(08-01-2014 10:58 PM)ODUsmitty Wrote: It is arrogant to think American medical services know with absolute assuredness the routes of transmission, especially with two AMericans that should know all the precautions with this disease. If there is any guiding premise for disease, it should be that "nature finds a way".
If this strain has airborne transmission capability, which some reports are suggesting, the opportuity to contain is much less. Still do not understand the rush to come to the US, when support in a hot zone, or other isolated area, makes more sense. Bringing them to a heavily populated city seems foolish, at best.
Yeah, and in Atlanta in a few weeks. Pretty f'd up.
I agree that it is silly to bring these patients to the United States, much less a major city like Atlanta.
The evolution of a strain to have airborne transmission capability is very unlikely, since all research on Ebolavirus (and other related viruses) indicates an absolute necessity to be transmitted via bodily fluids. In biology a virus evolving such a capability DIRECTLY from such an extremely different transmission method is literally unheard of, and I would think theoretically impossible.
What is the likely method of transmission is one small mismanagement of hygiene, probably by a native worker or common person who may not be an 'expert' in all things hemorrhagic fever. Since it transmits by body fluid, only a small portion of blood for instance on a glove that accidentally touches a worker's hand - which then rubs their eye - could result in a new infection.
If the virus were airborne it would be infecting many more people daily than it currently is, and those in the beginning stages of the virus would quickly infect and kill off (eventually) those around them, which is not happening. Villagers in west Africa are, however, not understanding the risks and the method of transmission so they are much more at risk to be infected by the disease through methods we know to be very dangerous, like coming close to a 'second phase' Ebola patient.
Another thing to consider is the possibility of getting more advanced research into a possible Ebola vaccine. In west Africa, original victims are natives and transmit to others in their local sphere of influence. The possibility of researching Ebola close up at a BSL-4 facility like Emory is very rare and it could result in scientific advancement (not necessarily breakthrough).
They have Peachtree-Dekalb Airport in Chamblee Georgia on lockdown as this is the likely the Final Destination of the patients. It's only about 6 mile trip from the Airport to Emory over on Clifton Road. CDC has a Hangar there.
(This post was last modified: 08-02-2014 07:09 AM by WoodlandsOwl.)
As a fellow healthcare worker, I've got no problem with bringing them home to get the best care. They were brave enough to go to the front lines and fight the good fight. I'm not going to cut ties with them because some cowards are afraid of them.
(08-02-2014 07:49 AM)glacier_dropsy Wrote: As a fellow healthcare worker, I've got no problem with bringing them home to get the best care. They were brave enough to go to the front lines and fight the good fight. I'm not going to cut ties with them because some cowards are afraid of them.
Agree.
One point. Remember where they are bringing them to get the best possible care when you talk about how "broken" the US health care system is.
Since a virus can mutate, and there is concern that it has and could be airborne. If it is airborne, then the virus would be found in vapor droplets correct? What will they do with the infected persons' waste? Surely it is not going into the sewer system Atlanta?
(08-02-2014 08:32 AM)South Carolina Duke Wrote: Since a virus can mutate, and there is concern that it has and could be airborne. If it is airborne, then the virus would be found in vapor droplets correct? What will they do with the infected persons' waste? Surely it is not going into the sewer system Atlanta?
(08-02-2014 08:32 AM)South Carolina Duke Wrote: Since a virus can mutate, and there is concern that it has and could be airborne. If it is airborne, then the virus would be found in vapor droplets correct? What will they do with the infected persons' waste? Surely it is not going into the sewer system Atlanta?
It's true that a virus CAN mutate, but viral hemorrhagic fevers are not like other viruses in that they are transmitted exclusively through contact with bodily fluids. The very composition of the virus itself is not built in a way to survive in an "air" environment. Think of it like HIV - an STD transmitted through bodily fluids and much more prevalent (although not as immediately fatal as Ebola). HIV doesn't mutate to be airborne, because that's not in its biology. To do so would be extremely difficult for the virus and it would probably undergo fundamental changes perhaps even to its effects on its carriers.
The fact that he was able to walk is an indication that he's either further along in his recovery than previously thought, or the progression of the illness is still in the early stage. I am glad to see he was in a hazmat suit.
I do hope it's an accurate statement that all waste will be burned, even if he's able to shower, that water will need to be super heated to insure that none of the virus makes it to the Atlanta sewer system.
