This page has been archived and commenting is disabled.
"We Have A System Failure" CDC Chief Blasted For Scapegoating Ebola 'Protocol Breach'
Do not panic. Ebola is not very contagious at all. That remains the mantra from health and political officials in America.. and as far as the nurse who was treating now-dead Dallas Ebola patient Thomas Eric Duncan, it was user error, according to CDC Director Frieden. As Reuters reports, some healthcare experts are bristling at the assertion by a top U.S. health official that a “protocol breach” caused the Dallas nurse to be infected with Ebola while caring for a dying patient, saying the case instead shows how far the nation’s hospitals are from adequately training staff to deal with the deadly virus, "you don't scapegoat and blame when you have a disease outbreak... We have a system failure. That is what we have to correct."
Some healthcare experts are bristling at the assertion by a top U.S. health official that a “protocol breach” caused a Dallas nurse to be infected with Ebola while caring for a dying patient, saying the case instead shows how far the nation’s hospitals are from adequately training staff to deal with the deadly virus.
...
It was not immediately clear whether the Texas hospital prepared its staff with simulation drills before admitting Duncan, but a recent survey of nurses nationwide suggests few have been briefed on Ebola preparations. Officials at the hospital did not respond to requests for comment.
Some experts also question the CDC’s assertion that any U.S. hospital should be prepared to treat an Ebola patient as the outbreak ravaging West Africa begins to spread globally. Given the level of training required to do the job safely, U.S. health authorities should consider designating a hospital in each region as the go-to facility for Ebola, they said.
"You don't scapegoat and blame when you have a disease outbreak," said Bonnie Castillo, a registered nurse and a disaster relief expert at National Nurses United, which serves as both a union and a professional association for U.S. nurses. "We have a system failure. That is what we have to correct."
...
In many cases, hospitals "post something on a bulletin board referring workers and nurses to the CDC guidelines. That is not how you drill and practice and become expert," she said.
CDC spokesman Tom Skinner said the agency is still investigating the case of the Dallas nurse, but stressed that "meticulous adherence to protocols" is critical in handling Ebola. "One slight slip can result in someone becoming infected."
...
"Doctors and nurses get lost in patient care. They do things that put themselves at risk because their lens is patient-driven," Kaufman said. In Dallas, "I suspect no one was watching to make sure the people who were taking care of the patients were taking care of themselves," he said.
...
"Towards of end of the illness, the virus is trying to live and thrive. It's trying to get out of the person's body. It's producing massive amounts of fluid," he said.
...
“Every hospital can then prevent the spread of Ebola, but not every hospital in the U.S. can admit a patient in the hospital for long-term care,” he said.
* * *
So - let's get this straight - Ebola is a deadly disease but is not easily spread (so don't panic) but if you are a healthcare worker a slight slip and you are done...
»
- 23234 reads
- Printer-friendly version
- Send to friend
- advertisements -
The Eskimos.
An Eskimo has the Federal Reserve chairmanship and the owners of the NY Federal Reserve Bank primarily are Eskimos, and most financial regulatory agenices in the US are headed by Eskimos. And, oh yes, the primary media outlets are controlled by Eskimos, as is Hollywood, book publishers, and advertising agencies. And Eskimos even are the swing votes on the US Supreme Court. And the Eskimos account for more than half of all political donations to the Democrat Party.
Eskimos are the most dominant controlling factor in all universities including university presidencies and of professional sports teams.
Many members of Congress hold dual US/Eskimo citizenship; and now most major US wars are fought against the enemies of the Eskimos. Your career would not be safe if you criticize Eskimos...
Oh wait... Do I have the Eskimos confused with somebody else?
You sir, have Eskimo envy!
<<< Frieden = Sonderkommando
<<< Frieden = Funktionshaftling
Bill Ayers just creamed himself.
gonna be a global system failure shortly
Fucking plague.
the "breach" is the entire story
how???
i was watching that circus CNN and the phrase "breach of protocol" was repeated 200 times. No question about the protocol itself maybe being worthless or their idea of how the disease being transmitte being wrong
exactly
obvious Frieden didn't have a clue what happened ... but blamed it on the health care worker anyways.
needs to go
Comrade, we cannot, under any circumstances, allow our 'primate-plus' subjects to entertain the notion that we are incompetent or have anything other than their well-being as our primary objective.
