HEALTH MAIN EBOLA DISCUSSION THREAD -09/01/14 - 09/15/14

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Be Well

may all be well
Again from PFI, same link, Pixie's bolding and colors.


[I realize it's from "The Guardian" but the actual info is from Médecins sans Frontières, and they are heroes and saints.] Posted for fair use/discussion/good stuff etc

Ebola outbreak: call to send in military to West Africa to help curb epidemic

Head of Médecins sans Frontières urges UN to dispatch disaster response teams as cases and deaths continue to surge

Sarah Boseley, health editor

The Guardian, Tuesday 2 September 2014 10.23 EDT
http://www.theguardian.com/society/2014/sep/02/ebola-outbreak-call-send-military-curb-epidemic

Military teams should be sent to West Africa immediately if there is to be any hope of controlling the Ebola epidemic, doctors on the frontline told the United Nations on Tuesday, painting a stark picture of health workers dying, patients left without care and infectious bodies lying on the streets.

The international president of Médecins sans Frontières, Dr Joanne Liu, told member states that although alarm bells had been ringing for six months, the response had been too little, too late and no amount of vaccinations and new drugs would be able to prevent the escalating humanitarian disaster.

"In West Africa, cases and deaths continue to surge," she said. "Riots are breaking out. Isolation centres are overwhelmed. Health workers on the frontline are becoming infected and are dying in shocking numbers.

"Others have fled in fear, leaving people without care for even the most common illnesses. Entire health systems have crumbled."

She said Ebola treatment centres had been reduced to places where people went to die alone.

"It is impossible to keep up with the sheer number of infected people pouring into facilities. In Sierra Leone, infectious bodies are rotting in the streets," she said. "Rather than building new Ebola care centres in Liberia, we are forced to build crematoria."


The World Health Organisation estimated last week that 20,000 people in Guinea, Liberia and Sierra Leone have been infected over three months. Médecins sans Frontières has doubled its staff of volunteer doctors in the region but is unable to cope.

The epidemic can be stopped, said Liu, but only if governments send in their biohazard teams and equipment.

"Many of the member states represented here today have invested heavily in biological threat response," she said at the UN. "You have a political and humanitarian responsibility to immediately utilise these capabilities in Ebola-affected countries.

"To curb the epidemic, it is imperative that states immediately deploy civilian and military assets with expertise in biohazard containment. I call upon you to dispatch your disaster response teams, backed by the full weight of your logistical capabilities. This should be done in close collaboration with the affected countries. Without this deployment, we will never get the epidemic under control."


Money is no longer the main issue, according to MSF, and voluntary help is not enough. Skilled and well equipped teams are needed on the ground.

Governments should send in military and civilian experts who can scale up the numbers of isolation centres and deploy mobile laboratories that can be used to diagnose more cases.

Military-style operations are required to establish dedicated air bridges to move personnel and equipment around West Africa and a regional network of field hospitals must be built to treat medical staff who are infected or suspected of being infected. About a tenth of the deaths have been among health workers.

"We must also address the collapse of state infrastructure," Liu said. "The health system in Liberia has collapsed. Pregnant women experiencing complications have nowhere to turn.

"Malaria and diarrhoea, easily preventable and treatable diseases, are killing people. Hospitals need to be reopened and newly created."

Lastly, she said, there must be a change of approach by affected countries. "Coercive measures, such as laws criminalising the failure to report suspected cases, and forced quarantines, are driving people underground.

"This is leading to the concealment of cases, and is pushing the sick away from health systems. These measures have only served to breed fear and unrest, rather than contain the virus."


Liu was speaking as nurses in Liberia went on strike for better pay and equipment to protect themselves from Ebola.

John Tugbeh, spokesman for the strikers at John F Kennedy hospital in Monrovia, said the nurses would not return to work until they are supplied with "personal protective equipment (PPEs)", the hazmat-style suits that guard against infectious diseases.

"From the beginning of the Ebola outbreak we have not had any protective equipment to work with. As a result, so many doctors got infected by the virus. We have to stay home until we get the PPEs," he said.

The surgical section at John F Kennedy hospital is the only trauma referral centre in Liberia. The hospital closed temporarily in July owing to the infections and deaths of an unspecified number of health workers who had been treating Ebola patients.

"We need proper equipment to work with [and] we need better pay because we are going to risk our lives," Tugbeh said.

The UN has also warned of serious food shortages as a result of restrictions on movement in the Ebola-hit countries. "Access to food has become a pressing concern for many people in the three affected countries and their neighbours," said Bukar Tijani, Food and Agricultural Organisation regional representative for Africa.

"With the main harvest now at risk and trade and movements of goods severely restricted, food insecurity is poised to intensify in the weeks and months to come."
 

amarah

Contributing Member
I work in a hospital as an RN providing direct patient care.I asked my manager today if she knows of any guidelines that have come to the hospital from the CDC,or of any contingency plans in place at our hospital if ebola were to become a threat in our area.

She replied none that she is aware of,but we do have policy/ procedure in place for dealing with disasters in general,and have conducted mock drills for biohazard and decontamination.

As anyone who works in the healthcare field knows,we are woefully inadequate at dealing with ANY outbreak of this magnitude.There are a limited amount of negative isolation rooms in each hospital,PPE is inadequate,as our isolation gowns are paper thin ,fluid permeable and do not even cover you below the knees!

And emergency rooms are a petrie dish of infection in the best of times!

My husband works in a hospital as well.I don't have much faith that at least 1 of us wouldn't be exposed inadvertantly if this virus is not stopped soon!

I was always mentally prepared to some extent for your garden variety doom.Economic collapse,WW3,terrorism etc but for me,this ebola doom came out of left field.This isn't the way I wanted to go out!!!
 
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summerthyme

Administrator
_______________
I wonder if he isolated himself soon enough, or did he unknowingly infect a few of his patients first.

We'll probably find out... and in the process, find out whether or not it's true that this "new" Ebola is able to be transmitted BEFORE symptoms appear.

If some of the obstetric patients become infected, we're screwed.

Camp Fooked is about to become VERY crowded.

