From your referenced graphs not only are infections occurring past the 21 day window but the rate of infections occurring from day one are greater than implied in earlier CDC/WHO literature, if I read them correctly.
This seems consistent with the field lab work which discovered higher and earlier viral loading than earlier strains.
Seems to me that the first triage or arrival examination point under current CDC “guide lines” will be inadequate with actual EVD victims.
First responders to 911 calls may be blind sided in instances where the only presenting symptom is fever assuming that EVD has very low probability of transmission.
Maybe that 911 operators need to ask travel history and then call out a response team and vehicles dedicated to potential EVD victims.
I imagine that in the absence trauma these ambulances wouldn’t need all the std do all kit. Let KISS principal apply. The longer wait at the early stage I think would not seriously affect the patient.
Residence can be quarantined by immediate follow on team.
Stripped down vehicles would be more easily and effectively decontaminated.
These would then be directed external EVD triage points.
Texas pointed to the vulnerability of hospitals that could quickly make them reservoirs of EVD much like in Africa. Just damn stupid to place such health resources at risk.
My concerns here is three fold and largely personal.
1. The entire Duncan infection cluster is still less than 42 days from exposure.
2. There were well over 100 individuals on the flawed CDC/Dallas public health watch list, to include the Dallas Country Judge Jenkins.
3. If any of this infection cluster pops off between now and the middle of November, we are looking at the quarantine shut down of Dallas local area government as well as a significant portion of the DFW area medical system.
The odds at 1-in-20 popping symptoms later than 21 days with over 100 local exposures are that we may see up to 4 or 5 active Ebola infections with G-d knows how many more people quarantined.
Not to mention real public panic at the demonstrated public institution incompetence. And by real panic I mean mass school system closures for 43 days by school officials trying to avoid tar and feathers or hot lead depending on the extend of the “Echo outbreak” getting at local kids.
I and my family are avoiding the public as much possible based on that, but there really is no telling, as many of the people on the Frontier airline flights are scattered across North Texas to include children in four schools in Rockwall county in addition to the four announced schools in DISD.