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Thread: Ebola: Running wild in West Africa AND Comming to Atlanta???

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    Persona Oblongata OrionzRevenge's Avatar
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    Ebola: Running wild in West Africa AND Comming to Atlanta???

    While WHO is reporting that the most recent Ebola outbreak has outflanked efforts to contain it in West Africa. We get word that two infected Americans are being evacuated to Emory University Hospital in Atlanta Ga.

    http://www.wral.com/doctor-who-contr...tion/13859740/
    http://www.cnn.com/2014/07/31/health/ebola-outbreak/

    While I certainly understand the humanitarian and possibly vital research motivations of bringing these victims into a hi-tech treatment facility, I question the wisdom of a plan that brings this active infection into the 9th. largest metro in the US and national/international transport hub on par with Chicago.

    With CDC's home base in Atlanta, you kinda get the vibe that using Emory has been a long standing SOP.

    But WTF?

    Why not a rural setting or, even better, one of the isolated coastal islands that Ga. is famous for???
    Last edited by OrionzRevenge; 08-01-2014 at 04:38 PM.
    Creativity is the residue of time wasted. ~ Albert Einstein

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    凸(ಠ_ರೃ )凸 stuck's Avatar
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    Way, way more worried about someone the CDC doesn't know about getting on a plane. The CDC is being smart by getting those early cases into a hi-tech facility.

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    Persona Oblongata OrionzRevenge's Avatar
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    I agree with the wisdom of Hi-tech intervention early on. Especially with the use of a survivor's serum as a potential cure.

    I just think it is the height of hubris that the Obvious 'Plan' was to locate this Hi-tech containment in the middle of a vast metro/transport hub.



    Unlike CDC containment experience with test-tube pathogens, you are dealing with variables in conflict. As saving lives often trumps or clouds other concerns.

    Too, in the wake of Fukushima, I have very little confidence in the best laid fail-safe schemes of men that play with mice.

    There, in Japan of all places, we saw a fission reactor built in Tsunami-ville
    with emergency generators in the basement
    without a few bucks spent on running an intake/exhaust snorkel to the roof.

    Can we really afford to be so confident about dealing with Ebola inside a huge metro???
    Creativity is the residue of time wasted. ~ Albert Einstein

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    Ieilaelite pensive_pilgrim's Avatar
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    It's transmitted by blood or bodily fluids. It has a very high mortality rate and no known treatment but it's not super contagious. You might as well ask if it's really okay to let people with HIV live in metro areas.

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    Persona Oblongata OrionzRevenge's Avatar
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    Quote Originally Posted by pathogenetic_peripatetic View Post
    It's transmitted by blood or bodily fluids. It has a very high mortality rate and no known treatment but it's not super contagious. You might as well ask if it's really okay to let people with HIV live in metro areas.
    There's an ENTIRE WORLD of Difference between Ebola & HIV.

    Given that I'm HIV+ and have former professional experience working in a microbiology lab, I say this with the utmost confidence.

    Ebola IS Super Contagious in the most casual way, and this is why it is outflanking WHO efforts in West Africa. Unlike HIV, Ebola wants to be quick about the killing and spreading by rapidly bringing victims to a state where blood gushes from every opening.
    Creativity is the residue of time wasted. ~ Albert Einstein

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    fhtagn Rhu's Avatar
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    Persona Oblongata OrionzRevenge's Avatar
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    Quote Originally Posted by Rhu View Post
    That all sounds rather reassuring except for:
    Q: But what if you find yourself on an airplane, or in a hospital waiting room, with a symptomatic carrier of Ebola? What if you shake hands with an infected person whose hygiene is not perfect? Couldnít you contract it that way?

    A: Theoretically, yes, Adalja, acknowledges, but here he quickly notes something that most Americans donít realize: Lassa fever, another horrifying hemorrhagic disease that kills about 5,000 people in West Africa every year, has been imported into the United States by travelers seven times in recent years, with no known case of transmission.
    Lassa HF has a very slow incubation period whereas, Ebola can rapidly advance from a little under the weather to shedding virus particles in a desperate flu-like state and trying to make it to a clinic or whatnot.

