Tuesday, October 14, 2014

Ebola

Let's just get this out of the way. Ebola is a scary disease with a 10% to 75% survival rate (or for those with a "glass half empty" attitude - 25% to 90% death rate). The virus may be acquired upon contact with blood or other bodily fluids of an infected human or other animal* and the incubation period is 2 to 21 days.

The typical symptoms with known exposure are "sudden onset of fever, intense weakness, muscle pain, headache and sore throat". This is followed by vomiting, diarrhoea, rash, impaired kidney and liver function, and in some cases, both internal and external bleeding. There is no specific treatment for Ebola and though it is still in the experimental stages, there is no vaccine available. -Info from www.WHO.int

The virus was identified in 1976 and I have casually followed various Ebola outbreaks since I read "The Hot Zone" in the early'90's (weird hobby, I know). The current vast and wide outbreak in West Africa has been growing exponentially for months and statistics state that nearly 9000 have been effected and over 4000 have died so far and it does not seem to be letting up. From what I have observed over the years, past outbreaks have been detected and quarantined/isolated quickly with usually about 300 people dead by the time it burns out. Why this has gotten so out of control is mind-boggling.

Now for the bad news - Unless you have been living off the grid for the last few weeks, you no doubt know that the US had it first domestic death from an Ebola infection in Dallas. The victim was a Liberian national travelling to the US after known exposure for which he did not disclose when leaving Liberia. And now, one of the nurses who cared for him has now been diagnosed and has the dubious honor of being our first domestic infection with at least 70 others at risk. There is a lot of speculation and a lot of accusations as to how the emergency room personnel screwed up by not recognizing his symptoms as Ebola. Let's be honest. What were the odds that a man walking into a hospital in the US - ANY hospital - would have been immediately identified as a patient with Ebola. Some of the other accusations are just ridiculous, so I won't even go there.

But what is the most disturbing is that, even though the epidemic was growing in West Africa, the CDC had no plan until Dallas. I guess I have always assumed that they operated like the team in "Criminal Minds" where they activate their special units of experts trained in highly infectious diseases who would swoop in, set up perimeters, create quarantine centers and issue mandated (and proven) protocols. You know, the special government agents in hazmat suits would know exactly how to handle and disinfect the victim's living quarters and isolate those who had been exposed. I guess I was wrong. Since they are among the same goverment agencies who allowed someone to run around the WH because they forgot to lock the front door, I'm guessing expecting them to secure our borders from potential pandemics would be too much of a stretch.

All that being said, now is not the time to lay blame, or to become hysterical. This really isn't the time that we root for our leadership to fail even though the likelihood of being exposed to Ebola are very low. But on the bright side, there will be time to lay blame for the upcoming 2016 election cycle...if we survive.

*Interesting fact - Fruit bats are natural carriers of the Ebola virus. So if you see a fruit bat wearing a cowboy hat...run.

UPDATE: While I was writing this, it was reported that there were three suspected Ebola patients who were taken to or showed up at Belleview Hospital in NYC...

37 comments:

LL said...

It's exceptionally disturbing. And it will only get worse until the nation decides to get serious about it.

LL said...

Check out EV-D68. America just had it's sixth death from EV-D68 (essentially polio) An enterovirus is a positive-sense (“plus-strand”) RNA (ribonucleic acid) virus. Other diseases caused by RNA viruses include Ebola, SARS, polio and measles. Of course, it's not news in the Mainstream Media.

And the only real rant about ebola in the MSM would seem to be concerns of racism.

Anthony said...

Bev,

If life worked like tv all the terrorists would be white, everyone would be attractive and there would be no criminals because our detectives would be either unorthodox geniuses or extremely competent crime solving supermodels with access to the very latest tech :) .

Also, that Ebola at Bellvue thing was knocked down a while ago.

http://www.newsday.com/news/new-york/two-test-negative-for-ebola-at-bellevue-1.9499335

A man and woman tested negative for the Ebola virus Monday after they went to Bellevue Hospital.
--------

The only sad thing about the death of that lying Liberian is that he came here to die and got an American infected.

