This Ebola Mess

[Ravasher]

Now there is a Dallas nurse on a cruise ship who handled Duncan's lab samples. Seriously these nurses are not using their heads. Now they are saying the second nurse to get sick felt sick before she flew. So they now have to track people from two planes.

[Guest092216]

Originally Posted by macbeth1000

Listen you are a nice person however you just gave out very inaccurate information. Nigeria never curtailed any travel. They had a run down building where they put all the Ebola people that they knew of. The good thing was that the person that brought Ebola to the country was taken straight from the airport to the hospital. The guy knew he had Ebola as he avoided contact with people based on the video cctv feeds of him at the airport.
You put down statements that are flat out wrong and also the biggest of which is that Nigeria borders Liberia, this is sooooooo wrong geographically. I am not trying to fight but to point out inaccurate statements that given the nature of this site would be taken as facts by the lay man and woman.

Sorry, Macbeth but it is not misinformation. Please read the following articles. Also, Nigeria is a coastal bordering country of Liberia.

Please note the bolded area in the following article. The first patient in Lagos was thought to have malaria and 11 healthcare workers became infected who treated him, four of whom died:

http://m.bbc.com/news/world-africa-29654002


A nightmare scenario of Ebola raging unchecked among millions of slum-dwellers in Africa's largest city has given way to a rare example of a victory over the virus.
Amid the gloom surrounding the escalating crisis in West Africa, developments in Lagos show how the right techniques at the right speed can bring about a welcome result.
With a population of more than 170 million, Nigeria is Africa's most populous nation and there were fears that Ebola would take hold when a Liberian-American arrived with the disease in July.
Instead, along with much smaller Senegal, Nigeria is now on the brink of being clear of the virus for a 42-day period at which point the World Health Organization (WHO) can declare it Ebola-free.
The outcome could so easily have been far uglier, and the fact that the news is happier is due to an astonishing story of medical detective work.

The starting-point was the arrival of Patrick Sawyer at Lagos airport where he collapsed and was suspected of suffering from malaria.
Taken to a private clinic, tests were carried out and during the wait for the results several staff became infected.
By the time confirmation of Ebola came through, the infections had spread to 11 of the staff - four of whom later died. This was the point where things could have gone catastrophically wrong.
An official response did not get off to a fast start but by good fortune a team of experts working to tackle polio was in place and ready to be redirected.
What followed was a text-book case of one of the guiding principles of disease control: identifying and tracking down everyone who might possibly have been in contact with the patient.
It began with the medical staff and their families and then extended to take in increasingly large numbers.
An initial contact list of 281 people soon increased to a staggering 894 - each of them visited and checked repeatedly for signs of infection.

Nigeria was quick to check the temperature of new arrivals: fever is one of the first symptoms
But the sleuthing did not end there. Specialists then calculated how many people were living within a particular radius of the 894 people who were being monitored. This depended on the density of the housing in each particular area.
The result was that officials and volunteers embarked on rounds of visits that would take them to an extraordinary 26,000 households.
A key policy throughout this arduous process was to involve the communities and to encourage people to be as honest as possible about their movements and contacts. It obviously worked.
In all, there have been 19 confirmed cases of infection in Nigeria and eight deaths, including Patrick Sawyer - figures that are tragic for the families involved but infinitely smaller than they might have been.
In an ideal world, the same approach of careful record-keeping and diligent footwork would now be applied to the battered countries of Guinea, Liberia and Sierra Leone - but that is not very likely.
Nigeria, though notorious for its corruption and inefficiency, evidently has a bureaucracy that functions effectively enough for the strategy to counter Ebola to succeed - unlike the three hardest-hit countries which were suffering from extreme poverty and the aftermath of conflict even before the virus struck.
Burning embers
Medicins Sans Frontieres staff at the Ebola treatment centre in Paynesville, Liberia on 16 October 2014
Despite the best efforts of health workers, stopping Ebola across West Africa will be immensely difficult
There is one more note of caution in this tale: making sure the storm has really passed.
The director of the US Centers for Disease Control and Prevention, Dr Tom Frieden has warned that Ebola is like fighting a forest fire - "leave one burning ember, one case undetected, and the epidemic could re-ignite."
As an example, he described how at one stage it had been thought that every case in Nigeria had been identified, when it turned out that one had been missed, resulting in a new cluster of cases in Port Harcourt.
That incident has now passed and the country remains on course to complete the required 42 days to be clear.
But with the WHO judging that as many as 15 African countries are at risk, these remain anxious times.
And a new concern is emerging among specialists: that the scale of the outbreak is now so large and so spread over so many areas, that following Nigeria's example of tracking down literally every case may never be possible, which means the disease may linger, sometimes unseen, sometimes not, for decades to come.