Summerthyme
 
Ebola spreads to Kaduna, records first suspected case

on September 02, 2014 / in News 9:00 pm / Comments


By Luka Binniyat

KADUNA – Kaduna State may have recorded its first case of the Ebola virus infection. The Public Relations Officer of the Ahmadu Bello University Teaching Hospital, ABUTH, Mallam Bilyaminu Umar, Tuesday told our correspondent on phone that a law student from ABU has been admitted at the ABUTH Specialist Hospital, Shika, Zaria with signs similar to that of the Ebola lethal fever.

“I am presently not in town. But I can tell you that a law student who has been ill for some times, has shown signs of the Ebola fever. But we are still studying the development. He has already been quarantine. And all safety measures are in place. So there is no need for panic. I cannot tell you more than this”, he said.

Confirming the development to Vangaurd, Kaduna State commissioner for Health, Dr Thot Dogo said : “The hospital (ABUTH) authorities alerted the Ministry when it suspected that a student who is a Law undergraduate of ABU, Zaria started showing some signs of ebola symptoms like high fever and rashes on his body after over a week he was admitted at the hospital.

“The blood sample of the patient has been taken to a laboratory in Lagos for tests, which will come out by Tuesday next week.

“The outcome of the laboratory result will determine further actions.

“The state government has provided the hospital management with protective equipment for its team of medical personnels attending to the patient,” he said.

The Deputy Governor of Kaduna state, Ambassador Nuhu Bajoga, who is the Chairman, Kaduna state Ebola Prevention and Control Committee, told Vanguard on phone, that the situation should not cause any anxiety in the state.

“Kaduna state Governor, Dr. Mukhtar Ramalan Yero, in his wisdom, has disignated three Ebola quarantine and prevention centers in the three senatorial zones of the state just for this kinds of emergencies. We have all the equipment and the personnels and two of the sites are ready.

- See more at: http://www.vanguardngr.com/2014/09/ebola-spreads-kaduna-records-first-case/#sthash.KpfEyhRA.dpuf

_
MY COMMENT: Kaduna State is a little north of the center of Nigeria. And Kaduna is just north of Abuja where that other pending suspect case is.
 

amarah

Contributing Member
There is an Official Ebola Thread on survivalistboards.com that I have been following.Much of the same info as here but some of you may be interested.Good discussion and links.
 

Possible Impact

TB Fanatic
logo_ncs_df.png


Ebola response must be based on ‘scientific evidence, not on fear,’
urge top UN officials

http://www.un.org/apps/news/story.asp?NewsID=48620

A WHO staff gets her body temperature checked at Lungi Airport, Freetown, Sierra Leone.
Photo: WHO Sierra Leone
2 September 2014 – Misinformation about Ebola can only exacerbate an
already fragile situation, said United Nations officials at the highest level
today, urging international action and solidarity to help West African
countries deal with the myriad health and socioeconomic impacts of
current outbreak of the deadly virus.

“The fear factor plays a strong role in the crisis. I encourage the Member
States and businesses and individuals as well, to take decisions based on
scientific evidence, not on fear,” urged UN Deputy Secretary-General Jan
Eliasson, as he opened a high-level briefing for Member States at UN
Headquarters in New York on the Organization’s response to the
unprecedented outbreak.

The latest number of Ebola virus disease (EVD) cases in affected countries
Guinea, Liberia, Nigeria, and Sierra Leone, stands at 3,069, with over
1,552 deaths, making this the largest Ebola outbreak ever recorded. An
unprecedented number of health care workers have also been infected and
died due to this outbreak.

Joining the Deputy Secretary-General were other senior UN officials
including Dr. Margaret Chan, Director-General of the World Health
Organization (WHO), Dr. David Nabarro, the Senior United Nations System
Coordinator for Ebola, Anthony Lake, Executive Director of the UN
Children’s Fund (UNICEF), and Hervé Ladsous, Under-Secretary-General
for Peacekeeping Operations.

“The outbreak is more than a health crisis,” said Mr. Eliasson, explain that
the health systems in the affected countries are overwhelmed by the
magnitude and complexity of the problem. These countries are finding it
extremely difficult to cope, and as such, the international community must
step up its efforts and help boost the capacity of the affected countries and
their health systems.

“As far as the UN is concerned, this is one of the most serious health
challenges we have ever faced. The reality on the ground is no different
from those caused by natural calamities and conflicts of great magnitude –
and in some ways even more difficult with dire consequences in several
other areas of society,” Mr. Eliasson said.

There have been strong responses by Governments, multilateral and
regional organisations, UN agencies, non-governmental organizations and
other partners. At the country level, an enormous amount of work is
already being done by the UN Missions, peacekeeping operations and UN
Country Teams.

Mr. Eliasson went on to say that the Secretary-General has established a
United Nations System Ebola Virus Disease coordination mechanism to be
guided by leadership provided by WHO and Dr. Nabarro, who just returned
from visiting affected countries in West Africa.

“But we cannot do it alone. We need effective strategies, partnerships, and
capacities. There cannot be any weak links in this operational chain. We
also need to think in unconventional terms and demonstrate speed and
flexibility in defining and executing our strategies,” Mr. Eliasson said.

Explaining that the UN is faced with severe strains on its own staff working
in such difficult conditions, he said: “We may need to involve Member
States in this coordination task. I recall the Tsunami in Southeast Asia and
the Haiti earthquake when we had a more active role of Member States in
those operations.”

Meanwhile, on the ground, disruptions in food trade in the three West
African countries most affected by Ebola have made food increasingly
expensive and hard to come by, the UN Food and Agriculture Organization
(FAO) warned today.

“Access to food has become a pressing concern for many people in the
three affected countries and their neighbours,” said Bukar Tijani, FAO
Regional Representative for Africa in a statement to the press.

In Guinea, Liberia, and Sierra Leone, quarantine zones aimed at combating
the spread of the virus have seriously curtailed the movement of food. This
has led to panic buying, food shortages and significant food price hikes on
some commodities, according to an alert issued by FAO's Global
Information and Early Warning System (GIEWS).

