• Welcome to the Internet Infidels Discussion Board.

First american ebola case diagnosed

That "and thus" is an unwarranted slur.

What makes you think that being immigrants has any bearing on their likelihood of obeying quarantine rules or recommendations?

I think we shall have to see how this thing plays out.
I was in China during both the SARS and the Bird Flu outbreaks. However the worst killer lies in the various strains of Flu that kill 250,000 to 500,000 people per year. I suppose we're so used to it that it's no longer an epidemic.

Not at all. As recent immigrants, they do not have strong ties to this country or area and it is easier for them to pull up stakes and go, as opposed to people who live here and have for many years and have family, community, careers and social connections in the area.

Unfortunately, you are incorrect. Sniffles and Ebola have nothing to do with each other. Why do you refuse to believe that there are not others who have crossed into the US while asymptomatically incubating Ebola?

Why do you believe that all cases are in the news? They are not.

I would be much more surprised if any contacts of the Ebola patient in Texas became ill than if there are no more cases of Ebola in the US. Especially since there ARE.

Total number of confirmed Ebola patients in the USA as of right now: ZERO.

It is very sad for Mr Duncan's family that he has died of this dreadful disease; but his passing does render the USA 'Ebola free' once again.

I stand by my original assessment; Most likely, there will be no more confirmed cases in the USA at all.

Police office who was in the apartment with Mr. Duncan has reported to his local hospital complaining of stomach cramps. He was one of the top 10 folks they were keeping a close eye on.

Not close enough apparently. :mad:

He should have gone straight to the hospital that took in Mr. Duncan, but instead went to a local hospital and then had to be robed, masked, placed in an isolation bag inside the ambulance and driven 10 miles to the hospital he should have gone to in the first place.

Where I work doctors are concerned with anyone else breaking because of the upcoming flu season. Symptoms of Ebola AND flu? High fevers, stomach upset, cramps, vomiting, nausea...

Doctors are worried that if the beds fill with flu patients, hospitals then normally start warding the patients in large rooms together and they are fearful they might accidentally ward an Ebola patient among patients with the flu.
 
I think we shall have to see how this thing plays out.
I was in China during both the SARS and the Bird Flu outbreaks. However the worst killer lies in the various strains of Flu that kill 250,000 to 500,000 people per year. I suppose we're so used to it that it's no longer an epidemic.

Not at all. As recent immigrants, they do not have strong ties to this country or area and it is easier for them to pull up stakes and go, as opposed to people who live here and have for many years and have family, community, careers and social connections in the area.

Unfortunately, you are incorrect. Sniffles and Ebola have nothing to do with each other. Why do you refuse to believe that there are not others who have crossed into the US while asymptomatically incubating Ebola?

Why do you believe that all cases are in the news? They are not.

I would be much more surprised if any contacts of the Ebola patient in Texas became ill than if there are no more cases of Ebola in the US. Especially since there ARE.

Total number of confirmed Ebola patients in the USA as of right now: ZERO.

It is very sad for Mr Duncan's family that he has died of this dreadful disease; but his passing does render the USA 'Ebola free' once again.

I stand by my original assessment; Most likely, there will be no more confirmed cases in the USA at all.

Police office who was in the apartment with Mr. Duncan has reported to his local hospital complaining of stomach cramps. He was one of the top 10 folks they were keeping a close eye on.

Not close enough apparently. :mad:

He should have gone straight to the hospital that took in Mr. Duncan, but instead went to a local hospital and then had to be robed, masked, placed in an isolation bag inside the ambulance and driven 10 miles to the hospital he should have gone to in the first place.

Where I work doctors are concerned with anyone else breaking because of the upcoming flu season. Symptoms of Ebola AND flu? High fevers, stomach upset, cramps, vomiting, nausea...

Doctors are worried that if the beds fill with flu patients, hospitals then normally start warding the patients in large rooms together and they are fearful they might accidentally ward an Ebola patient among patients with the flu.

Complaining of stomach cramps is a long way from being confirmed as an Ebola case.

As you yourself said, it is the start of flu season, and the symptoms are very similar. A betting man would put his money on this being something other than Ebola. Hospitals are right to be cautious - that's their job - but people not involved directly in the control of infectious disease need not concern themselves with this one bit.

Panic is counter-productive, as is needless stress. Likely more people have died in Texas in the last couple of weeks as a result of worrying about Ebola than have died of Ebola. Heart disease is a huge killer in Texas, and stress is a major factor.

