Uh oh...
How many people did she/he come into contact with?
Thanks for posting. Thanks for the link, Timber Rattler from the SoFloFreeper thread that was just pulled
http://blogs.cdc.gov/cdcdirector/2014/10/02/why-u-s-can-stop-ebola-in-its-tracks/
Health/life BTTT!
Precious bodily fluids, Mandrake.
Have you ever been a POW, Mandrake?
Why, yes, yes I have, Jack.
Pity, they make such bloody good cameras, the Japanese.
Well, now we know why the gummint needed a billion rounds om 10 mm ammo. Ebola care.
"If the ratio stays 1:1, Ebola stays "under control". If only one more infection is found in the 21 day incubation period, it goes something like this:
3 weeks - 4 cases
6 weeks - 8 cases
9 weeks - 16 cases
12 weeks - 32 cases
15 weeks - 64 cases
18 weeks - 128 cases
And so on. It's called a geometric progression. In one year, it's 130,000 cases. The number of cases doubles every three weeks. "
Strike 3...people will be very angry now. This will not bode well for the Open Borders crowd.
Obozo said it’s hard to catch and under control. He needs to personally go and comfort these patients up close and personal.
For all healthcare workers (from the cdc link above)
112. October 14, 2014 at 2:24 pm ET - Lawrence Herbst
Dear Dr. Freiden,
I recognize that the CDC has no enforcement authority. However its recommendations and guidance obviously carry great weight. As I read the CDCs recommendations for health care worker precautions in caring for patients with ebola infection, I am concerned regarding the lack of rigor in making specific recommendations for the types of personal protective equipment (PPE) and procedures for doffing and donning PPE. Ebola is a CDC-BMBL Biosafety level-4 agent. CDC should at least be strongly recommending Biosafety-level 3 PPE!
Recommendations posted on the CDC website (most recent dated June 2014) recommend gloves, mask, water resistant gown, face shield. However, given the high infectious titer in fluids (Emesis, urine, fecal, blood) and potential for environmental persistence for days in moist organic matter, as well as low infectious dose, I would hope, that you are upgrading the recommendations and will post them quickly. Meanwhile I respectfully urge the CDC to strengthen its recommendations as follows:
1. All recommendations should be musts [statements such as extra precautions might be considered are just useless!]
2. All gloving procedures should be double glove procedures with outer gloves decontaminated (bleach) and removed first and then the last pair removed after all other PPE. Gloves should be taped to the cuffs of the gown.
3. All gowns should be complete coverall types with integrated shoe covers (Tyvek jumpsuits) to cover any clothing that would continue to be worn after leaving the patients room!. Why: Because high titer fluids (vomit, blood, urine) splashed onto surfaces (bedrails, floor) may contaminate shoes, pant legs, etc.
4. Masks should be something better than surgeons masks (these are designed to protect the patient from the HCW more than vice versa). N95 at least is designed for wearer protection from droplet exposure (and required for BSL-3 agents!!!- ebola is level 4!!!).
5. All PPE should be sprayed with disinfectant prior to exiting the room. A buddy should be required to assist with donning and doffing PPE. The advantage of a full jumpsuit is that it can easily be rolled inside out (contaminated side inward) as it is removed.
I sincerely hope that the CDC is already making ungraded recommendations based on the unfortunate virus transmissions to nursing staff in Texas and Spain. In my opinion it is not particularly useful to evaluate accidents by assuming that an existing SOP would have been 100% effective, if only it had been properly followed. We are wiser to examine this from the perspective that the SOP was followed perfectly and that maybe this virus is not behaving exactly as we expect and then find ways to improve the SOP. Cost of implementing enhanced PPE that is closer in line to BSL-3 / 4 may be more expensive, but those suggested above are not that expensive!
Our understanding of ebola virus transmission is based on only a few decades experience and a small number of self-limiting outbreaks in that time. This outbreak may be different and our PPE recommendations should respect the fact that we do not know everything about this virus and its behavior in human populations.
IMO, the truth about Ebola, will come out Nov 5 if it comes out at all..