Labour shortages on farms due to movement restrictions and migration to
other areas will seriously impact farm production, jeopardizing the food
security of large numbers of people.

“With the main harvest now at risk and trade and movements of goods
severely restricted, food insecurity is poised to intensify in the weeks and
months to come. The situation will have long-lasting impacts on farmers'
livelihoods and rural economies,” Mr. Tijani added.

Guinea, Liberia and Sierra Leone are all net cereal importers, with Liberia
being the most reliant on external supplies. However, the closure of border
crossings and the isolation of border areas where the three countries
intersect are sharply increasing food prices. For example, in Liberia, the
price of cassava – drought-tolerant crops – went up 150 per cent within
the first weeks of August.

“Even prior to the Ebola outbreak, households in some of the affected
areas were spending up to 80 percent of their incomes on food,” said
Vincent Martin, Head of FAO’s Dakar-based Resilience Hub, which is
coordinating the agency's response.

“Now these latest price spikes are effectively putting food completely out
of their reach. This situation may have social repercussions that could lead
to subsequent impact on the disease containment,” Mr. Martin added.

According to WHO, the latest official number of Ebola virus disease cases
in Guinea, Liberia, Nigeria, and Sierra Leone stands at 3,069, with over
1,552 deaths, making this the largest Ebola outbreak ever recorded.

It is critical that rural communities understand which practices pose the
highest risks of human-to-human transmission as well as the potential
spill-over from wildlife. Toward that end, the FAO has activated its
networks to help sister agencies communicate risk to affected populations.

Meanwhile, to meet short-term food relief needs, the UN World Food
Programme (WFP) has launched an emergency aid operation targeting
some 65,000 tonnes of food to 1.3 million people in health centres and
quarantine areas.

In a statement today, WFP Regional Director for West Africa, Denise
Brown, said that her agency was also multiplying efforts to bring food
assistance to people in need and to provide logistical support to sister
agencies working to contain the virus.

WFP is deploying a total of 50 additional staff across the three most
affected countries and is urging it needs $70 million to carry out its aid
operations through November.

Meanwhile, yesterday in Dakar, Said Djinnit, Special Representative of the
UN Secretary- General for West Africa (SRSG), held a meeting with the
heads of UN regional support teams to review ongoing efforts made to
eradicate Ebola and provide support to people affected.

According to a statement released today by the UN Office for West Africa
(UNOWA), the Special Representative and the Regional Directors deplored
the ongoing socio-economic consequences of Ebola, including in particular
the isolation of the affected countries with the risk of stigmatizing people.

The solution is not in travel restrictions but in ensuring that effective
preventive and curative health measures are put in place. International
resource mobilization is critical as food insecurity could further undermine
national government efforts, they reiterated.



^^^ Did you notice they don't let Airport Screeners even wear a mask anymore?
(So as not to Stigmatize Ebola victims.) <--<<< Really! :screw:
 

Mark D

Now running for Emperor.
With the harvest appearing to be in jeopardy, I'm gonna step forward and say, "A goodly portion of Africa is doomed." And with it, a good portion of the globe.

Combine regional incompetence at every level of government, a failed harvest, popular ignorance/superstition, panic, hunger, greed, and an ever expanding pile of liquified corpses... Well shoot, it's only academic that we're gonna see hordes of people streaming out of the hot zone into any avenue of escape they can find or force.

With the multitude of reports we have read about contagious pre-symptomatic victims, a multi-week incubation, false-negative tests, and willful ignorance on the part of the medical community; this virus is gonna kill a BUNCH of people. I dare say it's gonna jump out of Africa in a big way at some point: probably when some family sees their neighbors drop dead in a puddle of their own fluid, and they catch the last plane out of town to some overpopulated destination that stupidly refused to stop air travel because it wasn't politically correct... BAM! Now you have EVD in the immigrant slums of Europe, or, any part of India, or SE Asia.

"We", the global "We", aren't gonna pull our heads out of our butts until it is FAR too late. Hundreds of thousands, if not a few million, will die because too many functionaries were afraid of being called racist when it was early enough to implement practical safeguards.

Thankfully, my track record at being a prophet really sucks, so hopefully, hopefully, my speculation here will sound off-base and paranoid a year from now.

^^^ Did you notice they don't let Airport Screeners even wear a mask anymore?
(So as not to Stigmatize Ebola victims.) <--<<< Really! :screw:

Heaven forbid that we treat someone infected with one of the most lethal diseases known to man any differently than a healthy person.:screw:
 

bw

Fringe Ranger
Just saw a doctor friend and asked him whether he was staying current on the Ebola story. He said it's a real serious situation in Africa, but not likely to come here. The best thing about it is that it's communicable only by directly touching body fluids of an infected person, so you can't catch it through the air.

He's a bright young man, been practicing maybe six or eight years, and no dummy. But he seems to have swallowed the kool-aid.
 

Melodi

Disaster Cat
People forget it is only a short boat ride from North Africa to Europe, people do it every day by the hundreds and it has already hit crises levels in Italy; right now a lot of them are trying to escape the chaos in Libya but also the poverty of places further South. Even if Italy were to try and simply turn back (or even blow up) every boat of refugees in the water, some would still make it to shore; not that such a reaction would be politically palatable right now but people faced with a fear of disease they see as a real threat will do all kinds of things.

Once in Italy and other Southern European countries, the Africans are often stuck in large over-crowded refugee centers; the perfect breeding ground for spreading something like this disease and of course EU citizens work in those places and then go home to their families.

I'm not saying it will spread this way but it is another vector to be concerned about (just like it is at the US boarder only this actually is people coming directly from the affected landmass); I think it is more likely that it would go global from something like the exposure of hundreds at the Hajj or other international convention/meeting/festival/games etc but boat people simply can't not be overlooked and of course neither can "plane people" including those like the diplomat who traveled in Africa, it won't surprise me if the next "Mr. Big" is found in London, Paris, Atlanta or India; evacuated in his private plane and a senior government official or even national leader.

