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Dallas Nurse Caught Ebola Because CDC Protocols Are Inadequate
Building Safer Protocols Isn’t Rocket Science … It’s Just Common Sense
A nurse in Dallas has caught Ebola even though she was wearing full protective gear.
The Centers for Disease Control says she must have broken protocol, or else she couldn’t have caught it. Maybe she did … or maybe CDC assumptions are overly-optimistic.
But the whole point of protocols for dealing with life-and-death situations is to have backup systems, redundancy and a margin of error in case something goes wrong.
In other words, if a mistake could be fatal, you don’t just hope that there’s no human error or natural accident. You build safety systems in so that – if something goes wrong – no one dies.
Safe Removal of Protective Suits
CDC head Frieden said today that removal of protective clothing is one of the easiest ways to get exposed to Ebola, if done incorrectly.
He also said that it is “not easy to do right.”
Yes …and the protocol should reflect those facts.
Specifically, the CDC protocol should require:
(1) Spraying of bleach or other disinfectant or uv light on the healhcare worker’s protective clothing before it is removed
(2) A buddy system, where an infectious disease specialist helps the healthcare worker take off their protective clothing without exposing themselves in the process
Respirators
Even the CDC now admits that Ebola can be spread if a carrier coughs or sneezes into the face of a healthcare worker.
And numerous scientists say that Ebola can be spread via aerosols created by vomit or the flushing of a toilet.
As such, CDC protocols must require frontline healthcare workers treating Ebola patients to wear respirators.
Phone Screening
Doctors should not have to guess whether patients have just come from Ebola hotzone countries like Liberia, Sierra Leone or Guinea.
Receptionists at doctor’s offices and hospitals around the country must ask the patient on the phone – before they come in – whether they’ve recently traveled there.
If the answer is yes, extra caution should be used to examine the patient … or they should be sent to specialist facilities which know how to spot and handle potential Ebola patients.
Postscript: We think a travel ban from hotzone countries should be enacted. But if we're not going to do that, let's at least have a real screening test ...
30-Minute Test
A majority of Americans support banning all flights to the United States from countries experiencing an Ebola outbreak.
Screening people at West African airports with a thermometer can’t work, and is just for show.
But Japanese scientists have developed a test which can determine if someone has Ebola within 30 minutes. And the test is cheaper than the one currently being used in West Africa.
So – if we’re going to continue to allow folks from West Africa to fly into our country – why don’t we demand that they get tested for real?
A health agency like the World Health Organization, UN or Centers for Disease Control should buy the international airports in the hotzone countries one of the Japanese testing kits.
Then all travelers should be tested while they’re waiting for their flights.
Make sense?
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Do we know if Duncan's family has symptoms? Has anyone heard any reporting on the family or phone interviews with them, or anything? If that info is out there, I've missed it.
I have a feeling things will become more clear in a week or 10 days.
http://hotair.com/archives/2014/10/10/report-american-ebola-victim-was-symptomatic-when-he-was-released-by-dallas-hospital/
1400 pages of medical info released by Duncan's family. "Decreased urination" dead giveaway according to SPILLOVER by D. Quammen. Also hiccups. (why?)
The pregnant woman who he helped in Liberia, (carried her from taxi) was bleeding profusely from the mouth. She died hours later. Her father came down with it, and was last photographed dying on the front porch. Duncan rented a room there. As of Oct. 2, regarding those who were in contact with the woman, "Already nine others are dead or dying. All the neighbors have been put quarantined."
http://www.cnn.com/2014/10/06/health/ebola-liberia/
"The pregnant woman died of Ebola the next day. Three other members of her family died from the disease soon after. Yesterday the girl's father was lying on the porch of the house, barely able to lift himself from a mat, his eyes bloodshot in what Ebola doctors refer to as "black and red." Sweat glistened across his cheeks."
http://www.npr.org/blogs/goatsandsoda/2014/10/09/354645983/fond-memories...
(Given the pregnant women was bleeding from her mouth, I think he knew he might have Ebola, and lied by omission when he went to the Texas ER the first time).
Google "Thomas Duncan pregnant woman Ebola"
Also: The virus makes a copy of itself once it's in a human. It does this via RNA, which is notoriously sloppy. So when it replicates itself, it does so with errors. I'm not a health care professional, but I think this means there are lots of different variants of it, some less lethal, some more.
I'm still thinking there is a general level of immunity among Africans thats missing in our
population. His family may be in the lucky group.
We are basing all our projection,spread rates etc on African data sets that may be
meaningless in the west,and not in a good way.
From what Frieden said today, it sounds as if they are respecting medical privacy. If the patient and doctor don't want information to be released, it won't be. I believe what he said was "it's up to the patient and doctor."
The observation of privacy for the patient could have something to do with it. However, that sure does not seem to keep reports of "another possibly infected person" from getting in the news. The privacy concerns seem to be carried out by not naming the person, not by failing to report the incident of symptoms.
HIPPA IS A BITCH. With teeth.
Funny how that plays out these days.
