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Ebola Surveillance Thread
Free Republic Threads ^ | August 10, 2014 | Legion

Posted on 08/10/2014 12:46:23 AM PDT by Smokin' Joe

I have spent a little time compiling links to threads about the Ebola outbreak in the interest of having all the links in one thread for future reference.

Please add links to new threads and articles of interest as the situation develops.

Thank You all for you participation.


TOPICS: Health/Medicine
KEYWORDS: africa; airborne; cdc; czar; doctor; ebola; ebolaczar; ebolagate; ebolainamerica; ebolaoutbreak; ebolaphonywar; ebolastrains; ebolathread; ebolatransmission; ebolavaccine; ebolaviralload; ebolavirus; emory; epidemic; fluseason; frieden; health; healthcare; hospital; incubation; isolation; jahrling; liberia; nih; obamasfault; obola; outbreak; overpopulation; pandemic; peterjahrling; population; populationcontrol; protocols; publichealth; publicschools; quarantine; quarantined; ronklain; schools; sierraleone; talkradio; terrorism; thomasfrieden; tolerance; travel; travelban; trojanhorse; usarmy
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To: Smokin' Joe; Thud

This article from the PFIF makes clear that Liberia is in no way “Bending the Curve” on Ebola.

Outside the Liberian government’s writ in Monrovia, people are ignoring the Health Ministry and simply burying their Ebola dead in secret.

We can expect a huge wave of new infections in Liberia after Thanksgiving.


Liberia: Secret Night Burials - Liberia’s Health Ministry Alarms Growing

http://allafrica.com/stories/201411190768.html
Stephen D. Kollie

The Ministry of Health of and Social Welfare has raise a serious alarm over the refusal of people allowing their dead ones to be buried with dignity by health officials but rather, many family members have begun carrying out secret burials at night in their various communities.

Speaking to reporters Tuesday at the Ministry of Information regular Ebola press briefing, Assistant Health Minister Tolbert Nyenswah disclosed that the time is not certified yet for Liberians to return to their usual cultural practices and that an attempt to do so will lead the nation to a dangerous trajectory.

Said Minister Nyenswah: “People are in the night burying secretly being unsafe and they bury these people without any safety. They are not trained to do that and we have health workers that could bury safely with the dignity that is required for the family people. We regret a lot for the loved ones that we lost during this crisis and we are also feeling it to the extent that people cannot perform the rituals, the traditional practices that we all used to perform. But the time is not certified yet for us to revert to those practices when we still having active transmission of the disease.”

The Assistant Health Minister noted that the Ministry is still recording 20-50 new Ebola suspected cases on a daily basis across the country, suggesting that there is active transmission of the Ebola virus disease in Liberia.

Health workers infected

The Minister expressed shock that in the past weeks there were low infections in health care workers, but of recent, the situation has changed with more health care workers beginning to get infected again with the Ebola Virus Disease. He many of the health workers that are getting infected are either treating sick patients at home or in the private health facilities in the country.

“Common example is in Jenewonde where we visited over the weekend and we noticed that a vaccinator who was not working at the clinic in Jenewonde got infected from the Ebola virus disease, refused to come to any ETU and died in the community infecting other people in the home,” the Minister said.

Ebola base in Monrovia

Minister Nyenswah also revealed that the highest number of Ebola ceases is now being reported from Monrovia and that the capital is actively infecting other leeward counties. He said the current hotspots of outbreak in the rest of the fifteen counties are cases that originates from Monrovia

Minister Nyenswah said: “We want to sound this warning especially to our people in the leeward counties that don’t take sick strangers at this time and even if somebody goes into your village, into your community or county, make sure you keep active surveillance on that individual and report that to the county health team so that we can properly follow up that person. And traditional healers also should be careful of people leaving from Monrovia going to the leeward counties for healing when we have ETUs that could accept them.”