And if we must sacrifice a few hundred citizens to keep the flights going so the African governments won't implode so be it comrade. It's formthe greater good.
Right, they don't know HOW their protocol was breached bu they are absolutely certain that it was and are unwilling to contemplate that the protocol is INSUFFICIENT or that their understanding of the transmissability of the virus is defective. It is aleways reassuring to know that the people in charge are close-minded, stupid, and wrong.
Geez, is that the Science Method?
http://www.huffingtonpost.com/2014/10/12/ebola-vaccine_n_5974148.html
Now how much have we spent on needless wars, tax cuts for the stinking, filthy rich, and sports venues?
Priorities, bitchez.
Heckofa job.
Is that guy Brownie available for Ebola czar?
Obviously the virus is aeresolized and/or airborne, and the definition of "full protective gear" is not adequate. You need a fully sealed vapor barrier suit that is positive displacement to outside environment.
Our beaurocracy and failure to admit mistake will only make it worse.
I think you have got it; a mask and face shield won't provide adequate protection you gotta have a sealed mask connected to a cylinder of compressed breathing air much like firefighters use.
When dealing with biological hazards at this level the use of a positive pressure personnel suit, with a segregated air supply is mandatory.
http://en.wikipedia.org/wiki/Biosafety_level#Biosafety_level_4
Absolutely mandatory!
Except when CDC head says it's not airborne, and not easily spread.
If the virus is only transmitted by contact with body fluids, why treat it as level 4 in a lab setting?
High mortality rate and no known treatments.
pods
I think that was a rhetorical question, Pods.
Not really, he was working the transmission angle alone. How it is classified deals with transmission, lethality, and treatments. Not just how it is transmitted.
pods
Because, as usual, the so-called EXPERTS, the official Friends of Big PHRMA, don't know what the fuck they are talking about!
In addition to the positive pressure suit you also need to maintain a distance of 5,000 miles, or the approximate width of the Atlantic Ocean, between you and the source of infection.
Fixed it for ya.
what is going on with the family of patient zero? are they ill? If not, why not? What is causing casual contact from the first responders to the family not contracting it? What is causing the nurse to get it and no other nurse?
Lots of questions. Nothing makes sense.
I don't expect bureaucrats like Dr. Doofus to give me straight answers.
Good questions! The answer is... No one really knows. (a) no one wants to look stupid by admitting that they don't know and (b) no one wants to cause a panic, by erring on the side of caution.
So instead of reasoned caution, we march towards the cliff's edge with foolish confidence.
That's a good question and I think a factor here is the amount of virus being shed over the course of the infection, especially as the infected person becomes more ill.
So in the families case they were exposed to Duncan earlier when the virus was replicating at a much lower rate as compared the amount of virus being produced and shed in his final days.
the term is 'viral load'. as the infection progresses, the viral load increases dramatically, causing the host to produce/leak more fluids to dispearse the virus. perhaps the family had a strong immune response to the lower level of contamination and perhaps they are infected but winning?
so if exposed and they are immune could their blood be used as an antibody such as Dr. Brantley?
Outstanding questions, corporatewhore, and the reason nothing makes sense is because these idiots who claim to be scientists or doctors continue to speak in absolutes, and there are not absolutes in biological sciences.
But there are plenty, plenty of variables . . .
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
we are having a failure to communicate
Frieden's first words were 'we have no idea, followed by his idea that protocol was breached.
Contradicted himself in the same first sentence.
I do believe he has no ideas at all though.
Lying wanker.
So far ebola seems to affect people in third world countries only, like Liberia, Sierra Leone, Guinea, USA etc.
I will be worried when it gets to the civilised world.
Start worrying. Spain and the US are relatively civilized.
An implied sac tag, me thinks.
:-)
That "civilization" is largely an illusion, and dependent upon the maintenance of a certain bankster fiat illusion.
."A new life awaits you in the Off-World colonies."
Comrade Frieden is a loyal subject, and says what must be said to keep the motherland running. There may be an agenda to get more UN/globalist boots on the ground in Texas, and we KNOW there is an agenda to use the threat of Ebola to cede more power to the Fedcoats. This is why it was important for Frieden to be the first to blame the state of Texas for the spread.
