Second Ebola patient in Dallas?

Here's some interesting stuff from the CDC on Nigeria.

http://wwwnc.cdc.gov/travel/notices/watch/ebola-nigeria

"Updated: October 07, 2014
The purpose of this travel notice is to notify travelers that a small number of Ebola cases were recently reported in Lagos and Port Harcourt, Nigeria. The government of Nigeria responded quickly, and this outbreak was contained to a small number of cases. Contacts of people who were infected with Ebola in Nigeria have also been monitored for signs of illness. All people in Nigeria who were sick with Ebola have now either died or recovered. Contacts of these patients have completed their 21-day monitoring period and are no longer at risk for getting sick with Ebola.
CDC is moving this notice from Level 2, Alert to Level 1, Watch because of the decreased risk of Ebola in Nigeria. If no further cases of Ebola are reported in Nigeria, CDC will remove this travel notice.
What is the current situation?
On July 25, 2014, the Nigerian Ministry of Health confirmed that a man in Lagos, Nigeria, died from Ebola. The man had been in a Lagos hospital since arriving at the Lagos airport from Liberia. A small number of Ebola cases linked to this patient were reported in Lagos and Port Harcourt, but all the people in Nigeria who were sick with Ebola have now either died or recovered from the disease. The Nigerian government also monitored the health of people who had come in contact with Ebola patients in the country. As of September 26, 2014, these people have all completed their 21-day monitoring period and are no longer at risk for getting sick with Ebola.
The recent outbreak of Ebola in Nigeria is related to an ongoing Ebola outbreak that has been occurring in West Africa since March 2014. This outbreak is occurring in Guinea, Liberia, and Sierra Leone and is the largest outbreak of Ebola in history.
For more information about the ongoing outbreak in West Africa, visit 2014 Ebola Outbreak in West Africa on the CDC Ebola website."


Here's another from the Times (ya I know how a lot of us feel about the Times but it is pretty vanilla as dar as facts go):

http://mobile.nytimes.com/2014/10/01...html?referrer=

"With quick and coordinated action by some of its top doctors, Nigeria, Africa’s most populous country, appears to have contained its first Ebola outbreak, the United States Centers for Disease Control and Prevention said Tuesday.

As the epidemic rages out of control in three nations only a few hundred miles away, Nigeria is the only country to have beaten back an outbreak with the potential to harm many victims in a city with vast, teeming slums.

“For those who say it’s hopeless, this is an antidote — you can control Ebola,” said Dr. Thomas R. Frieden, director of the C.D.C.

Although officials are pleased that success was achieved in a country of 177 million that is a major transport and business hub — and whose largest city, Lagos, has 21 million people — the lessons here are not easily applicable to the countries at the epicenter: Guinea, Liberia and Sierra Leone. Public health officials in those countries remain overwhelmed by the scale of the outbreak and are desperate for additional international assistance.

Nigeria’s outbreak grew from a single airport case, while in the three other countries the disease smoldered for months in remote rain-forest provinces and spread widely before a serious response was mounted.

Ebola, Dr. Frieden said, “won’t blow over — you have to make a rapid, intense effort.”

While the danger in Nigeria is not over, the health minister, Dr. Onyebuchi Chukwu, said in a telephone interview that his country was now better prepared, with six laboratories able to make diagnoses and response teams and isolation wards ready in every major state.

After the first patient — a dying Liberian-American — flew into Lagos on July 20, Ebola spread to 20 other people there and in a smaller city, Port Harcourt.

Meanwhile, local health workers paid 18,500 face-to-face visits to repeatedly take the temperatures of nearly 900 people who had contact with them. The last confirmed case was detected on Aug. 31, and virtually all contacts have passed the 21-day incubation period without falling ill.

The success was in part the result of an emergency command center financed in 2012 by the Bill & Melinda Gates Foundation to fight polio. As soon as the outbreak began, it was turned into the Ebola Emergency Operations Center.

Also, the C.D.C. had 10 experts in Nigeria working on polio and H.I.V., who had already trained 100 local doctors in epidemiology; 40 of them were immediately reassigned to Ebola and oversaw the contact tracing.

The chief of the command center, Dr. Faisal Shuaib, gave credit to a coordinated effort by the Health Ministry, the C.D.C., the World Health Organization, Unicef, Doctors Without Borders and the International Committee for the Red Cross.

Also, he noted, Nigeria has significant advantages over poorer countries where the outbreak is out of control."


One thing that is very interesting is the use of limited facilities strictly for the purpose of treating Ebola. What will be interesting to see is if they indeed do begin transporting any future ebola patients to the specialty hospital in Atlanta where experts on ebola are on staff, like they have been talking about here and there.

