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Re: CDC confirms first Ebola case diagnosed in US
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there might have already been a cure for ebola, if the cdc was not forced to cut research due to cuts forced by the GOP.

Posted on: 2014/10/27 17:26
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MidwestTransplant wrote:
If we're going to be quarantining people who may or may not have been exposed to Ebola at some point, despite the doctors and pathologists who claims it's unnecessary and inflammatory, can we also quarantine people who don't vaccinate their children and actually spread disease?

Measles is a larger threat than Ebola, but it doesn't sell ads.


I'd be fine with both. Though remember there is no disease one can fail to get vaccinated for that is more deadly than Ebola.


Fortunately it's not very contagious in the US - as no "civilians" have caught it in the US, even with a few protocol blunders.

Posted on: 2014/10/27 17:24
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MidwestTransplant wrote:
If we're going to be quarantining people who may or may not have been exposed to Ebola at some point, despite the doctors and pathologists who claims it's unnecessary and inflammatory, can we also quarantine people who don't vaccinate their children and actually spread disease?

Measles is a larger threat than Ebola, but it doesn't sell ads.


I'd be fine with both. Though remember there is no disease one can fail to get vaccinated for that is more deadly than Ebola.

Posted on: 2014/10/27 17:20
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If we're going to be quarantining people who may or may not have been exposed to Ebola at some point, despite the doctors and pathologists who claims it's unnecessary and inflammatory, can we also quarantine people who don't vaccinate their children and actually spread disease?

Measles is a larger threat than Ebola, but it doesn't sell ads.

Posted on: 2014/10/27 17:15
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Re: CDC confirms first Ebola case diagnosed in US
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jcguy05 wrote:
The problem is while during incubation period you are not infectious, as humans we don't have built in digital alarms that goes off the second our body becomes infectious. Usually by the time you feel unwell, there is still a delay before you go take a temperature. And let's face it most people will try to tough through the discomfort of a fever until your body can't anymore.

It's wishful thinking everyone will be responsible and stay in their homes with minimum contact until the risk period has passed. we all know in reality that's never true. That moron doc has proved it. Now imagine someone without medical understanding and doesn't know even after they are symptomatic. A sneeze in a crowded subway will cause chaos, and even worse the fear that follows will do major damage to the economy.

While I agree with the nurse they should better prepared the containment housings, I absolutely disagree with her that they allow people from those high risk countries to roam free during incubation period.

Fully support Christie on his decision to quarantine until after the risk period, because the alternative is devastating...especially in high density areas like nyc and jc.


Fair point, however, it appears that it's only contagious once the person is highly symptomatic (puking, diarrhea, bleeding, etc). This might explain why no one in Duncan's family contracted ebola and two nurses did. And perhaps the nurses could have prevented contracting the disease with better protocols.

Given that, it may be an overreaction to banning flights to those who aren't highly symptomatic. Make no mistake about it, banning flights has other serious consequences, so we have to make sure the costs outweigh the benefits.

Posted on: 2014/10/27 17:07
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The last nail in the coffin of his presedential hopes.

Posted on: 2014/10/27 16:44
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ABC News

New Jersey has decided to release a nurse who was fighting an order that forcibly quarantined her after she returned from Africa where she treated Ebola patients.

The release was announced this morning after Kaci Hickox, hired a lawyer to sue over her mandatory 21-day quarantine. Shortly before the decision by the New Jersey Health Department, the nurse said she hopes "this nightmare of mine and the fight that I?ve undertaken is not in vain.?
.
Hickox, who has tested negative for the lethal virus, was isolated under New Jersey Gov. Chris Christie's policy of a 21-day mandatory quarantine for health care workers returning from helping Ebola patients in West Africa.

This morning, the nurse sent a message to ABC News' Chief Health and Medical Editor Dr. Richard Besser thanking people for taking her side.

?I?m so thankful for the immense attention and support I?ve received. I just hope this nightmare of mine and the fight that I?ve undertaken is not in vain!? Hickox wrote.
.
The New Jersey Department of Health issued a statement this morning that Hickox has been "symptom free for the last 24 hours," and that it decided to discharge her after consulting with the Centers for Disease Control and Prevention.
"After consulting with her, she has requested transport to Maine, and that transport will be arranged via a private carrier not via mass transit or commercial aircraft," the department said.