I guess another health care worker in Dallas did not follow protocol? What gives Obama the right to risk American lives? Please make it a point to tell everyone you can to get out on Nov 4th and punish the Democrats for this.
Note: Link is a pdf document.
Charles Monet returned to his job at the pump house at the sugar factory. He walked to work each day across the burned cane fields, no doubt admiring the view of Mount Elgon, and when the mountain was buried in clouds, perhaps he could still feel its pull, like the gravity of an invisible planet. Meanwhile, something was making copies of itself inside Monet. A life form had acquired Charles Monet as a host, and it was replicating.
THE HEADACHE BEGINS, typically, on the seventh day after exposure to the agent. On the seventh day after his New Year's visit to Kitum Cave--January 8, 1980--Monet felt a throbbing pain behind his eyeballs.
He decided to stay home from work and went to bed in his bungalow. The headache grew worse. His eyeballs ached, and then his temples began to ache, the pain seeming to circle around inside his head. It would not go away with aspirin, and then he got a severe backache. His housekeeper, Johnnie, was still on her Christmas vacation, and he had recently hired a temporary housekeeper. She tried to take care of him, but she really did not know what to do. Then, on the third day after his headache started, he became nauseated, spiked a fever, and began to vomit. His vomiting grew intense and turned into dry heaves. At the same time, he became strangely passive. His face lost all appearance of life and set itself into an expressionless mask, with the eyeballs fixed, paralytic, and staring. The eyelids were slightly droopy, which gave him a peculiar appearance, as if his eyes were popping out of his head and half-closed at the same time. The eyeballs themselves seemed almost frozen in their sockets, and they turned bright red. The skin of his face turned yellowish, with brilliant star-like red speckles. He began to look like a zombie. His appearance frightened the temporary housekeeper. She didn't understand the transformation in this man. His personality changed. He became sullen, resentful, angry, and his memory seemed to be blown away.
He was not delirious. He could answer questions, although he didn't seem to know exactly where he was.
When Monet failed to show up for work, his colleagues began to wonder about him, and eventually they went to his bungalow to see if he was all right. The black-and-white crow sat on the roof and watched them as they went inside. They looked at Monet and decided that he needed to get to a hospital. Since he was very unwell and no longer able to drive a car, one of his co-workers drove him to a private hospital in the city of Kisumu, on the shore of Lake Victoria. The doctors at the hospital examined Monet, and could not come up with any explanation for what he might have some kind of bacterial infection, they gave him injections of antibiotics, but the antibiotics had no effect on his illness.
The doctors thought he should go to Nairobi Hospital, which is the best private hospital in East Africa. The telephone system hardly worked, and it did not seem worth the effort to call any doctors to tell them that he was coming. He could still walk, and he had to get to Nairobi. They put him in a taxi to the airport, and he boarded a Kenya Airways flight.
A hot virus from the rain forest lives within a twenty-four-hour plan flight from every city on earth. All of the earth's cities are connected by a web of airline routes. The web is a network. Once a virus hits the net, it can shoot anywhere in a day-Paris,Tokyo, New York, Los Angeles, wherever planes fly. Charles Monet and the life form inside him had entered the net.
The plane was a Fokker Friendship with propellers, a commuter aircraft that seats thirty-five people. It started its engines and took off over Lake Victoria, blue and sparkling, dotted with dugout canoes of fishermen. The Friendship turned and banked eastward, climbing over green hills quilted with tea plantations and small farms. The commuter flights hat drone across Africa are often jammed with people, and this flight was probably full. The plane climbed over belts of forest and clusters of round huts and villages with tin roofs. The land suddenly dropped away, going down in shelves and ravines, and changed in color from green to brown. The plane was crossing the Eastern Rift Valley. The passengers looked out the windows at the place where the human species was born.
They saw specks of huts clustered inside circles of thorn bush, with cattle trails radiating from the huts. The propellers moaned, and the Friendship passed through cloud streets, lines of puffy Rift clouds, and began to bounce and sway. Monet became airsick.
