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Ebola Patient Coming to U.S.
Fenrir.Atheryn
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By Fenrir.Atheryn 2014-10-14 15:17:50
Ebola has been around for a while yes, but don't forget that it is a virus. Viruses change, adapt, mutate etc.
The strain that has hit West Africa and has now reached USA seems to be a particularly aggressive version.
By volkom 2014-10-14 15:20:05
yet they aren't burning bodies of the dead who died from it or stopping travel from the area
By Enuyasha 2014-10-14 15:44:49
yet they aren't burning bodies of the dead who died from it or stopping travel from the area Well, if we are worried about the ashes of the dead people containing the virus (Ive seen this stupid ***on Facebook '________') Then burning the bodies might not be such a hot idea
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By volkom 2014-10-14 15:50:17
yet they aren't burning bodies of the dead who died from it or stopping travel from the area Well, if we are worried about the ashes of the dead people containing the virus (Ive seen this stupid ***on Facebook '________') Then burning the bodies might not be such a hot ideabut burying the dead in mass graves or individually with the possibility of contaminating resources is better?
Ragnarok.Sekundes
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By Ragnarok.Sekundes 2014-10-14 15:52:05
Was ID'ed in 1976. So yeah, 38 years.
Prior to this most recent outbreak I can only think of one example of a case outside of Africa. A Russian Scientist who managed to stick herself with an infected needle while working at a weapons lab. There may be others but I'm not that familiar with them.
By Enuyasha 2014-10-14 15:54:59
yet they aren't burning bodies of the dead who died from it or stopping travel from the area Well, if we are worried about the ashes of the dead people containing the virus (Ive seen this stupid ***on Facebook '________') Then burning the bodies might not be such a hot ideabut burying the dead in mass graves or individually with the possibility of contaminating resources is better? So where do you put the ashes of the burned bodies :< It ends up going to the same places...or a landfill.
The idea is flawed either way.
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By Bahamut.Baconwrap 2014-10-14 15:59:33
Discuss.
Nobody is saying to panic, they are saying that the CDC needs to improve their protocols for Ebola infected patients. There's a big problem when a nurse gets infected with Ebola and it's due to down playing Ebola.
This whole "the CDC knows what they're doing shut up everyone" mentality has failed. Their protocols got a nurse infected.
As a few of my nurse friends pointed out, it's ridiculous that the CDC uses vinyl gloves, boots, and/or haz-mat suits for Ebola patients when nurses are merely given isolation gowns which have saturation limits and gloves out of a box that can tear.
Fenrir.Atheryn
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By Fenrir.Atheryn 2014-10-14 15:59:59
Ebola is a virus, therefore biological. If burned at the appropriate temperature, there is no way ashes will contain any live remnants of virus.
Lakshmi.Flavin
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By Lakshmi.Flavin 2014-10-14 16:01:09
Bahamut.Baconwrap said: »
Discuss.
Nobody is saying to panic, they are saying that the CDC needs to improve their protocols for Ebola infected patients. There's a big problem when a nurse gets infected with Ebola and it's due to down playing Ebola.
This whole "the CDC knows what there doing shut up everyone" mentality has failed. Their protocols got a nurse infected.
As a few of my nurse friends pointed out, it's ridiculous that the CDC uses vinyl gloves, boots, and/or haz-mat suits for Ebola clean up when nurses are merely given isolation gowns which have saturation limits and gloves out of a box that can tear. I think he's speaking about people like Nausi who call for panic and you can't tell if they're serious or not when they spout end of days stuff...
Retreat to your bunkers until its safe to come out!!!!
By Enuyasha 2014-10-14 16:02:40
Ebola is a virus, therefore biological. If burned at the appropriate temperature, there is no way ashes will contain any live remnants of virus. I know, its a flawed stupidly moronic fear. But apparently theres news reports about worrying about the first guys ashes.
Its stupid, people are stupid.
