EBOLA 2nd Confirmed Ebola Case In US (Dallas #2) CDC Confirms 10/12

twincougars

twincougars

Deceased
"A Texas health care worker who was in full protective gear while providing hospital care for an Ebola patient who later died has tested positive for the virus and is in stable condition, health officials said Sunday. If the preliminary diagnosis is confirmed, it would be the first known case of the disease being contracted or transmitted in the U.S.

"Meanwhile, a top federal health official said the health care worker's Ebola diagnosis shows there was a clear breach of safety protocol and all those who treated Thomas Eric Duncan are now considered to be potentially exposed."

So if full protective gear and procedures were used, and she still got infected, to me this means the virus IS AIRBORNE!
 
N

night driver

ESFP adrift in INTJ sea
Well, when we DO go back to get the camper/relocate we'll be going in thru Wichita Falls and down 281 rather than 35/20 thru Dallas...
 
Lilbitsnana

Lilbitsnana

On TB every waking moment
Aunt Pittypat said:
Very interesting. The medical staff at this location are treating the suspected case as if they were dealing with a dangerous, contagious disease -- maybe even a Level IV. Wow, what a concept. Apparently, the CDC hasn't informed them that ebola is "hard to catch."
Click to expand...

More likely, they are saying FU to CDC "guidelines" and using their noggin.
 
msswv123

msswv123

Veteran Member
CNN getting ready to interview nurses holding signs

host said they are saying don't blame us for not following protocol when there is no protocol


COMING UP NEXT


Looks like they are having a protest of some type



Just said they have moved the boston patient to another hospital ...beth Israel or something




The nurses are saying they are asking for training..not being given information....not told how to handle waste....saying then when they are infected they are blaming them



They are being asked to risk their lives caring for these patients without the proper training, equipment and information to do this. Been asking for training for a couple months and are not getting it.
 
P

Possible Impact

TB Fanatic
Aunt Pittypat said:
IF the CDC et al are telling the truth (which remains to be seen), the virus in the blood stream multiplies over time until it overwhelms the body. So, IF that's true, then it is possible that the virus wasn't prevalent enough in Duncan's blood in the first stages of infection to show up in his bodily fluids (sweat, mainly) to the extent that the family could catch it from either touching him or from surfaces. So, if the family, the ambulance drivers, the deputies who entered the apartment, or the medical staff present before he was isolated do not become infected, then that's good news. It means that the CDC is correct about the presence and therefore the degree of contagion in the blood at the early stages.

The problem today is that the nurse who was acting according to the official protocols caught the virus. That was a surprise to them, because that means that their procedures failed -- or the virus has mutated -- or it might be easier to catch than they ever imagined.
Click to expand...


logo_asm2009.gif



Rapid Diagnosis of Ebola Hemorrhagic Fever by Reverse
Transcription-PCR in an Outbreak Setting and Assessment of
Patient Viral Load as a Predictor of Outcome

http://jvi.asm.org/content/78/8/4330.full
an extract:

The retrospective analysis of 45 cases demonstrates a number of interesting aspects
of clinical virology that highlight some general features of ebolavirus infections. The
most obvious feature revealed by the Q-RT-PCR analysis was the extremely rapid
accumulation (days 0 to 2 after the onset of symptoms) of genomic-sense RNA
in patients with fatal outcomes. The RNA copy number (per milliliter of serum)
throughout the course of the disease averaged 2 log10 higher than that in patients
who survived. The average peak titer of cases with a fatal outcome was 3.4 × 109,
while that for cases with a nonfatal outcome was 4.3 × 107 RNA copies/ml. A
marked difference in viral load was previously observed with Zaire ebolavirus (5,
16) and Lassa fever virus (13), for which high levels of viremia, especially early in
the course of disease, were associated with poor outcomes. From the standpoint of
the predictive capability of Q-RT-PCR, a correct prediction of disease outcome can be
correctly assigned >90% of the time if a patient's maximum RNA titer reaches ≥108
RNA copies/ml within 8 days after the onset of symptoms.
​




Pig & monkey studies also show Rapid increase in viral copies on day 1 post infection.
(1x 10 9th copies per mL blood is common )

(they mark "post infection" in lab studies, "post symptoms" for human studies...)
 
