Outbreak in dallas

Hopefully another false alarm, but "this patient claims to have had contact with patient zero":

http://wfaa.mlnwap.com/article.html#...7b6c4bc031cf98

Let's all pray its just some crazy person with the flu.
TexasCowboy's Avatar
He just kicked the bucket so it looks like it may go from bad to worse in different individuals perspective....
TexasCowboy's Avatar
Would ObamaCare not cover the insurance cost.......It was labeled as the best thing since sliced bread....
A good source of protection from any virus is colloidal silver 10 PPM
The story I linked above has been expanded upon since i posted and now identifies Sgt. Monnig as the patient. He was one of the deputies who entered the patients apartment to get the family's quarantine papers signed without protective equipment after Duncan was admitted to the hospital. He was not in the group of people the CDC was monitoring. Fingers crossed very tightly that this is just a run of the flu, but it does highlight slip ups in the containment process. Please be safe out there when you are playing, friends.
Fyi, colloidal silver as an anti viral agent in humans is not supported by scientific studies.

Plus if you take to much of it you may end up really smurfy!
Chung Tran's Avatar
Clay Jenkins reportedly had a loose bowel movement this afternoon... be worried..
TexTushHog's Avatar
I'm guessing they will wait until after the funeral to announce anything.. you know, dignity and all that.. but..

there are lawsuits coming... Presbyterian's Attorneys have to be huddling at this hour. an Ebola-infected Patient from Liberia is turned away with antibiotics, returning deathly-ill 2 days later? as John Wiley Price said yesterday, probably turned away because of no Insurance.. I hope Presbyterian has good Insurance.. millions of dollars are on the line. Originally Posted by Chung Tran
I do that for a living and it's going to be a very tough case. You have very serious proximate cause problems. You have to prove that the delay in initiating treatment caused a substantial change in outcome (basically, he wouldn't have died had he been admitted on the first visit). That's going to be hard to do with a disease with the virulence of Ebola. That's not to say that the suit won't be filed. If the family showed up at my office tomorrow, I'd talk to them. But the lawyer is going to have to invest probably $125 - 200,000 in expense that typically accompany a med mal case. Maybe more because this one will be complicated and big. No idea what this guy's earnings are, but non-economic loss is capped at $250k per defendant, max of $500k. Assume for sake of argument you have 2 defendants -- hospital and ER doc. If he has marginal earnings, it's not worth the expenses to take on a weak causation case. My initial reaction is that it's a very easy turn down. Not enough potential return to justify your investment of $200k+ in expenses.

The folks who would have a good case is someone who gets Ebola and who was only exposed to the first patient after his first visit to the ER, but before his second visit to the ER.
TexTushHog's Avatar
Would ObamaCare not cover the insurance cost.......It was labeled as the best thing since sliced bread.... Originally Posted by TexasCowboy
My recollection is that the final version of the bill doesn't allow non-US citizens to purchase Obama care policies.
Chung Tran's Avatar
I was thinking about a wrongful death type suit, not tied to loss of income.. but you know more than me, obviously..

I would hope the family appreciates that Presbyterian tried its best to help Duncan, and would not even think of suing..
gntman's Avatar
First of all....
"the semen of survivors may carry the virus for weeks, or even months, after they recover."
http://www.motherjones.com/politics/2014/10/how-long-ebola-sperm

Then there's also the transmission of STDs through semen and pre-cum.... This particular topic has been covered many times over in this forum, yet, nonetheless, should still be a concern for all.

Don't need to be a total porn star to have fun. Not all hobby fun is good fun and not all hobby money is good money.

Be safe y'all.
http://www.npr.org/blogs/health/2014...gious-is-ebola

No, Seriously, How Contagious Is Ebola?
by MICHAELEEN DOUCLEFF
October 02, 201410:59 AM ET
A comparison of reproduction numbers, or R0s, for several viruses. R0 is one measure of contagiousness.
Adam Cole/NPR
Update on Oct. 8: The Ebola patient in Dallas, the first diagnosed with the virus in the U.S., has died.

Holy moly! There's a case of Ebola in the U.S.!