By volkom 2014-10-14 16:18:38
yet they aren't burning bodies of the dead who died from it or stopping travel from the area Well, if we are worried about the ashes of the dead people containing the virus (Ive seen this stupid ***on Facebook '________') Then burning the bodies might not be such a hot ideabut burying the dead in mass graves or individually with the possibility of contaminating resources is better? So where do you put the ashes of the burned bodies :< It ends up going to the same places...or a landfill.
The idea is flawed either way. does the virus survive fire?
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By Bahamut.Baconwrap 2014-10-14 16:21:29
System failures with mortality rates up to 90% are a pretty serious problem.
I agree. The downplaying of Ebola, specifically to medical practitioners, is a serious issue. Additionally, the CDC scapegoating is just ridiculous. They need to accept blame for their Ebola protocol and failure to properly educate medical staff.
The CDC due to faulty Ebola protocols potentially could have killed this woman. Their downplaying of Ebola has put all the medical staff in danger that cared for Thomas Duncan. Rather than accepting blame and improving protocols they scapegoat. Are you *** kidding me? No wonder American nurses are pissed.
By Enuyasha 2014-10-14 16:32:29
yet they aren't burning bodies of the dead who died from it or stopping travel from the area Well, if we are worried about the ashes of the dead people containing the virus ( Ive seen this stupid ***on Facebook '________') Then burning the bodies might not be such a hot ideabut burying the dead in mass graves or individually with the possibility of contaminating resources is better? So where do you put the ashes of the burned bodies :< It ends up going to the same places...or a landfill.
The idea is flawed either way.does the virus survive fire?
Bahamut.Milamber
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By Bahamut.Milamber 2014-10-14 16:33:22
Bahamut.Baconwrap said: »System failures with mortality rates up to 90% are a pretty serious problem.
I agree. The downplaying of Ebola, specifically to medical practitioners, is a serious issue. Additionally, the CDC scapegoating is just ridiculous. They need to accept blame for their Ebola protocol and failure to properly educate medical staff.
The CDC due to faulty Ebola protocols potentially could have killed this woman. Rather than accepting blame and improving protocols they scapegoat. Are you *** kidding me? No wonder American nurses are pissed. Wait, so we know that the protocol was followed? Or we know that it wasn't?
By Jetackuu 2014-10-14 16:33:50
It wasn't a procedure mishandled by the CDC it was mishandled by the staff who got infected, that's asinine.
There's no downplaying, there's no scapegoat, the fault was the nurse's/hospital's...
I've had the same basic training of dealing with potential infections due to working for a hospital (the one I did stuff for required everyone to take it, not just the medical staff, although I'm going to assume for a minute theirs is much more detailed and rigorous) if you follow basic protocol, then you'll be fine. This is just sad.
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By Bahamut.Baconwrap 2014-10-14 16:35:40
Wait, so we know that the protocol was followed? Or we know that it wasn't?
That's what Bonnie Castillo commented on. Because the hospital isn't represented by a union they aren't able to discuss the matter. So the nurses union is concerned for the safety of the employees at this point.
EDIT: Apparently she did follow current protocol.
Quote: Officials have said Pham wore protective gear, including a gown, gloves, a mask and a face shield, while caring for Duncan on multiple occasions. But Ebola can easily infect those who come into contact with the bodily fluids of Ebola patients, and the smallest slip in putting on or taking off protective gear can open the door to the virus
CDC chief: After Dallas nurse’s Ebola infection, U.S. must ‘rethink’ protocols
By Jetackuu 2014-10-14 16:37:31
Going to be real: Bonnie sounds like a total cuntbag.
Caitsith.Zahrah
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By Caitsith.Zahrah 2014-10-14 16:44:55
She released a statement this morning.
Quote: “I’m doing well and want to thank everyone for their kind wishes and prayers. I am blessed by the support of family and friends and am blessed to be cared for by the best team of doctors and nurses in the world here at Texas Health Presbyterian Hospital Dallas,” she said in her statement.
Like Mos said, I sincerely hope she comes out of this okay. I wonder how much all this will cost in the end. I forgot where I read it off the top of my head, but one of the patients that was brought back to the US to be treated ended up with a $500K bill when all was said and done. I need to fish for that tomorrow. Kind of tough for a girl barely out of college, but there has been support and fundraising locally apparently.