There is a political rift forming. The Spanish gov blamed poor protocols also. The front line caregivers, at fault or not, certainly don't need the pols publicly pointing fingers. Alienating those 'folks' is a very bad idea. Something along the lines of "we are working with responders and med facilities to improve..blah blah"
Then again, if they piss off enough caregivers, when they walk it may just cause some required policy shifts.
It may cause some shifts in deployed firepower.
That or EO 11000. If an emergency is declared (as in Conn.) those caregivers who walk off can be forced to return to work at the end of a fedgov barrel. http://www.disastercenter.com/laworder/11000.htm
Managers at the state level must provide appropriate awarness, detection, and procedural training in the short term, before Fed enacts EO 11000, or this situation could undermine medical response and national morale. Improving caregiver confidence and morale is critical right now. Whatever is going on, A21, psy-op, real deal, who cares. Getting the med sector right doesn't hurt anyone. Just remember your COIN, all politics are local. Locals looking up to the CDC for direction are going to be the ones hurt the most. Get your teams/tribes together and lead at the local level.
I am not surprised that big egos are now getting pissy over an assumption that has to be correct- more or less- every nurse like every paramedic is warned of the dangers. This is not a mystery to anyone with that particular degree. The real problem is that nobody really understands- fully- how this disease is transmitted.
Had our government- the one we established primarily for the protection of it's citizens performed it's duties- we might not be talking about this shit.
This guy gives me no hope.
It's definitely time for a change. It doesn't help that he looks, and dresses, like a shoe salesman.
Maybe he is trying to sell you something.
It's not easily spread... Unless you're a healthcare worker, with BSL-4 PPE.
Everyone else has nothing to worry about. Nothing at all to worry about...
* Bio-Safety Level 4, Personal Protective Equipment
My sister is a senior scientist for a large pharma company and knew a woman who became infected with something horrible that I can't recall. Apparently, after going through decontamination she picked up the virus from the adhesive of the duct tape that sealed her gloves to her suit. She peeled the tape away and touched her eye before she cleaned her hands. It was all caught on video. I'm listening to this and thinking fucking duct tape is the best we got? Did Red green design our PPE?
Chemtape® retails about $30 a roll (a bargain compared to $1000 bubble boy outfits and SCBA rigs and decontamination tents at several grand a pop. If it's being bought with your tax dollars, there's no guarantee the State isn't paying more than $30/roll.
The entire ministry of health budgets in the Ebola infected countries in Africa are dwarfed by the budgets of single large hospitals in the Obolacare® system.
obviously the nurse didn't use soap to kill the virus. /sarc
Panic at London hospital after suspected Ebola patient arrives at A&E: Medical staff 'scared to go near man but let him use a communal toilet and have visitors'How long before healthcare workers stop going to work?
Am old enough to remember the purge of educated 'folks' during Pol Pot's regime.
Who's next? Teachers, or persons of interest wearing glasses?
My mom was a teacher and one of her students was a refugee from the Khmer Rouge. She has his story of escape in writing. I don't see quite that style of brutality happening here. Brutality, yes, but not that kind.
We are breading and importing hordes of stupid fucks to accomplish that same agenda in the US, my only comfort is knowing I'll put a few down with me when I go.
You're doin a hell-of-a job Tommy
The CDC's logical argument contradicts itself in an infinite number of ways; actually I was expecting more from them than the gibberish and lack of leadership they have been portraying...
I'm sure he's got a first-class ticket to Tel Aviv in his coat pocket.
I dare the media to give any doctor from MSF in West Africa adequate airtime to critique CDC 'protocol'.
It's all the republicans fault:
Ad Blames GOP Budget Cuts For Ebola Outbreakhttp://www.realclearpolitics.com/video/2014/10/13/ad_blames_gop_budget_c...
After casting what I thought was my final vote ever for Ron Paul, the democins have me so disgusted that I am reconsidering my non-participation statuss. Not because I believe the GOP is better but because I want to kick the liberal retard "representing me" in the fucking nuts.
Stupidity is only hard on the others. Get used to it Doc, the vast majority of our citizenry have been captured by cell phones, superficial bullshit, and Kim's cleavage. And they are so fucking stupid- that they will vote for one of those two parties and think they are great citizens.
