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How concerned are you about the spread of ebola?
Very - this thing is going to get out of control
21%
 21%  [ 20 ]
Somewhat - might spread, might not, will probably fizzle out
33%
 33%  [ 31 ]
Not at all - completely overblown
44%
 44%  [ 41 ]
Total Votes : 92

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MtnGoat
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PostFri Oct 24, 2014 1:12 pm 
US entry policy has infected more people than cable news. wink.gif

Diplomacy is the art of saying 'Nice doggie' until you can find a rock. - Will Rogers
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Backpacker Joe
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PostFri Oct 24, 2014 2:10 pm 
Ebola in New York city! Nothing to worry about. With Alfred E. Newman governing this nation there is everything to worry about!

"If destruction be our lot we must ourselves be its author and finisher. As a nation of freemen we must live through all time or die by suicide." — Abraham Lincoln
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boot up
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boot up
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PostFri Oct 24, 2014 2:19 pm 
MtnGoat wrote:
US entry policy has infected more people than cable news. wink.gif
I am supporting the boycott of Fox News. Of course that is not much effort for me, since I have never subscribed to cable. D'oh! doh.gif

friluftsliv
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MtnGoat
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PostFri Oct 24, 2014 2:29 pm 
New Jersey and New York are implementing new travel restrictions for incoming passengers, based at least in part upon the locations which the arrivals have visited. I'm sure this will cause the secrecy and evasions we've been warned about, and I've also heard the world economy could be put at risk by other pundits, but it's nice to see basic measures beyond the idiotic temperature checks already paraded as 'control', but import case #2 passed right through. Someone in these two states is at least taking reducing risks from importing possibly infected people, seriously.

Diplomacy is the art of saying 'Nice doggie' until you can find a rock. - Will Rogers
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joker
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PostWed Nov 19, 2014 12:51 am 
Heard today on the radio that since forced quarantines of folks returning from stricken countries, regardless of whether or not they have any symptoms (and thus whether or not they might be contagious), has reduced the number of volunteers - 17% decline thus far per USAID. See here.
Quote:
"The word is out on the street: if you go, you're at risk of losing your liberty," says Lawrence Gostin, a professor of global health at Georgetown University Law School. "And people don't volunteer because of it." Gostin points out that Ebola patients are only contagious when they're showing symptoms of the disease. And he's worried that mandatory quarantine rules may ultimately hurt more than they help by discouraging volunteers. "I call this a kind of misguided self-interest," he says. "We think it's in our self-interest. But in fact, it's probably harmful to our own interests." Public health experts say it's in everyone's interests to end the Ebola epidemic at its source in West Africa. And that's going to take a lot more volunteers.
But let's not let logic get in the way of allowing base emotions like fear drive important policy decisions! Speaking of which, here's a good piece that reflects on how the US government has done with respect to Ebola response since this thread started.

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cairn builder
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PostWed Nov 19, 2014 9:00 am 
All the insane fear and paranoia are making the world more dangerous. Right wing ideology says we can't tax or regulate our masters and owners, the 1%, because they'll just go move somewhere else with lower taxes. You'd think these same people would take their same one thought and apply it here. If you scapegoat and punish volunteers, they won't volunteer. A victory for stupid, while the death toll mounts in Africa.

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Malachai Constant
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PostWed Nov 19, 2014 9:30 am 
The Ebola scare was just for the election, notice how it has almost disappeared from the news? tongue.gif

"You do not laugh when you look at the mountains, or when you look at the sea." Lafcadio Hearn
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joker
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PostWed Nov 19, 2014 12:06 pm 
Maybe the Koch Brothers (TM) imported Mr. Duncan. A work colleague from the UK who is visiting this week tells me that the "scare" is very much still alive in Europe.

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AR
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PostWed Nov 19, 2014 7:32 pm 
Ebola is way too hot to last long. It's a lame joke compared to HIV that knows to be quiet for a few years and spread itself through millions in one year alone. rolleyes.gif I'll also note that the people that are too worried about treating the disease here are a bunch of self-absorbed pussies.

...wait...are we just going to hang here or go hiking?
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Bedivere
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PostWed Nov 19, 2014 9:27 pm 
Malachai Constant wrote:
The Ebola scare was just for the election, notice how it has almost disappeared from the news? tongue.gif
That's just the short attention span of the American public at large. Ohhh noooeeesss, EBOLA!!!!!! Oh, look, Kim Kardashian with her clothes off!!!!!

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MtnGoat
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PostThu Nov 20, 2014 11:47 am 
There's little reason to accept that Ebola is 'under control' until the African outbreak is resolved, and wether or not it's still in the news is quite a bit less than relevant to the desirablility of containing it there rather than allowing additional cases to show up here. The volunteers going there do not have a right to return and carelessly risk innocent citizens lives here. Their choice to volunteer should necessarily include the inconvenience of following standard practices to protect lives here, as well. As for 'making the world more dangerous', fear and well justified concern (paranoia lol, to some) is a perfectly reasonable response to the screwups we've seen so far in the Federal medical handling of this issue, and the growing inability to hide that our bloated system of ineptocracy operates for it's own gain at the expense of it's host. One doesn't even need to claim these attributes are due to hostility to citizens, though some definitely are, when most of them are simply the natural outgrowth of a system which is past a million light years past it's information and decisionmaking capabilities and run by people who need not worry about any actual consequences or liability.

