Ebola in America

Serious question for the forum: I live in California and have a wedding in Dallas the first week of November. How paranoid am I to be considering canceling my travel plans?


If people are hiding their symptoms because they are afraid of being ostracized for contracting this virus then you are going to die. Not from this trip because there is too little time for the carrier base to grow. But it will come get you in the future when the plague spreads across the country like wildfire.

If people voluntarily report symptoms the virus will be contained and there will be no problem. It's all up to us on how we treat the victims.
 
Now that the virus has come home, the question is: What can we as a society do for Ebola victims?

It's a good thing that Texas has expanded Medicare and all that so that people won't wait too long before seeing their doctor if they are sick.

Oh , wait . . .
 
If someone has been exposed and contracts the virus, they should be considered a potential valuable resource in the event of an outbreak. Once they have recovered, their bodies will be immune to that strain of the virus and they can safely work the front line of this war. During their quarantine they should be receiving training on general sanitation and patient care.
That is assuming that the person wants to or can engage in that.

But why would that person be better than a trained professional wearing approved protective gear?
 
Seems like it's a lot less absurd now than it was a week ago.
No it does not. :rolleyes:

Seems like the CDC is closely watching about a hundred folks in Dallas who as of a few days ago probably thought it was absurd, even though they'd already been in direct or indirect contact with someone who was contagious here in the US.

As of right now, today, the US government would still allow someone who has been in direct contact with an ebola patient to enter the US--unquarantined, unmonitored, untracked.

I'd give you "unlikely"--though it seems it's not as unlikely as I would like. But "absurd" is the kind of over-the-top hyperbole you get when ignorant officials are more interested in managing the optics than in dealing with the reality, and are equally incompetent at both.
Of those 100 people, the four in mandated quarantine are the only ones directly exposed. The rest had insignificant contact or they also would be in quarantine.
 
That's my point. IS being delivered.
What are the chances those people went shopping for groceries before somebody figured out that their improvised quarantine required food to be delivered?
Given they still don't have symptoms, no one would have been exposed anyway.


I had a horrific dream about a zombie outbreak tonight. I just can't find peace from this mess. :(
EDIT:
This is the 'control' the CDC has: https://twitter.com/wfaachannel8/status/517739906211528704/photo/1
EDIT 2:
Can someone more knowledgeable than me explain if this is a real concern or not? It's not exactly helping my fears: http://pissinontheroses.blogspot.com/2014/09/us-army-says-ebola-flu-in-airborne.html
It clashes with what I've learned from TWiV: http://www.virology.ws/2014/09/18/what-we-are-not-afraid-to-say-about-ebola-virus/
Depending on what they did in the way of disinfecting that sidewalk first, that looks terribly dangerous. They are creating a spray and don't have proper PPE on. I do hope the CDC was involved in that affair, determining what was needed to clean it.

It reminds me of the images of people digging up dead chickens to cook that the H5N1 bird flu had killed. It looks like a break in infection control.

As for the aerosol, I wouldn't put much stock in that. Most flu is also droplet spread. But it's not relevant given we see a completely different pattern of flu spread.

Look at the countries where the cases were quickly stopped, Nigeria for example. With flu, a lot of very mildly ill people are out there spreading the virus around. With ebola, it looks like people are especially contagious when they are seriously ill. They are only spreading the infection to people who have contact with them at this point in the infection.

Duncan had contact with his seriously ill relative within hours of her death. The news had an interview with the taxi driver that drove them around looking for a hospital. She was pregnant. They were likely in denial that it was ebola. Duncan sat with her in the back seat of the cab as they drove to several hospitals that all turned them away. The cabbie says he took her back home, Duncan carried her into the house as she couldn't walk on her own and she died a couple hours later.


So the people that were possibly infected by a brief contact are being forced to live in a confined contaminated space for three weeks?! How long can the Ebola virus survive outside of a host? If the people being quarantined come into contact with the virus two weeks into their stay, they will walk out of quarantine symptom free yet carrying the virus.
That's doubtful. More likely they've been asked to check their temperatures twice a day and limit contact with other people.


Inferior? Bigoted? I was thinking that the person was reckless or stupid.
The man is no doubt a jerk. But my point was, given the circumstances a whole lot of people wouldn't ask permission, they'd ask for forgiveness.

As for bigotry, while I'm not pointing fingers at anyone, there is definitely a heavy dose of bigoted reactions in this country and some of the posts in the thread smack of "keep them Africans out of here".


What I find interesting is that the politicians who are screaming about the ebola patient in Texas are the same ones, who but a few short weeks ago, were trying the best they could to destroy public health systems.
Jon Stewart's bit last night on misplaced priorities was priceless.


Serious question for the forum: I live in California and have a wedding in Dallas the first week of November. How paranoid am I to be considering canceling my travel plans?
Over the top paranoid. Go to the wedding, don't be ridiculous.


According to the CDC the virus would be viable for up to 3 days. Under idealized laboratory conditions (unlike the world outside of the lab) it can be viable for up to 6 days.