(This post was last modified: 08-02-2014 03:52 PM by THE NC Herd Fan.)
The fact that he was able to walk is an indication that he's either further along in his recovery that previously thought, or the progression of the illness is still in the early stage. I am glad to see he was in a hazmat suit.
I do hope it's an accurate statement that all waste will be burned, even if he's able to shower, that water will need to be super heated to insure that none of the virus makes it to the Atlanta sewer system.
Agreed everything you said. I'm sure the Emory system and especially the infectious isolation area will have double and triple-check systems to burn, boil, and sanitize any products.
08-02-2014 03:50 PM
SumOfAllFears
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The fact that he was able to walk is an indication that he's either further along in his recovery that previously thought, or the progression of the illness is still in the early stage. I am glad to see he was in a hazmat suit.
I do hope it's an accurate statement that all waste will be burned, even if he's able to shower, that water will need to be super heated to insure that none of the virus makes it to the Atlanta sewer system.
Agreed everything you said. I'm sure the Emory system and especially the infectious isolation area will have double and triple-check systems to burn, boil, and sanitize any products.
With our blundering, befuddled and clownish govt, we can only hope.
The fact that he was able to walk is an indication that he's either further along in his recovery that previously thought, or the progression of the illness is still in the early stage. I am glad to see he was in a hazmat suit.
I do hope it's an accurate statement that all waste will be burned, even if he's able to shower, that water will need to be super heated to insure that none of the virus makes it to the Atlanta sewer system.
Agreed everything you said. I'm sure the Emory system and especially the infectious isolation area will have double and triple-check systems to burn, boil, and sanitize any products.
With our blundering, befuddled and clownish govt, we can only hope.
Then it's good that Emory is a private institution I guess.
08-02-2014 04:33 PM
SumOfAllFears
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The fact that he was able to walk is an indication that he's either further along in his recovery that previously thought, or the progression of the illness is still in the early stage. I am glad to see he was in a hazmat suit.
I do hope it's an accurate statement that all waste will be burned, even if he's able to shower, that water will need to be super heated to insure that none of the virus makes it to the Atlanta sewer system.
Agreed everything you said. I'm sure the Emory system and especially the infectious isolation area will have double and triple-check systems to burn, boil, and sanitize any products.
With our blundering, befuddled and clownish govt, we can only hope.
Then it's good that Emory is a private institution I guess.
Who made the decision to allow it to happen? Not Emory. They assume no liability.
(This post was last modified: 08-02-2014 04:38 PM by SumOfAllFears.)
(08-02-2014 03:47 PM)THE NC Herd Fan Wrote: The fact that he was able to walk is an indication that he's either further along in his recovery that previously thought, or the progression of the illness is still in the early stage. I am glad to see he was in a hazmat suit.
I do hope it's an accurate statement that all waste will be burned, even if he's able to shower, that water will need to be super heated to insure that none of the virus makes it to the Atlanta sewer system.
Agreed everything you said. I'm sure the Emory system and especially the infectious isolation area will have double and triple-check systems to burn, boil, and sanitize any products.
With our blundering, befuddled and clownish govt, we can only hope.
Then it's good that Emory is a private institution I guess.
Who made the decision to allow it to happen? Not Emory. They assume no liability.
The decision to allow it to happen was made by a private organization, Samaritan's Purse. Emory accepted the patients into their care after the Christian missionary groups decided to bring the infected patients back. The U.S. government has no official restrictions on bringing these infected patients into the U.S. since they are U.S. citizens, and therefore is obligated to provide safe, effective control measures.
08-02-2014 04:41 PM
SumOfAllFears
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(08-02-2014 03:50 PM)Ole Blue Wrote: Agreed everything you said. I'm sure the Emory system and especially the infectious isolation area will have double and triple-check systems to burn, boil, and sanitize any products.
With our blundering, befuddled and clownish govt, we can only hope.
Then it's good that Emory is a private institution I guess.
Who made the decision to allow it to happen? Not Emory. They assume no liability.
The decision to allow it to happen was made by a private organization, Samaritan's Purse. Emory accepted the patients into their care after the Christian missionary groups decided to bring the infected patients back. The U.S. government has no official restrictions on bringing these infected patients into the U.S. since they are U.S. citizens, and therefore is obligated to provide safe, effective control measures.
The govt most assurally has their fingerprints all over this. There might in fact be a legal and moral reason to bring them back, but to say the decision was not made by the US govt is fantasy.