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Ebola Patient Coming to U.S.
Ragnarok.Nausi
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Posts: 6709
By Ragnarok.Nausi 2014-10-15 12:59:53
The failure of a big and all powerful state lies before you.
1) Are protocols even being supplied, reports are out saying that Thomas Duncan wasn't isolated when he went to the ER the second time for the initial hours. The head of the nurse's union is stating that they didn't have protocols to follow.
2) If Ebola is so hard to catch and cannot be spread when the patient is asymptomatic, why is the CDC interested in interviewing all the people from the plane when it is reported that the second case didn't have any symptoms when she flew?
3) Why is the CDC only looking into the people on the plane? Why not seek out the people she interacted with while she was in Cleavland.
We've been told for weeks now how even though Ebola won't get here, we're ready for it if it does. That is entirely false. Clearly either the nurse was showing symptoms on the plane and thus has exposed people, OR the disease might not be so hard to spread.
Good to know this administration is just phoning it in.
EDIT:
OOOOH looks like Obama finally has decided to give this some attention. He just canceled a FUNDRAISER for a press conference. It must mean he's ready to capitalize politically on this crisis. Let's see what drastic actions he's ready to propose.
By Ramyrez 2014-10-15 13:10:04
Quote: Well the nurse aren't members of the union. It's a private hospital, like the co president mentioned the private hospital has special privileges regarding protocols versus public hospitals.
I'd have to read back. I realize it wasn't necessarily a union, but it was some sort of representative of the nurse/nursing being mad at a doctor for saying the nurse may have contributed through accident or negligence.
Cerberus.Pleebo
サーバ: Cerberus
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Posts: 9720
By Cerberus.Pleebo 2014-10-15 13:21:23
The failure of a big and all powerful state lies before you.
1) Are protocols even being supplied, reports are out saying that Thomas Duncan wasn't isolated when he went to the ER the second time for the initial hours. The head of the nurse's union is stating that they didn't have protocols to follow.
2) If Ebola is so hard to catch and cannot be spread when the patient is asymptomatic, why is the CDC interested in interviewing all the people from the plane when it is reported that the second case didn't have any symptoms when she flew?
3) Why is the CDC only looking into the people on the plane? Why not seek out the people she interacted with while she was in Cleavland.
We've been told for weeks now how even though Ebola won't get here, we're ready for it if it does. That is entirely false. Clearly either the nurse was showing symptoms on the plane and thus has exposed people, OR the disease might not be so hard to spread.
Good to know this administration is just phoning it in.
EDIT:
OOOOH looks like Obama finally has decided to give this some attention. He just canceled a FUNDRAISER for a press conference. It must mean he's ready to capitalize politically on this crisis. Let's see what drastic actions he's ready to propose. It must be very disappointing that the death toll here isn't in the thousands yet. A fully-stocked ebola bunker gone to waste.
サーバ: Lakshmi
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By Lakshmi.Sparthosx 2014-10-15 13:23:02
Thanks Obaaaaaaamaaaaaaaaaaa *vomits up organs*
Ragnarok.Nausi
サーバ: Ragnarok
Game: FFXI
Posts: 6709
By Ragnarok.Nausi 2014-10-15 13:24:42
The failure of a big and all powerful state lies before you.
1) Are protocols even being supplied, reports are out saying that Thomas Duncan wasn't isolated when he went to the ER the second time for the initial hours. The head of the nurse's union is stating that they didn't have protocols to follow.
2) If Ebola is so hard to catch and cannot be spread when the patient is asymptomatic, why is the CDC interested in interviewing all the people from the plane when it is reported that the second case didn't have any symptoms when she flew?
3) Why is the CDC only looking into the people on the plane? Why not seek out the people she interacted with while she was in Cleavland.
We've been told for weeks now how even though Ebola won't get here, we're ready for it if it does. That is entirely false. Clearly either the nurse was showing symptoms on the plane and thus has exposed people, OR the disease might not be so hard to spread.
Good to know this administration is just phoning it in.
