Nigeria Declares State Of Emergency: "Everyone In The World Is At Risk" From Ebola, CDC Issues Level 1 "All-Hands Call"

Tyler Durden's picture

With over 932 dead, the US Centers for Disease Control and Prevention has issued its highest level alert for an all-hands on deck response to the crisis in West Africa (that is spreading across the world). While President Obama proclaimed we are prepared and itis "not easily transmitted," it appears that is not entirely true. Meanwhile, CDC Director Frieden's "deep concerns" have been confirmed as Nigeria’s health minister has declared a health emergency as the deadly Ebola virus gained a foothold in Africa’s most populous nation, according to news reports. Nigerian authorities moved quickly late Wednesday, gathering isolation tents as five more cases of the Ebola Virus were confirmed in Lagos (the world's 4th most populous city with 21 million people). Most international flights from West Africa are also now screening passengers.

 

 

As Yahoo reports,

The U.S. Centers for Disease Control and Prevention on Wednesday issued its highest alert for an all-hands on deck response to the Ebola crisis in West Africa.

 

"Ops Center moved to Level 1 response to given the extension to Nigeria & potential to affect many lives," CDC chief Tom Frieden said on Twitter.

 

Level 1 is the highest on a 1-6 scale and signals that increased staff and resources will be devoted to the outbreak.

 

"Basically this activation allows us to pull resources from throughout the agency to respond to this," said CDC spokesman Tom Skinner.

 

He said it was the first time since 2009 that the Level 1 alert had been issued. Back then it was in response to the outbreak of H1N1 flu.

As The Washington Post reports,

Nigeria’s health minister has declared a health emergency as the deadly Ebola virus gained a foothold in Africa’s most populous nation, according to news reports.

 

“This is a national emergency. Everyone in the world today is at risk. The experience of Nigeria opens the eyes of the world,” Minister of Health Onyebuchi Chukwu told the country’s House of Representatives. Nigerian authorities moved quickly late Wednesday, gathering isolation tents as five more cases of the Ebola Virus were confirmed in Lagos, a city bursting with 21 million people.

 

All five people are believed to be health workers who had direct contact with one man traveling from Ebola-ridden Liberia to Nigeria — making this country the fourth now infiltrated by the deadly disease.

 

...

 

“Yesterday the first known Nigerian to die of Ebola was recorded,” Chukwu told reporters in Abuja on Wednesday. “This was one of the nurses that attended to the Liberian. The other five [newly confirmed] cases are being treated at an isolation ward.”

 

Idris said this is the time “for everyone to be vigilant, especially with regard to relating to people who are ill.”

As Bloomberg reports,

Most international airlines flying to West Africa in the grip of the deadly Ebola outbreak are counting on stepped-up passenger screening as they continue serving the region.

 

Air France fliers in some cities must complete health questionnaires and be checked for symptoms, including an elevated temperature, before boarding cards are issued. Delta Air Lines Inc. said travelers are being checked at the airport in Monrovia, Liberia, one of the countries hit by Ebola.

 

Only two airlines have suspended flights to West Africa so far, with British Airways opting yesterday to join Gulf carrier Emirates in pulling back.

 

U.S. carriers “that fly to the affected countries remain in steady contact with government agencies and health officials, and have procedures in place to monitor and quickly respond to potential health concerns,” said Victoria Day, a spokeswoman for the Washington-based Airlines for America trade group.

*  *  *

Barack Obama says that Ebola is "not something that is easily transmitted" and that everything is under control...

According to this comment - supposedly written by someone who works in a hospital laboratoryMichael Snyder shares three quotes that we found particularly sobering...

 

#1 "Even in the United States, out of all the various hospitals I have worked at, there is no hope of containing anything like this. One of the largest hospitals I worked at only had two reverse flow isolation rooms. TWO, let that sink in for a minute."

