Ebola Outbreak Summer 2014

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climbski2

Mountain climber
Anchorage AK, Reno NV
Oct 19, 2014 - 07:49am PT
Rofl.....Ebola is nothing to be concerned about?

Let's discuss this epidemic two years from now. Unless a vaccine is found, large amounts of crow will be consumed.


....two years from now.

People will have forgotten about it. Unless it mutates into an airborne pathogen. (if it does that I'm heading to the hills and living off the land till half the human population is gone) This virus needs to mutate to become really successful. Either it needs to stop killing it's hosts or it needs to become much more transmissible. It is not a very fit organism for its own survival in Human populations.

The key is to shut it down in Africa. Whatever resources are needed for that should have been mobilized months ago but still can be done effectively. I'm very confident that will occur.
zBrown

Ice climber
Brujò de la Playa
Oct 19, 2014 - 08:03am PT
The International Committee on Taxonomy of Viruses currently recognizes five ebolaviruses: Ebola virus (EBOV), Sudan virus (SUDV), Reston virus (RESTV), Taï Forest virus (TAFV), and Bundibugyo virus (BDBV). Four of these viruses (excepting RESTV) are known to cause Ebola virus disease in humans.

Incidents of ebola infection date back to (at least) 1976 (Zaire, UK, Sudan).

Year, country, virus, human infections, human deaths, CFR, description).

1976
Sudan

SUDV

284

151

53%

Occurred in Nzara, Maridi and surrounding areas between June and November 1976.[11] Mainly spread by personal contact in hospitals. Many medical care personnel were infected.[12]



1976
Zaire

EBOV

318

280

88%


Main article: Yambuku § Ebola outbreak
Occurred in Yambuku and surrounding areas in August. Spread by personal contact and use of contaminated needles and syringes in hospitals/clinics.[13]


1976
United Kingdom

SUDV or EBOV[note 1]

1

0

N/A

Laboratory infection by accidental stick of contaminated needle.[14][15]
dirtbag

climber
Oct 19, 2014 - 08:28am PT
It is something to be concerned about in West Africa.

Here, I'm more concerned with getting hit by a car.
TGT

Social climber
So Cal
Oct 19, 2014 - 01:23pm PT
Same here!

Did 56 miles on the bike today and almost got sideswiped twice going thru Pico Rivera.

rottingjohnny

Sport climber
mammoth lakes ca
Oct 19, 2014 - 02:04pm PT
TGT....Evidently those Pico Riverians have been reading your posts..?
TGT

Social climber
So Cal
Oct 19, 2014 - 02:36pm PT
Yeah,

I'll wear the Mexican flag jersey instead of the Stars and Stripes next time.
StahlBro

Trad climber
San Diego, CA
Oct 19, 2014 - 05:31pm PT
I should have put lycra on my list...be afraid, very afraid
zBrown

Ice climber
Brujò de la Playa
Oct 20, 2014 - 07:46am PT
Does the United States government own the patent on Ebola?

This plot gets even more interesting when you realize that a patent on Ebola was filed in 2009 by the United States government.

See:


http://www.google.com/patents/US20120251502

Assignment April 25, 2011

Owner name: THE GOVERNMENT OF THE UNITED STATES OF AMERICA


Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:TOWNER, JONATHAN S.;NICHOL, STUART T.;COMER, JAMES A.;AND OTHERS;SIGNING DATES FROM 20110415 TO 20110425;REEL/FRAME:026177/0586
Gary

Social climber
Desolation Basin, Calif.
Oct 20, 2014 - 07:53am PT
Shouldn't we just let market forces deal with the Ebola?
zBrown

Ice climber
Brujò de la Playa
Oct 20, 2014 - 08:02am PT
There is a black [pun?] market for survirors' blood in Africa.

The epidemic is killing up to 70 percent of those who get sick, but the thousands who have survived have blood teeming with antibodies that protect them against infection again.

dirtbag

climber
Oct 20, 2014 - 08:04am PT
Gary nails it.
zBrown

Ice climber
Brujò de la Playa
Oct 20, 2014 - 08:19am PT
Plum Island Revisited? (You don't want to vacation there)

http://en.wikipedia.org/wiki/Plum_Island_Animal_Disease_Center

TGT

Social climber
So Cal
Oct 21, 2014 - 01:08pm PT
[Click to View YouTube Video]

* Note that there's no evidence that Rob Klain ever stayed at a Holiday Inn Express. He did work for Al Gore once though.
rottingjohnny

Sport climber
mammoth lakes ca
Oct 23, 2014 - 06:55pm PT
Sketch..That's the chart you used on the climate change thread....idiot..
TomCochrane