Baloo

Baloo

Veteran Member
almost ready said:
The suspected case in Boston has been isolated outside the medical clinic in Braintree. This is the only way to go. And from there, if there is reason to suspect Ebola, to a special facility with Level 4 ability.

If we don't start this soon, we'll be looking like Sierra Leone by next summer. Hospice care in the house. Or Liberia, no school, no university, reduced industry, no tourism, no courts, no legislative sessions.
Click to expand...

Will never happen for the simple reason that there are only 20 Lv4 beds in the USA.

What will happen is tent facilities where the patient goes and dies (if this goes widespread).
 
Baloo

Baloo

Veteran Member
twincougars said:
"A Texas health care worker who was in full protective gear while providing hospital care for an Ebola patient who later died has tested positive for the virus and is in stable condition, health officials said Sunday. If the preliminary diagnosis is confirmed, it would be the first known case of the disease being contracted or transmitted in the U.S.

"Meanwhile, a top federal health official said the health care worker's Ebola diagnosis shows there was a clear breach of safety protocol and all those who treated Thomas Eric Duncan are now considered to be potentially exposed."

So if full protective gear and procedures were used, and she still got infected, to me this means the virus IS AIRBORNE!
Click to expand...

No. Ebola is LV4, they used LV2. That's the answer.

Occam's Razor.

http://en.wikipedia.org/wiki/Occam's_razor
 
Baloo

Baloo

Veteran Member
Just got off phone with a friend, who by the way is a Dr (and wife is nurse).

He heard of Ebola in TX (new case), I asked what he thought--he said that HCW was an idiot and did not follow procedure, was her fault.

I said really, he said that's what he heard on TV. Scary.

I told him how Duncan was treated in LV2 facility and he did not know that. He said Ebola is LV4. I said they are experimenting. He could not believe they
treated him with Lv2 precautions.

He said he would not goto work if that was case.

Good luck with that I told him. He said govt can't force me. I said good luck.
 
onetimer

onetimer

Veteran Member
A patient with Ebola-like symptoms is being taken to Beth Israel Deaconess Medical Center, according to Harvard Vanguard Medical Associates.

Emergency workers were on the scene at Harvard Vanguard Medical Associates in Braintree after unconfirmed reports that a patient had been isolated, a Braintree fire department official told Boston.com.

According to Harvard Vanguard, the patient had recently traveled to Liberia and came to the facility complaining of headache and muscle aches.

Joe Zanca of Braintree Fire told The Boston Globe “Ebola protocol is in place.”

Zanca toldThe Boston Herald that the urgent care offices on Grossman Drive were quarantined after the patient turned up at 1:30 p.m. Sunday. Harvard Vanguard reports that the facility was closed briefly but is now re-opened.

John Monahan of Fox 25 reports that the patient came to the facility to refill a prescription. He then reportedly returned to his car before clinic staff ran out after him to prevent him from leaving.

According to The Centers for Disease Control and Prevention, symptoms of Ebola include fever, muscle pain, weakness, vomiting, stomach pain, unexplained bleeding, severe headache and diarrhea.

http://www.boston.com/news/local/ma...ke-symptoms/BJk9dYCxIbcapX6f9CIwtN/story.html
 
minkykat

minkykat

Komplainy Kat
Baloo said:
Just got off phone with a friend, who by the way is a Dr (and wife is nurse).

He heard of Ebola in TX (new case), I asked what he thought--he said that HCW was an idiot and did not follow procedure, was her fault.

I said really, he said that's what he heard on TV. Scary.

I told him how Duncan was treated in LV2 facility and he did not know that. He said Ebola is LV4. I said they are experimenting. He could not believe they
treated him with Lv2 precautions.

He said he would not goto work if that was case.

Good luck with that I told him. He said govt can't force me. I said good luck.
Click to expand...
God protect us from such doctors as he!
 
Baloo

Baloo

Veteran Member
minkycat--What's scary is he is better than 99% of Drs out there. Ivy league degree etc and he is very conservative and a nice guy.

He just listens to media (I'm working on him).
 
helen

helen

Panic Sex Lady
minkykat said:
God protect us from such doctors as he!
Click to expand...