 

#2 "Patients only show up to the hospital when they go symptomatic. So by the time they get there, they've already infected their entire family, their work group, and anyone they got within a few feet of on the way to the hospital. When they get there the ER nurses would treat it either like Flu, or Sepsis. But the whole time the patient is infecting all of them. And all of them, in turn, begin to infect everyone else in the exact same way. If this is as virulent as the WHO thinks it might be, by the time people realize what is going on, there will be more sick people than there would be beds available at every hospital in the US combined."

 

#3 "So don't expect miracles from front line hospital staff, we don't have the tools, and we certainly do not have the manpower. Ask anyone in the medical field how much overtime they could work if they felt like it, don't even get me started on how thinly stretched people in the industry are. Though I suppose if this does turn into something, that will become apparent very, very fast."

 

There is no way in the world that our medical professionals are going to be able to handle a full-blown Ebola pandemic.

*  *  *

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y3maxx's picture

"USSA War" on....Drugs, Terrorism, Taliban, Al Qaeda, Racism etc etc...now add "War on Ebola"...Need to keep the Amurikan sheeple in check

junction's picture

Time for the Nigerian kleptocrats to take their ill-gotten gains and move west, say to Martha's Vineyard, an island retreat from Ebola hemorraghic fever.

Grifter's picture

I never thought I'd see a Godlike Productions link on ZH.  That saddens me.

SafelyGraze's picture

you are instructed to report to your nearest quarantine facility

 

Publicus's picture

Look it up, children are mostly immue to ebola.

robertocarlos's picture

So that's why the new "Smiley Town" sign went up in my hood.

flacon's picture

If you've been contemplating leaving the USSA - now is the time to do it; before they close the borders [temporairly] permanently. 

Spine01's picture

My family has been in the health care industry for more than 80 years combining three generations. Everything they say in the comments above is an understatement. Sadly, it's even worse than they say, the reason is that the way ER titration of patients works, patients exhibiting flu like symptoms, including vomiting will be titrated last as of current procedures and thus made to wait for hours, some times 4 to 6 hours before somebody sees them. By that time they'd have contaminated 20 to 30 people on the average size ER in the US. Once they suspect that they have the virus, it'll take them 48 to 72 hours to get the verification done. So, unless they are ready to isolate millions of people, it'll be impossible to handle. Specially with flu season coming as the epidemic grows exponentially in Nigeria.

Unless a quick test is designed and the supply chain strategy worked out to get a test done in hours anywhere in the US, there will be no way of stopping this.

This leads to prioritization, where anybody who does the mathematical analysis will see that the only way to control the propagation is to set up your defenses where you can succeed at controlling the propagation of the disease, and then isolating the places where you can't control propagation and letting them burn out, that is, outside of the places you have protected. The problem is that it will be hard to distinguish if your are locking people where you can't control propagation out, of if your are locking people where you can control propagation in.

By the way, epidemiology is based on relatively simple mathematics and vector analysis, where vectors here refer to the propagation vectors.

CrazyCooter's picture

Thank you for sharing your experience/background. Accurate info is so valuable in these situations. Any comments on the exerpt below from the previous thread? I posted later in the evening AK time and most folks might have missed it. Reposting for convenience. NOTE: due to the size of the thread - links only work if you are logged in.

http://www.zerohedge.com/news/2014-08-06/ebola-deaths-go-exponential-nig...

I have enjoyed your perspective on other posts and was wanting to ask a curious question that I am sure is of ancillary interest to others on ZH, although my situation is unusual.

If this variant of Ebola has legs (i.e. it is more communicable) and genuinely begins to spread, what is your opinion as to how that might play out in a modern world with air travel, sea travel, porous borders, and the like? To be specific, could a small town genuinely "block off its major roads" and have a legitimate benefit? I can see where cities would be screwed, given population density, but is there a point where the sparsity really begins to matter?

Take me as an example. I live in a small town in Alaska (30k) people with no roads in or out; folks come in by boat or by plane. If this got serious, is *all* air travel really going to stop? Water based traffic? Road traffic? This will significantly interrupt food supplies, fuel supplies, etc, so it might go on for a little while, but to do so in excess of the incubation plus illness phase could easily be 45 days which is likely well beyond most peoples resources to "self-quarantine".