Diplomacy is the art of saying 'Nice doggie' until you can find a rock. - Will Rogers
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Frosty
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PostThu Nov 20, 2014 2:53 pm 
The Cuban practice was to state up front that infected healthcare workers cannot return home for treatment, hence the transfer of the infected Cuban volunteer to Europe for treatment there.

Frosty, Lucky enough to live where it snows in the winter! smile.gif
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joker
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PostThu Nov 20, 2014 3:35 pm 
MtnGoat wrote:
Their choice to volunteer should necessarily include the inconvenience of following standard practices to protect lives here, as well.
Well, I think it's an interesting question as to whether risk of spread here in the US goes up or down as a result of imposing quarantine on asymptomatic returnee volunteers. Don't forget that there are other less onerous options such as non-quarantine based monitoring for symptoms. And that the more the disease spreads in west Africa, the more likely it spreads to here via various routes including via other routes besides folks returning directly from W. Africa. I'm no expert, but the experts are saying that the best way we can protect ourselves here is to stop it cold there. Full stop.

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MtnGoat
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PostThu Nov 20, 2014 3:48 pm 
So long as the returnees have full legal and fiscal liability (including all infections resulting from anyone they infect) for their actions, perhaps a compromise can be struck. The full stop does not necessitate leaving the back door open here. That's a false choice. Not a single person I'm aware of is arguing it's not important to deal with it there. The question is protecting the rest of us from those who return. On that front, I would be surprised if there were not things taking place on the liability front as legal outfits representing volunteer services attempt to assess the risk. Anyone returning and anyone aiding them needs to remain fully liable, else the absent incentives to proper containment will result in very poor decisionmaking.

Diplomacy is the art of saying 'Nice doggie' until you can find a rock. - Will Rogers
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cartman
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PostFri Nov 21, 2014 6:15 pm 
meandering Wa wrote:
it is so viremic. If people working under tight bio-hazard conditions ( optimal) are getting exposure this is bad
Daryl wrote:
how did two care takers using "protocols" get it?
Nursing is not a "tight bio-hazard condition". It's a trained caregiver wearing gloves and perhaps a mask and/or safety glasses in a public setting. There are effective protocols for dealing with infected individuals, if the protocols are followed without exception. The nurses almost certainly became infected because they did not correctly follow basic protocol. The virus can ONLY be transmitted by direct contact with the bodily fluids of an infected patient. Therefore the nurses came into contact with the patient's blood or feces in a way so as to contract the virus--either through bad luck (splatter in the eye) or more likely, by touching the patient's blood or feces then themselves, probably by rubbing their eyes or some similar action; or by contact between the infected fluids and an open wound. Regardless whether or not the hospital's protocols were airtight, the nurses most likely exercised poor basic protocol. In other words, they didn't follow simple Nursing 101 for handling a patient regardless of that patient's health issues. It's easy to blame the hospital, but the simple answer is that the nurses probably just botched it. It's not that infectious. It can't be spread through the air, which immediately puts Ebola at the secondary level for infectiousness.
Daryl wrote:
originally they said it was less contagious than aids/hiv.
The level of contagiousness is dependent on a) how the virus is transmitted and b) how many virions are required to establish an infection in an otherwise healthy individual. Our lab worked with HIV-infected blood and with cultures in which we intentionally amplified the amount of HIV (so as to be able to detect and quantify it) in clinical trials. However, we were much more concerned with contracting hepatitis if something unfortunate were to occur. Why? Because hepatitis C is much more infectious; it requires far fewer virions to establish an infection in humans. HIV is far more deadly than Ebola. The survival rate for Ebola is 50%; for HIV much, much lower worldwide, and only survivable with access and strict adherence to multiple and very expensive drug treatments. It simply takes HIV much longer to kill. In the vast majority of cases, infection with HIV will still ultimately lead to destruction of the patient's immune system, a secondary infection by another organism (AIDS), and death. I am not particularly concerned with Ebola becoming a major problem in the US, or even in the world as a whole. It kills too fast, limiting its ability to spread. The reason HIV became a pandemic (an epidemic that spread worldwide) is because it kills slowly--allowing the infected individual to spread the virus to multiple partners, then allowing those to spread to multiple partners etc etc. Exponential infectivity. The media has hyped Ebola into just another scare to sell papers and boost ratings. It's what they always do. Even better for them that Ebola has a fatality rate of 50% and those that die, die a nasty death. Gives them more to hype. Buckle your seatbelt and get a flu shot, everyone. Then go see a movie or something. This too shall pass.

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