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Tracking the next pandemic: Avian Flu Talk

WHO Warning over Ebola spread

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Technophobe View Drop Down
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    Posted: August 01 2014 at 7:44am
1 August 2014 Last updated at 15:19

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Ebola crisis: Virus spreading too fast, says WHO

A Samaritans Purse medical worker demonstrates personal protective equipment to educate team members on the Ebola virus in Liberia (undated photo)  Dr Chan said that to date, more than 60 health care workers have lost their lives in the outbreak

The Ebola outbreak in West Africa is spreading faster than efforts to control it, World Health Organization (WHO) head Margaret Chan has said.

She told a summit of regional leaders that failure to contain it could be "catastrophic" in terms of lives lost.

But she said the virus, which has claimed 729 lives in four West African countries since February, could be stopped if well managed.

Ebola kills up to 90% of those infected.

Ebola explained 

It spreads by contact with infected blood, bodily fluids, organs - or contaminated environments.

Initial flu-like symptoms can lead to external haemorrhaging from areas like eyes and gums, and internal bleeding which can lead to organ failure.

Dr Chan was meeting the leaders of the worst-affected countries - Guinea, Liberia and Sierra Leone - to launch a new $100m (£59m; 75m euro) Ebola response plan.


Source and video:   http://www.bbc.co.uk/news/world-africa-28610112

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Post Options Post Options   Thanks (1) Thanks(1)   Quote jacksdad Quote  Post ReplyReply Direct Link To This Post Posted: August 01 2014 at 8:14am
"Could be stopped if well managed". There's the problem in a nutshell.
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"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary.
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Post Options Post Options   Thanks (1) Thanks(1)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 01 2014 at 8:38am
Like the conversation about clear cuts to serve as firebreaks as opposed to letting nature burn the fires out, will Ebola, if just left unchecked, burn itself out on its own? Or will it render Africa a contaminated and dying wasteland? That is something I would not chance because if it does not run its course and burn itself out and rages through the human and (wild) life populations but never makes it outside of Africa, that will still rock and change the world dramatically forever because an upset to the chain of life will effect us all more than carbon emissions, ect ever has or will for a long time to come. So for the rest of the worlds protection we cannot sit and watch and wait as the Africans stew in their own Ebola-Witchcraft soup. Our tax dollars would be well spent on this one in my opinion.
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Post Options Post Options   Thanks (1) Thanks(1)   Quote DANNYKELLEY Quote  Post ReplyReply Direct Link To This Post Posted: August 01 2014 at 1:49pm
I must say that I agree with onefluover.
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Post Options Post Options   Thanks (1) Thanks(1)   Quote CRS, DrPH Quote  Post ReplyReply Direct Link To This Post Posted: August 01 2014 at 3:06pm
Originally posted by DANNYKELLEY DANNYKELLEY wrote:

I must say that I agree with onefluover.

I also agree with our colleague onefluover! Clap

There are some who are probably delighted at Africa's misfortunes, we are not of that cut of cloth it appears.  A depopulated Africa could lead to battles over resources and territory that would harken back to the Boer wars etc., except that countries like China may want in. 

Unfortunately, I don't see many ways to halt Ebola in that part of the world, given the political and cultural realities.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Elver Quote  Post ReplyReply Direct Link To This Post Posted: August 01 2014 at 7:59pm
Ebola is moving faster than control efforts.
http://bigstory.ap.org/article/w-african-leaders-who-meet-address-ebola

Doctor's Without Borders said that the situation in Liberia is dire because its teams are overwhelmed.

It doesn't sound like containment efforts are working. It is now in 3 capital cities for the first time in history.

Of course nobody felt that closing the borders was necessary just a few months ago. I think they're singing a different tune now.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote inthesticks Quote  Post ReplyReply Direct Link To This Post Posted: August 01 2014 at 8:11pm
Now officials in West Africa seal off the borders. It's always a little too late, isn't it? Geez...what a cluster f**ck!

A paragraph in the lnk provided by Elver (see above post caught my eye. Here it is: "Nigeria's minister of health, Onyebuchi Chukwu, said Thursday the government has located 10 more people who had primary contact with the man who flew to Lagos, and died there because of Ebola. The government is tracking down the remaining people who had contact with him, he said. As of Friday, 69 people are under surveillance and two are quarantined, Chukwu said."

The interesting part is the last sentence. Two people from the plane that landed in Lagos, Nigeria were under quarantine. Oh? Why would that be, if the other passengers are simply under surveillance? Do the two quarantined people have symptoms of Ebola? Has anyone heard anything more about this?
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Post Options Post Options   Thanks (1) Thanks(1)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 01 2014 at 8:23pm
Originally posted by CRS, DrPH CRS, DrPH wrote:

Originally posted by DANNYKELLEY DANNYKELLEY wrote:

I must say that I agree with onefluover.