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By Bahamut.Baconwrap 2014-10-14 16:47:19
I've had the same basic training of dealing with potential infections due to working for a hospital (the one I did stuff for required everyone to take it, not just the medical staff, although I'm going to assume for a minute theirs is much more detailed and rigorous) if you follow basic protocol, then you'll be fine. This is just sad.
Actually the protocol is faulty from what my nurse friends are telling me and very different from what CDC employees use. Currently the CDC only recommends isolation gowns, which have saturation limits, basically fluids can still penetrate the gown. Also the gloves medical staff use themselves aren't the best quality and likely to tear. Nitrile, polyeurothane, latex, etc these are made cheaply and stuffed into a box some of which already have small holes. The CDC uses vinyl gloves. The footwear is something my friends also criticized. CDC uses knee-high boots boots.
Basically medical practioners have been recommended this uniform thus far:
While the CDC uses this uniform when dealing with patients.
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By Bahamut.Baconwrap 2014-10-14 16:54:59
Co-President of National Nurses United has very interesting commentaries on hospital and CDC protocols.
YouTube Video Placeholder
Quote: Currently our healthcare system allows for private hospitals to decide what protocols they choose to follow. What kind of personal protection they choose to supply. What kind of isolation rooms and how they handle waste.
By Enuyasha 2014-10-14 16:56:25
Bahamut.Baconwrap said: »Co-President of National Nurses United has very interesting commentaries on hospital and CDC protocols.
YouTube Video Placeholder
Quote: Currently our healthcare system allows for private hospitals to decide what protocols they choose to follow. What kind of personal protection they choose to supply. What kind of isolation rooms and how they handle waste. Thanks, Obam-Oh wait, private hospitals.
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By Bahamut.Baconwrap 2014-10-14 16:59:54
Thanks, Obam-Oh wait, private hospitals.
The important thing to digest from Deborah Burger's interview is that CDC doesn't have this in control at the healthcare system level.
Going to be real: Bonnie sounds like a total cuntbag. I don't think she's a ***, she's just trying to protect nurses. Nurses interact with patients more frequently than physicians. So they are at higher risk than physicians.
Ragnarok.Sekundes
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By Ragnarok.Sekundes 2014-10-14 17:01:11
does the virus survive fire? I can't think of any living thing that can survive a sustained fire for much time at all. Most fires burn with temps around 1,000 °C (1,800 °F) and can get a hell of a lot hotter based on what is burning and what kind of environment it is in. There can also be quite a few that burn colder than that but actual open flames tend to be pretty hot.
Basic sterilization has far lower temps.
cdc.gov said: The most common time-temperature relationships for sterilization with hot air sterilizers are 170°C (340°F) for 60 minutes, 160°C (320°F) for 120 minutes, and 150°C (300°F) for 150 minutes.
I'd be fairly confident that baptism by fire would do the trick.
Cerberus.Pleebo
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By Cerberus.Pleebo 2014-10-14 17:02:47
Quote: All persons entering the patient room should wear at least:
Gloves
Gown (fluid resistant or impermeable)
Eye protection (goggles or face shield)
Facemask
Additional PPE might be required in certain situations (e.g., copious amounts of blood, other body fluids, vomit, or feces present in the environment), including but not limited to:
Double gloving
Disposable shoe covers
Leg coverings http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html
CDC sets the minimum recommendations, but it's ultimately the hospital's responsibility to both follow them and take extra precautions if needed. It's not a regulatory agency.
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By Jetackuu 2014-10-14 17:03:28
If fire and or bleach doesn't kill something, it's not meant to die.
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By Bahamut.Baconwrap 2014-10-14 17:09:56
CDC sets the minimum recommendations, but it's ultimately the hospital's responsibility to both follow them and take extra precautions if needed. It's not a regulatory agency.
The CDC recommendations only extend to public health care systems. There is no federal regulation for private hospitals as Debra Burger pointed out.