I still think the hysteria is ridiculous though only slightly more so than the maneuvering for political advantage one sees on both sides.

Its ridiculous that an idiot reporter who is under quarantine for Ebola decided it would be acceptable to go to her favorite restaurant in disguise.

http://www.nydailynews.com/news/national/dr-nancy-snyderman-spotted-n-cafe-ebola-quarantine-report-article-1.1972199

---------------
Nothing terrifies people like a new form of death (its new to us!) , no matter how remote the odds, so the hysteria will probably last for a good long while. If one American infected in the homeland and zero casualties gets people this worked up...

CrisD said...

First, thank you for bringing this up, Bev.
Second, I am not hysterical.
Third, I am insulted by the CDC handling of Ebola. The head of the CDC blamed the nurse-victim and then apologized by saying that he was speaking professionally while blaming the nurse-victim.
The head of the CDC was the health official in NY and was part of the soda pop and trans fat lunacy. He was appointed to CDC by Obama and I believe disregards common sense in his approach to a disease that has seeped out to two western nurses (Texas and Spain),
I think that we should cease taking travelers who originate in hot zone areas.
Thank you.
Note: we have had several at least two cases in New England.

BevfromNYC said...

Yes, LL, I have heard racism because the Dallas emergency room "turned him away" the first time he came in because he was black. Actually he saw a doctor AND a nurse and presented with what I am almost certain looked like something ordinary if you didn't get the "I just came from Liberia after carrying a dying Ebola victim to the local hospital" part - which, btw it seems that the last part about "and carrying..." was never actually reiterated by the patient or anyone around him that I can tell. And after listening to a recording of the 911 call, honestly, they may not have been able to understand - not a criticism, just a fact. They sent him home with antibiotics with a "go see your doctor if you don't feel better in a few day."

Oh, and the other entry into the Primetime ""Blame-game show" is that it's the Republican's fault because they "cut funding to the CDC" - not true, but it plays well during the push to midterm elections.

Louis Farrakhan says it's US government plot to destroy Africa and the "black man" Hey, at least he isn't blaming the Jews/Israel, but I am guessing that will come soon enough.

Speaking of which, I just read that the price of gasoline is magically going to go down just in time for the midterms. Of course maybe because the pre-election stock market crash has begun. All will be blamed on the Republicans because they didn't do something or did something or forced Obama to do something that he didn't want to do etc.

BevfromNYC said...

CrisD - It is an important topic, so you are welcome. I am not hysterical about exposure to Ebola as much as I am terrified of the CDC. What is their job anyway? CDC Head Thomas Friedan (dr.) of course cannot blame himself or his agency for not preparing ALL our hospitals and medical professionals (including EMS) for the possibility.

In NYC, Chuckles Schumer and Mayor Deblasio are running around saying NYC is prepared like they've been running drills for the last few months...it has only been since the Dallas exposure that they have been actually. They avhe started sending actors into the emergency rooms to fake Ebola...not sure how one fakes a fever though.

BevfromNYC said...

Anthony - Of course, I know you are right about my delusions. I was just hoping that they wouldn't be the Keystone CDC too. As for the Bellevue patients...there were 3 who came in, not just two...however, I am sure there will be a lot more with "hysterical ebola" syndrome piling in too.

BevfromNYC said...

Here is another update which just makes me wonder -
NBC medical advisor and pundit Nancy Schneiderman (dr.) decided to voluntarily end her voluntary quarantine early because she felt she was experienced enough to decide that she was no longer an Ebola threat. Of course one of her crew members DID contract Ebola while they are all on assignment in West Africa which is of course why she and her other crew members were under voluntary quarantine. Probably because whoever made the decision to make it "voluntary" just assumed that Schneiderman (dr.) had taken the Hippocratic Oath serisous to "do no harm" and understood that her first duty as a TV doctor/pundit was to lead by example. Naaaah. She needed soup. Now she is under MANDATORY quarantine until her 21 days are up and has had to publish one of those "I am sorry you are all so upset that I knew better than anyone what to do." apologies. At the very least, she should have to appear before the local medical board to explain herself.