I also agree with our colleague onefluover! Clap

There are some who are probably delighted at Africa's misfortunes, we are not of that cut of cloth it appears.  A depopulated Africa could lead to battles over resources and territory that would harken back to the Boer wars etc., except that countries like China may want in. 

Unfortunately, I don't see many ways to halt Ebola in that part of the world, given the political and cultural realities.


Well thank you both! I'm honored to be able to provide my own take on many of these issues without very much ridicule. It makes me want to study harder. It's helping me get over or through some of my past shortcomings. I am, in the end, pretty much a normal, regular guy.

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Post Options Post Options   Thanks (1) Thanks(1)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 5:40am

Ebola outbreak: We're heading towards a catastrophe, warns top medic

We are heading towards pending 'catastrophe' after 'woefully inadequate' response, warns head of the World Health Organisation

Margaret Chan, director general of the World Health Organisation
Margaret Chan, director general of the World Health Organisation Photo: Reuters

5:54PM BST 01 Aug 2014

The health chief leading the fight against the Ebola outbreak in West Africa has warned it was spiralling out of control towards a “catastrophic” epidemic that could engulf the region.

Margaret Chan, director general of the World Health Organisation, said the response to the disease had been “woefully inadequate” and it was “moving faster than our efforts to control it”.

Her warnings - the starkest to date - were delivered to the leaders of Guinea, Sierra Leone and Liberia as they held a crisis summit to discuss how to curb the crisis, which has now claimed at least 729 lives.

“If the situation continues to deteriorate, the consequences can be catastrophic in terms of lost lives but also severe socio-economic disruption and a high risk of spread to other countries,” Dr Chan said, according to a transcript seen by the Reuters news agency of her remarks to the summit in the Guinean capital, Conakry.

“This meeting must mark a turning point in the outbreak response.”

Meanwhile, two Ebola-infected American aid workers, Dr Kent Brantly and missionary Nancy Writebol, were expected to arrive in the US for treatment in high-security intensive care wards.

Both are believed to be in “stable but grave” condition after contracting the disease in Liberia. It will be the first time an Ebola sufferer has been treated in the US.

Dr Chan’s comments came amid growing signs of panic in the affected nations, where the fight against the disease has been hampered by lack of public health education and a widespread belief that it is caused by witchcraft.

Aeromedical Biological Containment System, a sealed isolation tent for air transportation of suspected Ebola cases (AP)

Ellen Johnson Sirleaf, president of Liberia, said there was now fear and panic across the country, adding: “There are dead bodies all over the place and they now know that it’s real. They know that it’s deadly and they are now beginning to respond.”

She said some Liberians were continuing to keep infected patients at home or take them to traditional healers, fearing wrongly that bringing them to the specialist treatment clinics would increase their chances of catching the disease.

On Wednesday, Sierra Leone ordered its security forces to take health officials on house-to-house searches to find anyone suspected of harbouring an Ebola sufferer, despite fears such a robust approach could alienate the public.

In a further sign of disagreement over how to respond to the outbreak, the leader of the Ebola task force in Guinea said moves by neighbouring Liberia to shut all schools to contain the disease could prove counter productive.

“When children are not supervised, they can go anywhere and make the problem worse,” said Aboubacar Sidiki Diakita. “Currently, some measures taken by our neighbours could make the fight against Ebola even harder.”

An employee of the Monrovia City Corporation mixes disinfectant before spraying it on the streets in a bid to prevent the spread of the Ebola virus, in Monrovia, Liberia (AP)

Nigerian officials also reported an outbreak of panic in the state of Anambra when it was discovered that a local man had died while visiting Liberia.

There was no immediate evidence that he had caught Ebola, but such was the anxiety that the authorities took the precaution of quarantining his body, which had been repatriated by his relatives over the weekend.

The mounting sense of unease came as Dubai’s Emirates airline became the first global carrier to announce it was suspending flights to the stricken area.

The United States, Germany and France also issued warnings against travel to the three African countries.

On Wednesday, the World Health Organisation said it was launching a $100m (£60m) drive to recruit several hundred additional staff to combat the west African crisis.

Health experts say since it is the first outbreak of its kind in the region, local officials have no practical experience in how to combat it.