The seats are narrow and jammed together on these commuter airplanes, and you notice everything that is happening inside the cabin. The cabin is tightly closed, and the air recirculates. If there are any smells in the air, you perceive them. You would not have been able to ignore the man who was getting sick. He hunches over in his seat. There is something wrong with him, but you can't tell exactly what is happening.He is holding an airsickness bag over his mouth. He coughs a deep cough and regurgitates something into the bag. The bag swells up.
Perhaps he glances around, and then you see that his lips are smeared with something slippery and red, mixed with black specks, as if he has been chewing coffee grounds. His eyes are the color of rubies, and his face is an expressionless mass of bruises. The red spots, which a few days before had started out as star-like speckles, expanded and merged into huge, spontaneous purple shadows; his whole head is turning black-and-blue. The muscles of his face droop. The connective tissue in his face is dissolving, and his face appears to hang from underlying bone, as if the face is detaching itself from the skull. He opens his mouth and gasps into the bag, and the vomiting goes on endlessly. It will not stop, and he keeps bringing up liquid, long after his stomach should have been empty. The airsickness bag fills up to the brim with a substance known as vomit negro, or the black vomit. The black vomit is not really black; it is a speckled liquid of two colors, black and red, a stew of tarry granules mixed with fresh red arterial blood. It is hemorrhage, and it smells like a slaughterhouse. The black vomit is loaded with virus. It is highly infective, lethally hot, a liquid that smell of the vomit negro fills the passenger cabin. The airsickness bag is brimming with black vomit, so Monet closes the bag and rolls up the top. The bag bulging and softening, threatening to leak, and he hands it to a flight attendant.
When a hot virus multiplies in a host, it can saturate the body with virus particles, from the brain to the skin. The military experts then say that the virus has undergone "extreme amplification". This is not something like the common cold. By the time an extreme amplification peaks out, an eyedropper of the victim's blood may contain a hundred million particles of virus. During this process, the body is partly transformed into virus particles. In other words, the host is possessed by a life form that is attempting to convert the host into itself. The transformation is not entirely successful, however, and the end result is a great deal of liquefying flesh mixed with virus, a kind of biological accident. Extreme amplification has occurred in Monet, and the sign of it is the black vomit.
He appears to be holding himself rigid, as if any movement would rupture something inside him. His blood is clotting up-his bloodstream is throwing clots, and the clots are lodging everywhere. His liver, kidneys, lungs, hands, feet, and head are becoming jammed with blood clots. In effect, he is having a stroke through the whole body. Clots are accumulating in his intestinal muscles, cutting off the blood supply to his intestines.The intestinal muscles are beginning to die, and the intestines are starting to go slack. He doesn't seem to be fully aware of pain any longer because the blood clots lodged in his brain are cutting off blood flow. His personality is being wiped away by brain damage.
This is called depersonalization, in which the liveliness and details of character seem to vanish. He is becoming an automaton. Tiny spots in his brain are liquefying. The higher functions of consciousness are winking out first, leaving the deeper parts of the brain stem (the primitive rat brain, the lizard brain) still alive and functioning. It could be said that the who of Charles Mont has already died while the what of Charles Monet continues to live.
The vomiting attack appears to have broken some blood vessels in his nose-he gets a nosebleed. The blood comes from both nostrils, a shining, cloudless, arterial liquid that drips over his teeth and chin. This blood keeps running, because the clotting factors have been used up. A flight attendant gives him some paper towels, which he uses to stop up his nose, but the blood still won't coagulate, and the towels soak through.
When a man is ill in an airline seat next to you, you may not want to embarrass him by calling attention to the problem. You say to yourself that this man will be all right. Maybe he doesn't travel well in airplanes. He is airsick, the poor man, and people do get nosebleeds in airplanes, the air is so dry and thin ... and you ask him, weakly, if there is anything you can do to help. He does not answer, or he mumbles words you can't understand, so you try to ignore it, but the flight seems to go on forever. Perhaps the flight attendants offer to help him. But victims of this type of hot virus have changes in behavior that can render them incapable of responding to an offer of help. They become hostile, and don't want to be touched. They don't want to speak. They answer questions with grunts or monosyllables. They can't seem to find words.