Trad climber
Santa Cruz Mountains and Monterey Bay
Oct 23, 2014 - 10:03pm PT
Statement by RN’s at Texas Health Presbyterian Hospital as provided to National Nurses United
National Nurses United, 10/15/14
This is an inside story from some registered nurses at Texas Health Presbyterian Hospital in Dallas who have familiarity with what occurred at the hospital following the positive Ebola infection of first the late Thomas Eric Duncan and then a registered nurse who cared for him Nina Pham.
The RNs contacted National Nurses United out of frustration with a lack of training and preparation. They are choosing to remain anonymous out of fear of retaliation.
The RNs who have spoken to us from Texas Health Presbyterian are listening in on this call and this is their report based on their experiences and what other nurses are sharing with them. When we have finished with our statement, we will have time for several questions. The nurses will have the opportunity to respond to your questions via email that they will send to us, that we will read to you.
We are not identifying the nurses for their protection, but they work at Texas Health Presbyterian and have knowledge of what occurred at the hospital.
They feel a duty to speak out about the concerns that they say are shared by many in the hospital who are concerned about the protocols that were followed and what they view were confusion and frequently changing policies and protocols that are of concern to them, and to our organization as well.
When Thomas Eric Duncan first came into the hospital, he arrived with an elevated temperature, but was sent home.
On his return visit to the hospital, he was brought in by ambulance under the suspicion from him and family members that he may have Ebola.
Mr. Duncan was left for several hours, not in isolation, in an area where other patients were present.
No one knew what the protocols were or were able to verify what kind of personal protective equipment should be worn and there was no training.
Subsequently a nurse supervisor arrived and demanded that he be moved to an isolation unit– yet faced resistance from other hospital authorities.
Lab specimens from Mr. Duncan were sent through the hospital tube system without being specially sealed and hand delivered. The result is that the entire tube system by which all lab specimens are sent was potentially contaminated.
There was no advance preparedness on what to do with the patient, there was no protocol, there was no system. The nurses were asked to call the Infectious Disease Department. The Infectious Disease Department did not have clear policies to provide either.
Initial nurses who interacted with Mr. Duncan nurses wore a non-impermeable gown front and back, three pairs of gloves, with no taping around wrists, surgical masks, with the option of N-95s, and face shields. Some supervisors said that even the N-95 masks were not necessary.
The suits they were given still exposed their necks, the part closest to their face and mouth. They had suits with booties and hoods, three pairs of gloves, no tape.
For their necks, nurses had to use medical tape, that is not impermeable and has permeable seams, to wrap around their necks in order to protect themselves, and had to put on the tape and take it off on their own.
Nurses had to interact with Mr. Duncan with whatever protective equipment was available, at a time when he had copious amounts of diarrhea and vomiting which produces a lot of contagious fluids.
Hospital officials allowed nurses who had interacted with Mr. Duncan to then continue normal patient care duties, taking care of other patients, even though they had not had the proper personal protective equipment while caring for Mr. Duncan.
Patients who may have been exposed were one day kept in strict isolation units. On the next day were ordered to be transferred out of strict isolation into areas where there were other patients, even those with low-grade fevers who could potentially be contagious.
Were protocols breached? The nurses say there were no protocols.
Some hospital personnel were coming in and out of those isolation areas in the Emergency Department without having worn the proper protective equipment.
CDC officials who are in the hospital and Infectious Disease personnel have not kept hallways clean; they were going back and forth between the Isolation Pod and back into the hallways that were not properly cleaned, even after CDC, infectious control personnel, and doctors who exited into those hallways after being in the isolation pods.
Advance preparation
Advance preparation that had been done by the hospital primarily consisted of emailing us about one optional lecture/seminar on Ebola. There was no mandate for nurses to attend trainings, or what nurses had to do in the event of the arrival of a patient with Ebola-like symptoms.
This is a very large hospital. To be effective, any classes would have to offered repeatedly, covering all times when nurses work; instead this was treated like the hundreds of other seminars that are routinely offered to staff.
There was no advance hands-on training on the use of personal protective equipment for Ebola. No training on what symptoms to look for. No training on what questions to ask.
Even when some trainings did occur, after Mr. Duncan had tested positive for Ebola, they were limited, and they did not include having every nurse in the training practicing the proper way to don and doff, put on and take off, the appropriate personal protective equipment to assure that they would not be infected or spread an infection to anyone else.
Guidelines have now been changed, but it is not clear what version Nina Pham had available.
The hospital later said that their guidelines had changed and that the nurses needed to adhere to them. What has caused confusion is that the guidelines were constantly changing. It was later asked which guidelines should we follow? The message to the nurses was it’s up to you.
It is not up to the nurses to be setting the policy, nurses say, in the face of such a virulent disease. They needed to be trained optimally and correctly in how to deal with Ebola and the proper PPE doffing, as well as how to dispose of the waste.
In summary, the nurses state there have been no policies in cleaning or bleaching the premises without housekeeping services. There was no one to pick up hazardous waste as it piled to the ceiling. They did not have access to proper supplies and observed the Infectious Disease Department and CDC themselves violate basic principles of infection control, including cross contaminating between patients. In the end, the nurses strongly feel unsupported, unprepared, lied to, and deserted to handle the situation on their own.
We want our facility to be recognized as a leader in responding to this crisis. We also want to recognize the other nurses as heroes who put their lives on the line for their patients every day when they walk in the door.
climbski2

Mountain climber
Anchorage AK, Reno NV
Oct 23, 2014 - 10:13pm PT
How afraid are you of the Flu?

Why not?

It will kill 50,000 people this year.
Braunini

Big Wall climber
cupertino
Oct 23, 2014 - 10:16pm PT
8 new reported ebola cases in NY
climbski2

Mountain climber
Anchorage AK, Reno NV
Oct 23, 2014 - 10:30pm PT
^not
Karl Baba

Trad climber
Yosemite, Ca
Oct 23, 2014 - 11:25pm PT
It's funny living in Yosemite. There are virus warnings everywhere. Plus, the local trailhead has a Mountain Lion warning and there are bear warnings everywhere. Another wawona trailhead has a Hanta Virus warning, and in Tuolumne Lodge they also warn you prominently to wash your hands to avoid norovirus.

Valley Fever is a trip as well, gnarly fungus in the air in the western states.

Plenty to worry about besides Ebola

Peace

Karl
ß Î Ø T Ç H

Boulder climber
extraordinaire
Oct 23, 2014 - 11:32pm PT
http://www.msn.com/en-us/news/us/ny-doctor-back-from-guinea-has-ebola-1st-in-city/ar-BBaRCXj
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