Posted on 10/16/2014 5:51:17 AM PDT by shortstop
“Not one person will support that.”
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I guarantee you are wrong on that, some idiot will support anything you can possibly imagine. There is nothing so ridiculous that some fool somewhere will not support it.
That wouldn’t be a coup, it would be doing what should be done.
>>> Duncan’s deceptiveness & lack of judgement placed everyone in harm’s way.
While you are 100% correct about Duncan, any national preparedness plan that relies on all people doing the right thing at the right time is a fatally flawed plan. Our evident lack of preparedness goes right back to the CDC, which has had 7 months to spin up all sorts of defenses (vaccine work, stockpiling supplies, building facilities, training HCW, etc.), but has failed on all counts.
Glaxo offered the CDC to spin up their vaccine work in May, if I recall, but was told it was not needed...until the CDC changed their mind in August. Criminal negligence!
jjsheridan is exactly right. If you calculate HCW infected per patients treated, the US currently stands at 2.0, whereas west Africa is maybe 0.05. No comparison at all. African HCW are much better at controlling the spread in the HCW workforce.
Now admittedly, I’d prefer to be in the US as a patient, but that may change too. I understand they did things like intubate Duncan, which may be the sort of thing that new protocols will forbid, to limit disease spread.
Post to me or FReep mail to be on/off the Bring Out Your Dead ping list.
The purpose of the “Bring Out Your Dead” ping list (formerly the “Ebola” ping list) is very early warning of emerging pandemics, as such it has a high false positive rate.
So far the false positive rate is 100%.
At some point we may well have a high mortality pandemic, and likely as not the “Bring Out Your Dead” threads will miss the beginning entirely.
*sigh* Such is life, and death...
The "Doctors without Borders" group - which has treated Ebola in Africa before - and has much better protocols than the CDC... had quite a few of their people DIE from this strain of Ebola in Africa.
bump
Obviously the US has failed on keeping it contained, and hopefully the protocols will tighten up. But not sure the doctors to victims ratio is the way to look at it. Duncan probably had contact with numerous HCW (4? 8? 20?) I imagine that a single HCW in Liberia would see numerous patients. In one article about an Ebola ward in Liberia, of the 27 HCW it has had since it started this summer, something like 24 had died.
And of course, many of the victims in Liberia are turned away from the clinics and sent home to die.
True, but maybe you are drawing the wrong conclusion from that.
I will make a prognostication that one of the strategies that will evolve will precisely be to minimize the number of HCWs in the hot zone of the hospital. The notion of having 20 HCWs attend one ebola patient will, I think, prove in the long run counterproductive.
The latter is the case. Some have difficulty accepting this
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