Over/under around 300 million US primate-plussers?
Had the government we established performed it's core function- the safety and protection of its citizens- we probably would not be having this conversation.
If I were one of the bad guys all I would do is to fly in some infected Ebola carriers into Mexico. Then pass this virus on to Mexicans flowing over the border into the US. Voila, instant pandemic.
After I order my hazmat suit , I think I'll fire the maid and the gardener today.
Umm, the bad guys are us. US.
Newsflash: 911 wasn't the muslims. It was a false flag.
It's the Republican's fault. Sure.
http://www.realclearpolitics.com/video/2014/10/13/ad_blames_gop_budget_c...
Do you really think the Ebolas would have invaded the United States if Ronald Reagan were president?
Umm, yes:
https://en.wikipedia.org/wiki/Immigration_Reform_and_Control_Act_of_1986
Why can't we get white hillbillies to breed like Mexicans?
Demographics are a bitch.
Can't swim?
And I suppose they're not very eager fruit pickers or lawn mowers, anyway.
They are taking over American jobs.
Hillbillies?
But they are very good meth farmers.
Maybe the Repubican's should launch their ad saying how children are dying from the Enterovirus D68 because Obama's illegal children are pouring into cites all over the country.
Great idea!
I knew that would happen sooner or later.
What we have is a political hack in charge of a government agency. This is what you get when a corrupt president awards his best money launderer with a well paid political position. By what right does this stooge have to be there? Well, he bough the position... that's how. So what do you expect him to say about Ebola, except to peddle pablum.
Sad part is that there are still people left that believe this or any gubmint agency in the first place.
Liberia has had this thing for months now. Half of the country should be dead by now if it was so virulent. Hey but who am I to interfere with a media generated panic.
Coming soon.
http://www.youtube.com/watch?v=S-Z4fBiM3Jc
Seems to me the media is trying to downplay this thing, constantly parroting the meme that you can only catch this through direct contact with body fluids, without talking about small droplet transmission. Also, jumping on the band wagon re: protocol breaches.
Oh yeah? The head of CDC on TV is a "downplay"?
Yeah. When it's *this* head of CDC.
dup
its in the news. he has to respond to contain wild rumors and panic.
4000 dead is nothing to "sneeze at"
4000 out of 4 million is hardly an epidemic. Oh it must mean that the health care system is so organized that they have prevented the spread of the virus. LOL
And the plague didn't wipe ~50% of the European population overnight. It didn't take months. It took 4-7 years. Hell, the Spanish Flu took ~2 years to do its damage.
That was in an era of very low mobility unlike today. From wikipedia: The plague reached Sicily in October 1347, carried by twelve Genoese galleys,[17] and rapidly spread all over the island.
And they also lived in conditions that were dirtier than Liberia and had even less understanding of germ theory than the Liberians do.
McCain wants a Ebolar czar. More politicians will solve this?
Obama guessed wrong when he thought Ebola was politically correct.
The CDC is now just a political organization that will panic once this disease death numbers get in the thousands.
Typical cocksucker management BS. The 'Chiefs' seldom go the trenches in health care. I doubt Freeden has examined a patient in the last 10 years and here he is telling them what to do. Very typical 'upper management' incompetence.
My cousin is a doctor and he says these health management people are making medical decisions all the time without having a clue what it's even like to treat a pateint since they sit in their offices all day hypothesizing, criticizing and shuffling paperwork back and forth across the desk.
Welcome to Health Care of the 21st Century!
You just couldn't make it up! #36:
No Ebola Checks at Brussels Airport After Flights From Liberia
Belgians are particulary sensitive about offending racial minorities.
Apparently they would rather die in agony with blood squirting out of every orifice than be suspected of racism.
In the US, it's only the commies in control.
The normal people are screaming WTF! to no avail.
Jesse Jackson is over there right now stirring up the racial hatred toward the former colonizer. Reparations are due.
How about we take Mr. Blowhard 'protocol breach' and stick him in with the infected nurse for 21 days with a surgical mask and face shield.
Ya know, just to test those protocols are sufficient for nurses.
http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recomm...
yeah and make him where a tutu also
He would like that, you are totally missing the point...;-)
Fine, make it a yellow one then.
