Ebola outbreak, and other potential epidemics

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biffvernon
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Post by biffvernon »

Oh dear, on the day that our minister, Justine Greening visits Sierra Leone, there are riots in Freetown with protesters demanding more health-care facilities and police opening fire. (As reported on BBC radio news.)
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Mean Mr Mustard
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Post by Mean Mr Mustard »

biffvernon wrote:New guidance from CDC on Ebola care. Interesting to know what's involved.

http://www.cdc.gov/vhf/ebola/hcp/proced ... r-ppe.html
In the light of this, Fetu Kekula with her bin bags, four family patients and three survivors... Nurse of the Year, without doubt... ,
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PS_RalphW
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Post by PS_RalphW »

Article on wall street journal (sorry, lost link) reports that there is a
big pull out of Chinese contractors from West Africa, although there is no official line. This equates to loss of inward investment of $Bs per year.

I get the general impression that the Chinese are very well looked after and will not be a threat of ebola spreading back home. They sound like they look after their own very much better than Western organizations.

edit

http://online.wsj.com/articles/ebola-fe ... 1413915515
snow hope
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Post by snow hope »

Gone fairly quiet. I wonder is this the calm before the storm is it being successfully contained in West Africa? Hopefully the latter!
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Little John
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Post by Little John »

The disease is still raging and is still accelerating. Our MSM have gone a bit quiet for now because there aren't scores of people dying over here, that's all. If it remains contained in Africa, even if millions die, our MSM will just compartmentalise and normalise it. On the other hand, if it gets fully out into the West and we see significant numbers dying in a Western country, then expect it to come back on the news agenda.

http://www.economist.com/blogs/graphicd ... a-graphics
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PS_RalphW
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Post by PS_RalphW »

WHO estimates real death toll at 3 times the official figure.

http://www.reuters.com/article/2014/10/ ... 3220141022

about 15,000 dead so far. Death rate fall-off is due to under reporting. People know they will receive zero treatment if they go to hospital, so they stay at home.

edit

US insurance policies have started to exclude Ebola explicitly from cover.

China has started to talk about ebola

http://www.scmp.com/news/china/article/ ... ored-ebola

I guess they have been going through the same learning curve as us in the west, but with a state controlled press they only publicize when they feel they have the situation under control.
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PS_RalphW
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Mean Mr Mustard
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Post by Mean Mr Mustard »

stevecook172001 wrote:The disease is still raging and is still accelerating. Our MSM have gone a bit quiet for now because there aren't scores of people dying over here, that's all. If it remains contained in Africa, even if millions die, our MSM will just compartmentalise and normalise it. On the other hand, if it gets fully out into the West and we see significant numbers dying in a Western country, then expect it to come back on the news agenda.

http://www.economist.com/blogs/graphicd ... a-graphics
Conveying large scale and slow moving disaster is a bit challenging for MSM. And even if instant and dramatic, a month later, it's forgotten. Consider the boxing day or Japanese tsunamis.
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jonny2mad
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Post by jonny2mad »

:shock:
Having some sort of guilt about not being that bothered about someone you don't know or are unlikely to know having a illness is a bit silly.
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PS_RalphW
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Post by PS_RalphW »

MSF doctor in New York in hospital almost certainly Ebola. Let's hope they get this one right.
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adam2
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Post by adam2 »

First known/strongly suspected case reported in Mali (source is bbc news website)
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jonny2mad
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Post by jonny2mad »

:shock: and mali is next to algeria and you have lots of refugees getting into europe from mali
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nexus
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Post by nexus »

PS_RalphW wrote:MSF doctor in New York in hospital almost certainly Ebola. Let's hope they get this one right.
Confirmed as Ebola.

NY Times:
New York City’s first confirmed case of Ebola has raised complicated logistical issues of how to trace the possible contacts of an infected patient in a city of more than 8 million people with a sprawling mass transit system and a large population of workers who commute every day from surrounding suburbs and states.

By the time the patient, Dr. Craig Spencer, an emergency doctor who had recently returned from Guinea, arrived at Bellevue Hospital Center in Manhattan by ambulance on Thursday, he was seriously ill, officials said.

Dr. Spencer complicated the tracing process when he told health officials that just the night before, he had gone bowling in Brooklyn, making the long trip there from his home in Upper Manhattan by subway and then returning in a car hired via the taxi service Uber.

City health officials were suddenly faced with the challenge of finding the right balance between trying to find everyone who might have been exposed and responding to a disease that is transmitted only through direct exposure to bodily fluids.

It was soon clear that health authorities had other worries, as word emerged that they were isolating not just Dr. Spencer’s fiancée but also two friends who had been with him in the two days before he arrived at the hospital. Dr. Spencer said he had started feeling sluggish on Tuesday.

City officials were making plans to provide case managers for every family or person who might need to be quarantined. Those managers would help with the chores of daily life, such as providing school materials for children or food for people confined to their homes.

New York has some advantage in that it may be able to learn from what happened in Dallas, where two nurses became infected with Ebola after treating Thomas E. Duncan, the patient with the first case of Ebola to be diagnosed in the United States who died on Oct. 8.

Israel Miranda, president of the union of uniformed emergency medical technicians and paramedics, said on Thursday that he was satisfied with the way Dr. Spencer’s transportation to the hospital had been handled.

Two ambulances responded, and two paramedics fully encased in protective suits brought Dr. Spencer out of his apartment on West 147th Street; two others who were not in suits drove.

When the paramedics left the hospital, their suits were sprayed with disinfectant and cut off from behind by a special unit, Mr. Miranda said. The ambulance was also decontaminated.

“The suit was peeled off them like an onion,” he said. “So everything went by the book.”

He said the paramedics would have their temperatures taken twice a day for 21 days to ensure they had not been infected, but in the meantime they would be free to continue responding to calls because “there was no breach.”

Soothing the fears of those who may have been at the Gutter, the Brooklyn bowling alley Dr. Spencer visited, or who might have ridden in a subway car with him could well be more challenging.

In the Dallas case, the Frontier Airlines plane on which an infected nurse flew was taken out of service and decontaminated in a process that included replacing seat covers and the carpet area near the nurse’s seat. The airline said it had gone to great lengths to ease customer’s fears.
http://www.nytimes.com/2014/10/24/nyreg ... -news&_r=0
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PS_RalphW
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Post by PS_RalphW »

You would expect an MSF volunteer doctor to have gone into self quarenteen or at least keep a low profile in the weeks after a stint in east Africa. It shows how much human nature will defeat the best preparations, if not this time, then sometime soon.

Ebola on the subway is a nightmare scenario. Let's hope we get lucky this time.
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nexus
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Post by nexus »

PS_RalphW wrote:You would expect an MSF volunteer doctor to have gone into self quarenteen or at least keep a low profile in the weeks after a stint in east Africa. It shows how much human nature will defeat the best preparations, if not this time, then sometime soon.
Denial is powerful.
Power concedes nothing without a demand. It never did and it never will. Frederick Douglass
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