Way to go Brownie!
double post
I'm following this locally. I've read that the CDC had interviewed the nurse and concluded that there some inconsistancies with regards to what she was using for her PPE and how it was used - still focusing on the nurse being responsibe for infecting herself. More recently the CDC is walking back from that position. They are now worried that the protocol was inadequate and is going to be changed. They are sending people from CDC to train the staff at Presbyterian. As a result of the inadequate protocol they expect more staff to test positve for the disease.
This begs the question. Was the CDC on site at Presby throghout Mr. Duncan's stay? If so, why would there have ever been a breach in protocol that need to be investigated? If not, WHY THE FUCK NOT. Was there something more pressing than the first case of Ebola in the US being initally mishandled at a community hospital? Why was there not a CDC person there 24/7 watching everyone dressing and undress when entering and leaving the room?
"Why was there not a CDC person there 24/7 watching everyone dressing and undress when entering and leaving the room? "
Because the head of the CDC is not the right person for that job?
I think Friedan's comment that there could well be more infections among the Texas staff was a dead giveaway that he thinks the protocols are insufficient. (That's the only reason to make such a confident assertion.)
Must be watching midget porn at the CDC as well.
They sure haven't been watching HC workers getting ebola using the self same protocols
in Africa.
Idiocracy was not just a movie.Art imitating life.
My wife just made the same comment with regards to the efficacy of the protocols used in Africa vs our n of 1 here.
Great comments, Boiling Frogs, and thanx!!!
Two important items we should all read (especially those effing idiots at the CDC):
Some May Carry Ebola Virus Without Having the Symptoms
http://www.nytimes.com/library/national/science/health/062700hth-ebola.html
Ebola virus can remain active OUTSIDE the human host for up to 23 days in liquid or on dried material:
http://www.msdsonline.com/resources/msds-resources/free-safety-data-sheet-index/ebola-virus.aspx
"Ebola virus can remain active OUTSIDE the human host for up to 23 days in liquid or on dried material: http://www.msdsonline.com/resources/msds-resources/free-safety-data-sheet-index/ebola-virus.aspx"
NEW INFO, read and heed! Media should be publishing this widely. But will not.
sgt doom and ZHers...great post by Captain GW, many thanks.The moles have ratted themselves out by being over zealous in their attacks. I have two buds that had signed up with Military Rserves because they had crushing student loans to pay off. I warned them not to go that route.
Now they are both in Monrovia. I wrote to them to send photos and my main question was "How does it SMELL?" Why is the Net scrubbing any and all photos? HIPPA? I doubt it. The actions of President Ozero and CDC point to one epic meme: they want this stuff to spread. All makes sense after running the equation with this line entered before running data streams.
KEEP UP THE FINE REPORTING GW! Any new Fukushima devleopments with all their typhoons of late?
"Make sense?"
You say that as if common sense had some "place" in public policy in dealing with Ebola, make no mistake sir it doesn't.
This is about selling airplanes and the flow of new Obama voters, not public health, the fate of the agenda stands in the balance.
The questions raised now about banning flights from those countries or whether the virus can be airborne through sneezing and the like were already raised by myself 6 MONTHS ago. What fucking moron is in charge of the CDC ??? Same question for the governments of the few countries left who still fly to those destinations .... their IQ appears smaller than their shoesize to me.
"What fucking moron is in charge of the CDC ???"
lol...“Never ascribe to malice that which can adequately be explained by incompetence.”...is a quote that should be emblazoned across the top of front doors of every bureaucracy...globally.
I prefer "Never ascribe to incompetence that which can be adequately explained by malice". The puppetmasters are obviously quite skilled at killing, stealing, brainwashing, false flags, spying, perversion of justice, and centralization of power. Yet we get The Three Stooges Fight Ebola. They can't even stop all travelers with passports or visas from three countries. I smell a hidden agenda. Agenda 21! Also, Frieden is an Israeli dual citizen. Most of them aren't stupid, they just use that as cover for treason.
Us: "I say we take off and nuke the site from orbit. It's the only way to be sure".
Globalists: "The potential for this species goes way beyond urban pacification".
You say po-ta-toe and I say po-tah-toe, it still points to the general distrust of how they handle affairs or themselves.
I'm fine with either ;-)
"Never ascribe to incompetence that which can be adequately explained by malice"
We have a winner.
And six months ago I posted this:
"Political correctness killed them all"
RIP
The previous moron in charge of the CDC now the president of Merck's vaccine division...
http://www.cdc.gov/about/history/pastdirectors.htm
http://www.fiercebiotech.com/special-reports/julie-gerberding-top-women-...
Ebola is absolutely airborne. The carrier sitting in the airplane IS airborne.
If there was "zero chance of transmission" to the passengers on Thomas Duncan's flights, why the scramble to locate them all?
You obviously don't have a phucking clue what a protocol is. Clearly nor does the CDC as they have Doctor Cockfag in charge!
This is all wordsmithing by a bunch of cocksucking ignoramuses only wanting to jew out some more Jew bux from the "Hitler method.". Stick them all in death camps and be done with it already....
Yep.