Senior officials in the Christie administration said she will be driven in a car and escorted by officials from the state and Doctors Without Borders, the agency the Hickox worked for in West Africa.

"Health officials in Maine have been notified of her arrangements and will make a determination under their own laws on her treatment when she arrives," the New Jersey statement said.

Hickox's release appeared to be a reversal by the Christie administration. The governor defended the mandatory 21-day quarantine order on Sunday.

Christie, who was in Florida today, said that "when she [Hickox] has time to reflect, she'll understand" the quarantine, according to the Associated Press.

Posted on: 2014/10/27 16:34
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What do I want? How about a bit of common sense?

'let anyone who flew in from those 3 high risk countries to roam free'

Isn't that what's been happening since the outbreak began? How do you think these doctors and nurses are able to fly into those countries to stop the disease? And now that we have 9 cases we should suddenly take draconian measures? Nobody is saying a quarantine should not be considered, but it should not be done so lightly. This person isn't even sick and yet our dear governor told us she is 'obviously ill' to support his political move, one that he has now backed out of. Leave it to the professionals governor.

BTW, it's flu season. Have you had your shot yet? What if I told you it's mandatory because the governor says so?

Posted on: 2014/10/27 15:45
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drifterx wrote:
It's funny how you want to employ the 'science' of financial companies. How often do they get it wrong again?

That kind of logic only makes sense when you are treating your patient as a science experiment. Is that what is happening here? Aren't there more effective ways of analyzing ebola than keeping a person in custody because you think she may or may not have ebola? I thought science has already progressed from that over the years. We had our chance to study ebola and we blew it. We removed funding from such research because we thought it did not concern us. State and local officials need to tread carefully because they are falling into the fear pit. If they really want science to solve this, leave it to the scientists and maybe they can find more humane ways to treat the problem.

So now explain to us the science of Christie relenting and agreeing to send her home. Is any of this really scientific or political? Smells like politics to me.


so what exactly do you want here? remove quarantine, let anyone who flew in from those 3 high risk countries to roam free on the njtransit and nyc subway, and hoping for the best? Is that what you are saying? i cant really understand your point buried in those rhetorics

Posted on: 2014/10/27 15:24
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Re: CDC confirms first Ebola case diagnosed in US
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It's funny how you want to employ the 'science' of financial companies. How often do they get it wrong again?

That kind of logic only makes sense when you are treating your patient as a science experiment. Is that what is happening here? Aren't there more effective ways of analyzing ebola than keeping a person in custody because you think she may or may not have ebola? I thought science has already progressed from that over the years. We had our chance to study ebola and we blew it. We removed funding from such research because we thought it did not concern us. State and local officials need to tread carefully because they are falling into the fear pit. If they really want science to solve this, leave it to the scientists and maybe they can find more humane ways to treat the problem.

So now explain to us the science of Christie relenting and agreeing to send her home. Is any of this really scientific or political? Smells like politics to me.

Posted on: 2014/10/27 15:16
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drifterx wrote:
When the CDC didn't get it right, there was acknowledgement and changes. Are we getting that here? That remains to be seen.

The ironic thing is, people in the US die of infectious diseases not named ebola by the hundreds and we don't quarantine for those. We've had what? 9 cases and one death? One death that is arguably preventable if the man was treated properly early on. It is beyond hysteria at this point.


It's not hysteria when the CDC have clearly misled people about the "science" behind Ebola, and continue to do so - to support a narrative that quarantine is not "grounded in science".

Past statistics, not science, indicate Ebola is hard to catch. But the real science suggests that it could become much more infectious. Financial companies go to great length to state that past performance is no indicator of future returns - and that's exactly the same model we need to apply here until we know more about the disease. Quarantine makes perfect sense until we understand the science and risks better.

Cuomo expressed it well - we need to err on the side of caution.

Posted on: 2014/10/27 14:54
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When the CDC didn't get it right, there was acknowledgement and changes. Are we getting that here? That remains to be seen.

The ironic thing is, people in the US die of infectious diseases not named ebola by the hundreds and we don't quarantine for those. We've had what? 9 cases and one death? One death that is arguably preventable if the man was treated properly early on. It is beyond hysteria at this point.

Posted on: 2014/10/27 14:32
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Quarantine is fine if it was done properly. It was not done properly.

