquito?
Thank you.

There is no indication that this has ever occurred.

I suspect the fact that is Ebola is an enveloped virus may have something to do with that.
The envelope helps make a Virus more adaptable to different hosts and more infectious but also more labile against environmental challenges such as the inside of a mosquito gut.
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