I stand by my original assessment; Most likely, there will be no more confirmed cases in the USA at all.
 
Not at all. As recent immigrants, they do not have strong ties to this country or area and it is easier for them to pull up stakes and go, as opposed to people who live here and have for many years and have family, community, careers and social connections in the area.

Unfortunately, you are incorrect. Sniffles and Ebola have nothing to do with each other. Why do you refuse to believe that there are not others who have crossed into the US while asymptomatically incubating Ebola?

Why do you believe that all cases are in the news? They are not.

I would be much more surprised if any contacts of the Ebola patient in Texas became ill than if there are no more cases of Ebola in the US. Especially since there ARE.

Total number of confirmed Ebola patients in the USA as of right now: ZERO.

It is very sad for Mr Duncan's family that he has died of this dreadful disease; but his passing does render the USA 'Ebola free' once again.

I stand by my original assessment; Most likely, there will be no more confirmed cases in the USA at all.

Police office who was in the apartment with Mr. Duncan has reported to his local hospital complaining of stomach cramps. He was one of the top 10 folks they were keeping a close eye on.

Not close enough apparently. :mad:

He should have gone straight to the hospital that took in Mr. Duncan, but instead went to a local hospital and then had to be robed, masked, placed in an isolation bag inside the ambulance and driven 10 miles to the hospital he should have gone to in the first place.

Where I work doctors are concerned with anyone else breaking because of the upcoming flu season. Symptoms of Ebola AND flu? High fevers, stomach upset, cramps, vomiting, nausea...

Doctors are worried that if the beds fill with flu patients, hospitals then normally start warding the patients in large rooms together and they are fearful they might accidentally ward an Ebola patient among patients with the flu.

Complaining of stomach cramps is a long way from being confirmed as an Ebola case.

As you yourself said, it is the start of flu season, and the symptoms are very similar. A betting man would put his money on this being something other than Ebola. Hospitals are right to be cautious - that's their job - but people not involved directly in the control of infectious disease need not concern themselves with this one bit.

Panic is counter-productive, as is needless stress. Likely more people have died in Texas in the last couple of weeks as a result of worrying about Ebola than have died of Ebola. Heart disease is a huge killer in Texas, and stress is a major factor.

I stand by my original assessment; Most likely, there will be no more confirmed cases in the USA at all.

True. I agree, I should have qualified my post.

He hasn't broken with Ebola, he is just ill and rightfully reported to a hospital to be checked out in quarantine.

His symptoms are too general right now, and we are all expecting the Ebola test results by tomorrow. A person can break with Ebola in as little as 7-10 days and so far everyone is hopeful as those closest to Mr. Duncan - girlfriend and kids - show no signs of illness.
 
Is this true? I heard the disease spread so quickly in Africa because the dead are traditionally washed and then the water drunk by the mourners. I cannot understand something so abysmally ignorant but I live here in the comfy, well-educated USA.

Three contributing vectors :

1) Funeral rites where loved ones will directly physically handle the deceased family member. Burial rites versus cremation after disposing of the corpse while wearing protective equipment.

2) Family members caring for their infected loved one at home. No use of protective equipment. Exposure to both bodily secretions and contaminated clothing, bedding etc...

3) Limited number of physicians from the get go. Overwhelmed scarce medical facilities with qualified health care professionals from the get go.

Interestingly, both Nigeria and Senegal were able to contain Ebola to 2 cases in Nigeria, one in Senegal.
 
Regarding the nurse assistant in Madrid who tested positive for Ebola : as a nurse assistant, she most probably did the chores CNAs in hospitals will take care of in the US. Meaning not using sharps/needles on admitted patients. However, certainly changing bedding, handling clothing, taking vitals etc...certainly when the patient was confirmed Ebola positive and placed in isolation, she had to wear PPE. However a deviation from a strict protocol regarding the removal of a PPE can lead to exposure and contamination. Let's say I remove my PPE while I have first removed my gloves, my hands become exposed to whichever contamination on my PPE. It takes a brief moment of rubbing my eyes or touching my mouth, for introducing the virus.

Even as we remove our gloves, at no time do our hands come in contact with the exterior surface of the gloves. It would not take much for her contamination being the result of an accidental mishandling of her PPE while she was removing it.
 
Point being, it may not be so hard to get infected. So washing your hands is not enough.
AIDS was too just two infections at some time.
And it is 4 infections - two doctors, guy in texas and this reporter.
And the only reason these two doctors did not die is experimental vacine which is in very short supply.