This is scary stuff, at the very least it probably is going to destroy chunks of Africa when the food isn't brought in and the transportation breaks down totally; the rest of the world may or not be seriously affected but it sure could be.
 

bw

Fringe Ranger
With the multitude of reports we have read about contagious pre-symptomatic victims, a multi-week incubation, false-negative tests, and willful ignorance on the part of the medical community; this virus is gonna kill a BUNCH of people. I dare say it's gonna jump out of Africa in a big way at some point: probably when some family sees their neighbors drop dead in a puddle of their own fluid, and they catch the last plane out of town to some overpopulated destination that stupidly refused to stop air travel because it wasn't politically correct... BAM! Now you have EVD in the immigrant slums of Europe, or, any part of India, or SE Asia.

It's the African governments that are in denial, and Western governments that are maintaining some kind of wishful willful ignorance. The people who live in Africa sound like they know the score, or are catching on fast. As the exodus kicks into high gear, the landing zones won't have any mechanism in place to screen them and stop the infection.

I'm increasingly of the opinion that infected people MUST already be in the US.
 
Below is a conversation that Pixie and I had over at the PFI Forum.


Pixie,

Kaduna State is just north of the center of Nigeria. And Kaduna is north of Abuja which is in the adjacent State just to the south of Kaduna State. From the map it appears that the two towns are linked by a road.

I believe that there is a pending case in Abuja too.
_________



Pixie wrote:
There is. The suspect patient about which they said, chillingly: "Clinical assessment however did not reveal any history of contact or travel." So if that patient tests positive, it's a whole, new, nightmare.

Also Dr. Iyke Enemoah's sister, Chinyere, had fled to Ajuba before being retrieved and placed into isolation (she's symptomatic).


MY COMMENT:
And the results of the testing on that dead patient are a day overdue. Something may be cooking here.

Suspected Ebola Victim Dies In Abuja Hospital
Abuja, By Catherine Agbo
— Sep 1, 2014 | 1 Comment
A patient suspected to have been infected with the deadly Ebola virus has died at the Asokoro Hospital Abuja.

The suspected patient, who exhibited symptoms similar to those of persons infected with the virus died at the hospital last Friday.

Following the death of the patient, the Accident and Emergency Unit of the hospital where the patient was being treated has been cordoned off and the accident and emergency unit has been temporarily relocated to the General outpatient unit (GOPD). Similarly, a list of all medical staff who had come in contact with the patient has been compiled and they are all under surveillance.

According to a statement by the FCT Health and Human Services Secretariat, on Thursday August 28, 2014 when the symptoms were observed, blood samples of the patient were taken for examination at the designated FCT Ebola testing laboratory which happens to be within the Hospital premises and the epidemiology unit of the Public Health Department of the secretariat was notified and the unit had responded.

The statement signed by the secretariat’s head of public relations, Badaru Yakassai, explained that the results of the Ebola test were being expected from the laboratory four days later (yesterday), before the patient died.

“The Family Medicine unit of Asokoro District Hospital suspected Ebola disease in a patient on admission at the Accident and Emergency unit on the 28th of August 2014 and immediately isolated the patient. Strict infection control measures were immediately instituted. Blood sample was then taken to the designated FCT Ebola testing laboratory which happens to be within the hospital premises. The epidemiology unit of Public Health Department of the Health and Human Services Secretariat was notified and their response was immediate. The results of the Ebola test was being expected from the laboratory four days later, on Monday the 1st of September 2014.

“The case also served as a drill case to test the preparedness of the hospital to manage and contain the Ebola disease. Clinical assessment however did not reveal any history of contact or travel. However in view of the high index of suspicion, isolation and strict infection control measures were continued and the unit was condoned off. Unfortunately, the patient died the next day, Friday 29th August 2014. The accident and emergency unit was temporarily relocated to the General Outpatient Unit (GOPD). A list of all medical staff who had come into contact with the patient has been compiled and they are all under surveillance,” Yakassai explained in the statement.

The secretariat however advised residents of the territory not to panic as a case of Ebola has not been confirmed at the hospital, adding that the measures that have been put in place are only precautionary in the interest of public safety.
http://leadership.ng/news/382699/suspected-ebola-victim-dies-abuja-hospital
_________________
 

kittyknits

Veteran Member
It's the African governments that are in denial, and Western governments that are maintaining some kind of wishful willful ignorance. The people who live in Africa sound like they know the score, or are catching on fast. As the exodus kicks into high gear, the landing zones won't have any mechanism in place to screen them and stop the infection.

I'm increasingly of the opinion that infected people MUST already be in the US.

I agree with your post and especially with your last sentence. There were a couple of good articles at the end of the last thread (now closed) regarding all the students coming here from West Africa and what the universities planned to do--basically, have them take their temps and have "talks" with them, then see how they are 21 days later.
 

Tennessee gal

Veteran Member
It's the African governments that are in denial, and Western governments that are maintaining some kind of wishful willful ignorance. The people who live in Africa sound like they know the score, or are catching on fast. As the exodus kicks into high gear, the landing zones won't have any mechanism in place to screen them and stop the infection.

I'm increasingly of the opinion that infected people MUST already be in the US.

I agree bw! With thousands of foreign students, the border wide open, and air travel it will show up here.
 

Mark D

Now running for Emperor.
I agree with your post and especially with your last sentence. There were a couple of good articles at the end of the last thread (now closed) regarding all the students coming here from West Africa and what the universities planned to do--basically, have them take their temps and have "talks" with them, then see how they are 21 days later.

Quarantine is too racist a word in 2014 USA... Public health and welfare be damned.
 

Possible Impact

TB Fanatic
Ebola: Panic at LUTH over death of patient

September 2, 2014 by Bukola Adebayo
http://www.punchng.com/news/fear-ov...th/?utm_source=twitterfeed&utm_medium=twitter
The death of a patient, who is suspected to have Ebola, has caused panic
among patients and doctors at the Lagos University Teaching Hospital, Idi-
Araba, Lagos State.


A reliable source, who confirmed this development to our correspondent in
Lagos on Tuesday, said the patient was brought in by members of the
health authorities at the Murtala Muhammed International Airport,
Ikeja, to the hospital on Monday.