He said he wouldn't work if the equipment was level 2 instead of level 4. That makes perfect sense. Why should he pretty much guarantee his own infection by working with improper equipment?

 
C

CnMO

Veteran Member
I want CDC Dr.Freiden and his Team suit up in LV2 and go treat this Nurse themselves.

Don't ever accept other people to do, what you won't do yourself. CDC suit up and get to work .
 
Baloo

Baloo

Veteran Member
helen said:
He said he wouldn't work if the equipment was level 2 instead of level 4. That makes perfect sense. Why should he pretty much guarantee his own infection by working with improper equipment?
Click to expand...

Exactly. CDC requires labs working to find a cure to be LV4---but HCW are now LV2. I wouldn't work either!!
 
helen

helen

Panic Sex Lady
Think of the Worker's Compensation case this nurse may have. They are making her infection her fault to avoid legal liability. They gave her the wrong equipment to work in to begin with.

Follow the money.

(Edited due to typing while exhausted.)

 
Baloo

Baloo

Veteran Member
CnMO said:
I want CDC Dr.Freiden and his Team suit up in LV2 and go treat this Nurse themselves.

Don't ever accept other people to do, what you won't to yourself. CDC suit up and get to work .
Click to expand...

Its typical Govt (including health care) Socialism--its good for the masses not the Socialist.

I had a conversation with a Socialist friend once when I was complaining about Obamacare. She says to me, don't worry about it, it won't effect us, we are the elite. I never looked at her the same again.
 
B

bassgirl

Veteran Member
Thank you everyone who posted the news feeds from earlier today. I watched both of them.

I am a critical care nurse with some management experience.

I heard them say they are expecting more cases and have turned their whole 24 bed ICU into an Ebola isolation unit. Wow. That's big.

I am telling you that sends all kinds of warning flags up to me. The ER I get because of staffing or case loads, it happens. But to turn a whole ICU into an Ebola isolation ward is a whole other ball game.

They are either in way over kill mode or they are really expecting something.

No hospital is going to shut down a 24 bed ICU on a "caution contingency"

And with 19 workers off who is suppose to staff this 24 bed unit? Not that many ICU nurses around that I know of.

And lol about the judge guy he was waaayyyy less cocky the second time around. Hard to believe it was the same guy.

And I feel for those who are caring for this nurse now. Their anxiety level has got to be thru the roof. Pray for them and the nurse who is sick.
 
B

Beach

Veteran Member
helen said:
Think of the Worker's Compensation case this nurse may have. They are making her infection her fault to avoid legal liability. They gave her the wrong equipment to work in to begin with.

Follow the money.

(Edited due to typing while exhausted.)

[/a I]
Click to expand...


That's the way I've been thinking too. Change the name of things and you change insurance coverage.
 
B

bassgirl

Veteran Member
helen said:
Think of the Worker's Compensation case this nurse may have. They are making her infection her fault to avoid legal liability. They gave her the wrong equipment to work in to begin with.

Follow the money.

(Edited due to typing while exhausted.)
Click to expand...


If she survives it :/
 
CTFIREBATTCHIEF

CTFIREBATTCHIEF

Veteran Member
msswv123 said:
CNN getting ready to interview nurses holding signs

host said they are saying don't blame us for not following protocol when there is no protocol


COMING UP NEXT


Looks like they are having a protest of some type



Just said they have moved the boston patient to another hospital ...beth Israel or something




The nurses are saying they are asking for training..not being given information....not told how to handle waste....saying then when they are infected they are blaming them



They are being asked to risk their lives caring for these patients without the proper training, equipment and information to do this. Been asking for training for a couple months and are not getting it.
Click to expand...

Those nurses are right pissed and they should be. The nitwit running the CDC has a lot of chestnuts blaming the Nurse for not following procedures (or saying that in so many words) when they are being suited up to BSL 2 levels on a BSL4 level disease. I hope they head to Atlanta, drag this guy out of his office and give him an enema that he'll never forget!