OK, four infections, zero deaths.

And washing hands is not enough for Ebola. But as that is not all that is being done, no big deal.

It's one death now, plus number of doctors infected
 
OK, four infections, zero deaths.

And washing hands is not enough for Ebola. But as that is not all that is being done, no big deal.

It's one death now, plus number of doctors infected
You may have missed the context in which Bilby was commenting : specifically contamination/infection and resulting death among patients NOT exposed to Ebola in the US. Deceased Duncan Eric (subject 1) got infected in Liberia. The 2 US health care workers/missionaries were med evacuated from Liberia, treated in the US and recovered. Both were infected NOT in the US. The US freelance cameraman was infected NOT in the US, but Liberia. Med evacuated to the US to be treated in the US.
 
I'm not seeing reports anyone in the US infected with the virus. Could somebody do some fact checking?
 
It's one death now, plus number of doctors infected
You may have missed the context in which Bilby was commenting : specifically contamination/infection and resulting death among patients NOT exposed to Ebola in the US. Deceased Duncan Eric (subject 1) got infected in Liberia. The 2 US health care workers/missionaries were med evacuated from Liberia, treated in the US and recovered. Both were infected NOT in the US. The US freelance cameraman was infected NOT in the US, but Liberia. Med evacuated to the US to be treated in the US.
The guy who died was released by US hospital.
Two doctors who recovered did so only because of experimental vaccine which is not available at all.
They said some of these experimental vaccines exist only as single dose.
Doctors seems to get infected way too often for someone who is well educated and prepared not to get infected.

I think people underestimate this threat
 
I'm not seeing reports anyone in the US infected with the virus. Could somebody do some fact checking?

What I think you are asking is if there are any reports of individuals in the US being infected in the US: To the best of my knowledge, the answer is NO.

There are patients in the US who are being treated for Ebola who contracted the disease overseas.

My concern in this is that persons who are unknowingly infected will come to the U.S. before they are symptomatic. Screening by taking temperatures will not catch such individuals. Questionnaires are only useful if those filling them out are honest and also know whether they may have been exposed. And if screeners are thorough.

My other concern has been that hospitals and clinics would not quickly recognize a patient with early symptoms, which can be similar to a lot of other, much more minor infections. This is what happened with Mr. Duncan in TX. Surely, this case has heightened the awareness and alerted airlines, customs and all health care providers to be very cautious.

Hopefully, Mr. Duncan has not infected any other individuals. But it's too early to know that yet.
 
Doctors seems to get infected way too often for someone who is well educated and prepared not to get infected.
They get infected because they are working with the sick. It is an occupational hazard.

I think people underestimate this threat
Nope. There is far too much panic. We need to keep our heads on our shoulders and good humor in our minds. Facts not fear.
 
They get infected because they are working with the sick. It is an occupational hazard.

I think people underestimate this threat
Nope. There is far too much panic. We need to keep our heads on our shoulders and good humor in our minds. Facts not fear.

Granted, I do not watch televised newscasts but I have not seen any panic.
 
The fear of Ebola is being pushed by the human hamster ball lobby, who took a hit in 2012 and are trying to drive up demand.
 
SNL had a hilarious riff on ebola in TX.




Sadly, despite Sarah Silverman (whom I love) hosting, this was about the funniest part of the show.
 
I'm not seeing reports anyone in the US infected with the virus. Could somebody do some fact checking?

Yes, there are people infected with Ebola in the U.S. However, none have contracted the disease in the U.S. Here is the Wiki, which is up to date as far as I can tell:

http://en.wikipedia.org/wiki/2014_Ebola_virus_cases_in_the_United_States

Medically evacuated to the U.S.