4,801 posted on 11/19/2014 7:16:31 AM PST by Dark Wing
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To: Smokin' Joe; Thud

Please note that the Pandemic Flu Information forum (PFIF) now has a separate “Suspect or Quarantined ‘New Ebola’ Cases” thread that folks here should monitor.

See:

http://www.singtomeohmuse.com/viewtopic.php?t=5749


4,802 posted on 11/19/2014 7:19:46 AM PST by Dark Wing
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To: Dark Wing

This is Pixie’s first post to the new Ebola thread over on PFIF —


There’s some evidence that authorities may have already pretty much “jumped the shark” on identifying travelers as being suspect New Ebola cases.

A good number of people are being placed in isolation as suspect cases after traveling from the affected areas. Some of these people seem to truly exhibit symptoms which might be characteristic of the disease. Some seem to have no more than a headache and slight fever.

For every case that reaches the media, there are likely more than a few that we will never hear about which were under investigation. Because we are hearing of cases only randomly, and because so little information is released about them, there is very little way of determining which are the most important cases or even if we are hearing about those particular cases at all.

In order to keep the News thread focused on events, we will move reports of suspect New Ebola cases to this thread. Most (so far) will test negative. Many people being tested and even isolated do not even meet the current case definition for New Ebola at which times authorities say they are testing and isolating “out of an abundance of caution.”

When a case tests positive, we will move it to the News thread.

If a case seems particularly notable or authorities seem particularly disingenuous about it (I’m looking at you, Saudi Arabia..) in that case we can also copy it to the News thread as worthy of further examination and debate.

Most suspect cases, though, will be followed up with the report that the test came back with a negative. Since that is non-news, these cases are probably better off being corralled here. The numbers of travelers tested, and the numbers of negatives, are going to rise in tandem with the increase in positive cases. What I’m trying to avoid is extra “noise” on the News thread.

One of these cases will likely eventually prove positive, and will likely have transmitted on his or her journey. That will, (as with Mr. Sawyer), again be news.

It will also be interesting to be able to see all these suspect cases together to see if there are any trends in speed of testing, symptoms which raise suspicion, and the treatment by medical and public health officials of the suspect cases.
_________________