According to the doctor who was on duty when the patient was admitted
into the Accident and Emergency Unit, the patient was vomiting blood and
stooling, symptoms which are similar to that of an Ebola patient, before he
died in the early hours of Tuesday at the Spill-Over ward of the hospital.

He said, “They rushed him to the Accident and Emergency Unit, and since
he was vomiting and purging and he also had high fever, we quickly took
his temperature, it was very high. We were all scared to take his blood
samples because we were not wearing any Protective Protective
Equipment.

“We had to take him out of the emergency ward to the other spill-over
ward to avoid any form of contamination. We also reported to the Lagos
State Government so that they can take him to the Infectious Diseases
Hospital in Yaba for proper treatment. But he had started vomiting blood
by this morning , and few hours after he died.”

The doctor said that the body has being transferred to the Mainland
Hospital, Yaba, for testing and confirmation of the cause of death.

The source said, “Like I said, we could not take any blood sample when he
was alive because we were not wearing PPE, and we could not manage
him effectively because of the severity of the symptoms we saw and
considering the fact that he was coming from the airport. He could have
been coming from an Ebola-affected country.

“They will need to establish the cause of death, so as to be able to know
whether to quarantine those that he had contact with from the airport to
the hospital. LUTH does not have the facilities to handle any suspected
case of Ebola, government should know that, so they don’t keep bringing
suspected cases here. All suspected cases should be taken to IDH.”

When contacted, the LUTH Chief Medical Director, Prof. Akin Oshibogun,
said the death of the patient is still being investigated.

Oshibogun said, “We have been able to establish that this patient has no
history of Ebola or any contact with a person that had Ebola. We are only
trying to investigate the patient. If there is any new thing, we will let you
know. As long as we are in the hospital, from time to time, we will always
have high index suspicion and most times these patients turn out to be
negative.

“There is a difference between suspected or confirmed cases . We are only
investigating the case to protect our people. We have had that situation
two times in the hospital now. If we have a case we will announce it. In
the case of this patient, for the fact that a patient has high index suspicion
does not make the patient an Ebola patient. When you create panic many
nurses may decide to abandon the patients.”

A twitter handle monitored by PUNCH ONLINE also confirmed the incident.
See tweet below:
So yeah we just confirmed the rumour is true..a suspected ebola case in
luth.. we can’t say more due to px confidentiality..
— Doctors Magazine Nig (@doctorsmag) September 2, 2014


 

Possible Impact

TB Fanatic
Doctors Magazine Nig @doctorsmag · 9h
Suspected case just died after puking all over the place...
Residents have been advised to avoid emergency while disinfection takes place



Doctors Magazine Nig @doctorsmag · 9h
Lagos state just picked up the dead body of the first case..
2nd ebola suspect still critical



Doctors Magazine Nig @doctorsmag · 8h
As we speak they have run test on the second patent
and the patient is still inside the emergency ward inside Luth



Doctors Magazine Nig @doctorsmag · 8h
The patient as we speak is inside spillover ward ,
which is another arm of the emergency ward.
but authorities are stopping ppl from going in



Doctors Magazine Nig @doctorsmag · 8h
Spill over isn't a private ward.
besides there are quarantined hosp for Ebola cases already.
Luth is a large hosp.@nmanigeria @physorg_health



Doctors Magazine Nig @doctorsmag · 7h
some docs have attended to him.
and d dead one.
who knws how many other have been to d hosp like that
@WHO @YNaija @reinaLydia @ghanababyhawt



Doctors Magazine Nig @doctorsmag · 7h
Docs in luth,
at least a/e ward
dnt have protective gears and PPE kit I'm sure
(wil confirm dt nw).
yet dey have suspected cases @nmanigeria





Samsie @Samsiiiie · 4h
@nmanigeria @doctorsmag
the docs were forced to see the first px
without protective wear.
Sources from within.




Nigeria Health Watch @nighealthwatch · 7h
Please give protective equipment to our health workers!
Do not risk their lives.
http://www.theguardian.com/world/2014/sep/02/ebola-liberian-nurses-strike-lack-protective-equipment
@nmanigeria @HealthNG #Ebola #NgHlth
 

Be Well

may all be well
Samsie @Samsiiiie · 4h
@nmanigeria @doctorsmag
the docs were forced to see the first px
without protective wear.
Sources from within.

Speechless. That's the end (or near the end) of the continuum that starts with "fear of ebola is more dangerous than ebola" crapola.
 

Ozlady

Contributing Member
In case anybody missed the post with the link to "The Hot Zone" a true account of the ebola outbreak in 1976 in Reston, Virginia, here is the PDF link. http://learn.flvs.net/educator/common/EnglishIIv10/TheHotZone.pdf

Wiki's review:
Synopsis

The book is in four sections:

"The Shadow of Mount Elgon" delves into the history of filoviruses, as well as speculation about the origins of AIDS. Preston accounts the story of "Charles Monet" (a pseudonym), who might have caught MARV from visiting Kitum Cave on Mount Elgon in Kenya.

The author describes in great detail the progression of the disease, from the initial headache and backache, to the final stage in which Monet's internal organs fail and he "bleeds out" (i.e., hemorrhages extensively) in a waiting room in a Nairobi hospital. This part also introduces a young promising physician who becomes infected with MARV while treating Monet. Nancy Jaax's story is told. Viruses, and biosafety levels and procedures are described. The EVD outbreaks caused by EBOV and its cousin, Sudan virus (SUDV) are mentioned. Preston talks to the man who named Ebola virus.

"The Monkey House" chronicles the discovery of Reston virus among imported monkeys in Reston, Virginia, and the following actions taken by the U.S. Army and Centers for Disease Control.

"Smashdown" is more on the Reston epizootic, which involved a strain of the virus that does not affect humans but which easily spreads by air, and is very similar to its cousin the Ebola virus.

"Kitum Cave" tells of the author's visiting the cave that is the suspected home of the natural host animal that Ebola lives inside of.