On a personal note, I've been hasmat trained for many years and have spent a lot of time in Hazmat level A suits. They are the closest thing to BSL 4 protection and they are a royal pain in the ass to work in, to put on and to take off. You need people who know what they are doing to even be in those things. That takes training, not power point presentations or the E-mail of the day. Hands on training. You need a robust decontamination team with you and people to help you in and out of those suits. That takes training, lots of it. And that costs money!

And there is the rub, most places will not spend the money to do proper training unless a gun is held to their heads to make them do it. If nursing organizations are already demonstrating about the lack of training and proper equipment they are getting. Hell that's not a gun to the heads of corporate, that is the main battery of the New Jersey pointed at their heads with the gunners fingers on the pistols.

I won't even go into about the lack of protection and hands on training that the EMS and Fire community is dealing with right now.
 
A

Aunt Pittypat

Contributing Member
Possible Impact said:
logo_asm2009.gif



Rapid Diagnosis of Ebola Hemorrhagic Fever by Reverse
Transcription-PCR in an Outbreak Setting and Assessment of
Patient Viral Load as a Predictor of Outcome

http://jvi.asm.org/content/78/8/4330.full
an extract:

The retrospective analysis of 45 cases demonstrates a number of interesting aspects
of clinical virology that highlight some general features of ebolavirus infections. The
most obvious feature revealed by the Q-RT-PCR analysis was the extremely rapid
accumulation (days 0 to 2 after the onset of symptoms) of genomic-sense RNA
in patients with fatal outcomes. The RNA copy number (per milliliter of serum)
throughout the course of the disease averaged 2 log10 higher than that in patients
who survived. The average peak titer of cases with a fatal outcome was 3.4 × 109,
while that for cases with a nonfatal outcome was 4.3 × 107 RNA copies/ml. A
marked difference in viral load was previously observed with Zaire ebolavirus (5,
16) and Lassa fever virus (13), for which high levels of viremia, especially early in
the course of disease, were associated with poor outcomes. From the standpoint of
the predictive capability of Q-RT-PCR, a correct prediction of disease outcome can be
correctly assigned >90% of the time if a patient's maximum RNA titer reaches ≥108
RNA copies/ml within 8 days after the onset of symptoms.
​




Pig & monkey studies also show Rapid increase in viral copies on day 1 post infection.
(1x 10 9th copies per mL blood is common )

(they mark "post infection" in lab studies, "post symptoms" for human studies...)
Click to expand...

This is the essence of the confusion, right? Those of us who have read some studies about ebola have realized that the CDC is minimizing this issue to the extent that seems, at best, incompetent, and, at worst, dangerously negligent.

So, IF they're telling the truth about just how contagious this virus is and when it becomes contagious, we will know by the outcome. If the family and the rest don't get it, then that means that the CDC assessment is correct -- at least at this stage. (And I would have to see them being interviewed on TV by someone I trust before I'd believe that.)

If, on the other hand, the outcome is notably different, then we'll know that the available scientific studies are the only credible sources of information, and not the CDC. And that means that we would have to assess scientific information about this infectious disease on our own. In my case, although my husband works at a large hospital here in Texas and may have some inside information occasionally, I do not have a scientific background and would just have to guess about the risk.

But. But the nurse's infection adds a whole 'nuther set of questions on several different levels -- not the least of which is the integrity of the CDC as well as the capacity for hospitals to handle this. (And from what I've seen from a recent hospital visit and from what I've heard, local hospitals would become overwhelmed fast.)
 
S

snoozin

Veteran Member
Here is how the transmission happened:

http://nypost.com/2014/10/11/the-agonizing-last-days-of-the-first-us-ebola-patient/

Finally, at 2 p.m. on Sept. 30, doctors received the confirmation that all had been dreading: “Patient has tested positive for Ebola…” The staff attending to Duncan traded their gowns and scrubs for hazmat suits and attendants would scrub the room with bleach.

This was AFTER 40+ hours of nursing care, since he was hospitalized on the 28th.
 
B

Beach

Veteran Member
snoozin said:
Here is how the transmission happened:

http://nypost.com/2014/10/11/the-agonizing-last-days-of-the-first-us-ebola-patient/

Finally, at 2 p.m. on Sept. 30, doctors received the confirmation that all had been dreading: “Patient has tested positive for Ebola…” The staff attending to Duncan traded their gowns and scrubs for hazmat suits and attendants would scrub the room with bleach.
Click to expand...