As of October 6, 2014, five Americans have been evacuated to the U.S. for treatment after contracting Ebola in West Africa.[63] Kent Brantly, a physician and medical director in Liberia for the aid group Samaritan's Purse, and co-worker Nancy Writebol were infected while working in Monrovia.[64][65][66] Both were flown to the United States at the beginning of August for further treatment in Atlanta's Emory University Hospital.[67] On August 21, Brantly and Writebol recovered and were discharged.[68]

On September 4, a Massachusetts physician, Rick Sacra, was airlifted from Liberia to be treated in Omaha, Nebraska at the Nebraska Medical Center. Working for Serving In Mission (SIM), he is the third U.S. missionary to contract EVD.[69] He believes he probably contracted Ebola while performing a caesarean section on a patient who had not been diagnosed with the disease. While in hospital, Sacra received a blood transfusion from Kent Brantly, who had recently recovered from the disease. On September 25, Sacra was declared Ebola-free and released from the hospital.[70]

On September 9, the fourth U.S. citizen who contracted the Ebola virus arrived at Emory University Hospital in Atlanta for treatment. The identity of the patient, a doctor working for the WHO in Sierra Leone, was not released.[71] He was scheduled to receive a blood or serum transfusion from a British man who had recently recovered from the disease.[72] In addition, on September 21, a CDC employee was flown back to the United States after low risk exposure with a healthcare worker. Currently he shows no symptoms and is being monitored. The CDC announced he poses no risks to his family or the United States.[73] On September 28, a fourth American doctor was admitted to National Institutes of Health hospital.[74]

On October 2, NBC News photojournalist, Ashoka Mukpo, covering the outbreak in Liberia, tested positive for Ebola after showing symptoms.[75] Four other members of the NBC team, including Dr. Nancy Snyderman, were being closely monitored for symptoms.[76] Mukpo was evacuated on October 6 to the University of Nebraska Medical Center for treatment in their isolation unit.[63]

Another doctor was evacuated from Sierra Leone after suffering a needle prick injury while treating Ebola patients and developing a fever. He was treated at the National Institutes of Health Clinical Center where he was found not to have Ebola and was released.[77]
Biocontainment units in the U.S.

There are four specialized biocontainment units in the United States: the University of Nebraska Medical Center in Omaha, Nebraska, where Mukpo and Sacra were treated; the U.S. Army Medical Research Institute of Infectious Diseases at Fort Detrick, Maryland; St. Patrick Hospital of Missoula, Montana;[78] and Emory University Hospital in Atlanta, Georgia, where Brantley, Writebol and the unnamed patient had gone after contracting Ebola.[75]

The man who had had contact with Duncan and later felt ill did the correct thing by reporting to a hospital for exam and it is prudent to keep him in quarantine. This works in his favor as well as the sooner a patient is treated, the better their chance for recovery.

Here is a link to the CDC site regarding Ebola testing. Note the time required between infection and ability of test to detect disease. NO test is listed which is effective prior to onset of symptoms:

http://www.cdc.gov/vhf/ebola/diagnosis/


Diagnosing Ebola

Diagnosing Ebola in an person who has been infected for only a few days is difficult, because the early symptoms, such as fever, are nonspecific to Ebola infection and are seen often in patients with more commonly occurring diseases, such as malaria and typhoid fever.

However, if a person has the early symptoms of Ebola and has had contact with the blood or body fluids of a person sick with Ebola, contact with objects that have been contaminated with the blood or body fluids of a person sick with Ebola, or contact with infected animals, they should be isolated and public health professionals notified. Samples from the patient can then be collected and tested to confirm infection.

Laboratory tests used in diagnosis include:

Within a few days after symptoms begin:

Antigen-capture enzyme-linked immunosorbent assay (ELISA) testing
IgM ELISA
Polymerase chain reaction (PCR)
Virus isolation

Later in disease course or after recovery:

IgM and IgG antibodies

Retrospectively in deceased patients:

Immunohistochemistry testing
PCR
Virus isolation]
 
I suppose this might explain why these patients were admitted into the two largest red states in the US.
 
I'm not seeing reports anyone in the US infected with the virus. Could somebody do some fact checking?

Nobody has been infected in the US. At the time of my post, the total incidence of cases in the US was four, none fatal, all acquired in West Africa. That incidence now stands at six cases, all acquired in West Africa, but now one is dead. The other five are all US nationals who were evacuated home after becoming sick. Two have recovered after treatment, one was found not to have Ebola, and the other two are still under monitoring, as the disease is unconfirmed. Total current confirmed Ebola patients in the USA: ZERO.

The only person in the world to have acquired Ebola outside West Africa is a Spanish nurse who was treating an Ebola patient in hospital in Spain.
 
They get infected because they are working with the sick. It is an occupational hazard.


Nope. There is far too much panic. We need to keep our heads on our shoulders and good humor in our minds. Facts not fear.

Granted, I do not watch televised newscasts but I have not seen any panic.

So I should stop looting?
 
Considering that looters are partly responsible for this outbreak...YES!
 
Back
Top Bottom