My Comment. After reading this book it will give you a lot of info to how the politics and general attitudes of the people in charge. Also this was back when ebola did not seem to be very hard to catch, a mantra they are still portraying.
 

Hfcomms

EN66iq
As anyone who works in the healthcare field knows,we are woefully inadequate at dealing with ANY outbreak of this magnitude.There are a limited amount of negative isolation rooms in each hospital,PPE is inadequate,as our isolation gowns are paper thin ,fluid permeable and do not even cover you below the knees!

And emergency rooms are a petrie dish of infection in the best of times!


And even on this board we who should know better are not paying much attention to the Ebola threat. We think that it can't happen here because this is America and we don't live in a third world country. Ebola doesn't care. It's a level IV pathogen and it would just as soon infect us as African's living in the bush. Nobody has any immunity against this. It would probably spread slower here and perhaps give us a little more time before getting out of control but that is about all.

We have a 'just in time' delivery system in this country and that includes the medical industry. There is simply no way to gear up quickly enough to produce adequate PPE equipment and everything else needed to treat an epidemic or pandemic of Ebola cases. If it gets loose here the social and economic disorder will hit us just as hard in Africa if not harder simply because we are so dependent upon our technology to live day in and day out.

Like the children of Israel of old one would have to hole up in their home until the death angel passes. Hopefully it will never get that bad here but with a virus like this to treat it as a non event may well cost you or your family dearly. Once the panic hits in a few months forget about masks, gowns, disinfectant and all the materials that will be in very short supply.
 

mala

Contributing Member
Serious question:

Would the UN or US military have any chance at this point of stopping a pandemic and if so, how would they have to do it?
 

Mark D

Now running for Emperor.
Serious question:

Would the UN or US military have any chance at this point of stopping a pandemic and if so, how would they have to do it?

There isn't a leader or a population on the planet that has the balls to do what would be required.
 

Mark D

Now running for Emperor.
I heard a a military commander say something about B-17s. Is that what you're talking about?

To stop it now? It's too late.

Months ago, they could have implemented a HARD quarantine. No flights in or out. No movement on the roads. No shipping. PERIOD. Destroy any and all violators of the quarantine. And, implement genuine quarantine of travelers arriving from Africa who made it out before the curtain fell. Then you air drop what supplies you can, and hope they manage to get it all sorted out... Ultimately, you I.D. the original hot spots and cleanse them with fire before runners can get out. The undertaking would be enormous.

Now? Well heck. Now, I don't think there are enough nukes on the planet to sterilize all of the real estate in the greater hot zones. That's what it would take now. And, you still wouldn't catch every last infected victim; not without SERIOUS quarantine efforts in EVERY port of entry on the planet - for the next year or more.

Now? Now the genie is out of the bottle. And, we're still acting like the bottle is a a snow globe.

What might have seemed "unpalatable" early on, would have saved more lives than it took. We talked about this Ebola strain at the beginning of the year, and even the we knew it had all the qualities of a global nightmare, and yet, the folks "in charge" ignored it on an institutional level. As a result, we sit perched upon the edge of the abyss. This bug just might go all the way.
 

momengineer

Senior Member
video: man infected with ebola in market

I quickly scanned and did not see this posted, remove if a duplicate. WATCH THE VIDEO AT LINK! Note that the man was alert, upright and able to move about freely on his own steam- And he was ebola positive. The meme that one is "too sick to travel" is hogwash!

And famine will probably kill more than ebola...I would plan accordingly if/when it reaches the first world...JIT food deliveries anyone? This (pandemic) scares me....


**************************************

Ebola Patient Flees Clinic In Search For Food

Chaotic scenes as an infected man wanders into a Monrovia market to look for food are captured on video.

2:25pm UK, Tuesday 02 September 2014
http://news.sky.com/story/1328891/ebola-patient-flees-clinic-in-search-for-food

Video has emerged of Liberian ebola clinic workers dressed in contamination suits chasing an escaped patient through the streets after he left a treatment centre to visit a market.

There were chaotic scenes as crowds followed infected man, who was wearing a wristband to show he had tested positive for the disease, and some stallholders argued with him as he approached.

The patient escaped from Monrovia's Elwa hospital, which last month was so crowded with cases of the deadly disease that it had to turn people away.

One woman at the scene said: "The patients are hungry, they are starving. No food, no water.

"The government needs to do more. Let Ellen Johnson-Sirleaf [the President of Liberia] do more."

Onlookers cheered as health workers arrived in their protective outfits and try to convince the patient to give himself up.

The man, who shows no outward signs of the diarrhoea and bleeding that the virus causes, refuses to return with the health workers and they eventually grab him and carry him away to a waiting ambulance.

[snip]

There has been widespread panic buying, a shortage of staple foods and severe prices in Guinea, Sierra Leone and Liberia since movement restrictions were imposed to stop the spread of the virus.

At one market stall in Liberia, a nation which has suffered 694 fatalities so far, the price of cassava skyrocketed by 150% in a matter of days.

And despite the UN's World Food Programme launching an emergency operation to get 65,000 tonnes of supplies sent to deprived areas, many patients in quarantined areas are starving.

To compound the problem, labour shortages are expected in all three West African countries, weeks before the main harvesting season for maize and rice begins.

The production of other crops such as rubber, palm oil and cocoa could also be seriously affected, sending thousands of vulnerable people further into poverty.

Vincent Martin of the FAO added: "Even prior to the ebola outbreak, households in some of the affected areas were spending up to 80% of their incomes on food.