4,803 posted on 11/19/2014 7:21:00 AM PST by Dark Wing
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To: Smokin' Joe; Thud
This is one of the latest post to the "Suspect or Quarantined 'New Ebola' Cases" thread at PFIF with the comment from the poster placed at the top. A comment I agree with, BTW. ----------- Comment You can't tell people what they should or should not be worried about. That just does not work. Any perception that the authorities are hiding something will make things worse. Health departments should have a clear policy that they communicate to the public with an emphasis on providing as much information as is reasonable. For example, stating the number of people being monitored; the number who have been tested; the number who are under quarantine; the number who have been hospitalized in daily reports would do much to allay concerns about transparency. If Ebola is truly coming under control in West Africa, then the frequency of exported cases will drop, hopefully to zero. However, if we have even a single additional unannounced case, and the release of information is perceived to be slow, public confidence will be hard to regain. --------------------- Ebola seemed out of control in Kansas City recently — not the disease itself, but rumors and anxious news reports about the deadly virus. http://www.kansascity.com/news/local/article3654912.html ALAN BAVLEYTHE. 11/07/2014 On a recent Saturday, social media spread such fevered rumors of a suspected Ebola case at Research Medical Center that the hospital issued a news release the next day denying the reports. Not knowing of the hospital’s statement, the Kansas City Health Department held a news conference a day later to say the same thing: no Ebola here. A week later, rumors spread so far so fast about a patient in an isolation unit at the University of Kansas Hospital that the hospital felt compelled to hold a news conference hours after he was admitted. As a phalanx of TV crews broadcast live, the hospital’s chief medical officer said the patient was, indeed, being tested for Ebola but was at “low to moderate risk” of the disease. Within two days, tests showed he was Ebola-free. Similar false alarms have been happening across the country. Public health officials and news media are now trying to get the situation under control. The Kansas City Health Department started work this week with other local health departments on guidelines for reporting information about Ebola-related cases to the news media and public. The Associated Press recently told news organizations that it wasn’t going to routinely distribute stories about suspected Ebola cases. And on Wednesday, the Maryland health department announced that health officials and hospitals no longer will offer information or even acknowledge the presence of suspected Ebola cases until the disease is confirmed. “It’s important that we’re communicating as consistently as we can, sharing information the public needs,” said Kansas City Health Department Director Rex Archer. When misinformation spreads, it creates “inappropriate levels of fear that cause the public to overreact.” Archer met this week with area health departments to share ideas for uniform reporting guidelines. He hopes to get them all on board and then hospitals, as well. Archer said he was motivated by the “sum total of all the reporting going on around the country. It’s just a situation ripe for social media speculation and even pranks to cause the health care system to mobilize when it’s unnecessary.” Those stories started to appear as the Ebola epidemic in three West African nations began gaining international attention in recent months. But their exponential growth started last month, after Thomas Eric Duncan of Ebola-stricken Liberia was diagnosed with the disease at a Dallas hospital and two of his nurses also fell ill. Since then, unfounded stories have circulated widely: ▪ A young girl from Liberia became ill and was taken to a hospital in Dover, Del., where she was placed in isolation. She was quickly found to be free of Ebola. False alarm. ▪ The Inspira Medical Center in Woodbury, N.J., was rumored to have an Ebola patient under treatment. False. ▪ Workers at a Doritos factory tested positive for Ebola and infected thousands of bags of chips. Hoax. Maryland health officials are trying to take fuel out of Ebola combustion by limiting information they release to confirmed cases only. They’ve asked hospitals, which in some cases had been announcing patients being kept in isolation, to follow the same rules. “The public health is not served by repeated rumors about possible cases,” Albert Wu, a professor at the Johns Hopkins school of public health, told the Baltimore Sun. “I think it results only in whiplash and heightened anxiety.” But some experts say health officials and hospitals need to be more adaptable, especially now that social media can fill an information void with speculation, innuendo and false information. “You’re not looking to report out on any person being monitored or tested (for Ebola). That could be putting more fear and panic in the community than providing a public service,” said Chris Aldridge of the National Association of County and City Health Officials. “But once social media get hold of it, it takes on a life of its own. That may force you to take steps.” In such circumstances, disclosing information “shows you’re on top of things, and it can reassure the public that things are under control.” How much information gets released is a balancing act, Aldridge said, between a patient’s right to privacy and the public’s right to enough information to assess potential risks. When information about a patient is disclosed, it needs to be accompanied by a discussion of what the true risks to the public are, Aldridge said. Those risks are very small; the Ebola virus isn’t easy to catch, and infected people don’t pose a risk to others until they’ve developed symptoms, he said. Archer of the Kansas City Health Department thinks health authorities should tell the public about confirmed Ebola cases, but probably