Lice are everywhere, but not a problem in civilized countries.
I know it’s over-simplistic, but you get my drift.
And my personal belief is that if it gets TOO bad, it is the pale horseman, which would surprise me even less.
While this article seems a little overly gentle for my taste, it does describe some important differences between Africa and here.
“Modern Plumbing: The Answer to Ebola epidemic”
http://www.ushealthworks.com/blog/index.php/2014/09/ebola-epidemic/
Our biggest threat will be our government. I'm keeping my eyes and ears open, and will self-quarantine for up to a few months if it does seem prudent. I do not believe the gov would do all that's necessary. Because of the economy and that they'll want to reassure the public by keeping things running normally, the disease would spread.
When it leaves Africa, the disease probably won't be as effective. It spreads in those conditions. I'd think that refugee camps and situations in war-torn countries, and those with third world living conditions are where the real danger is.
Not impossible that it'll spread here, but the models don't factor in how conducive an environment is for spreading the disease.
I don’t think it’s the pale horse, but it might be the initial formation making the pale horse feasible. MIght burn iself out at 10000 deaths, but leave dormant cells everywhere to come back alive in a decade or so.