"Now these latest price spikes are effectively putting food completely out of their reach."
 

jed turtle

a brother in the Lord
As our evacuated staff returned to the United States from Liberia, we found wide discrepancies in how they were treated by local public health departments. One physician was quarantined for 21 days and directed not to leave the interior of the house under threat of a two-year imprisonment. In another area, our personnel were “isolated” for 21 days but only told not to leave the county. They were free to interact outside of their homes. Public health concerns can mean that a doctor serving in Liberia for two weeks may well end up missing five weeks of work.

appoint the director of THAT particular health department to head of the country.

he seems to be the only one that understands wth is going on.

look around people: our nation is being run by either idiots or criminals. you decide.

think about this: Joe Biden is next in line to be President.

don't wait for the government to decide what to tell us how to cope with ebola (or anything else).
figure it out on your own and stick with your decision.
 

jaw1969

Senior Member
Serious question:

Would the UN or US military have any chance at this point of stopping a pandemic and if so, how would they have to do it?
They would have to get all nuclear nations involved and unilaterally neutron bomb every nation affected and kill hundreds of millions but the alternative is the deaths of 4 to 6 billion and the end of modern civilization for hundreds or thousands of years. I hope I am wrong but I don't think I am.... In fact I think they will use nuclear bombs but it will be to late to do any good..
 

Mark D

Now running for Emperor.
I quickly scanned and did not see this posted, remove if a duplicate. WATCH THE VIDEO AT LINK! Note that the man was alert, upright and able to move about freely on his own steam- And he was ebola positive. The meme that one is "too sick to travel" is hogwash!

Ambulatory AND combative is apparently, "Too Sick To Travel".
 

jaw1969

Senior Member
Ambulatory AND combative is apparently, "Too Sick To Travel".

That vidio is why we are doomed all it takes is one person with 21 days to become symptomatic and moving to one of USAs inner cities some are almost as bad as a third world city Detroit comes to mind or Garry Indiana or East Chicago and bam we have hundreds of people running to the four winds GAME OVER EBOLA WINS
 

Possible Impact

TB Fanatic
Originally Posted by mala
Serious question:

Would the UN or US military have any chance at this point of stopping a pandemic and if so, how would they have to do it?
They would have to get all nuclear nations involved and unilaterally neutron bomb every nation affected and kill hundreds of millions but the alternative is the deaths of 4 to 6 billion and the end of modern civilization for hundreds or thousands of years. I hope I am wrong but I don't think I am.... In fact I think they will use nuclear bombs but it will be to late to do any good..

:dot5: Gonna need more bombs... :dot5:


Ebola Virus Antibodies in Fruit Bats, Bangladesh
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3559038/
"To determine geographic range for Ebola virus, we tested 276
bats in Bangladesh. Five (3.5%) bats were positive for
antibodies against Ebola Zaire and Reston viruses; no virus
was detected by PCR. These bats might be a reservoir for
Ebola or Ebola-like viruses, and extend the range of filoviruses
to mainland Asia."


World: Geographic distribution of Ebola haemorrhagic fever outbreaks
and fruit bats of Pteropodidae Family (as of 11 Feb 2009)
http://reliefweb.int/map/world/worl...a-haemorrhagic-fever-outbreaks-and-fruit-bats

Marburg-haemorrhargic-fever.jpg
 
Last edited:

momengineer

Senior Member
I try to see both sides of the story...IF, and it's a big IF, I were uneducated, not showing any signs of a disease, forced into a hospital where people WERE bleeding and dying, and then not getting any food on top of that....I might react the same way...I mean, many of us here have a "healthy" disrespect for our government, same there where they feel it is a conspiracy/not real, etc

But...if one knew that Ebola was a death sentence (under the conditions above), and one were "healthy" why would one not run? That is what is so frustrating when the who/CDC says no travel restrictions....it's too late now, but still...that is exactly what needs to occur!!!! This virus has mutated, it's what viruses do, any I cannot believe the bunk about "not infectious" unless symphtomatic.
 

Oreally

Right from the start
They would have to get all nuclear nations involved and unilaterally neutron bomb every nation affected and kill hundreds of millions but the alternative is the deaths of 4 to 6 billion and the end of modern civilization for hundreds or thousands of years. I hope I am wrong but I don't think I am.... In fact I think they will use nuclear bombs but it will be to late to do any good..

People have to start making plans as if this was going to be the case.

I am looking at the Southern Hemisphere.

Has anyone here read "The Coming Dark Age" by Roberto Vacca, and his remedy for this possibility?
 

Be Well

may all be well
If people don't eat fruit bats, they won't get ebola from fruit bats. Fruit bats are actually very useful creatures.

They are just NOT meant to be food for human beings!!!!
 

jaw1969

Senior Member
I just had a thought the virus stays alive outside the body for 6 day I think what is going to happen is ebola is going to grow then.. BAM it is going to explode when the virus load in the environment reaches a certain level just moving around doing daily stuff will infect many people... When every thing is contaminated there will be no chance to avoid ebola
 

Waz1152

Veteran Member
http://www.kplctv.com/story/26427137/cdc-director-ebola-epidemic-spiraling-out-of-control
CDC director: Ebola epidemic spiraling out of control
Posted: Sep 03, 2014 12:21 AM Updated: Sep 03, 2014 12:33 AM

According to the WHO, there are more than 3,000 cases of Ebola and more than 1,500 people have died from the virus in West Africa. (Source: MGN Online) According to the WHO, there are more than 3,000 cases of Ebola and more than 1,500 people have died from the virus in West Africa. (Source: MGN Online)

Dr. Tom Frieden, Director of the CDC, says that the Ebola epidemic is much worse than the numbers show. (Source: CNN) Dr. Tom Frieden, Director of the CDC, says that the Ebola epidemic is much worse than the numbers show. (Source: CNN)

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(CNN) – Dr. Tom Frieden, the director of the Centers for Disease Control and Prevention, said in a news conference Tuesday that the window to tamp down the Ebola outbreak is closing."We know how to stop Ebola, the challenge is to scale it up to stop this outbreak," Frieden said.
MORE
Another Charlotte-based missionary tests positive for Ebola

Another missionary with North Carolina ties has tested positive for Ebola, missionary group SIM USA announced Tuesday.

The American doctor was treating obstetrics patients at SIM's hospital in Monrovia. He was not treating Ebola patients, which are located in an isolation unit separate from the main hospital on the mission organization's campus.
Continue reading >>

The world needs to support those affected countries with the outbreak because the virus is not spreading in new ways, but that speed is important because the number of cases are increasing so quickly, it will be hard to stop the outbreak.