In parallel, do the "super wealthy" really have an out hiding on a desert island or equivalent, waiting for things to blow over? This might either substantiate or dismiss claims by some with regards to chance it is intended or natural (we do have a lot of crazy shit going on right now - that is for sure).

How you reply might be informative for others in similar rural situations where the only difference might only really be road access.

I know this is speculative by nature, but you clearly seem to be both (1) a legitimate ZH poster and (2) interested in sharing informed opinions.

Regards,

Cooter

http://www.zerohedge.com/news/2014-08-06/ebola-deaths-go-exponential-nig...

Dear Cooter,

Please take what I have to say as my opinion only. Everyone is very concerned over this including myself but I DONT want to cause panic. We need our heads straight to deal with this, possibly serious, threat.

I think you should focus on the pandemic flu of 1917 as a possible answer to your question. Even then,with limited travel as compared to today, Alaska saw significant deaths from Influenza. There are so many theories why this flu was so virulent and I'm not sure if one or multiple concurrent variables were at play. But what I wish for you to take away from is that remoteness is no guarantee of safety. Not to scare you but to induce you not to be complacent. Look at the Black Plague for answers as well. What people fail to realize was there were multiple outbreaks. Each wave flowing over regions, to burn out and then erupt again. So, when people thought it was safe and resumed commerce, it hit again.

It is possible for Ebola just to burn out. This is how small pox was eradicated. With no insect vector nor animal reservoir, when the last person died it was over. Ebola has an animal reservoir. If it can establish one in this country we are finished because it will have the possibility hide for years before erupting again when it finds a sufficient host.

If you seriously plan to ride this out if it becomes a serious pandemic, you need to put up enough food/water/ supplies for YEARS and this means no contact with anyone. Not very practical for most including me. The uber wealthy during the Black Plague did retreat to their vast estates and did not suffer as the commoners but it was not 100%. Remember, if you venture out prematurely you are exposed to the agent and you have no better immunity then anyone else. There is something to be said for virulence dropping over time. When the polio vaccine was developed, cases were dropping in incidence. The vaccine simply dropped it faster. Ebola, over time, may lose virulence but historically this hasn't been the case until after millions have succumbed.

I'm sorry. I'm really sounding negative and fatalistic. I'm not intending to be so, just honest. Frankly I hope someone posts proof I'm way off the mark here and I will sleep better myself. I much rather be branded the tin foil hat loser than be correct.

Be well and God bless.

Miffed;-)

Regards,

Cooter

pods's picture

Absolute horeshit!  Quit pimping out your fucking rag while you are at it.

And YES, I do take CS, and have seen ZERO effectiveness on a virus.  For bacterial infections it has no equal, especially for topical use.

Quit the BS and put up or shut up with this crap links.

Quote from your link: "flesh-eating Ebola virus"  (muddying the water with a flesh eating bacteria found in warm, brackish water.

"They tell us that because the Ebola Virus strain devastating West Africa is a novel one, no antibiotic can touch it and that the organism has an astonishing kill rate of 90%."

Antibiotics cannot kill it not because it is a novel virus, but because it IS a VIRUS.

"And the kill rate for this disease of convenience, genetically engineered to be more deadly than ever before, just happens, I am sure coincidentally, to be the exact number depopulationists like Bill Gates and George Soros have wet dreams about: 90%."

Sure would love a reference on that besides circular forum posts.

"The US government study (declassified in 2009) which showed definitively that Nano Silver at 10 PPM is the definitive prevention and therapy for Ebola virus “somehow” got “overlooked.” We do not know how long before that the work actually took place, but the US civilian authorities knew not later than 2009 that there is a cure, treatment and prevention for Ebola virus"

WTFF?

"“THERE IS NO CURE, NO PREVENTION AND NO TREATMENT” for this disease apparently engineered at a Level II Biosecurity Laboratory inside Kenama Hospital in Sierra Leone.  As a matter of public record, the Level II BioSecurityfacility was funded by George Soros, Bill and Melinda Gates, the US, WHO, Tulane University and a bunch of other bad actors who apparently want to see most of us dead."

