Stanley Gaye, president of the Liberian Community Association of Dallas-Fort Worth, said the 10,000-strong Liberian population in North Texas is skeptical of the CDC’s assurances because Ebola has ravaged their country.
“We've been telling people to try to stay away from social gatherings,” Gaye said at a community meeting Tuesday evening. Large get-togethers are a prominent part of Liberian culture.
“We need to know who it is so that they (family members) can all go get tested,” Gaye told The Associated Press. “If they are aware, they should let us know.”
Ebola symptoms can include fever, muscle pain, vomiting and bleeding, and can appear as long as 21 days after exposure to the virus. The disease is not contagious until symptoms begin, and it takes close contact with bodily fluids to spread.
The association's vice president encouraged all who may have come in contact with the virus to visit a doctor and she warned against alarm in the community.
“We don't want to get a panic going,” said vice president Roseline Sayon. “We embrace those people who are coming forward. Don't let the stigma keep you from getting tested.”
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Ebola case stokes concerns for Liberians in Texas
Associated Press By DAVID WARREN and LAURAN NEERGARD
9 minutes ago
https://news.yahoo.com/ebola-case-stokes-concerns-liberians-dallas-053920222.html
DALLAS (AP) — The first case of Ebola diagnosed in the U.S. has been confirmed in a man who recently traveled from Liberia to Dallas, sending chills through the area's West African community whose leaders urged caution to prevent spreading the virus.
The unidentified man was critically ill and has been in isolation at Texas Health Presbyterian Hospital since Sunday, federal health officials said Tuesday. They would not reveal his nationality or age.
Authorities have begun tracking down family, friends and anyone else who may have come in close contact with him and could be at risk. Officials said there are no other suspected cases in Texas.
At the Centers for Disease Control and Prevention, Director Tom Frieden said the man left Liberia on Sept. 19, arrived the next day to visit relatives and started feeling ill four or five days later. Frieden said it was not clear how the man became infected.
“I have no doubt that we'll stop this in its tracks in the U.S. But I also have no doubt that — as long as the outbreak continues in Africa — we need to be on our guard,” Frieden said, adding that it was possible someone who has had contact with the man could develop Ebola in the coming weeks.
“But there is no doubt in my mind that we will stop it here,” he said.
Stanley Gaye, president of the Liberian Community Association of Dallas-Fort Worth, said the 10,000-strong Liberian population in North Texas is skeptical of the CDC’s assurances because Ebola has ravaged their country.
“We've been telling people to try to stay away from social gatherings,” Gaye said at a community meeting Tuesday evening. Large get-togethers are a prominent part of Liberian culture.
“We need to know who it is so that they (family members) can all go get tested,” Gaye told The Associated Press. “If they are aware, they should let us know.”
Ebola symptoms can include fever, muscle pain, vomiting and bleeding, and can appear as long as 21 days after exposure to the virus. The disease is not contagious until symptoms begin, and it takes close contact with bodily fluids to spread.
The association's vice president encouraged all who may have come in contact with the virus to visit a doctor and she warned against alarm in the community.
“We don't want to get a panic going,” said vice president Roseline Sayon. “We embrace those people who are coming forward. Don't let the stigma keep you from getting tested.”
Frieden said he didn't believe anyone on the same flights as the patient was at risk.
“Ebola doesn't spread before someone gets sick and he didn't get sick until four days after he got off the airplane,” Frieden said.
Four American aid workers who became infected in West Africa have been flown back to the U.S. for treatment after they became sick. They were treated in special isolation facilities at hospitals in Atlanta and Nebraska. Three have recovered.
A U.S. doctor exposed to the virus in Sierra Leone is under observation in a similar facility at the National Institutes of Health.
The U.S. has only four such isolation units, but Frieden said there was no need to move the latest patient because virtually any hospital can provide the proper care and infection control.
The man, who arrived in the U.S. on Sept. 20, began to develop symptoms last Wednesday and sought care two days later. But he was released. At the time, hospital officials didn't know he had been in West Africa. He returned later as his condition worsened.
Blood tests by Texas health officials and the CDC separately confirmed his Ebola diagnosis Tuesday. State health officials described the patient as seriously ill. Goodman said he was able to communicate and was hungry.
The hospital is discussing if experimental treatments would be appropriate, Frieden said.
Since the summer months, U.S. health officials have been preparing for the possibility that an individual traveler could unknowingly arrive with the infection. Health authorities have advised hospitals on how to prevent the virus from spreading within their facilities.
Passengers leaving Liberia pass through rigorous screening, the country's airport authority said Wednesday. But those checks are no guarantee that an infected person won't get through and airport officials would be unlikely to stop someone not showing symptoms, according to Binyah Kesselly, chairman of the Liberia Airport Authority's board of directors.
CDC officials are helping staff at Monrovia's airport, where passengers are screened for signs of infection, including fever, and asked about their travel history. Plastic buckets filled with chlorinated water for hand-washing are present throughout the airport.
Liberia is one of the three hardest-hit countries in the epidemic, along with Sierra Leone and Guinea.
[snip]
One of the commentors over on the PANDEMIC FLU INFORMATION FORUM maade the following analysis of the Eric Ericson piece I posted earlier:
http://www.singtomeohmuse.com/viewtopic.php?t=5725&postdays=0&postorder=asc&start=2715
A few points about the timeline. and some questions.
The man arrived in Dallas on Saturday, the 20th.
1. Pushing his symptom onset date back from the 26th to the 24th makes it slightly more plausible that the man was experiencing at least some initial symptoms upon his arrival on the 20th. That would mean that his fellow travelers were more at risk than has been presented.
There’s another reason to believe that the man might have demonstrated symptoms earlier. Think about it — you don’t run to an emergency room at a hospital until you’ve been sick for a few days. Not *two* days. But CDC wants us to believe that the man began to show symptoms on the 24th and went to the ER on the 26th. That idea might fly if the man had also admitted that he had just come from Liberia and had presented himself, early and worried about a possible Ebola infection, out of an abundance of caution. But he admitted to no such thing (nor did his family).
While watching cases of Ebola in Liberia, one thing that has stood out to us are the heart rending photos and videos of Ebola patients in ETUs sitting on those plastic chairs, slightly ill but not overwhelmingly so, simply waiting for their fate, for the virus to really kick in. That takes a few days, and is one of the hardest things for me, from my remote position, to watch. I can’t imagine what that must be like. But the patients do often sit there, for days, before turn really sick — say sick enough, if one was in this country, to head to an emergency room.
If the first visit to the ER really did happen on the 24th, that makes it more likely that the patient was symptomatic on arrival, or became so very shortly thereafter.
2. What was the patient doing on the weekend of September 20th? Was there a gathering in his honor on the 20th or 21st? (Saturday or Sunday?). Was there a wedding? A community celebration? Where was the man on Monday and Tuesday? Why would CDC possibly have lied and said that the man only became symptomatic on the 26th rather than the 24th?
If this has happened, CDC will believe that it can handle the matter quietly. It will ask the Liberian community in Dallas to be circumspect about it all, to decline to talk to the press. (And the press is approaching the community via social media and almost certainly in person locally). CDC could scare the Liberian community with visions of “stigmatism” should people start talking. But the Liberians should know by now that only the most open of discussion can stop this virus, whether in Liberia or here.
I agree with those who stated that Frieden’s body language and tone looked more worried than he wanted to let on. Something about the equation presented doesn’t add up. And CDC’s official dismissal of legitimate questions and concerns doesn’t help anybody, which they will figure out as the surprises tumble out in a willy-nilly fashion.