Wow. So we really should expect to see more staff infected. So sad, this really was avoidable.

Good catch!
 
B

bassgirl

Veteran Member
CTFIREBATTCHIEF said:
Those nurses are right pissed and they should be. The nitwit running the CDC has a lot of chestnuts blaming the Nurse for not following procedures (or saying that in so many words) when they are being suited up to BSL 2 levels on a BSL4 level disease. I hope they head to Atlanta, drag this guy out of his office and give him an enema that he'll never forget!

On a personal note, I've been hasmat trained for many years and have spent a lot of time in Hazmat level A suits. They are the closest thing to BSL 4 protection and they are a royal pain in the ass to work in, to put on and to take off. You need people who know what they are doing to even be in those things. That takes training, not power point presentations or the E-mail of the day. Hands on training. You need a robust decontamination team with you and people to help you in and out of those suits. That takes training, lots of it. And that costs money!

And there is the rub, most places will not spend the money to do proper training unless a gun is held to their heads to make them do it. If nursing organizations are already demonstrating about the lack of training and proper equipment they are getting. Hell that's not a gun to the heads of corporate, that is the main battery of the New Jersey pointed at their heads with the gunners fingers on the pistols.

I won't even go into about the lack of protection and hands on training that the EMS and Fire community is dealing with right now.
Click to expand...

Bingo!...cost big bucks. And you know the Texas hospital is hating all this right about now.
 
Hawkgirl_70

Hawkgirl_70

Veteran Member
No one is going to impeach the Black Man. He could kill a guy on live TV and they wouldn't impeach him.
So gird your loins and hang on for more pandemonium. He's not going anywhere.

skip1 said:
This is something that will turn all against Obama ... He will be impeached by the House and be found guilty by trial in Senate.
Click to expand...
 
Baloo

Baloo

Veteran Member
Beach said:
Wow. So we really should expect to see more staff infected. So sad, this really was avoidable.

Good catch!
Click to expand...

I don't know if this is a good catch. I thought at the CDC conference they denied she saw Duncan in this early phase--when the article says basically there was no protection for HCW.

Even, so, after that they only used Lv2 Protection--so article is useless.
 
mzkitty

mzkitty

I give up.
Seal off Texas Now! ‏@TX_Quarantine 16m16 minutes ago

#Dallas is doomed. The spread has started. I predict 1000's dead by thanksgiving! http://www.huffingtonpost.com/2014/10/12/ebola-texas_n_5972246.html … #EbolaDallas #Ebola


Fla Cracker ‏@TheFlaCracker 9m9 minutes ago

If there was a “breach of protocol” they would have known it when it happened. #LIAR #teaparty #tcot #irca #knyhbt #ebola #dallas


Mother Goose ‏@ClasicMthrGoose 7m7 minutes ago

“@AmericanThinker: Ebola-infected Dallas hospital worker followed all CDC procedures http://bit.ly/1sswwKn ” #Ebola #Dallas #Panic

October 12, 2014
Ebola-infected Dallas hospital worker followed all CDC procedures
By Thomas Lifson

A just-concluded press conference in Dallas, featuring grim-faced officials, revealed that the anonymous worker at the hospital who came down with Ebola followed all CDC procedures, including the use of an isolation suit. Nonetheless, we were told not to worry.

Yeah, right. Are they trying to convince people that we are being lied to? When they as good as admit they don’t know how to prevent infections, then telling us to be confident in their medical response accomplishes just the opposite: it spreads panic.

Meanwhile, we are lectured to trust them and to keep allowing people form the plague region into the United States because their oh-so-effective measures will catch people who have a 21 day incubation period.

This is just amazing. Why would anyone believe people who in effect say, “We don’t know how to prevent transmission of the disease, but trust us, and don’t worry.”

Read more: http://www.americanthinker.com/blog...=twitterfeed&utm_medium=twitter#ixzz3FyEf1bIi
 
Baloo

Baloo

Veteran Member
bassgirl said:
Bingo!...cost big bucks. And you know the Texas hospital is hating all this right about now.
Click to expand...