EDIT:
OOOOH looks like Obama finally has decided to give this some attention. He just canceled a FUNDRAISER for a press conference. It must mean he's ready to capitalize politically on this crisis. Let's see what drastic actions he's ready to propose. It must be very disappointing that the death toll here isn't in the thousands yet. A fully-stocked ebola bunker gone to waste. That hard to admit someone you disagree with has a point? Observing incompetence isn't the same as rooting for carnage. With Ebola I'd hope people could put their arrogance aside, but I should know better when getting a response from you.
The death toll IS in the thousands bro...
EDIT: 5700 hospitals in the country. Only 4 have isolation units with a grand total of 19 beds.
Cerberus.Pleebo
サーバ: Cerberus
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Posts: 9720
By Cerberus.Pleebo 2014-10-15 13:33:01
I believe I specifically said "death toll here".
You don't have a point. 1)The hospital was supplied protocols. Whether or not they followed them well enough is up in the air, although there is looking to be negligence on the part of the hospital's admininstration. 2) It's due diligence to interview people on the plane. And if they hadn't, people like you would be shrieking like banshees about it. 3) People on a plane would be more of a health concern because of their close quarters and mobility. None of this is difficult to rationalize, and the politicizing is just pathetic.
Cerberus.Pleebo
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Posts: 9720
By Cerberus.Pleebo 2014-10-15 13:38:31
Infected ebola patients are not considered contagious....
why is that and how do they know that? If someone were to have the virus but not show any symptoms, can they still spread it through human fluid (sweat,spit,nose juice etc)? It has to do with the progression of the disease. In order for virus to start shedding into certain excretions, the body's tissues and systems would need to have been pretty compromised, and at that point, the immune system would be reacting and symptoms would be presenting (i.e., you'd be quite obviously sick).
Ragnarok.Nausi
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Posts: 6709
By Ragnarok.Nausi 2014-10-15 15:01:46
I believe I specifically said "death toll here".
You don't have a point. 1)The hospital was supplied protocols. Whether or not they followed them well enough is up in the air, although there is looking to be negligence on the part of the hospital's admininstration. 2) It's due diligence to interview people on the plane. And if they hadn't, people like you would be shrieking like banshees about it. 3) People on a plane would be more of a health concern because of their close quarters and mobility. None of this is difficult to rationalize, and the politicizing is just pathetic.
"The protocols that should have been in place in Dallas were not in place, and ... those protocols are not in place anywhere in the United States as far as we can tell," National Nurses United Executive Director RoseAnn DeMoro said Tuesday night. This is a leadership problem with the CDC (Obama administration). The CDC is in charge of this stuff. If this sphere is not within the reach of the CDC (which is incorrect) then how can the head of the CDC come out and say we are prepared for Ebola? How are these people who are being monitored by the CDC getting on planes in the first place? Clearly the CDC sucks at this whole quarantine thing.
"We will from this moment forward ensure that no other individual who is monitored for exposure undergoes travel…" – CDC's Frieden.
Good to know that the CDC will now re-actively monitor and restrict all Americans suspected of Ebola infection. Why is it OK to restrict Americans but not west Africans?
A few days ago Obama was touting to Africans that you couldn't get Ebola from sitting next to someone on a bus. Now we're banning American's from flying.
Bahamut.Milamber
サーバ: Bahamut
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Posts: 3691
By Bahamut.Milamber 2014-10-15 15:30:07
Bahamut.Baconwrap said: »I'm not quite sure what you're trying to link. Hand-washing protocols? 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings.
Describing washing, gloves, other personal protection equipment, etc.
Bahamut.Milamber
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Posts: 3691
By Bahamut.Milamber 2014-10-15 15:35:05
Obviously the CDC protocols are not enough. Or they aren't being followed.
Or they aren't stringent enough.
There is obviously a point of exposure somewhere - either the protective gear isn't offering enough protection, or the staff are being exposed to Ebola while removing the protective gear after leaving the patient.
I have to wonder, what are the CDC's protocols for dealing with exposed gear? Are staff being decontaminated before removing their gear, or are they just carefully taking it off and disposing of it? Somehow, I'm guessing the latter. You could wonder and guess what the protocols are, or you could read the provided links.
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Cerberus.Pleebo
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By Cerberus.Pleebo 2014-10-15 15:41:36
Again, people seem to be getting their notions of CDC operations and authority from the movies.
Questions and Answers on Legal Authorities for Isolation and Quarantine
Quote: When does CDC intend to use these quarantine powers?
