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What a giant load of poo.

She's concerned about the threat to the health of our troops, and would rather put them in the middle east to GET SHOT AT than put them in west africa where the locals will gladly welcome them and where they will have the best protection money can buy against infection.

She's concerned about the division of our forces spreading us thin elsewhere and the effect on morale. 3000 troops is a drop in the bucket for the world's largest employer. Ask a soldier: which is better for morale, a peacetime humanitarian mission, or futile counterinsurgency riddled with IEDs?

The real story here is simple. This is about a domestic extremist who doesn't want to save the lives of tens of thousands of black people and would prefer that our military focus on killing as many arabs as possible.
 
Sierra Leone to shut down for 3 days to slow Ebola
By CLARENCE ROY-MACAULAY

<broken link removed>

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In the national news, I've heard twice in the last few days that "the fear" is that ebola may mutate into an airborne variety. Those that use air travel frequently and those in large cities that use public transportation would certainly see a higher risk if this happens. Not running around like chicken little but very aware of my surroundings.
 
Saying that "the fear is that ebola may mutate into an airborne variety" is like saying that "the fear is that a school bus will come crashing through my living room." Yes, if that happened, it would be bad, but there's absolutely no reason to be concerned that it will happen.
 
I've seen some stuff talking about E.Reston (the version that only affects non-human primates) that had mutated into an airborne strain back in the 80's. However that was all isolated to some monkey colonies that were being used for research anyways.

Generally, the airborne variant of any deadly disease is bad news. The thing I keep seeing in media is that "ebola replicates in a sloppy fashion" giving it a faster mutation rate than other viruses. While this may feed into the paranoia some people have, as this variant is thus far less deadly than other strains, will it evolve to be less deadly as a means of being able to spread further? It seems a virus that takes much longer to kill (or even not kill) the host would have a competitive advantage in terms of replication.

Again, one advantage here with deploying the US military, is it gives military doctors knife time in dealing with this virus and outbreaks of it in a very austere situation. If they can deal with it there, it's going to be much less an issue if it ever gets here.

All that said, the executive branch has gone from saying "ebola spread in the us not possible" to the threat being "low". I don't know if they got a big dose of reality from somewhere, they pulled their heads out of their rectum, or there are cases that have not been reported and it's already here, but patients have been isolated.

I think I mentioned this elsewhere, but I once had a patient who was a local news director. When one of the bird flu scares was going around (I think anthrax scare as well), he demanded I prescribe a year's worth of Tamiflu and cipro for him. I thought it quite irresponsible that we allow people to stock pile huge amounts of meds that we have no idea would work for a then fictitious virus (it might mutate!).

When I said no, he said that he hoped that me and my family would die waiting in a FEMA line for cipro.

That's the kind of person that brings you the news. Holy crap they should have background checks for news directors

So far its been like 13 years and still having been killed by the crazy bird flu he said was coming. Survived bird flu, bird flu 2, SARS, pig flu, bird flu 3... Perhaps ebola will get me! Better than pooping on myself in some nursing home.

Isn't one pill 3 years supply? because if you never take it, it's good until it expires. Maybe the quinolones have a faster half life than that...

The question I have, and maybe you could shed some light on this... if Ebola is aerosolized in saliva what is it's infectious potential if you're in close quarters? How about splatter from the terminal effects of firearms? What PPE is appropriate? Gloves? Gas masks? NBC suits? Tyvek suits and SCBA?

Quite interested to hear your opinions on this.
 
Isn't one pill 3 years supply? because if you never take it, it's good until it expires. Maybe the quinolones have a faster half life than that...

The question I have, and maybe you could shed some light on this... if Ebola is aerosolized in saliva what is it's infectious potential if you're in close quarters? How about splatter from the terminal effects of firearms? What PPE is appropriate? Gloves? Gas masks? NBC suits? Tyvek suits and SCBA?

Quite interested to hear your opinions on this.

He wanted enough to take every day for the next year. Not if and when he got sick. He wants enough for his whole family, like thousands of pills.

Im not an infectious disease specialist so I wont be able to give you the specific type of safety gear to have. It is transmitted though mucous membranes (eyes, mouth, nose) and cuts in the skin. It can be spread then by droplets (someone coughing or sneezing right in your face) or by blood spatter.

If the person is sitting across the room from you and you have no contact there isnt going to be spread. Similar to how colds spread.

We have a infectious disease team at the hospital that does drills for these sorts of things so my response to any knowledge about a possible case is to isolate and call them.

I know the CDC/WHO is not liked by some on this forum but they have the better summaries for healthcare workers

Basic protection (similar to what would be worn in surgery)
http://www.who.int/csr/disease/ebola/put_on_ppequipment.pdf

Pocket guide for management that I keep a copy of (but will probably never have to refer to)
http://apps.who.int/iris/bitstream/10665/130883/2/WHO_HSE_PED_AIP_14.05.pdf
 
LONDON (AP) — New estimates from the World Health Organization warn the number of Ebola cases could hit 21,000 in six weeks unless efforts to curb the outbreak are ramped up.
Since the first cases were reported six months ago, the tally of cases in West Africa has reached an estimated 5,800 illnesses. WHO officials say cases are continuing to increase exponentially and Ebola could sicken people for years to come without better control measures.
In recent weeks, health officials worldwide have stepped up efforts to provide aid but the virus is still spreading. There aren't enough hospital beds, health workers or even soap and water in the hardest-hit West African countries: Guinea, Sierra Leone and Liberia.
EBOLA: Doctor says border controls critical
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," said Christopher Dye, WHO's director of strategy and study co-author, who acknowledged the predictions come with a lot of uncertainties.
"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."
They also calculated the death rate to be about 70 percent among hospitalized patients but noted many Ebola cases were only identified after they died. So far, about 2,800 deaths have been attributed to Ebola. Dye said there was no proof Ebola was more infectious or deadly than in previous outbreaks.
GALLERY: Battling the Ebola outbreak
The new analysis was published online Tuesday by the New England Journal of Medicine — six months after the first infections were reported on March 23.
WHO is just one of the groups that have attempted to calculate the epidemic's future toll.
On Tuesday, the U.S. Centers for Disease Control and Prevention is expected to release its own predictions for only Liberia and Sierra Leone — the two West African countries that recently have shown the steadiest and most alarming spread of cases.
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, according to a draft version of the report obtained by The Associated Press. They also predict that the two countries could have a staggering 550,000 to 1.4 million cases by late January.
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.
Other outside experts questioned 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.
Sprecher was also unconvinced Ebola could continue causing cases for years and said diseases that persist in the environment usually undergo significant changes to become less deadly or transmissible.
Dye and colleagues wrote they expected the numbers of cases and deaths from Ebola to continue rising from hundreds to thousands of cases per week in the coming months — and reach 21,000 by early November. He said it was worrisome that new cases were popping up in areas that hadn't previously reported Ebola, like in parts of Guinea.
"The picture is too unclear at the moment," he said, noting the outbreak is continuing to double in size about every three weeks.
Scientists said the response to Ebola in the next few months would be crucial.
"The window for controlling this outbreak is closing," said Adam Kucharski, a research fellow in infectious disease epidemiology at the London School of Hygiene and Tropical Medicine.
 

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