If you want to resort to this sort of thing, try not to treat people you only suspect to have ebola like they just came back to the 3rd world country they flew out of. If hospitals can charge patients $22,000 a night for isolation rooms, I'm sure they could do better than a tent.


When the CDC didn't get it right - I think it's forgivable that NJ gets it wrong initially. The policy is a good one - the execution needs improvement.

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A long, but very interesting read: 21 Days



Two striking quotes - there are a lot of potential infectious diseases out there, and the US is woefully under-prepared. Even IF Ebola isn't infectious - outbreaks of other diseases in the US are going to happen again and again - and we need to make sure we can respond. There are lot of good reasons for using Ebola as a template for response in the US.

So you practice these things. And develop a sense of calm. You don't take a nurse that's just come out of ICU training and then say, "Yeah, you go in there." You'd be crapping yourself. You need very experienced people that are used to it, and you need appropriate guidelines. We've taken a BSL-4 disease, and we're treating it in BSL-3 conditions. Because they did it in Africa.
(http://www.cdc.gov/biosafety/publications/bmbl5/bmbl5_sect_iv.pdf)
...
Hatfill: For the last at least 30 years, scientists have been very, very worried about emerging infectious diseases. And we've been seeing outbreaks of things we'd never seen before at an alarming frequency over the last few years. Right now we're looking at about five agents, several of which we've never seen before. The Bas-Congo virus is a rabies-type virus transmitted by bats through their droppings, we assume. It's a hemorrhagic fever; it kills you in two to three days from the start of symptoms. This is Ebola on wheels.

There is also the MERS virus outbreak in the Middle East. And Coronavirus, we'd never seen before, came in from the camels imported into the UAE and Saudi Arabia. The outbreaks of monkeypox in Kasai Oriental Province, that's ongoing. An Ebola outbreak right now in Democratic Republic of the Congo. We've got a Chikungunya epidemic in Puerto Rico, outbreaks in Florida, a secondary case that indicates the mosquitoes are transmitting it. And dengue. It's in the albopictus mosquito, the Asian tigers, and we assume it's going to move north in Florida.



Posted on: 2014/10/27 13:56
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Quarantine is fine if it was done properly. It was not done properly.

If you want to resort to this sort of thing, try not to treat people you only suspect to have ebola like they just came back to the 3rd world country they flew out of. If hospitals can charge patients $22,000 a night for isolation rooms, I'm sure they could do better than a tent.

Posted on: 2014/10/27 13:41
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A long, but very interesting read: 21 Days

Posted on: 2014/10/27 13:09
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The problem is while during incubation period you are not infectious, as humans we don't have built in digital alarms that goes off the second our body becomes infectious. Usually by the time you feel unwell, there is still a delay before you go take a temperature. And let's face it most people will try to tough through the discomfort of a fever until your body can't anymore.

It's wishful thinking everyone will be responsible and stay in their homes with minimum contact until the risk period has passed. we all know in reality that's never true. That moron doc has proved it. Now imagine someone without medical understanding and doesn't know even after they are symptomatic. A sneeze in a crowded subway will cause chaos, and even worse the fear that follows will do major damage to the economy.

While I agree with the nurse they should better prepared the containment housings, I absolutely disagree with her that they allow people from those high risk countries to roam free during incubation period.

Fully support Christie on his decision to quarantine until after the risk period, because the alternative is devastating...especially in high density areas like nyc and jc.

Posted on: 2014/10/27 6:22
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borisp wrote:

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Old-Skool-JC wrote:
Christie has a habit of painting himself into corners. If he continues with this policy he's going to look like a pig-headed, histrionic ignoramus...

To whom? No, really, to WHOM? To people who propose to rely on luck instead of quarantine?


To the voting public in the forthcoming Presidential election who might not want their country run by some kind of Chicken Little populist flip-flopper, that is to whom, to WHOM.

Posted on: 2014/10/27 5:22
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drifterx wrote:
Treating the people who are trying to eradicate the disease like pariahs always go well. /smh

It's called "quarantine". Which is not just the oldest, but the only one tool against Ebola. If "the people who are trying to eradicate" don't know it and prefer to go bowling, I doubt their usefulness.

Quote:
Old-Skool-JC wrote:
Christie has a habit of painting himself into corners. If he continues with this policy he's going to look like a pig-headed, histrionic ignoramus...