Kit said...

On thing I want to point out is that most "cases" are really suspected cases. And a "suspected case" is anyone who visited Liberia recently and is showing flu-like symptoms… at the beginning of flu season.

This apparently likely applies to those two cases in New England that CrisD mentioned.

"In NYC, Chuckles Schumer and Mayor Deblasio are running around saying NYC is prepared like they've been running drills for the last few months...it has only been since the Dallas exposure."

Our Republican Governor Bentley is saying the same thing.
LINK

I agree about the blame game. The time for that will be 2016.

Kit said...

The nurse in Dallas is apparently doing well (or as well as one can be w/ Ebola) and is reportedly in stable condition. Her dog, unlike the one in Spain that they euthanized and incinerated, is being cared for by Animal Services.

Dr. Kent Brantly, the American missionary who contracted Ebola and was successfully treated at Emory Hospital*, donated blood to the Texas nurse (they have the same blood type) in the hopes that some of the antibodies he built up will help her body fight the disease. I'm predicting a Medal of Freedom in his future. And possibly a knighthood. As well as offerings of book and movie deals. Definitely offerings of book and movie deals.

*Emory Hospital in Atlanta has successfully treated all of its patients.

BevfromNYC said...

I get it that they are NOW doing what they should have been doing weeks ago. Only in August, the CDC held a teleconference with hospital epidemiologists across the country - the CDC directive to these medical professionals was that "You don't need to do much. It could never happen here." Yeah, this is what we are paying for...no real plan.

CrisD said...

Hey Kit,
Actually, no...the two cases that I referred to were confirmed. One was Nancy Snyderman from NBC's cameraman (he was from Rhode Island and is now seriously ill in Nebraska). The other is a D. who went over to Africa and picked it up. He is in western Massachussets. After being given an all clear, he returned to the hospital with symptoms and it was determined that the Obola had not returned. He suffered from another infection (I am sure that surviving Ebola leaves one weak and really we don't yet know how weak).

A person from West Aftrica walked into an Urgent care in Quincy on Monday and is being tested. So we don't know about that one.

Yes, there are many people being tested and coming out negative. There is also the guy in LA who held up a bus and said he had Ebola. Well, this happens when a deadly virus is flown in to our shores.

AndrewPrice said...

Cris, I love your typo and I think we should call this the "Obala virus" in honor of Obama! :D

AndrewPrice said...

In terms of the CDC, what I find troubling is (1) they don't seem interested in quarantining people who might have it, which should be the first step with any disease like this, and (2) they admit any number of violations of protocol.

In terms of the disease itself, this truly is an invented crisis. You are more likely to have a piano fall on your head than catch ebola in the US. On the other hand, I'm glad Obama is taking the hit for his stupidity on this issue.

tryanmax said...

I'm personally rankled by the radio idiots who want to rake Frieden over the coals for blaming the nurse. It's a desperate grab at an issue when there are so many other legitimate issues to take, like the CDC's resistance to quarantining. Sobbing about victim-blaming is a dishonest tactic favored by the left. But fringe is fringe, I suppose.

BevfromNYC said...

Test...this is only a test of the Commentarama posting system. No, this will not effect your final grade...

BevfromNYC said...

Finally - I was having trouble there for a while.

Anyway - Andrew - I don't think that was a typo by CrisD!

I think there is some misunderstanding that "quarantine" really means putting people in some barbed wire encampment without food, water, shelter or any contact with the outside world. These days, it ought to be pretty easy and comfortable. Hey, bring in those FEMA trailers that everyone complained didn't arrive for Katrina! Even a hotel would suffice.