Go piss on a fence with this shit.  If you want to pimp out your miraculous cures, pony up and BUY some space here, I am sure that Tyler would not care.

pods

Four chan's picture

the weak spot as i see it is the plane itself, if one person gets sick on it it lands they get off and the plane takes off with another raft of the soon to be infected, it lands with the newly infected and takes off again ect... till the whole world is quickly infected, a couple days at the most.

redpill's picture

Those tiny little bathrooms on the plane sure don't help.  It's hard to keep sanitary in there even when you are healthy, much less when you are starting to get feverish and if there's a bit of turbulence.  So if someone comes down with symptoms on a long flight and is using those facilities, it seems to me the easiest way to spread.  Obviously if you are sitting next to them in a crowded coach seat it's not good either, but on a long plane ride all the passengers are going to use the restroom eventually.

 

BellyBrain's picture

John Rappaport and Jim Stone already cracked this one, folks.  The "scare" is massively over-hyped, and the cure is simple:  Lots of Vitamin-C.  Silver doesn't touch viruses, but Vitamin-C does.  I would add iodine to that as well, because it strengthens the immune system.  Iosol or LL's Magnetic Nascent Iodine are some of the best.

PacOps's picture

And then there is the dependable Mailman (or Mailperson, if you wish) - delivering to us thru rain, sleet or snow, dropping the days post thru my front door mailslot after it has been handled by who knows how many individuals on its trip to my home. 

Long spray bottles of bleach.

MarsInScorpio's picture

Spine:

 

Thank you for your post.

 

And to think that just a few days ago the CDC was touting the safety, and lack of outbreak likelyhood in the US.

 

As always, the government lies. They are truly sick bastards who should be incarcerated as the criminals that they are. Like the MSM, they have this parent-child mentality towards us, and think that whatever they do is because we are incapable of understanding the truth of the situation and dealing with it appropriately.

 

Yes, they are sick bastards.

-30

kaiserhoff's picture

Lots of polyglots here.  Spine has to mean TRIAGE  which he describes quite well.  Titration is a largely obsolete acidity testing method.

The rest of the piece is quite helpful.  Thanks.

Urban Redneck's picture

Titration better not be obsolete to anyone whose backup plan involves fighting ebola outside the system with their own I.V. (saline or vitamin C).

cougar_w's picture

Heh. Thought maybe I was the only one noticed.

"Triage" has another use, and anyone from the military or disaster training will know. When there are huge numbers of wounded you deploy a triage proccess to decide which injured are treatable and move them forward, and anyone who is likely to die shortly is given a sedative and moved to the side.

Yeah we'll be seeing a lot of "triage" in the future, but not the good kind either. Hospitals will become places where you go to die, and that's all.

Uber Vandal's picture

Once this thing becomes "shit got real" on our door step, does anyone think that any health care worker is really going to go to work, esp those that actually do something such as housekeeping, or a CNA, or even a RN?

Basically, just basic services would cease to function, for people would either be dead, dying, or terrified (rightfully so) to leave home.

photonsoflight's picture

So your saying obamacare won't save us? /sarc

cougar_w's picture

Healthcare workers are a dedicated bunch. I've worked around quite a few, and most of them absolutely will go right in there. They'll be scared, but they are driven by compassion and duty, so they'll go.

We will lose a few of them. Maybe, a lot of them.

This is so sad. I don't know what to say except I wish them luck, and be safe, and come back.

Totentänzerlied's picture

You can take that view and praise their suicidal (and mostly wasted, in the case of a real epidemic) dedication, and that's fine, but what about the fact that they all become  disease vectors?

cougar_w's picture

Relax. Nobody is going to force you to comfort the dying.

As for vectors, they are already mostly around sick and dying people -- and during a national emergency wouldn't even be going home for days or weeks at a time -- so the matter of transmission it rather moot, don't you think?

Totentänzerlied's picture

"Relax. Nobody is going to force you to comfort the dying."

Priests were hit hard in Europe's plagues, precisely because of this aspect of their job. There are stories of priests already ill by the time they'd finished performing the last rites.