no more than the person’s sex and date of birth. It would be up to individual hospitals to disclose where patients were being treated. He also would release information about suspected cases, at least in situations where the patient may have been contagious and exposed people to the virus. Archer’s suggestions are still under discussion with other health departments. “I’m not saying we have 100 percent agreement,” he said. The Kansas and Missouri health departments have not issued specific guidelines for publicly reporting Ebola. Fraser Seitel, a partner at Rivkin & Associates, a health care communications firm specializing in crisis management, advises hospitals not to make announcements when they have suspected Ebola cases. “That could send panic through the community,” he said. “But we have to be sensitive that rumors are going to start and if news media start reporting it, you have to react. You have to staunch rumors quickly.” The University of Kansas Hospital found itself in a tough spot last month shortly after a man who had served as a medical officer on a commercial vessel off the west coast of Africa checked himself in before dawn with a high fever and other symptoms common to Ebola and other tropical diseases. Hospital officials said the patient’s family or a co-worker may have been the first to post something about him on social media that morning. By early afternoon, hospital spokeswoman Jill Chadwick had received a call from a local television station. After that, “it spread like a grass fire. It was amazing,” Chadwick said. Within minutes, the hospital’s public relations department had heard from CNN, National Public Radio and Al Jazeera. Lee Norman, the hospital’s chief medical officer, faced the assembled reporters and photographers that evening. “We had no intention to go public with this gentleman,” he said this week. “It becomes a crisis of confidence if we were to simply clam up and say, ‘No comment.’ That would just feed the fire.” Tests soon found the patient was Ebola-free. The fire was out. Karl Stark is the health and science editor of the Philadelphia Inquirer and president of the Association of Health Care Journalists. He believes that “good information is the best treatment for the anxiety caused by the media. So public health authorities should be as forthcoming as possible.” But suspected Ebola cases often aren’t worth a news story, he said. “First of all, positive results have been rare in the U.S. We had over 100 people being monitored for Ebola symptoms in Pennsylvania at one time, and none of them ended up testing positive. A steady drumbeat of stories on suspected cases would have ... needlessly stoked public hysteria.” Stark suggests that journalists “put the Ebola epidemic in perspective. Flu kills 36,000 Americans a year. ... There is so far one Ebola fatality on U.S. soil.” A clear perspective about Ebola will be essential in the months ahead. “I can only see this getting more difficult as we go into flu season, where the symptoms of flu mimic Ebola,” Archer said.
4,804 posted on 11/19/2014 7:25:36 AM PST by Dark Wing
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To: Dark Wing
Whoops... I don't know why the wall of text happened. I'll try this again -- ---- Ebola seemed out of control in Kansas City recently — not the disease itself, but rumors and anxious news reports about the deadly virus. http://www.kansascity.com/news/local/article3654912.html ALAN BAVLEYTHE. 11/07/2014 On a recent Saturday, social media spread such fevered rumors of a suspected Ebola case at Research Medical Center that the hospital issued a news release the next day denying the reports. Not knowing of the hospital’s statement, the Kansas City Health Department held a news conference a day later to say the same thing: no Ebola here. A week later, rumors spread so far so fast about a patient in an isolation unit at the University of Kansas Hospital that the hospital felt compelled to hold a news conference hours after he was admitted. As a phalanx of TV crews broadcast live, the hospital’s chief medical officer said the patient was, indeed, being tested for Ebola but was at “low to moderate risk” of the disease. Within two days, tests showed he was Ebola-free. Similar false alarms have been happening across the country. Public health officials and news media are now trying to get the situation under control. The Kansas City Health Department started work this week with other local health departments on guidelines for reporting information about Ebola-related cases to the news media and public. The Associated Press recently told news organizations that it wasn’t going to routinely distribute stories about suspected Ebola cases. And on Wednesday, the Maryland health department announced that health officials and hospitals no longer will offer information or even acknowledge the presence of suspected Ebola cases until the disease is confirmed. “It’s important that we’re communicating as consistently as we can, sharing information the public needs,” said Kansas City Health Department Director Rex Archer. When misinformation spreads, it creates “inappropriate levels of fear that cause the public to overreact.” Archer met this week with area health departments to share ideas for uniform reporting guidelines. He hopes to get them all on board and then hospitals, as well. Archer said he was motivated by the “sum total of all the reporting going on around the country. It’s just a situation ripe for social media speculation and even pranks to cause the health care system to mobilize when it’s unnecessary.” Those stories started to appear as the Ebola epidemic in three West African nations began gaining international attention in recent months. But their exponential growth started last month, after Thomas Eric Duncan of Ebola-stricken Liberia was diagnosed with the disease at a Dallas hospital and two of his nurses also fell ill. Since then, unfounded stories have circulated widely: ▪ A young girl from Liberia became ill and was taken to a hospital in Dover, Del., where she was placed in isolation. She