To whom? No, really, to WHOM? To people who propose to rely on luck instead of quarantine?

Quote:
ianmac47 wrote:
If a quarantine was necessary, there is a right way to do it. And guess what? NY/NJ failed at that. They have her set up in a tent. She doesn't have running water.

The main feature of a quarantine is "isolation". Any quarantine that provides that is better than no quarantine.

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ianmac47 wrote:
I said conservatives cut funding-- not republicans or democrats. People should stop assuming that just because someone is a member of the democratic party, they aren't conservative.

Democrat party voted with Obama, Pelosi and Reid in lockstep all the way. Nowadays there is no such thing as "moderate" Democrat even, so don't tell me about conservative ones.

Also, the cut was proposed by Obama. So, no, your excuses don't fly. The claim is ridiculous and you are one very misinformed voter.

Quote:
ianmac47 wrote:
And as for links to CATO institute propaganda, weeee!

If you were reading CATO you'd be spared the humiliation of being caught thoughtlessly repeating false claims. Think about it.

Posted on: 2014/10/27 4:18
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Old-Skool-JC wrote:
Christie has a habit of painting himself into corners. If he continues with this policy he's going to look like a pig-headed, histrionic ignoramus


No worries. Christie has been pig-headed, histrionic ignoramus for a long time.

Posted on: 2014/10/27 3:22
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Treating the people who are trying to eradicate the disease like pariahs always go well. /smh

Posted on: 2014/10/27 3:19
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Now Cuomo has backtracked and De Blasio, the White House and medical experts are attacking Christie.
Christie has a habit of painting himself into corners. If he continues with this policy he's going to look like a pig-headed, histrionic ignoramus and if he follows Cuomo's lead then he'll look ineffectual and easily led.
Nothing a bit of level-headed thinking and factual analysis couldn't have prevented.

http://www.theguardian.com/world/2014 ... ie-cuomo-ebola-quarantine

Posted on: 2014/10/27 3:05
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HeightsBrat wrote:
...
I had read an online article that stated that though the virus, like many, has mutated, the one thing
that hasn't changed is the mode of transmission. This makes sense as the HIV has not changed its mode of transmission in the at least 70+ years it has been around though it has mutated. I think the news media as well as the CDC likes keeping the general population off kilter & under control. Reseaching on our own & not believing the nonsense we are fed through the media is the only way we will be able to intelligently deal with this.


HIV can survive a few minutes exposed to air. Ebola can survive days if not weeks. And studies on monkeys in the US have shown that it's possible that some strains of Ebola can be transmitted over the air. Just google Ebola Reston.

It's not hard to imagine a strain of Ebola making the leap to airborne in humans - if Ebola starts causing respiratory infection - or if someone with Ebola also catches a common cold during cold/flu season. Or worse, someone infected with Ebola comes to the US and deliberately tries to infect others.

I think Christie and Cuomo have got it right - given what we know and don't know.

http://www.thebody.com/content/art17220.html

http://www.latimes.com/nation/la-na-e ... 0141007-story.html#page=2

What Bailey learned from the episode informs his suspicion that the current strain of Ebola afflicting humans might be spread through tiny liquid droplets propelled into the air by coughing or sneezing.

"We know for a fact that the virus occurs in sputum and no one has ever done a study [disproving that] coughing or sneezing is a viable means of transmitting," he said. Unqualified assurances that Ebola is not spread through the air, Bailey said, are "misleading."


Posted on: 2014/10/27 0:31
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We simply don't know enough about Ebola to be believing some of the sweeping statements made by the CDC.

How fast the virus is mutating? Could it become airbone in humans - like it the Ebola Reston strain did in monkeys? Or what happens when someone catches a respiratory infection alongside Ebola?

Past statistics don't predict future outcomes - when so little is really known about the virus.


See http://www.cnn.com/2014/09/12/health/ebola-airborne/

Today, the Ebola virus spreads only through direct contact with bodily fluids, such as blood and vomit. But some of the nation's top infectious disease experts worry that this deadly virus could mutate and be transmitted just by a cough or a sneeze.

"It's the single greatest concern I've ever had in my 40-year public health career," said Dr. Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. "I can't imagine anything in my career -- and this includes HIV -- that would be more devastating to the world than a respiratory transmissible Ebola virus."

The World Health Organization says its scientists are unaware of any virus that has dramatically changed its mode of transmission.