Having spent some times in and out of hospitals, I agree with Spine01 that there would not be any containment. Seems like half of doctors wear their scrubs and coats outside during breaks or on the way home. Lots of hospital workers go out at least once per day to get lunch. The non-medical staff too.

Point is, there are no serious containment procedures in place at any hospital, visitors and employees come and go as they please, everyone breathes the same air, shares bathrooms, etc. Unless the entire hospital staff is going to be outfitted with NBC suits and/or the facility hermetically sealed in a giant plastic tent, there is essentially no chance of good containment. A hospital might as well be a restaurant or an airport. Transmission is not moot, it's how epidemics happen and why they are essentially impossible to stop. The fact that there is still international shipping and travel occurring to and from central and western Africa at this moment tells me all I need to know - no one is serious about containment if it means even a minor inconvenience to business as usual - the airport "screenings" are a total joke.

It just seems a bit silly to me to risk everything to fight something for which there is essentially no treatment and which is at this point impossible to contain. It'd be a different story if we were talking about quarantine centers where all possible precautions have been taken.

Things like reverse-flow/pressure ventilation air systems, NBC suits, military-grade gas masks, isolation facilities, etc. may seem expensive, but the cost utterly pales in comparison to the alternative. Instead we spend ever more money dealing with largely preventable/avoidable illnesses.

StychoKiller's picture

Be on the lookout for twelve monkeys, and a flock of fruit bats!

lix333's picture

A diagnostic test was authorized by the Department of Defense to respond to the Ebola outbreak.

The test, called DoD EZ1 Real-time RT-PCR Assay,  is a pcr test kit.

CONX also has a test kit, a ELISA test kit.

Hopefully they can get these out in time to prevent spreading of this disease.

Miffed Microbiologist's picture

As someone who runs PCR daily I can attest to its specificity and sensitivity. The only problem is false positives due to contamination. Let me also point out if I were asked to run PCR on a possible Ebola patient I would refuse and go home on perminant vacation( mr miffed has insisted upon this) due to the fact I do not work in a BSL 4 laboratory. There are few of these at present in the USA. Healthcare workers will be potential vectors of this disease.

Miffed;-)

cougar_w's picture

There is no real treatment, nothing is gained by primary diagnosis that cannot be cheaply attained by simple isolation until the disease runs its course. So I can't see where there is any way they are sending specimens to anything but a BSL-4 facility, and that only for research purposes and maybe tracking the introduction of the disease into new areas.

StychoKiller's picture

In "The Andromeda Strain," the top-secret lab was also designed to develop biologics into weapons as well as find cures.

Lost Word's picture

US Military investigated Ebola for both diagnostic tests & for bio-weapon.

Army Times reported Ebola is stable in aerosols.

http://www.economicpolicyjournal.com/2014/08/the-us-military-and-ebola-o...

1000yrdstare's picture

They are ready to isolate people...(see FEMA camps)

UGrev's picture

Empty chinese cities are starting to make sense.. 

SilverRhino's picture

Spine or Miffed (hell any ZH doctor's opinion solicited) .... your thoughts on this one? 

 

Worst case:

Imagine an Ebola + Influenza patient later this winter.   They're most likely dead men/women walking but perfect breeding grounds for BILLIONS of interactions between ebola and the flu.    And this could happen to thousands of people.   Results?

 

Ebola virus with a much hardier protein coat.  / Flu virus that induces hemorrhagic fever symptoms

Or .... Ebola + Rhinovirus.  

 

Ebola that is as contagious as the common cold.   With as many variants.

Or how about??  

 

  • Hemorrhagic Herpes
  • Hemorrhagic Chlaymidia
  • Hemorrhagic Measles 

 

 

Now before ANYONE says "Oh this shit will never happen" .... some thoughts 

 

  • In any given infected patient there are billions (10^9) of virii of potentially different types.  
  • Thousands of people infected : Quadrillions of interactions (10^12 interactions) 
  • Millions of people infected:  Quintillions of interactions (10^15 interactions)

 

 

Sure the odds could get ultra remote,  but with that many interactions statistically it becomes likely.