The CDC is doing the exact same mistake as the FED wrt Banksters. They stay in their ivory tower and don't know anything of the real world....
FED > No modeling how criminal banksters would react to being given free money plus infinite "Get out of jail" cards.
CDC > No modeling whether real world healthcare workers can become hostile germ researchers by reading a paper pined to a bulletin board.
SWAT teams in Hazmat suits.
Not the box-cutter meme again...
"SWAT teams in Hazmat suits."
Running towards the angry crowds? Or running away from the angry crowds?
In a perverse way, this provides an American family with a psychological protection from stormtroopers entering your home. They're scared of Ebola as well.
'You want to come inside <cough, cough, cough red stuff onto the floor>. Sure, come on in. . . Just be careful, there are lots of sharp edges that could rip thru your HAZMAT suit.'
Ziojew heading the CDC is merely carrying out orders as given by his betters.
A mouthpiece to cover for the real culprits.
Well if I was another healthcare worker I would want to know exactly what the breech was...so I do not do it...and I think they do not know what it is yet...to me that is a big problem...
Its time to quarantine all passengers wishing to fly out of uncontrolled Infected areas. It maybe too late already as clearly based on charts published by FT, the current west african countries impacted by Ebola could reach 200,000+ cases from current 8000... This can be as early as January and that did not include the planned strike by medical staff in Liberia!! These bureaucrats sitting in Washington need to get practical very quickly instead of vaunting how good their medical system/protocols are...
My wiffe works as a back room nurse for a general practioner. If Ebola makes it to my region I'm making her quit!
The less than 3% dual-citizens sure are massively overrepresented in finance, government, and media. Must be that specific ethnic privilege.
This mans oratory skills & conviction made me feel all warm & fuzzy.
I asked a nurse just yesterday if she'd been covered with any protocols re: obola & was given a negative.
Can't get the anthrax caper theater nor the crisis actors out of my head.
One thing for certain, if I worked in the health care field, I'd be makin tracks pronto.
Compartmentalization & the need to know. We ain't in on it.
Credibility "China Syndrome".
"Do not panic. Ebola is not very contagious at all. That remains the mantra from health and political officials in America.. and as far as the nurse who was treating now-dead Dallas Ebola patient Thomas Eric Duncan, it was user error, according to CDC Director Frieden."
BS. By the time Obama and the PC inept hacks at the CDC the economy will be shut down.
Typical blame the victim strategy. Frieiden needs to refresh is Hippocratic oath and start coming clean before he earns the reputation as the new "Bhagdad Bob."
It seems like they took a playbook from Corporate America.
Sales are off--blame the salespeople!
Products being returned for defects--blame the workers on the assembly line!
I once had the privelege (sarcasm) of working for a corporate whizkid President who confided to me that his success in the organization was "because I never took responsibility for any decision". Peter Principle Personified. And they paid this idiot, who constantly preened in front of mirror, well in excess of $300,000. Makes you feel real confident. Thank God I'm too old to have to deal with that shit anymore.
If you are trapped in a quarantine, you’re dead.
‘They’ will pull-up to your office building and attempt to quarantine.
Make sure you are carrying a hand canon and have access to high-powered rifles in your trunk.
I wish Comrade Freiden would inform all subjects of how well Duncan's family is doing. The movie 'Running Man' comes to mind. When will it be announced that Duncan's family are 'winners' vacationing indefinately at a tropical paradise?
It does seem like we would be getting daily reports on the family. They are either at a CIA safe house in the Dallas area or in a government quarantine facility in someplace like Rockville, Maryland.
What EVERY American deserves to know is how many and how fast these family members get infected. This is more important than annoucements of incremental healthcare worker infections (who have treated Ebola patients).
Or dead, with a third party making regular f/book posts in their name.
;(
Hadn't thought of this, excellent point.
Duncan came to Dallas to see his wife. I can't speak for all but I know the 1st thing I do post trip is after hugging the kids, head off to the bedroom with the wifey for some bodily fluids swapping. She has to be infected.
Look folks, in the "new normal", no one is ever held accountable, especially a "leader" or CEO of a major corporation. Just ask John Corzine.
Hedge accordingly.
What is the hedge for death?
Do you download your mind into some chip and update it every night in case you are ebola-ed while sleeping?