was quickly found to be free of Ebola. False alarm. ▪ The Inspira Medical Center in Woodbury, N.J., was rumored to have an Ebola patient under treatment. False. ▪ Workers at a Doritos factory tested positive for Ebola and infected thousands of bags of chips. Hoax. Maryland health officials are trying to take fuel out of Ebola combustion by limiting information they release to confirmed cases only. They’ve asked hospitals, which in some cases had been announcing patients being kept in isolation, to follow the same rules. “The public health is not served by repeated rumors about possible cases,” Albert Wu, a professor at the Johns Hopkins school of public health, told the Baltimore Sun. “I think it results only in whiplash and heightened anxiety.” But some experts say health officials and hospitals need to be more adaptable, especially now that social media can fill an information void with speculation, innuendo and false information. “You’re not looking to report out on any person being monitored or tested (for Ebola). That could be putting more fear and panic in the community than providing a public service,” said Chris Aldridge of the National Association of County and City Health Officials. “But once social media get hold of it, it takes on a life of its own. That may force you to take steps.” In such circumstances, disclosing information “shows you’re on top of things, and it can reassure the public that things are under control.” How much information gets released is a balancing act, Aldridge said, between a patient’s right to privacy and the public’s right to enough information to assess potential risks. When information about a patient is disclosed, it needs to be accompanied by a discussion of what the true risks to the public are, Aldridge said. Those risks are very small; the Ebola virus isn’t easy to catch, and infected people don’t pose a risk to others until they’ve developed symptoms, he said. Archer of the Kansas City Health Department thinks health authorities should tell the public about confirmed Ebola cases, but probably no more than the person’s sex and date of birth. It would be up to individual hospitals to disclose where patients were being treated. He also would release information about suspected cases, at least in situations where the patient may have been contagious and exposed people to the virus. Archer’s suggestions are still under discussion with other health departments. “I’m not saying we have 100 percent agreement,” he said. The Kansas and Missouri health departments have not issued specific guidelines for publicly reporting Ebola. Fraser Seitel, a partner at Rivkin & Associates, a health care communications firm specializing in crisis management, advises hospitals not to make announcements when they have suspected Ebola cases. “That could send panic through the community,” he said. “But we have to be sensitive that rumors are going to start and if news media start reporting it, you have to react. You have to staunch rumors quickly.” The University of Kansas Hospital found itself in a tough spot last month shortly after a man who had served as a medical officer on a commercial vessel off the west coast of Africa checked himself in before dawn with a high fever and other symptoms common to Ebola and other tropical diseases. Hospital officials said the patient’s family or a co-worker may have been the first to post something about him on social media that morning. By early afternoon, hospital spokeswoman Jill Chadwick had received a call from a local television station. After that, “it spread like a grass fire. It was amazing,” Chadwick said. Within minutes, the hospital’s public relations department had heard from CNN, National Public Radio and Al Jazeera. Lee Norman, the hospital’s chief medical officer, faced the assembled reporters and photographers that evening. “We had no intention to go public with this gentleman,” he said this week. “It becomes a crisis of confidence if we were to simply clam up and say, ‘No comment.’ That would just feed the fire.” Tests soon found the patient was Ebola-free. The fire was out. Karl Stark is the health and science editor of the Philadelphia Inquirer and president of the Association of Health Care Journalists. He believes that “good information is the best treatment for the anxiety caused by the media. So public health authorities should be as forthcoming as possible.” But suspected Ebola cases often aren’t worth a news story, he said. “First of all, positive results have been rare in the U.S. We had over 100 people being monitored for Ebola symptoms in Pennsylvania at one time, and none of them ended up testing positive. A steady drumbeat of stories on suspected cases would have ... needlessly stoked public hysteria.” Stark suggests that journalists “put the Ebola epidemic in perspective. Flu kills 36,000 Americans a year. ... There is so far one Ebola fatality on U.S. soil.” A clear perspective about Ebola will be essential in the months ahead. “I can only see this getting more difficult as we go into flu season, where the symptoms of flu mimic Ebola,” Archer said. Comment You can't tell people what they should or should not be worried about. That just does not work. Any perception that the authorities are hiding something will make things worse. Health departments should have a clear policy that they communicate to the public with an emphasis on providing as much information as is reasonable. For example, stating the number of people being monitored; the number who have been tested; the number who are under quarantine; the number who have been hospitalized in daily reports would do much to allay concerns about transparency. If Ebola is truly coming under control in West Africa, then the frequency of exported cases will drop, hopefully to zero. However, if we have even a single additional unannounced case, and the release of information is perceived to be slow, public confidence will be hard to regain. _________________
4,805 posted on 11/19/2014 7:31:47 AM PST by Dark Wing
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To: Dark Wing