According to Deborah Burger, nurses have been asking for standardized ebola protocol.
It's not a regulatory agency. EDIT: Yes they are a regulatory agency. Their "recommendations" are used in JCAHO. e.g if the CDC changes their "recommendations" on handwashing, JCAHO for hospitals is effected thus creating new regulations for hospitals.
Fenrir.Atheryn
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By Fenrir.Atheryn 2014-10-14 20:11:14
Quote: Feds could have done more in Dallas Ebola case, CDC director says
DALLAS — Ebola has haunted Dallas for two weeks, killing one man and infecting a nurse who was treating him.
In hindsight — CDC director Dr. Tom Frieden said on Tuesday — the nation’s health protection agency should have stepped in and taken control when the country’s first Ebola case emerged in Dallas.
“Getting it right is really, really important because the stakes are so high,” Frieden said during a news conference. “We could have sent a more robust hospital infection control team and been more hands on with the hospital from Day One about how this should be managed.”
From now on, Frieden said, the CDC will rush a team of infectious disease specialists to assist U.S. hospitals that confirm having a case of the deadly Ebola virus.
“We will put a team on the ground within hours with some of the world's leading experts in how to take care of and protect health care workers from Ebola infection,” Frieden said. “I wish we had put a team like this on the ground the day the first patient was diagnosed.”
Instead, the CDC repeatedly assured the public that Texas Health Presbyterian Hospital in Dallas could aptly treat the first case of Ebola that was diagnosed in the United States.
Thomas Eric Duncan, a Liberian citizen who had recently traveled from Ebola-ravaged West Africa, died at the hospital last Wednesday.
Two days after his death, Nina Pham, a critical care nurse who had treated Duncan, felt a fever and was isolated at Texas Health Presbyterian. Her positive test for Ebola marked the first transmission of the virus in the United States. A hospital spokesperson said Pham was in good condition late on Tuesday.
Texas Health Presbyterian officials have said Pham, 26, wore protective clothing and insist staff followed safety precautions issued by the CDC.
How Pham, a nurse for four years, contracted Ebola hasn’t been determined, but Frieden has said he believes there was a breach in safety procedures.
For that reason, the CDC director said he regrets not having his experts on the ground sooner.
“That might have prevented this infection,” he said. “I am thinking of her constantly and hoping for her steady recovery.”
Several prominent lawmakers have recently pressed President Obama to name an “Ebola czar” to oversee the government’s response, but White House Press Secretary Josh Earnest dismissed the notion on Tuesday.
Asked if Frieden still retains the president’s confidence, Earnest replied, “He does.”
Texas Health Presbyterian, which has received criticism for its handling of Duncan's case, did not immediately reply to an email seeking comment about Frieden's remarks from Tuesday.
Since Pham’s diagnosis, Frieden said he has fielded phone calls from numerous health care providers who are worried that they aren’t prepared for Ebola.
“We are dealing with a disease that’s unfamiliar in the U.S.,” Frieden said. “Caring for Ebola can be done safely, but it’s hard. We want to make sure that the protocols that we have and the support that we have for health care workers are there on the ground so that we can assist.”
When Duncan was diagnosed on Sept. 30, the CDC sent a dozen epidemiologists to help local officials identify people who the man could have possibly infected. So far, none of the 48 individuals being monitored has become ill.
Another 76 health care workers from Texas Health Presbyterian are also now being monitored for Ebola symptoms, since they, like Pham, were involved in treating Duncan. Some of those staff members have begun expressing fears and requesting health checkups.
“We understand that there's a lot of anxiety among workers, and we want to calm their fears and to attack a case as quickly as possible,” Dr. David Lakey, Texas state health director, said at the news conference. “If symptoms are detected, those individuals will be isolated and very likely will be tested for Ebola. We really do want to err on the side of caution.”
Quote: In hindsight — CDC director Dr. Tom Frieden said on Tuesday — the nation’s health protection agency should have stepped in and taken control when the country’s first Ebola case emerged in Dallas.