Frieden said that he outbreak is not spreading in a new way, and the CDC and governments know how to stop it, but it is a matter of resources.

"We need a global coordinated unified approach," Frieden said. "This is not just a problem for West Africa, not just a problem for Africa, it's a problem for the world, and the world needs to respond."

The first human trial of an experimental Ebola vaccine will begin this week, as the deadly outbreak continues to spread.

According to the World Health Organization, there are more than 3,000 cases of Ebola. More than 1,500 people have died from the virus in West Africa.

However, many suspect the numbers are much higher, including Frieden.

"We've seen outbreaks of Ebola before,” Frieden said. “This is the first epidemic spreading widely throughout country and many countries, and it's spiraling out of control. It's bad now, much worse than the numbers show. It's going to get even worse in the very near future and our window of opportunity to turn it around is closing, but it's not yet closed. The crucial thing we need to do is to act fast. Action today is worth much more than action within a couple of weeks or a month or two."

The Ebola vaccine trial will take place on the campus of the National Institutes of Health in Maryland.

It will first be given to healthy human volunteers to see if they suffer any harmful side effects. If deemed safe, it will then be given to another small group of volunteers.

The NIH expects to reveal the results of the trial by the end of the year.

"We know how to stop Ebola, the challenge is to scale it up to stop this outbreak," Frieden said.
 

Possible Impact

TB Fanatic
:dot5: Once you have recovered from Ebola, how about a nice round of Marburg too?
(Look at the distribution maps!)

Marburg and Ebola Viruses

http://www.fabentech.com/emerging_diseases/emerging-diseases/marburg-and-ebola-virus


Introduction
The filoviruses Ebola (EBOV) and Marburg (MARV) are responsible for acute
hemorrhagic fevers, often fatal in humans and in nonhuman primates. These viruses
are today considered among the most dangerous infectious agents to humans given
the very high mortality rate associated with these infections (for Ebola between 50
and 90% mortality depending on the strain). The natural reservoir of these viruses
has long remained unknown; today it is considered to be most likely the fruit bat.

Because of this high fatality rate and the increased frequency of new outbreaks,
filoviruses pose a serious problem in the sub-Saharan Africa region.


Courtesy of CDC- This 1995 transmission electron micrograph (TEM) revealed some of
the ultrastructural morphologic changes in this tissue sample isolate brought on due to
an Ebola hemorrhagic fever infection, including the presence of numbers of Ebola virions.


Transmission
Ebola is introduced into the human population through close contact with the blood,
secretions, organs or other bodily fluids of infected animals. In Africa, infection has
been documented through the handling of infected chimpanzees, gorillas, fruit bats,
monkeys, forest antelope and porcupines found ill or dead or in the rainforest.

Ebola then spreads in the community through human-to-human transmission, with
infection resulting from direct contact (through broken skin or mucous membranes)
with the blood, secretions, organs or other bodily fluids of infected people, and indirect
contact with environments contaminated with such fluids. Burial ceremonies in which
mourners have direct contact with the body of the deceased person can also play a
role in the transmission of Ebola. Men who have recovered from the disease can still
transmit the virus through their semen for up to 7 weeks after recovery from illness.

Health-care workers have frequently been infected while treating patients with
suspected or confirmed EVD. This has occurred through close contact with patients
when infection control precautions are not strictly practiced.
The incubation period is between 2 and 21 days after exposure.

History and Epidemiology
Marburg virus was first isolated in 1967 in the FRG (Federal Republic of Germany)
following the contamination of scientists working on African green monkeys. A total
of 31 cases of infection including 6 secondary infections (nosocomial infection) were
reported, including 7 fatal cases in this outbreak. Since then, epidemics are regularly
detected in Africa (Kenya, Zimbabwe, Congo, Angola, Uganda …).

(Click map to Embiggen)

Geographic distribution of Marburg haemorrhagic fever outbreaks
and fruit bats of Pteropodidae family​


The Ebola virus
It was first identified in 1976 after the occurrence of major epidemics in Sudan and in
a nearby area of northern Zaire (now Democratic Republic of Congo). The Ebola virus
has four subtypes: DRC, Sudan, Ivory Coast and Reston. The viral subtypes, seen in
the Democratic Republic of Congo (formerly Zaire), in Sudan and in Ivory Coast, are
pathogenic for humans while the Reston virus is so far asymptomatic.

(Click map to Embiggen)

Geographic distribution of Ebola haemorrhagic fever outbreaks
and fruit bats of Pteropodidae family

An unprecedented outbreak is currently on-going in Guinea, Sierra Leone and Liberia.
Since the beginning of the year, more than 1,000 probable, suspected and confirmed
cases were reported to the WHO, including 632 deaths as of July 2014, resulting in a
fatality rate of approx. 60%. The outbreak, the deadliest on record, is still ravaging
the three West African countries, in particular Sierra Leone where the cases
dramatically increased over the past weeks.


Ongoing outbreak: probable, suspected and confirmed Ebola cases as of 19 July 2014​

Treatment of Filovirus infections
Currently, there is no preventive vaccine or post-exposure treatment approved for use
in humans in the treatment of filovirus infections, rendering the development of such
products a high priority. Recent evidence indicates that post-exposure treatment of
Rhesus monkeys by polyclonal antibodies would protect animals from infection, paving
the way for developing new strategies for passive immunotherapy with polyclonal
antibodies in the treatment of infections Filovirus in humans (Dye and al., PNAS,
2012).


For further information on Marburg and Ebola virus:
http://www.who.int/csr/disease/marburg/en/index.html
http://www.who.int/csr/disease/ebola/en/index.html

Bibliography
Dye, J.M., Herbert, A.S., Kuehne, A.I., Barth, J.F., Muhammad, M.A., Zak, S.E., Ortiz,
R.A., Prugar, L.I., and Pratt, W.D. (2012). Postexposure antibody prophylaxis protects
nonhuman primates from filovirus disease. Proc Natl Acad Sci U S A 109, 5034-5039.

WHO. Ebola Hemorrhagic fever.
WHO. Marburg Hemorrhagic fever.
 
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