The hedge is being prepared to isolate yourself as much as possible for a period of years. If anything that you have planned requires dependence on the incompetent fuckwads sometimes referred to as our 'leaders,' you are not hedging enough.
ok, thankyou. Now I need to increase my hedging
The good news is, that you probably have some time to do so (months to a year I'm guessing) but everyone who has inadequate preps better start getting with the program ASAP.
Yes, should this go full pandemic, and I'm not saying that it will, you will probably have plenty of time to 'bug-in' until it's time to bug-out. The time to start avoiding crowds is when we either get the first case of an illegal alien who came up from the southern border with ebola, or we get tertiary infections on US soil. Either of those mean that we stand much less of a chance of getting a handle on this. The time to bug-in is when it is clear that the disease is increasing at an exponential rate here. The time to bug-out will be when law enforcement agencies are just starting to break down, or you find yourself having to defend yourself regularly. If your shit is ready, and you have some spare fuel, you'll probably have time to load up a trailer before leaving.
I say the breakdown of law enforcement agencies is a good point to shit'n get for the simple fact that you will likely have to do things to survive that are against the current laws on the books today. Get out too soon and you will likely get a full-retard police response. Get out too late, and you'll have stick tampons up your ass just to ensure that the seat doesn't get dirty, or you'll have zombie sheeple coming to take your shit.
breathlessness
there is no ebola in usa, it is all orchestrated to scare the shit of you.
for all that time ? should be WAY MORE cases...
this is a scare control from top to bottom to force you to keep faith in them.
no more.
for the rest.... i juuuuuust don't give a fuuuuuuuuuuck :-)
Under most circumstances you would probably be right. Government puppets and their puppetmasters are nothing but propagandizing parasites.
Unfortunately, if you know people who have RECENTLY been in affected areas in West Africa you know this is not the usual made-up scare. Most of what we're seeing in the response is ignorance and incompetence. Perhaps the global elites have this covered and are waiting for massive de-population. But they don't need help making this outbreak of Ebola scary.
Just keep that ass barre now, hear?
I can imagine it hitting a cruise ship soon. Watch the despair. I wouldn't book a cruise ship next year.
Just begging for the good old days when you only puked and shit your pants for the last 4 days of the cruise.
Excellent point. Can you imagine the carnage when an Ebola-infected individual decides to take a Carnival Cruise?
If it happens, the industry goes away faster than the Buggles can say 'video killed the radio star'.
lol!
This evil shit Frieden just reduced by about fifty percent the number of nurses who will be willing to work with Ebola patients. What an worthless arrogant asshole.
I know enough nurses to know that none of the are in it for the money. They are in it because they think it is needed, and they are pretty damn self-sacrificing. However, they are human enough to be reasonably offended by baseless blame, especially when what they deserve is deep gratitude. Now that they know that Frieden plays "blame the victim", while he stays far from the trenches himself, they will tell the populace to fuck off. And I don't blame them one bit.
If this spreads, Frieden will be directly to blame for many deaths due to the lack of nurses being willing to risk their lives, just to be blamed by worthless lying political bureaucratic hacks.
It's human nature to realize it's every man and woman for themselves when this becomes mainstream.
They'll worry about their own spouse and kids first. Screw the job.
Hospitality (hotels) and restaurants will be the same.
The entire world seems to be in a sort of massive denial.
Ebola (EVD) is classified as a biosafety level four (BSL-4) pathogen. (1). “Only 15 BSL-4 facilities were identified in the U.S. in 2007, including nine at federal labs. (2). Texas Health Presbyterian Hospital, where Mr. Duncan, a Liberian national died is NOT one. Thus it is of little surprise that a health care worker “in full protective gear,” is now infected.
It is of little surprise to me that today we see the announcement: “the hospital has stopped accepting new emergency room patients.”
Bio-safety level four pathogens are: “This level is required for work with dangerous and exotic agents that pose a high individual risk of aerosol-transmitted laboratory infections, agents which cause severe to fatal disease in humans for which vaccines or other treatments are not available.” (3).
Let’s get real here. Any traveler who has been in an area where Ebola is becoming endemic needs appropriate quarantine. This does not need to prevent supplies and support being delivered to endemic or near-endemic countries. If I were a health care volunteer in Liberia returning to the USA, I would expect to be quarantined in comfortable surroundings until I can be proven negative for Ebola.