http://wwwnc.cdc.gov/travel/notices/watch/ebola-nigeria

"Updated: October 07, 2014
The purpose of this travel notice is to notify travelers that a small number of Ebola cases were recently reported in Lagos and Port Harcourt, Nigeria. The government of Nigeria responded quickly, and this outbreak was contained to a small number of cases. Contacts of people who were infected with Ebola in Nigeria have also been monitored for signs of illness. All people in Nigeria who were sick with Ebola have now either died or recovered. Contacts of these patients have completed their 21-day monitoring period and are no longer at risk for getting sick with Ebola.
CDC is moving this notice from Level 2, Alert to Level 1, Watch because of the decreased risk of Ebola in Nigeria. If no further cases of Ebola are reported in Nigeria, CDC will remove this travel notice.
What is the current situation?
On July 25, 2014, the Nigerian Ministry of Health confirmed that a man in Lagos, Nigeria, died from Ebola. The man had been in a Lagos hospital since arriving at the Lagos airport from Liberia. A small number of Ebola cases linked to this patient were reported in Lagos and Port Harcourt, but all the people in Nigeria who were sick with Ebola have now either died or recovered from the disease. The Nigerian government also monitored the health of people who had come in contact with Ebola patients in the country. As of September 26, 2014, these people have all completed their 21-day monitoring period and are no longer at risk for getting sick with Ebola.
The recent outbreak of Ebola in Nigeria is related to an ongoing Ebola outbreak that has been occurring in West Africa since March 2014. This outbreak is occurring in Guinea, Liberia, and Sierra Leone and is the largest outbreak of Ebola in history.
For more information about the ongoing outbreak in West Africa, visit 2014 Ebola Outbreak in West Africa on the CDC Ebola website."

http://mobile.nytimes.com/2014/10/01...html?referrer=

"With quick and coordinated action by some of its top doctors, Nigeria, Africa’s most populous country, appears to have contained its first Ebola outbreak, the United States Centers for Disease Control and Prevention said Tuesday.

As the epidemic rages out of control in three nations only a few hundred miles away, Nigeria is the only country to have beaten back an outbreak with the potential to harm many victims in a city with vast, teeming slums.

“For those who say it’s hopeless, this is an antidote — you can control Ebola,” said Dr. Thomas R. Frieden, director of the C.D.C.

Although officials are pleased that success was achieved in a country of 177 million that is a major transport and business hub — and whose largest city, Lagos, has 21 million people — the lessons here are not easily applicable to the countries at the epicenter: Guinea, Liberia and Sierra Leone. Public health officials in those countries remain overwhelmed by the scale of the outbreak and are desperate for additional international assistance.

Nigeria’s outbreak grew from a single airport case, while in the three other countries the disease smoldered for months in remote rain-forest provinces and spread widely before a serious response was mounted.

Ebola, Dr. Frieden said, “won’t blow over — you have to make a rapid, intense effort.”

While the danger in Nigeria is not over, the health minister, Dr. Onyebuchi Chukwu, said in a telephone interview that his country was now better prepared, with six laboratories able to make diagnoses and response teams and isolation wards ready in every major state.

After the first patient — a dying Liberian-American — flew into Lagos on July 20, Ebola spread to 20 other people there and in a smaller city, Port Harcourt.

Meanwhile, local health workers paid 18,500 face-to-face visits to repeatedly take the temperatures of nearly 900 people who had contact with them. The last confirmed case was detected on Aug. 31, and virtually all contacts have passed the 21-day incubation period without falling ill.

The success was in part the result of an emergency command center financed in 2012 by the Bill & Melinda Gates Foundation to fight polio. As soon as the outbreak began, it was turned into the Ebola Emergency Operations Center.

Also, the C.D.C. had 10 experts in Nigeria working on polio and H.I.V., who had already trained 100 local doctors in epidemiology; 40 of them were immediately reassigned to Ebola and oversaw the contact tracing.

The chief of the command center, Dr. Faisal Shuaib, gave credit to a coordinated effort by the Health Ministry, the C.D.C., the World Health Organization, Unicef, Doctors Without Borders and the International Committee for the Red Cross.

Also, he noted, Nigeria has significant advantages over poorer countries where the outbreak is out of control."

Lastly, the cruise ship traveler was the lab supervisor, not a nurse and handled the specimen 19 days ago. No she should not have traveled but she remains asymptomatic and is nearly thru the 21 day incubation period.

There is now a travel ban on anyone who treated Duncan or was in his chain of care.