Its not this. LV4 is not available. You need pressurized systems, it takes a long time to build it. Yes its expensive but its not just $.

The issue is TPTB are experimenting because if there is a widespread epidemic LV4 is not possible. There are only 20 Lv4 beds in the USA.
 
S

snoozin

Veteran Member
Baloo said:
I don't know if this is a good catch. I thought at the CDC conference they denied she saw Duncan in this early phase.
Click to expand...

At the CDC conference, the doctor said she had contact with Duncan during his SECOND admission, starting the 28th.
 
anney

anney

Veteran Member
snoozin said:
Here is how the transmission happened:

http://nypost.com/2014/10/11/the-agonizing-last-days-of-the-first-us-ebola-patient/

Finally, at 2 p.m. on Sept. 30, doctors received the confirmation that all had been dreading: “Patient has tested positive for Ebola…” The staff attending to Duncan traded their gowns and scrubs for hazmat suits and attendants would scrub the room with bleach.

This was AFTER 40+ hours of nursing care, since he was hospitalized on the 28th.
Click to expand...

Wow....more HCW will possibly show up with ebola...and nope, it was not her fault....
 
B

Beach

Veteran Member
Baloo said:
I don't know if this is a good catch. I thought at the CDC conference they denied she saw Duncan in this early phase--when the article says basically there was no protection for HCW.

Even, so, after that they only used Lv2 Protection--so article is useless.
Click to expand...

Early phase was on the 24th. He went to the hospital the 2nd time on the 28th and was tested. Results came in on the 30th according to that article, which is when they changed from gowns and masks to being suited up.

He was being cared for from the 28th to the 30th while HCW were in regular hospital garb.
 
A

Aunt Pittypat

Contributing Member
snoozin said:
Here is how the transmission happened:

http://nypost.com/2014/10/11/the-agonizing-last-days-of-the-first-us-ebola-patient/

Finally, at 2 p.m. on Sept. 30, doctors received the confirmation that all had been dreading: “Patient has tested positive for Ebola…” The staff attending to Duncan traded their gowns and scrubs for hazmat suits and attendants would scrub the room with bleach.

This was AFTER 40+ hours of nursing care, since he was hospitalized on the 28th.
Click to expand...

I CAN NOT BELIEVE THIS! Am I reading this right? The staff who cared for Duncan wiped up his blood, vomit, excrement and sweat, knowing full well that he had a Level IV contagious disease, with nothing to protect them other than gowns and scrubs???? What!!!! Did they want to be candidates for Darwin Awards????

WHO the hell is responsible for this level of stupidity and negligence? The CDC? If so, the director should be fired today. Now. The hospital? Shut the damn place down and fire the management today. Now.
 
SusieSunshine

SusieSunshine

Veteran Member
bassgirl said:
Thank you everyone who posted the news feeds from earlier today. I watched both of them.

I am a critical care nurse with some management experience.

I heard them say they are expecting more cases and have turned their whole 24 bed ICU into an Ebola isolation unit. Wow. That's big.

I am telling you that sends all kinds of warning flags up to me. The ER I get because of staffing or case loads, it happens. But to turn a whole ICU into an Ebola isolation ward is a whole other ball game.

They are either in way over kill mode or they are really expecting something.

No hospital is going to shut down a 24 bed ICU on a "caution contingency"

And with 19 workers off who is suppose to staff this 24 bed unit? Not that many ICU nurses around that I know of.

And lol about the judge guy he was waaayyyy less cocky the second time around. Hard to believe it was the same guy.

And I feel for those who are caring for this nurse now. Their anxiety level has got to be thru the roof. Pray for them and the nurse who is sick.
Click to expand...

Thank you for your input. We all need God's protection as the imp in charge keeps trying to kill America.
 
Baloo

Baloo

Veteran Member
Beach said:
Early phase was on the 24th. He went to the hospital the 2nd time on the 28th and was tested. Results came in on the 30th according to that article, which is when they changed from gowns and masks to being suited up.

He was being cared for from the 28th to the 30th while HCW were in regular hospital garb.
Click to expand...

Doesnt matter. The garb they eventually had was LV2, this is a LV4 pathogen.
 
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