Posted on 10/14/2014 8:09:28 AM PDT by Tired of Taxes
Follow the link to watch a live forum at Johns Hopkins on Ebola.
Webcast should resume shortly at 11:15 a.m.
Now talking about the future of WHO.
“This is WHO’s 9-11.”
Talking about: The way WHO handles this crisis will determine the future of WHO.
There are over 400 herbs with proven anti-viral properties. Most already have known safe doses. Many also have secondary effects which are helpful for treating symptoms as well. Why aren’t they being studied to find which one are most effective for Ebola.
Now talking about: Designating certain healthcare facilities in the U.S. and other “developed nations” as Ebola facilities
* “A real bio-containment unit” is stand-alone... “We are likely to go in that direction...”
The latest question is regarding designated hospitals.
Since this is a biosafety level 4 virus there is already a list of biosafety level 4 hospitals - scroll down on the link - Texas Presbyterian is not included btw
http://en.wikipedia.org/wiki/Biosafety_level
Now talking about: Local doctors on front lines being transported to outside facilities when they become sick
Talking about: WHO refused to airlift a healthcare worker to Germany and that person died.
* “Employers have made commitments to their own employees to airlift them out if they get sick.” This is “not unusual.”
Talking about: If we as a country send people there, we need to commit to bringing them back if they become sick.
This is not CDC apparently.
To save people time and to update the 2009 wiki page, here is what I’ve put together and been posting:
Isolation Unit Beds
2? - Emory, Atlanta
3 - The Care and Isolation Unit in Missoula, Montana, opened in 2005 by the National Institutes of Health to serve lab workers at Rocky Mountain Laboratories, hasn’t yet served an infectious disease patient, only a handful with tuberculosis or contagious bacterial infections. The rooms look like everyday hospital rooms—white, sterile, a TV and window for entertainment. That’s because St. Patrick Hospital retrofitted three of its ICU rooms to make the unit.
10 – Omaha, Nebraska Medical Center run twice yearly drills with decontamination at their hospital’s 10-bed biocontainment unit. Opened in 2005. Has never had an infectious disease patient. Prior to Dr. Sacra in Sept., the unit had only briefly housed one patient with malaria five years ago. Malaria does not require quarantine.
7 - NIH opened a seven-bed Special Clinical Studies Unit at the Clinical Research Center in Bethesda to replace it. Its four patient rooms (two doubles and a single). Bethesda unit has only served a patient with a drug-resistant bacterial illness. “It can handle the highest level of respiratory virus, but Ebola isn’t even spread that way,” said Richard Davey, deputy clinical director of NIH’s Division of Clinical Research.
? - US Army Medical Research Institute of Infectious Diseases (USAMRIID) – Ft. Detrick, Maryland.
As of this past weekend the CDC is scrambling to makeshift Parkland Hospital and Baylor University Medical Center Dallas to care for adults and Children’s Medical Center Dallas for kids. These are NOT stand alone facilities.
Talking about: Hydration is very important
“aggressively hydrate with electrolyte replacement”
Managing fever...
Palliative care...
Talking about:
Significant numbers of people showing up without fever all the way to death.
They’re keeping a lid on this because they know they can’t prevent the spread of this particular strain of Ebola and if word were to get out there the American people would be panicked and also in a mood to reke revenge on these idiots.
That would be interesting.
Hope they’re not basing that on giving those too late for them to do any good, which seems to be the case for those patients that have gotten them in the US.
How long after showing symptoms does a person have before death?
This was the first intelligent information and discussion I’ve seen yet on the topic of responding to infectious disease.
The main thrust, obviously, was about Ebola, but the keynote speaker of this hastily arranged event pointed out that CDC/NIH has lost all credibility. He LEAD OFF with that.
He admitted that the speed of the virus and the speed of response are different and that Vv >> Vr.
He introduced two new basic terms: ‘program speed’ and ‘virus speed’. He admits they got clobbered in Africa so far. He admits that Dallas exposed the obvious fact that the entire HC infrastructure is not ready.
He said that the dogma about Ebola - what they THINK THEY KNEW about the disease is standing in the way of learning what they need to know in order to beat this.
He believes, long, long term they will need a vaccine. After they have contained/cracked this current outbreak, they will need something that will prevent something like this from happening again. That made sense (vaccines WAY AFTER this was over). It made more sense to point out that the obvious first line of vaccination would be HCW’s.
He admits that Nigeria got lucky, and if the infected had been wandering around a Lagos slum, the result would have been very different.
A Liberian citizen stepped up to the mic and admonished people that the Cuban’s had done more actual work on the ground in Liberia than any other country. He further admonished that Liberia wasn’t a failed state like Sierra Leone, and that it provided the only working air bases for the allied effort in WWI. His point was that Liberians were not expendable.
There was a WAPO journalist there (Lenny Bernstein, if you can believe the irony) who was constructive to the discussion. He provided on the ground reporting on what was actually happening down there in a completely non-partisan, non-political manner. It was actual journalism.
Forthwith, they need to fire Fauci and Freidan and hire the keynote to run things for the USG. He is saying all the things the USG should have been saying for months. Moreover, I think his response plan would look far different than the one we are seeing now.
I don’t think Freidan has another week. Fauci’s also looking more and more like Baghdad Bob every day.
Keep in mind that the $500,000 number was pulled out of a...hat and not an actual tally. And that it approximates direct costs only while the indirect costs may be far greater. Examples PPE acquisition and disposal, displaced routine hospital treatment. Additional security both general hospital entry and 24/7 EVD treatment suites, security of contaminated waste. And this is just for one patient. Two and more create a whole new ball game.
As far as establishing unique EVD holding treatment centers EVD will be epidemic here before the first design requests for proposal go out, never mind actual construction and manning. We have a 19th century political machine trying to deal with a Mach I disease with exponential growth rate. The Pols don’t have an ‘effing clue.
Healthcare workers in Africa would be the obvious ones to vax for this.
Much more economically feasible and provide a firewall to transmission.
The Liberian outbreak exploded when a pg woman with ebola showed up for an emergency c section at the main hospital there. Prior to their discovering she had ebola they performed an emergency c section and infected something like 4 doctors and many more nurses. After that it was off to the races for the Monrovia outbreak.
As I recall, another indirect cost not mentioned was the need to close the hospital, redirect ambulance traffic to other regional hospitals (loss of income).
With agent Zero(Duncan), I believe that they closed down the entire ICU at the hospital, and recreated ICU elsewhere.
A link to this thread has been posted on the Ebola Surveillance Thread
I know. Again, you should have seen it. Night and day different than what I expected would come from the BLOOMBERG school of public health at Johns Hopkins.
One more thing. The keynote finished the panel remarks by commenting that the future of WHO was in question after this crisis. This is the 9/11 of the infectious disease world, and WHO did not respond.
He didn’t go so far as to say the same thing about the CDC/NIH, but had there been a journalist in the crowd not on the panel asking questions as you would at a presser, that would have been the obvious follow up.
CIDRAP is impressive, based on the single data point of this one panel discussion. Practical, grounded, apolitical.
The panel also addressed that the days of censoring constructive conversation about Ebola for fear of inciting panic are over. That ship has essentially already sailed - people are already scared, and the press and papers aren’t helping by backing the push for being PC.
Almost forgot to mention that.
pfl
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.