"For example, the H5N1 avian influenza virus... has probably circulated through many billions of birds for at least two decades. Its mode of transmission remains basically unchanged. Speculation that Ebola virus disease might mutate into a form that could easily spread among humans through the air is just that: speculation, unsubstantiated by any evidence."

Osterholm and other experts couldn't think of another virus that has made the transition from non-airborne to airborne in humans. They say the chances are relatively small that Ebola will make that jump. But as the virus spreads, they warned, the likelihood increases.

Every time a new person gets Ebola, the virus gets another chance to mutate and develop new capabilities. Osterholm calls it "genetic roulette."

As of October 1, there have been more than 7,100 cases of Ebola, with 3,330 deaths, according to the World Health Organization, which has said the virus is spreading at a much faster rate than it was earlier in the outbreak.

Ebola is an RNA virus, which means every time it copies itself, it makes one or two mutations. Many of those mutations mean nothing, but some of them might be able to change the way the virus behaves inside the human body.
"Imagine every time you copy an essay, you change a word or two. Eventually, it's going to change the meaning of the essay," said Dr. C.J. Peters, one of the heroes featured in "The Hot Zone."

That book chronicles the 1989 outbreak of Ebola Reston, which was transmitted among monkeys by breathing. In 2012, Canadian researchers found that Ebola Zaire, which is involved in the current outbreak, was passed from pigs to monkeys in the air.

Dr. James Le Duc, the director of the Galveston National Laboratory at the University of Texas, said the problem is that no one is keeping track of the mutations happening across West Africa, so no one really knows what the virus has become.

One group of researchers looked at how Ebola changed over a short period of time in just one area in Sierra Leone early on in the outbreak, before it was spreading as fast as it is now. They found more than 300 genetic changes in the virus.

"It's frightening to look at how much this virus mutated within just three weeks," said Dr. Pardis Sabeti, an associate professor at Harvard and senior associate member of the Broad Institute, where the research was done.
Even without becoming airborne, the virus has overwhelmed efforts to stop it.

Osterholm commended groups like Doctors Without Borders but said uncoordinated efforts by individual organizations are no match for Ebola spreading swiftly through urban areas.

"This is largely dysfunctional. Nobody's in command, and nobody's in charge," he said. "It's like not having air traffic control at an airport. The planes would just crash into each other."




I had read an online article that stated that though the virus, like many, has mutated, the one thing
that hasn't changed is the mode of transmission. This makes sense as the HIV has not changed its mode of transmission in the at least 70+ years it has been around though it has mutated. I think the news media as well as the CDC likes keeping the general population off kilter & under control. Reseaching on our own & not believing the nonsense we are fed through the media is the only way we will be able to intelligently deal with this.

Posted on: 2014/10/26 23:47
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Christie and Cuomo vs Obama and de Blasio, two doers vs two losers.

Posted on: 2014/10/26 23:35
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Don't you live in Brooklyn now? Why aren't you bowling?

Posted on: 2014/10/26 22:54
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If a quarantine was necessary, there is a right way to do it. And guess what? NY/NJ failed at that. They have her set up in a tent. She doesn't have running water. The woman doesn't even have a shower. She should probably leave the quarantine and force them to arrest her because a jail has better conditions than she has been placed in.

And future medical workers arriving from West Africa? Well, they are a lot more likely to enter the country from Europe or Canada rather than fly directly. Are they likely to be fully honest when faced with living in a fucking tent? Probably not.



Posted on: 2014/10/26 22:38
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Christie is a Grade A moron, this is going to cost us $$$.

Posted on: 2014/10/26 22:00
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Re: CDC confirms first Ebola case diagnosed in US
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Make everyone who has traveled to the Ebola death zone land in Washington DC and use the first class lounge politicians favor.

Posted on: 2014/10/26 20:28
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Re: CDC confirms first Ebola case diagnosed in US
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Obama is pressuring NJ and NY to remove the mandatory ebola quarantine orders. Is it time for him to be impeached? What does the "ebola czar" have to say about this?

White House Pressures States to Reverse Mandatory Ebola Quarantine Orders

http://www.nytimes.com/2014/10/27/nyregion/ebola-quarantine.html

Posted on: 2014/10/26 18:48
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Re: CDC confirms first Ebola case diagnosed in US
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Posted on: 2014/10/26 3:06
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