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By Bahamut.Baconwrap 2014-10-14 22:23:10
Bahamut.Milamber
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By Bahamut.Milamber 2014-10-15 01:23:45
Bahamut.Baconwrap said: »I've had the same basic training of dealing with potential infections due to working for a hospital (the one I did stuff for required everyone to take it, not just the medical staff, although I'm going to assume for a minute theirs is much more detailed and rigorous) if you follow basic protocol, then you'll be fine. This is just sad.
Actually the protocol is faulty from what my nurse friends are telling me and very different from what CDC employees use. Currently the CDC only recommends isolation gowns, which have saturation limits, basically fluids can still penetrate the gown. Also the gloves medical staff use themselves aren't the best quality and likely to tear. Nitrile, polyeurothane, latex, etc these are made cheaply and stuffed into a box some of which already have small holes. The CDC uses vinyl gloves. The footwear is something my friends also criticized. CDC uses knee-high boots boots.
Basically medical practioners have been recommended this uniform thus far:
While the CDC uses this uniform when dealing with patients.
http://www.cdc.gov/hicpac/2007IP/2007ip_part2.html#d
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By Bahamut.Baconwrap 2014-10-15 01:37:24
I'm not quite sure what you're trying to link. Hand-washing protocols?
Reuters.com said: A U.S. aid worker who was infected with the deadly Ebola virus while working in West Africa will be flown to the United States to be treated in a high-security ward at Emory University Hospital in Atlanta, hospital officials said on Thursday.
The aid worker, whose name has not been released, will be moved in the next several days to a special isolation unit at Emory. The unit was set up in collaboration with the U.S. Centers for Disease Control and Prevention.
CDC spokeswoman Barbara Reynolds said her agency was working with the U.S. State Department to facilitate the transfer.
Reynolds said the CDC was not aware of any Ebola patient ever being treated in the United States, but five people in the past decade have entered the country with either Lassa Fever or Marburg Fever, hemorrhagic fevers similar to Ebola.
News of the transfer follows reports of the declining health of two infected U.S. aid workers, Dr. Kent Brantly and missionary Nancy Writebol, who contracted Ebola while working in Liberia on behalf of North Carolina-based Christian relief groups Samaritan's Purse and SIM.
CNN and ABC News reported that a second American infected with Ebola was to be flown to the United States. CNN identified the U.S.-bound patients as Brantly and Writebol. Reuters could not independently confirm the reports.
Amber Brantly, the wife of Dr. Brantly, said in a statement: "I remain hopeful and believing that Kent will be healed from this dreadful disease."
Earlier on Thursday, White House spokesman Josh Earnest said the State Department was working with the CDC on medical evacuations of infected American humanitarian aid workers.
The outbreak in West Africa is the worst in history, having killed more than 700 people since February. On Thursday, the CDC issued a travel advisory urging people to avoid all non-essential travel to Guinea, Liberia and Sierra Leone, the epicenter of the outbreak.
Brantly and Writebol "were in stable but grave" condition as of early Thursday morning, the relief organizations said. A spokeswoman for the groups could not confirm whether the patient being transferred to Emory was one of their aid workers.
CDC Director Dr. Thomas Frieden said in a conference call that transferring gravely ill patients has the potential to do more harm than good.
Meanwhile, the National Institutes of Health plans in mid-September to begin testing an experimental Ebola vaccine on people after seeing encouraging results in pre-clinical trials on monkeys, Dr. Anthony Fauci, director of the NIH's allergy and infectious diseases unit, said in an email.
In its final stages, Ebola causes external and internal bleeding, vomiting and diarrhea. About 60 percent of people infected in the current outbreak are dying from the illness.
Writebol, 59, received an experimental drug doctors hope will improve her health, SIM said. Brantly, 33, received a unit of blood from a 14-year-old boy who survived Ebola with the help of Brantly's medical care, said Franklin Graham, president of Samaritan's Purse.
Frieden could not comment on the specifics of either treatment but said: "We have reviewed the evidence of the treatments out there and don't find any treatment that has proven effectiveness against Ebola."
Source
Not really sure how I feel about this.
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