I'm not seeing an overall travel ban out of Liberia or into Nigeria anywhere, but there are travel restrictions to nonessential travel only which is very reasonable.

All in all they were very successful at containing Ebola to certain areas even in West African countries, so there is no reason to think we won't be able to contain it too. Our government is much less corrupt overall than African countries and our medical care is more advanced.
CuteOldGuy's Avatar
Breakfast time, EBOLA of cereal for me. Originally Posted by WTF
Please. Have a second bowl.

From: https://www.internationalsos.com/ebo...anguage_id=ENG

Anticipate travel disruption due to Ebola-related flight bans, health screening measures

The authorities in several countries have implemented entry restrictions to curtail the spread of Ebola from countries that have Ebola cases, while air carriers have restricted flights or modified schedules. Health screening has also been implemented at ports of entry and departure in various countries throughout West Africa and is being introduced in Europe and North America countries as well.

Specific details of restrictions such as those listed below are difficult to verify and subject to change, while the implementation of state-imposed entry conditions can vary. Similarly, flight schedules may change at short notice. Travellers departing from countries affected by an outbreak of Ebola should seek itinerary-specific guidance from the relevant authorities on screening procedures and documentation requirements. They should also reconfirm the status of flights before setting out and allow additional time during arrival and departure to pass through enhanced medical screening.

Travel Briefing

Entry restrictions

Kenya on 10 October announced that it had closed the Suam border crossing (Trans-Nzoia county) with Uganda due to reports of an Ebola-related death in Bukwo district (Uganda). Earlier, the Kenyan authorities on 19 August suspended entry of passengers travelling from and through Guinea, Liberia and Sierra Leone, excluding health professionals supporting efforts to contain the outbreak and Kenyan citizens.
Cape Verde on 9 October announced that it would now deny entry to non-resident foreigners coming from countries with ‘intense Ebola transmission' – Sierra Leone, Guinea and Liberia - or who have been to those countries in the previous 30 days.
Mauritius on 8 October banned entry to all travellers who have visited Nigeria, Sierra Leone, Guinea, Liberia, Senegal and Congo (DRC) in the last two months, rather than just citizens of those countries, as was the case previously. The authorities have announced that entry restrictions for travellers from Senegal and Nigeria will be lifted on 10 October and 17 October respectively, if no further cases of Ebola infection are reported.
Seychelles on 8 October suspended entry to travellers who have visited Sierra Leone, Liberia, Guinea-Bissau, Guinea, Nigeria or Congo (DRC) 28 days prior to their journey, with the exception of Seychellois citizens.
Côte d'Ivoire has reopened in early October its borders with Guinea, Sierra Leone and Liberia.
Equatorial Guinea is denying entry to travellers whose journeys originated in countries affected by Ebola.
Cameroon on 17 September reopened its borders to travellers from Senegal. An 18 August ban remains in place on travel from Nigeria, Guinea, Liberia and Sierra Leone.
Southern African Development Community (SADC) member states – Angola, Botswana, Democratic Republic of Congo (DRC), Lesotho, Madagascar, Malawi, Mauritius, Mozambique, Seychelles, South Africa, Swaziland, Tanzania, Zambia and Zimbabwe – have stated that travellers coming from Ebola-affected countries (according to the World Health Organisation, WHO) would be monitored for 21 days and that travel to member countries for any gatherings would be discouraged. The SADC provided no details as to how member countries will carry out the associated screening and follow-up and it is likely that countries will have individual processes. There are also reports that some countries require health documentation for entry. Travellers are advised to contact the embassy or health ministry of their destination country to clarify their individual circumstances and prepare their trips accordingly.
South Sudan has placed a ban on travellers coming from Guinea, Sierra Leone, Liberia or Congo (DRC), or those who have travelled to those countries in the preceding 21 days. According to the health ministry, entry of travellers from Nigeria depends on their travel history in that country and whether they have visited Ebola-affected areas.
Namibia's foreign ministry on 11 September announced that foreigners travelling from countries affected by Ebola would be prohibited from entering the country.
Gambia on 1 September suspended entry of persons who have visited Guinea, Liberia, Sierra Leone or Nigeria in the 21 days prior to travel. Those travelling indirectly from any of the aforementioned countries to Gambia via another country also come under this measure.
Côte d'Ivoire announced on 23 August that it had closed its land borders with Guinea and Liberia.
Gabon stated on 22 August that it is restricting the issuance of entry visas to travellers from Guinea, Liberia, Sierra Leone and Nigeria on a case-by-case basis.
Rwanda, according to the US Department of State on 22 August, has banned entry to travellers who have visited Guinea, Liberia or Sierra Leone in the 22 days prior to travel.
Senegal on 21 August closed its land border with Guinea, while the country's sea and air borders will also be closed to vessels and aircraft from Guinea, Liberia and Sierra Leone.
Chad on 21 August closed its land border with Nigeria at Lake Chad. The country previously reportedly banned the entry of any travellers originating or transiting through Guinea, Liberia, Nigeria or Sierra Leone, with airlines serving the country reportedly rerouting flights.
South Africa on 21 August restricted entry for all non-citizens travelling from Guinea, Liberia and Sierra Leone. The government subsequently clarified that this was not a blanket ban and could be waived for 'absolutely essential travel'.