Nancy Schneiderman (dr.) just had to voluntarily stay home for 21 days...which she chose not to do which made it then mandatory.

Kit said...

If I was Tom Frieden I would've simply said "We are looking into the cause of it. While we believe it may have been a protocol breach but we are also looking into other possibilities."

"Sobbing about victim-blaming is a dishonest tactic favored by the left."
They do it to dodge the the fact that there are evil people who will hurt you and lots of bad people and things in this world that can kill you and you have to take precautions to protect yourself. Some people are simply douchebags who want to hurt others, you can't "teach" them not to, all you can do is take precautions to protect yourself from them. There are also lots of nasty diseases and deadly animals and we have to be careful.

Of course, there is no 100% so even taking all of the precautions will not always protect you.

But the left, in their emotion-driven utopian view, wants to avoid talking about that because it would mean actually trying to approach the issue in a practical manner and forging the best possible solution, which would likely be conservative (i.e., Concealed Carry).

AndrewPrice said...

Bev, Quarantine should mean "not to come into contact with other people." But somehow the CDC version has come to mean "please try not to visit too many restaurants." Unbelievable.

As for the typo, either way, I love it! :D

CrisD said...

I was having trouble posting..
Hey Andrew!
Yup, it's more of "a spectacle" than "a crisis"
I have to admit it.
Also, I may KNOW that Frieden isn't "yelling/blaming" the vic BUT he IS saying she wouldn't have gotten sick if she would have followed protocol. This is unforgivable, as he does not know this, cannot prove this. Basically, this young lady and other do-gooding nurses are told they are not at risk (hence they were not monitored by CDC or even Texas! They were self monitored--)
Look, this is gross incompetence and if a piano falls on anyone's head I will not be very surprised. That is just what we have here.

Kit said...

"I think there is some misunderstanding that "quarantine" really means putting people in some barbed wire encampment without food, water, shelter or any contact with the outside world. These days, it ought to be pretty easy and comfortable. Hey, bring in those FEMA trailers that everyone complained didn't arrive for Katrina! Even a hotel would suffice."

The barbed wire encampment is probably what Alex Jones thinks he hears the word "quarantine". You know, FEMA camps for dissidents that look similar to the camps the Soviets created for the parents in the 1984 classic Red Dawn. "AVENGE ME!"

In reality, quarantine seems to essentially mean a form of house arrest. With Ebola it means you cannot leave your home for 21 days. So, you basically get 21 days of staying at home, checking your temperature twice a day, and no visitors except authorized personnel. If not your home then a motel/hotel they put you up in. So basically, you get paid leave and free rent. The persons are also allowed contact via phone with family, friends, lawyers, pastors, press, etc.

(See, the Dallas girlfriend and child)

And, unless they become ill it only lasts for 21 days.

BevfromNYC said...

The bottom line is that this is a public health issue and should not be used as political fodder for either side. There should BE no sides except for the side of public safety.

AndrewPrice said...

Cris, Always watch for falling pianos! ;-)

I agree that he should not have blamed the nurse without first actually understanding what really happened. At this point, it just sounds like nasty political blame shifting.

As an aside, the disease I'm really worried about is the one that seems to be bringing down children all over the country. Where did this thing come from? I'm told that over 300 children have caught it and many have suffered serious, permanent injury.

AndrewPrice said...

Bev, I agree. It also should not be sensationalized by the media, but they always do that because they are utterly irresponsible.

tryanmax said...

I just had to track down the money quote, which Frieden stated, "At some point there was a breach in protocol." It takes some inference to decide he was blaming the nurse for her own infection. That makes the claim that Frieden was scapegoating her pretty disingenuous since the radio idiots are the ones who selected the scapegoat.

To be clear, I don't see Frieden demonstrating enough competence at the moment, but that doesn't necessitate him also being an ass. And what does it matter what he could've said different if the folks eager to see him cock up are going to change it anyway? As I said, there's plenty to be concerned about without nitpicking and distortions.

tryanmax said...