In general, HHS defers to state and local health authorities in the primary use of their separate quarantine powers. Based on long experience and collaborative working relationships with our state and local partners, CDC anticipates that the need to use this federal authority to actually quarantine a person will occur only in rare situations, such as in events at ports of entry or other time-sensitive settings. This authority would be used only if a person posed a threat to public health and refused to cooperate with a voluntary request. It's kinda funny how the free-market folks are now crying for greater government intervention on private institutions. Guess you can't really bootstrap a hemorrhagic fever away.
Anyway, I think everyone would be more comfortable with the CDC handling the current situation directly, but there will never be a 0% chance of transmission when it comes to patient care since healthcare workers are the most susceptible to infection while being around those whose symptoms are at their most acute (and therefore, most contagious). All it takes is a slight lapse in judgement or a second of carelessness to be compromised. Even with those full body suits, health care workers in Africa are getting sick.
At the moment, the disease is contained. It's not making its way through the population touring the country. The link I posted a few pages back put its R0 at 1.5-2 meaning, on average, some successful transmissions are expected under normal conditions. That's probably not the most comforting though, but ***, it's just the reality of the situation. It's dangerous, but it's no where near being out of control.
Bahamut.Milamber
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Posts: 3691
By Bahamut.Milamber 2014-10-15 15:48:29
The failure of a big and all powerful state lies before you.
1) Are protocols even being supplied, reports are out saying that Thomas Duncan wasn't isolated when he went to the ER the second time for the initial hours. The head of the nurse's union is stating that they didn't have protocols to follow.
2) If Ebola is so hard to catch and cannot be spread when the patient is asymptomatic, why is the CDC interested in interviewing all the people from the plane when it is reported that the second case didn't have any symptoms when she flew?
3) Why is the CDC only looking into the people on the plane? Why not seek out the people she interacted with while she was in Cleavland.
We've been told for weeks now how even though Ebola won't get here, we're ready for it if it does. That is entirely false. Clearly either the nurse was showing symptoms on the plane and thus has exposed people, OR the disease might not be so hard to spread.
Good to know this administration is just phoning it in.
EDIT:
OOOOH looks like Obama finally has decided to give this some attention. He just canceled a FUNDRAISER for a press conference. It must mean he's ready to capitalize politically on this crisis. Let's see what drastic actions he's ready to propose.
Yes, failure of the big and all powerful government... at the private hospital.
By Enuyasha 2014-10-15 15:51:58
Nausi being a paranoid alarmist is so entertaining. But its getting annoying, please stahp kthx.
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Bahamut.Milamber
サーバ: Bahamut
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Posts: 3691
By Bahamut.Milamber 2014-10-15 15:52:31
Nausi, for someone so big on personal responsibility, you sure to seem to want someone else to come in, tell you what to do, hand you everything you need, and pay for it as well.
Just don't get sick, yo.
Cerberus.Pleebo
サーバ: Cerberus
Game: FFXI
Posts: 9720
By Cerberus.Pleebo 2014-10-15 15:57:36
Also, the nurse apparently had a " low-grade fever" while traveling, which further explains the interviews. (Before people freak out, the risks at this point are still very low.)
Article also mentions that CDC guidelines express the need to avoid public transit in this situation, but, alas, this hospital staff doesn't seem to give a ***. Personal responsibility, amirite?
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By Enuyasha 2014-10-15 16:03:25
Also, the nurse apparently had a " low-grade fever" while traveling, which further explains the interviews. (Before people freak out, the risks at this point are still very low.)
Article also mentions that CDC guidelines express the need to avoid public transit in this situation, but, alas, this hospital staff doesn't seem to give a ***. Thanks,Obama.
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Cerberus.Pleebo
サーバ: Cerberus
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Posts: 9720
By Cerberus.Pleebo 2014-10-15 16:05:40
Why such worry over ebola when ODS is much more widespread and annoying? Still no cure!
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Ragnarok.Nausi
サーバ: Ragnarok
Game: FFXI
Posts: 6709
By Ragnarok.Nausi 2014-10-15 16:06:17
CDC asking passengers of the flight to "self report". Call our toll free number.
Yeah, it's real contained. They said it was contained Monday when the nurse was (un-knowingly) flying around the country. If you're confident that it's contained then you should be able to answer, How many more people in the US will have Ebola in a week or a month?