[Guest120614-1]

[macbeth1000]

Originally Posted by thathottnurse

Sorry, Macbeth but it is not misinformation. Please read the following articles. Also, Nigeria is a coastal bordering country of Liberia.
.

Sooooo Nigeria is separated from Liberia by 4 countries from this map - how is it a coastal bordering country of liberia unless you mean they are both in West Africa which is another matter however you deliberately stated that they bordered each other.

I am not going to play ping pong with you - some of your statements were far out there and are not even supported by your subsequent rebuttal.

[Guest110416]

Originally Posted by Mavs fan

Why is a Mod insulting a member? That isn't right. How are you going to hand out infractions to members for being rude when you are being rude yourself? ....... I got an infraction for being rude to another member which I deserved. What say you D of G? Do you deserve an infraction?

Because when you are mod, you have certain, but definitely not all, immunity from prosecution as there is no mod of the mods save for St. Chris. I just find it ironic this is happening to THN, if you recall a while back, she was on her rampage about her opinion about everyone and everything and if you did not agree with it, she called you names and accused you of this and that. Looks like she is on the receiving end and it is from a mod, so is turnabout fair play? Probably not, but it is enjoyable to watch the shoe on the other foot.

[Guest092216]

Originally Posted by macbeth1000

Sooooo Nigeria is separated from Liberia by 4 countries from this map - how is it a coastal bordering country of liberia unless you mean they are both in West Africa which is another matter however you deliberately stated that they bordered each other.

I am not going to play ping pong with you - some of your statements were far out there and are not even supported by your subsequent rebuttal.

Well, Ebola is no missing Malaysian airliner that's for sure; now that was scary!

I'm not going back and forth with you either. People have the ability to look up things for themselves and decide. I have cited the sources for my info, including an article from the CDC.

Also, in the map you posted, you can clearly see that Nigeria is a costal boarder of Liberia, separated by a few hundred miles in the same body of water (the Gulf of Guinea), which is considered a coastal bordering country. It is not like your comparison of Texas and New York which are separated by a few thousand miles or coastal line and two separately named large bodies of water (the Gulf of Mexico and the Atlantic Ocean).

I have been responsible and respectful based on what information I have read from multiple, reliable sources.

Nitpicking at me doesn't change the facts and anyone who cares to research it is welcome to.

Have a nice day.

[macbeth1000]

Originally Posted by thathottnurse

Well, Ebola is no missing Malaysian airliner that's for sure; now that was scary!

Lol my dear just because you throw out shit doesnt mean everyone has to eat it. If you had come out and said you made a mistake, I would have respected you just alittle.

Go and educate yourself before you spill out nonesense and now you come with a back handed insult because someone has disproved your statements. This conversation is over. I wish you all the best

[Boltfan]

I love me some broes drunk posting. He comes up with some priceless shit.

[broes]

Originally Posted by Boltfan

I love me some broes drunk posting. He comes up with some priceless shit.

I wasn't drunk. I just had one glass of wine with my dinner. Granted my dinner was beer so maybe you are on to something here.

[Glenn Quagmire]

Macbeth just tries to have a winning point in any discussion.
1/2 point awarded to Slithering House.

Now move on.

[Luke Skywalker]

Glen, while I agree with what you saying, he happens to be right in this case. Nigeria is more than 1200 miles from liberia. Look at this http://www.distancefromto.net/distan...ria/to/Nigeria
Not too far from the distance between texas and new york . but who cares?

[Boltfan]

Originally Posted by broes

I wasn't drunk. I just had one glass of wine with my dinner. Granted my dinner was beer so maybe you are on to something here.

You, never

[dallaswill]

Originally Posted by luv2wank

Curious if GFE providers and hobbyists have slowed down due to the whole "don't share bodily fluids or you may end up shitting blood". Even though I know for a fact I'm much more likely to get the flu from a provider than Ebola, I've been putting off getting my DFK/BBBJ fix until this blows over.

Am I the only one?

YES

[threepeckeredbillygoat]

When everyday people start coming down with it, and not just a couple of health care providers who have to deal with the vomit and shit and piss of an infected person, then I'll worry. As of right now it's still right up there with the bullshit swine flu, mad cow disease, west nile and all of the other media driven, money making over hyped bullshit that comes along every couple of years.

[Glenn Quagmire]

Originally Posted by threepeckeredbillygoat

When everyday people start coming down with it, and not just a couple of health care providers who have to deal with the vomit and shit and piss of an infected person, then I'll worry. As of right now it's still right up there with the bullshit swine flu, mad cow disease, west nile and all of the other media driven, money making over hyped bullshit that comes along every couple of years.

No shit. Constant news force feeding is depressing.