Source:  http://www.telegraph.co.uk/news/worldnews/africaandindianocean/11006675/Ebola-outbreak-Were-heading-towards-a-catastrophe-warns-top-medic.html

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Post Options Post Options   Thanks (0) Thanks(0)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 8:33am
Over 100 healthcare workers infected in this outbreak.

http://www.infowars.com/more-than-100-health-workers-fighting-ebola-have-contracted-it-themselves/

That's roughly one in ten of total cases. That indicates to me that under current procedures, all healthcare workers dealing with these patients over there will get it eventually. But when I see pictures of assistants not in protective gear using a garden hose on the multilayer-clad doctors and nurses, it seems obvious how most of the healthcare worker exposure is happening. They should be in single piece suits coated in a semi dry virucidal and should decontaminate in a self-service stall with water first then a virocidal foam and then again with water. The waste water should be mixed with a high concentration of cidal and then stored in biohazard tanks for a length of time. These stalls should be easy to make and be mobile. I'm assuming that similar systems as this exist but why the garden hoses? It would appear to me that the exposure is happening during the decontamination/lack of process.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote KiwiMum Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 12:38pm
Doesn't this door to door searching for ebola victims sound the search for plague victims in the middle ages? This resulted in people being physically shut up in their houses with doors and windows nailed shut. The healthy were locked in with their sick relatives.

There is another interesting correlation to the middle ages: we learn at school that the Black Death was bubonic plague which was spread by fleas that lived on rats, but we rarely hear about the pneumonic, septicemic and enteric plagues that were also present. The last two being the ones that killed the quickest, often with the patient being healthy at breakfast and dead by tea time. 

We are hearing that Ebola is spread by contact with bodily fluids, but if Ebola does spread through the air, even if it's only in the latter stages from airborne droplets expelled by the coughs of the dying, perhaps this is explaining how health care workers are contracting the disease despite their protective clothing. 
Those who got it wrong, for whatever reason, may feel defensive and retrench into a position that doesn’t accord with the facts.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 1:01pm
With an average CFR of 75% over 38 years and so many unknowns, I'm assuming they are all wearing respirators.

OK, I'm an arse.

Paint style dust masks may look cool but are utterly useless for medical purposes.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote KiwiMum Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 1:14pm
From the photos I've seen they are wearing respirators but not many appear to wearing goggles. I'm not a doctor but I'd have thought that it's perfectly possible to transmit a disease when infected droplets touch the eye.

Can anyone confirm this?

Those who got it wrong, for whatever reason, may feel defensive and retrench into a position that doesn’t accord with the facts.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jacksdad Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 1:34pm
Absolutely right, KiwiMum - intact skin is a very effective natural barrier, but mucous membranes are one of the best ways in for a virus.
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"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote nc_girl Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 2:51pm
wasn't it infection by eye that caused the doctor in reston, VA to get that non-deadly version of ebola years ago?

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Post Options Post Options   Thanks (1) Thanks(1)   Quote KiwiMum Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 6:21pm
Every time I see people in China walking around with masks on during a health scare I always wonder why no one is wearing goggles. 
Those who got it wrong, for whatever reason, may feel defensive and retrench into a position that doesn’t accord with the facts.
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Post Options Post Options   Thanks (1) Thanks(1)   Quote jacksdad Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 6:33pm
And they're often wearing surgical masks, which protect other people from the wearer, but not the other way around...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 6:43pm
Which is peculiar to me in either case because with a true airborne virus, those masks never seal around the face, never, and the goggles likewise don't seal either and neither maters anyway if the entire rest of your body is coated, like the smell of cigarette smoke with viable virus.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote CRS, DrPH Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 6:57pm
Originally posted by KiwiMum KiwiMum wrote:

From the photos I've seen they are wearing respirators but not many appear to wearing goggles. I'm not a doctor but I'd have thought that it's perfectly possible to transmit a disease when infected droplets touch the eye.

Can anyone confirm this?


Correct, good call, KiwiMum.   The level of personal protective equipment (PPE) we are seeing deployed is pretty inadequate.  

Photos of the camps for Doctors Without Borders show some pretty good technique, but really, it is a tropical rain forest!!  I find it hard to wear all that stuff in an air-conditioned hospital in the US midwest.  

Check out the photos, these Docs Without Borders do it correctly!  Also, check out the layout of their camp for patient treatment:


Ebola is one nasty, infectious virus.  It appears that it can get into the body via any mucous membrane, abrasion in the skin, etc., unlike influenza, which needs to bind to certain cells in the lung to get going.  

I'm not volunteering to go to West Africa any time soon.Dead
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Post Options Post Options   Thanks (2) Thanks(2)   Quote Elver Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 10:12pm
This is just a guess on my part, but it seems logical that if they don't kill the virus completely on the outside of their suits, that they contaminate themselves when they remove their suits.
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