It's kinda funny how the free-market folks are now crying for greater government intervention. Guess you can't really bootstrap a hemorrhagic fever.
...and we lump in all the conservatives/libartarians with no government anarchists. There is a difference, sorry that the nuances seem to be lost with you. Let's be real here, they're incompetent, and being incompetent is not ok when you're dealing with Ebola.
Kinda funny how the you don't seem to consider ebola a threat to public health.
Ragnarok.Nausi
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Posts: 6709
By Ragnarok.Nausi 2014-10-15 16:08:40
Also, the nurse apparently had a " low-grade fever" while traveling, which further explains the interviews. (Before people freak out, the risks at this point are still very low.)
Article also mentions that CDC guidelines express the need to avoid public transit in this situation, but, alas, this hospital staff doesn't seem to give a ***. Personal responsibility, amirite?
Sure this ebola thing in NBD, we don't need to make sure exposed people actually follow our guidelines amirite? The CDC has no responsibility there whatsoever.
Yes yes, the risks are so low that we just banned anyone possibly infected from further mass transit.
By Enuyasha 2014-10-15 16:10:50
The amount of fallacies you're using is astonishing.
I mean, i just used one, but holy ***.
Caitsith.Zahrah
By Caitsith.Zahrah 2014-10-15 16:13:08
Are you guys sure that Nausi isn't just trying to push your collective buttons now? :/
Bahamut.Milamber
サーバ: Bahamut
Game: FFXI
Posts: 3691
By Bahamut.Milamber 2014-10-15 16:15:19
Also, the nurse apparently had a " low-grade fever" while traveling, which further explains the interviews. (Before people freak out, the risks at this point are still very low.)
Article also mentions that CDC guidelines express the need to avoid public transit in this situation, but, alas, this hospital staff doesn't seem to give a ***. Personal responsibility, amirite?
Sure this ebola thing in NBD, we don't need to make sure exposed people actually follow our guidelines amirite? The CDC has no responsibility there whatsoever.
Yes yes, the risks are so low that we just banned anyone possibly infected from further mass transit.
Why should they have to make sure exposed people actually follow guidelines? That would be taking away the consequences of personal responsibility, and we all know what kind of moral hazards that can bring up.
Cerberus.Pleebo
サーバ: Cerberus
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Posts: 9720
By Cerberus.Pleebo 2014-10-15 16:18:33
Are you guys sure that Nausi isn't just trying to push your collective buttons now? :/ Only if by pushing my buttons you mean this:
Bahamut.Milamber
サーバ: Bahamut
Game: FFXI
Posts: 3691
By Bahamut.Milamber 2014-10-15 16:25:40
Are you guys sure that Nausi isn't just trying to push your collective buttons now? :/ Only if by pushing my buttons you mean this: Or this
By Enuyasha 2014-10-15 16:28:06
Are you guys sure that Nausi isn't just trying to push your collective buttons now? :/ Only if by pushing my buttons you mean this: Or this im still sitting here like
Also, that GIF is highly disturbing to me. (Not my spoilered, that ones greatness)
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By Jetackuu 2014-10-15 16:49:40
Infected ebola patients are not considered contagious....
why is that and how do they know that? If someone were to have the virus but not show any symptoms, can they still spread it through human fluid (sweat,spit,nose juice etc)?
End of day...answer is yes. For instance male patients who survive have Ebola present in their semen from something lime 3-6months after the infection regressed. 1. I told Bacon to lay off the *** currently.
2. not really.
By Jetackuu 2014-10-15 16:58:39
The failure of a big and all powerful state lies before you.
1) Are protocols even being supplied, reports are out saying that Thomas Duncan wasn't isolated when he went to the ER the second time for the initial hours. The head of the nurse's union is stating that they didn't have protocols to follow.
2) If Ebola is so hard to catch and cannot be spread when the patient is asymptomatic, why is the CDC interested in interviewing all the people from the plane when it is reported that the second case didn't have any symptoms when she flew?
3) Why is the CDC only looking into the people on the plane? Why not seek out the people she interacted with while she was in Cleavland.