The corpse of a person who has died from Ebola virus disease will be highly contagious for 3 days but not after that.
The difference is in the fluid the virus is contained in. It appears to be similar to HIV, once it dries out it is no longer viable. In a pool of secretions or vomit, it will be viable much longer. Bodies don't dry out in three days. I'll look into what that 3 days for a corpse is based on.


IMO, the level of your concern should be zero until further notice. Further notice would come in the form of headline news announcing the finding of infected persons beyond Duncan.
Even then, if it were the family members or those guys cleaning that sidewalk, I wouldn't worry. Contact tracing is very effective in stopping this kind of infection.


The Dallas hospital whish Duncan first visited claims a "flaw"' in its health records system contributed to release of Ebola patient on his first visit.
This is dubious. That hospital is trying to cover its bum. Claiming the ED nurses ask a history then no one noticed until now that the doctors don't see it? :rolleyes: I don't believe it. Someone is making excuses, probably the doctor making excuses for his/her negligence.

Common sense you are diagnosing a patient with vague symptoms you ask their travel history. Even without this ebola epidemic that should have been part of the standard work up.
 
I'm waiting for CNN to create its virtual Wildfire War Room.
 
Little Green Footballs clears up the sidewalk cleaning affair.

Another Mind-Bogglingly Dumb Post From GatewayPundit: “Unprotected Workers Cleaning Ebola Vomit!”
OK, folks. First of all, let’s just point out that these photos were taken today.

The man diagnosed with Ebola reportedly vomited on the ground outside his apartment last Sunday on his way to being admitted to the hospital in Dallas.

Do these idiots really believe that the vomit just sat there on the sidewalk for four days? The stupidity is mind-boggling. What these photos show are workers hosing down a sidewalk, like workers do every single day in every city in the United States. And even if there had been vomit there, the Ebola virus does not survive outside the body more than a few hours.
 
Serious question for the forum: I live in California and have a wedding in Dallas the first week of November. How paranoid am I to be considering canceling my travel plans?

Seems pretty paranoid to me. It's not like there aren't enough California transplants here already. Head down to the In N Out while you're here. :D
 
This is dubious. That hospital is trying to cover its bum. Claiming the ED nurses ask a history then no one noticed until now that the doctors don't see it? :rolleyes: I don't believe it. Someone is making excuses, probably the doctor making excuses for his/her negligence.

Common sense you are diagnosing a patient with vague symptoms you ask their travel history. Even without this ebola epidemic that should have been part of the standard work up.
I read that the nurse asked Duncan of his travel history and he accurately answered that just came from Liberia but when asked if he had any contact with sick people he lied and said no. This was all documented by the nurse but the hospital has a wonky procedure whereby a physician doesn't even look at that info until later and after Duncan is sent home. The hospital has now changed that.
 
Serious question for the forum: I live in California and have a wedding in Dallas the first week of November. How paranoid am I to be considering canceling my travel plans?

I wouldn't come.

The fish will be over-cooked and the chicken will be dry. The beef could be awesome or just average, certainly not worth such a long trip on its own. Just order some to be delivered.
 
http://www.mycentraloregon.com/2014...-charge-of-cleaning-ebola-patients-apartment/

The Cleaning Guys have been in contact with and are receiving guidance from the U.S. Centers for Disease Control and Prevention, Dallas County health officials and the Department of Homeland Security...

...Kasey Bonner, an administrative assistant for the Cleaning Guys, told ABC News that taking the job was a hard decision.

“It took our vice president some time to make a decision,” she said. “Long and hard thinking on that one. But our team is pretty skilled.”

And what of the people who do the cleaning? Will they be quarantined and monitored?

http://www.usatoday.com/story/news/...a-symptoms-patient-admitted-nigeria/16645717/

The statement did not indicate when the patient had most recently been in Nigeria.

I can't stand this. It's all so nerve wracking. It doesn't help my psyche that my family has multiple, potentially disease carrying pets.
 
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wollclark, have you ever spoken to someone about your irrational fears? It seems like it might be a good idea. Anxiety is pretty common, and there are a lot of treatment options.
 
I read that the nurse asked Duncan of his travel history and he accurately answered that just came from Liberia but when asked if he had any contact with sick people he lied and said no. This was all documented by the nurse but the hospital has a wonky procedure whereby a physician doesn't even look at that info until later and after Duncan is sent home. The hospital has now changed that.
I'm well aware this is what the hospital is claiming.

I don't believe them. Someone is making excuses for the doctor who failed to ask, probably didn't even look at the nurse's history on the patient.

What isn't credible is that these nurses have been asking and recording patient histories all this time and no one noticed the docs can't see those histories?

How did no one notice such a major flaw until now?


But even if true, that means the doctor who didn't see the nursing history on the patient also didn't ask the patient for travel history. Explain how the doctor who didn't see the nurse's notes didn't then either ask the question him/herself or look for said nurse's notes?

The nurse who did a proper job, instead of being credited, is having to hear crap on the news like I heard this morning, "why didn't the nurse tell the doctor in person?" All the while the doctor is excused.

UPDATE: For the first time now, an MD on MSNBC is stating that the doctor should have asked, "you never rely on someone else to take the medical history".

FINALLY!
 

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