 

How RNA viruses exchange their genetic material

Chapter 43Viral Genetics

 

Recombination

Recombination involves the exchange of genetic material between two related viruses during coinfection of a host cell.

 

Recombination of Viral Genome

When two different strains of influenza infect a single cell, their genetic material can mix freely, resulting in a new third strain of influenza.

 

Box 3 | Recombination and viral emergence

For most RNA viruses, cross-species transmission is the most common way for a virus to enter a new host. Recombination could assist in this process because it enables viruses to explore a greater proportion of the sequence space than is accessible by mutation at any one time, thereby increasing the likelihood of finding a genetic configuration that facilitates host adaptation. Notably, many recently emerged human diseases are caused by RNA viruses that display active recombination or reassortment.

 

RNA viral types 

Same Order 

 

  • Filoviruses - Ebola, Marburg
  • Rhabdoviridae - Rabies 
  • Paramyxoviridae—includes Measles virus, Mumps virus, Nipah virus, Hendra virus

 

 

Same Group : Group V—negative-sense ssRNA viruses [all of the above]

Orthomyxoviridae—includes Influenza viruses

  • Hanta virus 
  • Lassa virus 

Other RNA types 

  • Rota virus -  Nearly every child in the world has been infected with rotavirus at least once by the age of five
  • Picornaviridae—includes Poliovirus, the common cold virus (Rhinovirus), Hepatitis A virus

 

Smallpox / Chickenpox are a DNA virii so that might be a blessing 

Totentänzerlied's picture

Titration, also known as titrimetry,[1] is a common laboratory method of quantitative chemical analysis that is used to determine the unknown concentration of an identified analyte. - Wikipedia

 

The word you meant to use is triage. 46 upvotes and NO ONE pointed this out?

Edit: I see a few people 5 levels deep noticed too.

Herd Redirection Committee's picture

I think most read 'triage' and realized it was a mistake, but had no idea what titration is.

Herd Redirection Committee's picture

Bizarrely enough, titration can refer to 'titrating to bowel tolerance' of Vitamin C...

http://www.doctoryourself.com/titration.html

Bizarre, because it would seem this is one possible approach to handling Ebola.

LFMayor's picture

Hudson: "So why don't you put them in charge, man!"

Oh, wait.  Technicallys speaking, it's already been done.

InflammatoryResponse's picture

And just what makes you say that?

 

That makes about ZERO sense.   a Child's immune system isn't impervious to any viral infection.

 

that is absurd

 

cougar_w's picture

The only thing might save children is they are kept away from the dying, and the dead. Up to now, without close contact you didn't get the disease.

Though that might have changed recently. Children coming down with it would be evidence it has gone airborne.

kaiserhoff's picture

In very general terms, human immunity peaks at about the age of ten.  That might or might not  help here.

cougar_w's picture

We're talking nickles and dimes, though. Ebola is a bomb that goes off inside you, there is little real defense. If you are tough and lucky, you survive.

Vampyroteuthis infernalis's picture

Nigerian gov't is just going to claim an emergency, take the money and do nothing as they watch their citizens die. Welcome to Aftrica.

lordylord's picture

Don't forget that the CDC and WHO get a little off the top too. 

Carl Spackler's picture

Yes,for the  government elites this is a unique twist on Darwin's "Survival of the Fittest."

LFMayor's picture

yeah, cow shit hut construction, petty graft and theft, tribalism and neo-stone age cultures are all pretty complex...  A guy could earn a PHD and make a career studying them.  Or distributing free shit amongst them.

that is, until he turns into a real life Kool Aid Man and red starts sloshing around and running out of him

OH YEAHHHHHHHH!

Wait What's picture

it surprises me no one has brought up Edgar Allan Poe's Mask of the Red Death.

an allegory worth reading, considering the discussion of its epidemiology.

LFMayor's picture

especially the "indomitable sway over all" part.  Yeah, makes me keep my eyes open, for sure.