There's more.

Again, in the previous outbreaks a lot of the containment was enforced by the police and the military.
We are on the same side of the argument but you can't look past whatever blinders you are wearing to see it. I never said we should not impose travel restrictions. My point is that I don't believe imposing travel restrictions from W. Africa is enough and we aren't even doing that. Why? Originally Posted by boardman
Change your story much?

Go back and re-read your posts, including Nos. 60, 63, 65 and 69. It is pretty clear you opposed a travel ban because you thought it was useless.

Here is the first line of post No. 60:

Unless every other country in the world imposes the same travel ban from West Africa a travel ban will do no good. Originally Posted by boardman
Oh, and thanks for validating my otherwise misleading and irrelevant post. Originally Posted by boardman
You clearly don't understand plain English, do you?
Because they didn't follow protocol, or the protocols need to be improved, or Duncan should have been moved to a CDC controlled hospital, or Rick Perry or something else. Pick at least two.

Would hate to be a healthcare worker at a hospital with an ebola patient. This disease has got to be a govt bureaucracy's wet dream.

Still don't understand how the people in the apt don't have it. The virus must increase exponentially the closer to death one gets?
Count now is three...
I B Hankering's Avatar
Because they didn't follow protocol, or the protocols need to be improved, or Duncan should have been moved to a CDC controlled hospital, or Rick Perry or something else. Pick at least two.

Would hate to be a healthcare worker at a hospital with an ebola patient. This disease has got to be a govt bureaucracy's wet dream.

Still don't understand how the people in the apt don't have it. The virus must increase exponentially the closer to death one gets? Originally Posted by gnadfly
In order to survive after the impending death of its host, the virus forces the dying body to produce massive amounts of fluid. Here's a good video about this outbreak. It aired the night Duncan died.

flghtr65's Avatar
Take your class dismissed and stick it up your........ Originally Posted by Jewish Lawyer
THN took you to school JL. You were the one that was trying to split hairs. What happened when you took Biology 101? The terms Antigen, Antibody and Immunity go in one ear and out the other. If you had a basic understanding of a virus you wouldn't have double downed on JD's misuse of the word asymptomatic.
JD Barleycorn's Avatar
Remember this from Rahm Emmanuel; never let a crisis go to waste.....because you can do things that you normally couldn't do.
JD Barleycorn's Avatar
THN took you to school JL. You were the one that was trying to split hairs. What happened when you took Biology 101? The terms Antigen, Antibody and Immunity go in one ear and out the other. If you had a basic understanding of a virus you wouldn't have double downed on JD's misuse of the word asymptomatic. Originally Posted by flghtr65

By the way, asymptomatic is a real word and spell check didn't catch it. Of course, you knew EXACTLY what I meant but because you have no real response you focus on the word error. That is a loser play.
flghtr65's Avatar
By the way, asymptomatic is a real word and spell check didn't catch it. Of course, you knew EXACTLY what I meant but because you have no real response you focus on the word error. That is a loser play. Originally Posted by JD Barleycorn
1. JD, the loser play was JL splitting hairs with THN over healed and asymptomatic.

2. I was being critical of JL for being disrespectful to his teacher THN.

3. I was not being critical of you or focusing on your word error. I know you don't have a degree in biology and spend most of your spare time planning invasions of other countries.

4. Move on JD.
WTF's Avatar
  • WTF
  • 10-16-2014, 05:34 PM
1.

3. I was not being critical of you or focusing on your word error. I know you don't have a degree in biology and spend most of your spare time planning invasions of other countries.

. Originally Posted by flghtr65
flghtr65's Avatar
Really?

Please look at the context. As in it meant the opposite of what he was saying: like healed vs sick. A person can be sick and asymptomatic. But he meant he went to the hospital with symptoms, the opposite of asymptomatic. Originally Posted by thathottnurse
+1