We've been told for weeks now how even though Ebola won't get here, we're ready for it if it does. That is entirely false. Clearly either the nurse was showing symptoms on the plane and thus has exposed people, OR the disease might not be so hard to spread.
Good to know this administration is just phoning it in.
EDIT:
OOOOH looks like Obama finally has decided to give this some attention. He just canceled a FUNDRAISER for a press conference. It must mean he's ready to capitalize politically on this crisis. Let's see what drastic actions he's ready to propose.
1. yes, protocols have been supplied
2. it's called being cautious, something you've been particularly bitchy about them not doing, so now you're bitching when they are, thanks for proving that you just want to ***.
3. they might be, but that's a much harder list of people to narrow down
4. you're pandering and panicking, and it would be hilarious if it weren't so sad.
Lakshmi.Zerowone
サーバ: Lakshmi
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Posts: 6949
By Lakshmi.Zerowone 2014-10-15 17:10:08
The comment I post might have seem absurd to some but it is also a bullet point in the BBC article with regard to the second confirmed infected healthcare worker:
"People who recover from Ebola should abstain from sex or use condoms for at least 3 months"
I know it came off as funny or unbelievable but it does remain in reproductive fluids after recovery.
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By Jetackuu 2014-10-15 17:16:02
I mean it's a virus, of course it stays in your system even after your body fights it off, and it makes sense considering how semen is produced.
Could just whack it a lot after you're better though, would expedite the process, but that's a lot of jimmy hats for some people.
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Reuters.com said: A U.S. aid worker who was infected with the deadly Ebola virus while working in West Africa will be flown to the United States to be treated in a high-security ward at Emory University Hospital in Atlanta, hospital officials said on Thursday.
The aid worker, whose name has not been released, will be moved in the next several days to a special isolation unit at Emory. The unit was set up in collaboration with the U.S. Centers for Disease Control and Prevention.
CDC spokeswoman Barbara Reynolds said her agency was working with the U.S. State Department to facilitate the transfer.
Reynolds said the CDC was not aware of any Ebola patient ever being treated in the United States, but five people in the past decade have entered the country with either Lassa Fever or Marburg Fever, hemorrhagic fevers similar to Ebola.
News of the transfer follows reports of the declining health of two infected U.S. aid workers, Dr. Kent Brantly and missionary Nancy Writebol, who contracted Ebola while working in Liberia on behalf of North Carolina-based Christian relief groups Samaritan's Purse and SIM.
CNN and ABC News reported that a second American infected with Ebola was to be flown to the United States. CNN identified the U.S.-bound patients as Brantly and Writebol. Reuters could not independently confirm the reports.
Amber Brantly, the wife of Dr. Brantly, said in a statement: "I remain hopeful and believing that Kent will be healed from this dreadful disease."
Earlier on Thursday, White House spokesman Josh Earnest said the State Department was working with the CDC on medical evacuations of infected American humanitarian aid workers.
The outbreak in West Africa is the worst in history, having killed more than 700 people since February. On Thursday, the CDC issued a travel advisory urging people to avoid all non-essential travel to Guinea, Liberia and Sierra Leone, the epicenter of the outbreak.
Brantly and Writebol "were in stable but grave" condition as of early Thursday morning, the relief organizations said. A spokeswoman for the groups could not confirm whether the patient being transferred to Emory was one of their aid workers.
CDC Director Dr. Thomas Frieden said in a conference call that transferring gravely ill patients has the potential to do more harm than good.
Meanwhile, the National Institutes of Health plans in mid-September to begin testing an experimental Ebola vaccine on people after seeing encouraging results in pre-clinical trials on monkeys, Dr. Anthony Fauci, director of the NIH's allergy and infectious diseases unit, said in an email.
In its final stages, Ebola causes external and internal bleeding, vomiting and diarrhea. About 60 percent of people infected in the current outbreak are dying from the illness.
Writebol, 59, received an experimental drug doctors hope will improve her health, SIM said. Brantly, 33, received a unit of blood from a 14-year-old boy who survived Ebola with the help of Brantly's medical care, said Franklin Graham, president of Samaritan's Purse.
Frieden could not comment on the specifics of either treatment but said: "We have reviewed the evidence of the treatments out there and don't find any treatment that has proven effectiveness against Ebola."
Source
Not really sure how I feel about this.
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