Okay, there seems to be a problem.

Even auto-preview is showing a wall of text.


4,806 posted on 11/19/2014 7:33:52 AM PST by Dark Wing
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To: Dark Wing
There is so far one Ebola fatality on U.S. soil.”

Two, actually. The one in Nebraska died.

4,807 posted on 11/19/2014 7:37:11 AM PST by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing.)
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To: Smokin' Joe
CDC chief drops worst-case Ebola estimate

Sibling of YISD student under Ebola watch (El Paso, TX)

Brooklyn Woman On Ebola Monitoring List Drops Dead Bleeding From "Face, Mouth, Nose"

4,808 posted on 11/19/2014 2:37:05 PM PST by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing.)
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To: Smokin' Joe

That last article is the scariest. The woman had recently been to Guinea and was “under observation”. 911 in NYC have been instructed NOT to use the word “ebola”. They are instead to refer to deaths like this as “F/T” which = Fever/Travel.

No hazmat crews came to the beauty parlor to disinfect. There were many present as the lady died, “Blood pouring out of her nose and mouth”.


4,809 posted on 11/19/2014 6:39:21 PM PST by miserare (2014--The Year We Fight Back!)
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To: Smokin' Joe
Ebola death toll rises to 5,420: WHO
4,810 posted on 11/19/2014 9:12:37 PM PST by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing.)
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To: miserare
“Blood pouring out of her nose and mouth”.

Not your typical heart attack symptoms...

4,811 posted on 11/19/2014 9:12:46 PM PST by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing.)
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To: Smokin' Joe
Ebola Nurse Amber Vinson Gets Free Engagement Ring [decontamination crew "destroyed" her old one]
4,812 posted on 11/19/2014 9:33:55 PM PST by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing.)
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To: Smokin' Joe; All

4,813 posted on 11/20/2014 5:10:07 AM PST by wtd
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To: wtd; All

4,814 posted on 11/20/2014 5:28:19 AM PST by wtd
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To: wtd
Erdogan to Visit Equatorial Guinea out of 'Solidarity' over Ebola
4,815 posted on 11/20/2014 8:10:22 AM PST by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing.)
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To: Smokin' Joe
Patient being evaluated for possible Ebola infection at Jefferson County hospital (Missouri)
4,816 posted on 11/20/2014 3:23:30 PM PST by Oorang (Tyranny thrives where government need not fear the wrath of an armed people - Alex Kozinski)
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To: Smokin' Joe
Brooklyn man rushed to Bellevue with Ebola-like symptoms
4,817 posted on 11/20/2014 9:53:14 PM PST by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing.)
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To: wtd
Ebola at a Glance for 11/21/2014


4,818 posted on 11/21/2014 5:29:33 AM PST by wtd
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To: wtd

4,819 posted on 11/21/2014 3:17:20 PM PST by wtd
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To: wtd

4,820 posted on 11/21/2014 4:01:57 PM PST by wtd
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