    Additional things to consider with regard to shipping it in to Hot-Zone 'Lanta.

    http://www.cdc.gov/vhf/ebola/pdf/fact-sheet.pdf

    Where is Ebola virus found in nature?
    The exact origin, locations, and natural habitat (known as the "natural reservoir") of Ebola virus remain unknown. However,on the basis of available evidence and the nature of similar viruses, researchers believe that the virus is zoonotic (animal-borne) with four of the five subtypes occurring in an animal host native to Africa. A similar host, most likely in the Philippines, is probably associated with the Ebola-Reston subtype, which was isolated from infected cynomolgous monkeys that were imported to the United States and Italy from the Philippines. The virus is not known to be native to other continents, such as North America.

    How is Ebola virus spread?
    Infections with Ebola virus are acute. There is no carrier state. Because the natural reservoir of the virus is unknown, the manner in which the virus first appears in a human at the start of an outbreak has not been determined.

    How is Ebola virus spread?
    Ebola-Reston appeared in a primate research facility in Virginia, where it may have been transmitted from monkey to monkey through the air. While all Ebola virus species have displayed the ability to be spread through airborne particles(aerosols) under research conditions, this type of spread has not been documented among humans in a real-world setting, such as a hospital or household.
    The leading candidate for a Natural Reservoir in West Africa is the fruit bat. Theory being, the bats are asymptomatic and pass the virus in their saliva to other animals dining on the discarded fruit pits or whatnot.

    Animals like Monkeys or rodents (some of the human cases have been tracked back to such sources) are not considered the NR because they go down as quickly as humans do.

    But this suggest that infection is possible across a broad range of animal species with no reason to suspect virulence is specific to African fauna.

    http://www.npr.org/blogs/goatsandsod...g-for-his-life

    Two other members of Brantly's medical team in Liberia also contracted Ebola. One died. The other, American , is still sick.
    ...
    Brantly says he isn't sure how he got infected. He's certain he didn't violate any safety guidelines.

    Samaritan's Purse is working with the World Health Organization and the U.S. Centers for Disease Control and Prevention to identify the source of contamination at the ward, says the group's spokesperson, Melissa Strickland.

    Brantly was working with nearly two dozen Ebola patients, but Strickland says he followed strict protocols. He covered every inch of his body before entering the Ebola ward in a protective suit. "It would take at least 30 minutes to get that suit on properly," she says.
    Spoiler: Dr. Brantly - age:33 - at work in West Africa


    Even though conditions in general are primitive, these were well-equipped & educated healthcare workers, and three members of the same team contract Ebola???

    Additional: Samaritan's Purse announced that it is folding tent and leaving West Africa, as the CDC issues its highest warning (level 3) to avoid travel to West Africa.
    Creativity is the residue of time wasted. ~ Albert Einstein

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    wetback Space Invaders Champion Fitz's Avatar
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    Even if it does turn into a full outbreak it's not like anything of value would be lost.

    Shit, we might even be better off letting it out.

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    Minister of Love Roger Mexico's Avatar
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    Someone call Dustin Hoffman.


    Seriously, though, I assume the facility is located in a major metro area for the sake of operational optimality. I realize how this could easily be classic hubris and overconfidence in the procedural competence of professionals, but I would think controlled transport into a specialized facility is much less worrisome than a scenario like stuck is describing. (Untracked/uncontrolled introduction anywhere.) There are more potential victims, but also more eyes and more infrastructure in place to deal with any reports of infection.

    In some ways I'd think an outbreak in a small town with one doctor and 5 sheriff's deputies which happens to be located on a major highway could be more worrisome.
    Quote Originally Posted by Ptah View Post
    No history, no exposition, no anecdote or argument changes the invariant: we are all human beings, and some humans are idiots.

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    I worry about the possibility of Cyborg becoming real. (The plot centers around a voyage to the remnants of the CDC in Atlanta.)



    I do wonder why the CDC got set up in Atlanta, out of all the potential cities. Nothing against Atlanta, it just seems random.

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