Are you really that bigoted, racist and stupid, or are you being paid for this?
Why no pictures of bleeding ebola patients ANYWHERE? This is a horrible disease which late in stages causes bloody vomit, diarrhea and profuse bleeding from the eyes and ears. But not a single pic of it anywhere? Especially on the "news" channels showing "late stage" patients walking around appearing quite healthy. Not even sweating? We have no problem showing kids getting their head blown off in Gaza, but Ebola, ISIL beheadings and Sandy Hook 911 calls are too gruesome. Think about that for a moment.
Our ruling banking mafia gave us totally incompetent government and politicians who are at a complete loss regarding to international terrorism they supported & created and the about runaway Ebola epidemic.
We American people are facing a catastrophe of biblical proportions.
Almost as if by design...
Look, bleeding is end-stage and only in about 50% of the patients. It is only extreme in an even smaller percentage. The virus itself attacks the immune system, in some ways similar to AIDS. It attacks the cells that identify pathogens, removing the body´s ability to target it. The result is a massive response from the immune system, dumping everything into the body attacking everything in site. The result will be eventually random unspecified hemmorhages, but more often, complete system shock occurs first, causing organ damage and killing the victim. Not everything is a conspiracy. Ebola is the real deal. The only conspiracy here has been the effort to avoid panic by insisting that everything is ok and this is not problem. Why? Because the economic consequences of panic and people sheltering in place and hospital workers and first-responders walking off the job are not pretty to contemplate. So instead of leading, they lie. Here is a good description of the characteristics of the disease. http://jid.oxfordjournals.org/content/188/11/1613.full
Found a pic - http://upload.wikimedia.org/wikipedia/en/d/da/Scanners_head_explode_scre...
Hell, found a video, doesn't anyone google these days? https://www.youtube.com/watch?feature=player_detailpage&v=OYcgdo3F70I#t=5
Only about 1 in 5 Ebola patients has the bleeding. I presume the others die first of organ failure. And if you are late stage enough to be bleeding (it is a late stage thing) you won't be "walking around appearing quite healthy."
I'd be grateful for any links to the 1 in 5 quote
George Washington Read SPILLOVER: animal infections and the next human pandemic by David Quammen. Nonfiction, heavy on the science.
Science! The newest religion. I could prove almost anything and have it published in a peer reviewed journal given enough money.
It's in the CDC guidance for clinicians: "Bleeding is not universally present but can manifest later in the course as petechiae, ecchymosis/bruising, or oozing from venipuncture sites and mucosal hemorrhage. Frank hemorrhage is less common; in the current outbreak unexplained bleeding has been reported from only 18% of patients, most often blood in the stool (about 6%)."
http://www.cdc.gov/vhf/ebola/hcp/clinician-information-us-healthcare-set...
Thanks ... much appreciated!
You are quoting the people that cant figure out how to handle virulent pathogens?
Seriously! If the CDC said don't eat fruitbats because they could give you ebola I might contemplate eating fruitbats. Idiots.
Let me see if I can find it. As I recall the figure was 18% in what I read.
You keep allowing the deletion of thoughtful and respectful comments on your blog site and you will lose public confidence in your brand.
"FDR is a poor example. Who exactly benefits from the New Deal?"
Americans are about to hit a panic button. Then all civilities and Home Land Security Agency will be totally irrelevant.
For a local panic button, pretty much. The hospital is basically empty of normal patients that would go into the same building that Mr. Duncan resided in, and the hospital closed its emergency room for lack of patients. Business-wise, they're in deep trouble since the ER is the core "business."
In a widespread sense, I'm not convinced that enough people are beyond the "complaint" stage yet. My money is on it happening when people can't afford to watch Monday Night Football anymore.
I allow for very few deletions of comments on my site. I do delete spam trying to sell viagra or whatnot.
And I've only ever banned 1 user, on the recommendation of a guest writer.
I've heard complaints that Disqus - the comment system we and many other sites use - censors comments. We switched to Disqus based upon a reader's recommendation.
We have no control over Disqus, and don't know what comments they do or do not filter.
I'm going to assume we're talking about your website and not your Zero Hedge posts?
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A simple yes or no confirmation would have sufficed ;-)
That doesnt answer the question of why not a single picture is to be seen. Dont let your imagination fill in the gaps of the official narrative, thats precisely what television 'programming' has trained you to do.
The only explanation that explains every unexplainable aspect is this is a hoax. Dont stop air travel from West Africa? Why? Not a real threat. Dont close the borders? Why? not a real threat. Everyone in the know is acting like they know this is a hoax. Why? Thats the only explanation that accounts for all the idiocy. Remember #BringBackOurGirls ? What ever happened to that? Kinda just disappeared huh? Why? And Kony2012? All are previous attempts to gain access to oil in W Africa.
All 3 countries that are "Ebola" stricken are former colonies of America, France and UK. Strange that Ebola hasnt spread over these borders huh?
The next logical step is that there is no way to walk this one back and say "Oops, we were 100% wrong about this Ebola thing, our bad. Carry on." This is the part that worries me. Not Ebola.