That first reaction was understandable. There's no question the disease is scary. The World Health Organization now estimates that the virus has killed about 70 percent of people infected in West Africa.

Traffic moves past Texas Health Presbyterian Hospital in Dallas, where a patient showed up with symptoms that were later confirmed to be Ebola.
Shots - Health News
On The Alert For Ebola, Texas Hospital Still Missed First Case
The Ebola case in Dallas is the first one diagnosed outside Africa, the Centers for Disease Control and Prevention said Tuesday. And the health care system in Texas didn't quarantine the man right away. He was sick with Ebola — and contagious — for four days before he was admitted to the hospital.

But when you look at health officials responding to the case in Dallas, they seem cool as cucumbers, despite the initial misstep.

"I have no doubt that we will control this importation, or case, of Ebola so that it does not spread widely in this country," said the director of the CDC, Dr. Tom Frieden.

Why is Frieden so sure this virus won't spread beyond a handful of cases?

It boils down to something called "R0."

The reproduction number, or "R nought," is a mathematical term that tells you how contagious an infectious disease is. Specifically, it's the number of people who catch the disease from one sick person, on average, in an outbreak.*

A mock patient is wheeled in an isolation pod during a drill at the biocontainment unit in the Nebraska Medical Center in Omaha.
Goats and Soda
How Do You Catch Ebola: By Air, Sweat Or Water?
Take, for example, measles. The virus is one of the most contagious diseases known to man. It's R0 sits around 18. That means each person with the measles spreads it to 18 people, on average, when nobody is vaccinated. (When everyone is vaccinated, the R0 drops to essentially zero for measles).

At the other end of the spectrum are viruses like HIV and hepatitis C. Their R0s tend to fall somewhere between 2 and 4. They're still big problems, but they spread much more slowly than the measles.

And that brings us back to Ebola. Despite its nasty reputation, the virus's R0 really isn't that impressive. It typically sits around 1.5 to 2.0.

Even in the current epidemic in West Africa, where the virus has been out of control, each person who has gotten sick has spread Ebola to only about two others, on average.

Why is that?

With exponential growth, the numbers can get big, quickly.
Goats and Soda
A Frightening Curve: How Fast Is The Ebola Outbreak Growing?
Many factors contribute to the R0, such as how long you're infectious** and how many virus particles are needed to make another person sick.

But in Ebola's case, the mode of transmission probably helps keep its R0 low. Ebola isn't spread through the air, like the measles or flu. It requires close contact with some bodily fluid, such as blood or vomit, containing the virus.

Now at this point, you're probably thinking, "OK. But an R0 of 2 is nothing to brush off." You're right. R0 of 2 means one person infects two people, who then infect four people, then eight, 16, 32 — the numbers go up fast.

But that isn't likely to happen in a place with a good public health system, like the U.S. Why? Because people with Ebola aren't contagious until they show symptoms.

So to stop the chain of transmission, all health workers in Texas have to do is get the people possibly infected by the sick man into isolation before these people show signs of Ebola.

Then R0 drops to zero. And Texas is free of Ebola.

*We're talking the "basic" R0 here, for all you epidemiologists. So, the R0 that you get when everyone in the population is susceptible to the disease.

**The R0 is integrated over the time that a person is infectious to others. For HIV, this could be years. But for Ebola, that time is only about a week. So even though they have similar R0s, Ebola's infections per unit of time is much higher than HIV's.
TexTushHog's Avatar
I was thinking about a wrongful death type suit, not tied to loss of income.. but you know more than me, obviously.. Originally Posted by Chung Tran
Loss of earnings less the amount a person would have consumed during their life is almost always the largest single element of damages in a wrongful death suit.
I was thinking about a wrongful death type suit, not tied to loss of income.. but you know more than me, obviously..

I would hope the family appreciates that Presbyterian tried its best to help Duncan, and would not even think of suing.. Originally Posted by Chung Tran
Hope all you want, but I doubt the Duncan family are that magnanimous.....engaging Jackson is a signal that they going for the "victimhood" payout...either thu private settlement or jury award.

Jessie Jackson doesn't give 2 hoots about Texas rules surrounding litigation in the courtroom; he cash's out in the boardroom.