The reality here is that there are almost zero hospitals that can handle Ebola safely.
Ebola is touted as a non-aerosol transmitted agent in the news. Yet, read the BSL-4 pathogens list. “Of particular concern is the frequent presence of EBOV in saliva early during the course of disease, where it could be transmitted to others through intimate contact and from sharing food, especially given the custom, in many parts of Africa, of eating with the hands from a common plate. (4)
The reality is that it’s probably NOT generally transmitted by aerosol even though EBOV virus is present in saliva, as enzymes quickly degrade virions, but aerosols can be generated by vomiting, and that might be what is happening. What is missing is there to be plainly read in the book “Hot Zone.” That is the frequent and oftentimes massive production of vomit/feces.
I look in disbelief at the recent photos of a worker pressure spraying Mr. Duncan’s vomit. The worker is unprotected and a passerby walks through the draining water. (5) EBV survives days in a warm protective environment and spraying bleach solution will inactivate it, but not if it is mixed with mucus/solid/viscous matter where it is protected.
In my opinion at this point the American health system does NOT have a handle on this pathogen. That had best change, and fast.
(1)http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/vhf.htm
(2)http://www.gao.gov/new.items/d08108t.pdf
(3)http://en.wikipedia.org/wiki/Biosafety_level
(4)http://jid.oxfordjournals.org/content/196/Supplement_2/S142.full
(5)http://investmentwatchblog.com/dallas-workers-spray-ebola-patients-vomit...
It's only BSD-4 for CDC employees.
Nurses get a surgical mask and faceshield.
Civilians get Dollar Store diving goggles and snorkle.
Would SCUBA flippers also be appropriate? How about a Mickey Mouse hat?
dbl post, sorry
Back in the early 80's, when I was a volunteer EMT for the County All-Volunteer Ambulance Squad, we were distributed information from the Health Department warning us of the growing danger of some little-known disease. The warning was that it appeared to be communicable and we'd be best protected by avoiding direct mouth to mouth ventilations. Suggested was the use of an ambu bag or other contraption to avoid direct contact.
The reality back then was that when doing ventiliation, the patient would oftern 'percolate'...and shit would be expelled through the device just as one began to inhale for another breath. (Ruined many uniform smocks wiping tongue and mouth on shoulder sleeve.)
That was the extent of our early AIDS training until about four years later.
When NASA saw the PR and funding benefits of sending up untrained rainbow coalition crews into space aboard dangerous shuttles prone to losing heat shield tiles and O-rings, they went ahead and twice blew up unskilled civilian crews that included female schoolteachers and ‘scientists’: what they should have done was to continue to regard the missions as dangerous enough to require military test-pilot crews only, who would best handle serious and deadly problems they had dealt with before, or knew how to resolve.
The CDC should have made the same latter choice, namely to have the dangerous, potentially fatal hospitalized EVD patients
treated only by specialized Ebola-experienced nurses, thoroughly knowledgeable with and capable of donning and removing contaminated PPE gear, as they have done many times before, and expert in all other procedures.
Sending in a totally-Ebola-inexperienced nursing crew, with an EVD brochure and a PPE suit never before worn or removed, is not any way to protect America from a pandemic, or protect the novice nurse caring for her 1st deadly EVD patient.
But it’s how our politicized government works. Send a professional but undertrained civilian into a deadly circumstance, and blow up a schoolteacher, or kill an unqualified nurse.
Under the Ebola circumstances, and having won election twice though empty appeals to the American woman, administration puppets like Frieden, employing the macho police trick of deflecting problems and criticism by victimizing the abused female victim, deserve the disgrace they will finally receive.
Darn we almost had it under control. sarc.
So is it just me or are these clowns pushing and pulling at the same time? You know where they look like they are working but not actually doing anything. It is and is not at the same time? I know it depends on what the meaning of is is.
It would be over if not for this one slip up?
If you were working with ebola? A failure of protocol? Just sayin if its me every single movement would be very well thought out and carried out to perfection.
If there is a hell I hope Duncan bleeds out his ass for eternity.
Well, it's a safe bet if Hell evacuates it'll be north across the US southern border.