They can tell you their name, but they can't tell you the day of the week or explain what has happened to them.
The Friendship drones through the clouds, following the length of the Rift Valley, and Monet slumps back in the seat, and now he seems to be dozing ... Perhaps some of the passengers wonder if he is dead. No, no, he is not dead. He is moving. His red eyes are open and moving around a little bit.
It is late afternoon, and the sun is falling down into the hills to the west of the Rift Valley, throwing blades of light in all directions, as if the sun is cracking up on the equator. The Friendship makes a gentle turn and crosses the eastern scarp of the Rift. The land rises higher and changes in color from brown to green. The Ngong Hills appear under the right wing, and the plane, now descending, passes over parkland dotted with zebra and giraffes. A minute later, it lands at JomoKenyatta International Airport. Monet stirs himself. He is still able to walk.
He stands up, dripping. He stumbles down the gangway onto the tarmac.
His shirt is a red mess. He carries no luggage. His only luggage is internal, and it is a load of amplified virus. Monet has been transformed into a human virus bomb. He walks slowly into the airport terminal and through the building and out to a curving road where taxis are always parked. The taxi drivers surround him--"Taxi?" "Taxi?"
"Nairobi... Hospital," he mumbles.
One of them helps him into a car. Nairobi taxi drivers like to chat with their fares, and this one probably asks if he is sick. The answer should be obvious. Monet's stomach feels a little better now. It is heavy, dull, and bloated, as if he has eaten a meal, rather than empty and torn and on fire.
The taxi pulls onto the Uhuru Highway and heads into Nairobi. It goes through grassland studded with honey-acacia trees, and it goes past factories, and then it comes to a rotary and enters the bustling street life of Nairobi. Crowds are milling on the shoulders of the road, women walking on beaten dirt pathways, men loitering, children riding bicycles, a man repairing shoes by the side of the road, a tractor pulling a wagon-load of charcoal.
The taxi turns left onto the Ngong Road and goes past a city park and up a hill, past lines of tall blue-gum trees, and it turns up a narrow road and goes past a guard gate and enters the grounds of Nairobi Hospital. It parks at a taxi stand beside a flower kiosk. A sign by a glass door says CASUALTY DEPT. Monet hands the driver some money and gets out of the tax and opens the glass door and goes over to the reception window and indicates that he is very ill. He has difficulty speaking. The man is bleeding, and they will admit him in just a moment. He must wait until a doctor can be called, but the doctor will see him immediately, not to worry. He sits down in the waiting room.
It is a small room lined with padded benches. The clear, strong ancient light of East Africa pours through a row of window and falls across a table heaped with soiled magazines, and makes rectangles on a pebbled gray floor that has a drain in the center. The room smells vaguely of wood smoke and sweat, and it is jammed with bleary-eyed people, Africans and Europeans sitting shoulder to shoulder. There is always someone in Casualty who has a cut and is waiting for stitches. People wait patiently, holding a washcloth against the scalp, holding a bandage pressed around a finger, and you may see a spot of blood on the cloth. So Charles Monet is sitting on a bench in casualty, and he does not look very much different from someone else in the room, except for his bruised, expressionless face and his red eyes. A sign on the wall warns patients to watch out for purse thieves, and another sign says:
PLEASE MAINTAIN SILENCE
YOUR COOPERATION WILL BE APPRECIATED.
NOTE: THIS IS A CASUALTY DEPARTMENT.
EMERGENCY CASES WILL BE TAKEN IN PRIORITY.
YOU MAY BE REQUIRED TO WAIT FOR SUCH CASES
BEFORE RECEIVING ATTENTION
Monet maintains silence, waiting to receive attention. Suddenly he goes into the last phase. The human virus bomb explodes. Military biohazard specialists have ways of describing this occurrence. They say that the victim has "crashed and bled out". Or more politely they say that the victim has "gone down".