BTW, as far as protocol goes, the CDC is now in a damned no matter what situation. If they don't change protocol, they're unresponsive. If they do change protocol, they've admitted the previous ones were insufficient. If they cite human error, they're scapegoating. If they deny human error, they're naïve. That's why I have no patience for the nonsense with the nurse.

BevfromNYC said...

This is from a speech Frieden made earlier today - "Frieden was said the CDC will now be sending an “Ebola response team” to all hospitals in the country with a confirmed case of the disease.

“I wish we had a put a team like this on the ground the day the first patient was diagnosed,” Frieden said. “That might have prevented this infection. But we will do that from this day onward with any case anywhere in the U.S.”


Well, it is good to know that we have a "Ebola response team"! That's cool. The CDC along with Emory and the Nebraska Hospital that is supposed to have some super cool state of the art contamination containment/disposal unit right in the hospital held a teleconference today to lay out the new protocol and guidance for US hospitals. And it looks like sanity may be coming back as there is communication with our healthcare providers/first line defenders that has been sorely lacking. Good job, Tommie!

Kit said...

"As an aside, the disease I'm really worried about is the one that seems to be bringing down children all over the country. Where did this thing come from? I'm told that over 300 children have caught it and many have suffered serious, permanent injury."

Andrew,

That Entervirus D68 is very scary. Also, its closer 700 people who have been sick. Not sure how many have been children. But a few have died and, as you state, a few have been permanently injured.

CrisD said...

Sounds like changes are coming. "An experienced team from CDC can come to any case of Ebola". Also, Frieden was careful (third apology is a charm): "Even one case is too many".
Next: President needs allow quarantine.
Hope they read Commentarama like all smart folks :-)

AndrewPrice said...

BTW, the Democrats have now yanked their funding for ads in Kentucky, which shows that Mitch McConnell will win fairly easily.

AndrewPrice said...

Bev, First, I had no idea we had an Obola response team. Wow.

Secondly, I would have hoped that the hospitals where they sent these people would have had some specialty in this area that didn't require a CDC team to come teach them how to handle these patients. None of this inspires confidence.

BevfromNYC said...

Andrew - at least you can be comforted by the fact that our hospitals will do better than west African hospitals. Our ER personnel have a vested interest in their own safety too. And that's not a bad thing.

Kit said...

Ok, off topic. This is kind of disturbing:

------------------------------------------------------------------------
Houston's embattled equal rights ordinance took another legal turn this week when it surfaced that city attorneys, in an unusual step, subpoenaed sermons given by local pastors who oppose the law and are tied to the conservative Christian activists that have sued the city.

Opponents of the equal rights ordinance are hoping to force a repeal referendum when they get their day in court in January, claiming City Attorney David Feldman wrongly determined they had not gathered enough valid signatures to qualify for the ballot. City attorneys issued subpoenas last month during the case's discovery phase, seeking, among other communications, "all speeches, presentations, or sermons related to HERO, the Petition, Mayor Annise Parker, homosexuality, or gender identity prepared by, delivered by, revised by, or approved by you or in your possession."
------------------------------------------------------------------------

At the Houston Chronicle: LINK

Maybe I'm wrong but this seems like political bullying by a left-wing Democrat mayor.

Any thoughts?

CrisD said...

A second worker from Texas has been hit with Ebola. So, Tom Frieden knew yesterday that tests were being done. Another thing they are not revealing is that the first young lady's boyfriend was admitted to the Texas hospital because he needs to be in quarantine.

Not only does this bunch bungle but they cover up.

CrisD said...

Also, Andrew, another child is dead, probably from that enterovirus (AZ)

Anthony said...

This is much ado about almost nothing, but its still useful because its showing the flaws of the system (and the incompetence of the administration).

The 'honor system' method of disease control clearly doesn't work too well.

AndrewPrice said...

Cris, I saw that. That's depressing. To me, that should be the big issue right now. That's the one that is spreading all over the country and endangering people.

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