He becomes dizzy and utterly weak, and his spine goes limp and nerveless and he loses all sense of balance. The room is turning around and around. He is going into shock. He leans over, head on his knees, and brings up an incredible quantity of blood from his stomach and spills it onto the floor with a gasping groan. He loses consciousness and pitches forward onto the floor. The only sound is a choking in his throat as he continues to vomit while unconscious. Then come a sound like bedside being torn in half, which is the sound of his bowels opening and venting blood from sloughed his gut. The linings of his intestines have come off and are being expelled along with huge amount of blood. Monet has crashed and is bleeding out.
The other patients in the waiting room stand up and move away from the man on the floor, calling for a doctor. Pools of blood spread out around him, enlarging rapidly. Having destroyed its host, the agent is now coming out of every orifice, and is "trying" to find a new host.
We need to quit calling it the Ebola epidemic or the HN whatever the hell it is killing kids all over America, and start calling with EVERY thread, political speech and news article The Democrats Biological Warfare on America. Please help.
And this is how it starts.
Can you imagine if this happened with Bush in the White House?
This would have been Katrina times a thousand.
I put this together for family on October 6th. Right on schedule so far.
Timeline
Sept. 20 Duncan Arrives in Dallas
Sept. 24 Duncan becomes sick and is probably now contagious
Sept 28 is isolated at hospital (allowing 4 days of exposure to family while contagious)
Sept 30th confirmed Ebola all precautions should now be in place
Oct. 6 Family was exposed 12 days ago, exceeding average time to show symptoms of 8-10 days
Oct 15 [initial]Paramedics and other people exposed should show symptoms by now if infected
Oct 19th family quarantine should end if none have shown symptoms
Oct 31st Chance of anyone infected from initial exposure gone, only poor medical practices now remain as a potential spread
_______
Regarding contagiousness: I am not a virology expert but here is some basic logic. The virus come into contact with a persons body fluids to cause infection. I.e. a break in the skin, the eyes, nose mouth etc. The virus begins to replicate. I think its primary area of action in the first few days is limited to the blood stream. It is not that a person could not possibly transmit the virus before showing symptoms, it is that it is extremely improbably with casual contact. If you drink their blood, yeah you are going to get Ebola. More realistically, if you are passionately kissing them and they have bleeding gums, you are definitely at risk.
Every moment that goes by the quantity of the virus is increasing, because the immune system’s response is hampered by the virus itself. So every day that goes by there is an increased chance of transmissibility. The reason, I believe, that the “until symptoms” is given as the contagious time is that the probability before that time is very low. Note that no one on the plane with Duncan contracted the disease, and the 21 day period is well expired.
This is also partly why people are perceived as more contagious in the late stages. It is not because it is airborne. Every body fluid is now thoroughly suffused with the virus. Further, the patients are now very prone to vomiting, and bleeding. In addition their natural waste of feces and urine must be dealt with. Everything is highly contagious. It would be extremely difficult to deal with all those fluids, and remove all protective gear and never have anything touch you.
CDC: Honestly, given what we know from MSF and Doctors Without Borders, the CDC guidelines seems to be somewhat irresponsibly under-cautious. However the Hospital itself bears as much responsibility as the CDC. I cannot imagine why they let seventy people in that room. MSF strictly allows only absolutely necessary workers in the confirmed infected areas. I hope the other workers will be safe, for the sake of them and their families.
QUICK! Put her in a van and take her to the mall. According to the Minister of Health and Propaganda (CDC) isolation (as in stopping all incoming flights) causes the disease to spread. According to the Minister, if we are going to stop this, isolation is not the answer.
http://www.naturalnews.com/047267_Ebola_outbreak_incubation_period_viral_transmission.html#ixzz3GDu8H4NY
But, don't worry: 5,700 hospitals in the United States; only four have biohazard isolation units suitable for Ebola patients
http://www.naturalnews.com/047265_Ebola_pandemic_US_hospitals_biohazard_isolation_units.html#ixzz3GDuMZ2qJ
Is it time to stop all flights out of West Africa now?