Tuesday, September 30, 2014

Ebola is in Texas....Tests Pending

The Texas public health lab in Austin is testing a specimen from a Dallas patient for Ebola, and hopes to have results later Tuesday afternoon, a spokeswoman for the Texas Department of State Health Services said.
Carrie Williams, director of media relations, said in an emailed update, “At this point, all precautions are being taken as if this was an Ebola case.”
Erikka Neroes, public information officer for Dallas County, said the county will release the results for the patient at Texas Health Presbyterian Hospital, whether they are positive or negative.
She said she could not confirm that a team from the U.S. Centers for Disease Control is coming to Dallas, but confirmed that a team is mobilizing. Williams said the CDC also is conducting testing for Ebola.
The patient came to the hospital on his or her own, according to Dallas County Health Director Zachary Thomas. He said in an interview with media partner WFAA that the patient had traveled to Africa.
In the current outbreak — the world’s largest ever, which began in West Africa — Ebola is fatal about 50 percent of the time. It has killed more than 3,000 people.
David Magana, spokesman at DFW Airport, said the county, the CDC and other public health agencies look into travel routes, adding, “We take our lead from the health agencies” with respect to any kind of screening.
Dallas-Fort Worth Airport has no direct flights to and from Africa, so if the patient were flying, he or she would have had to make a connection elsewhere.
Williams’ email says the state and local health departments are coordinating with the CDC.
Tarrant County monitoring
The Tarrant County Public Health Department is monitoring the situation closely, a spokesman said.
“In any of these scenarios, we are ears up. We are listening. We are making phone calls to get the best information we can,” said Kelly Hanes, Tarrant County Public Health spokesman. “We are not passively sitting here by any means.”
Hanes added that the patient in Dallas is “in the best place they can be, for their safety and our safety as well.”
The patient, who has not been identified, is being kept in strict isolation at the hospital, according to a statement released Monday by the hospital.
The statement says officials at Texas Presbyterian are following CDC recommendations to keep doctors, staff and patients safe.
Ebola has killed more than 3,000 people across West Africa and infected a handful of Americans who have traveled to that region, including Dr. Kent Brantly, who did his residency at John Peter Smith Hospital in Fort Worth. Brantly, who survived, was doing missionary work in Liberia when he was infected.
The National Institutes of Health recently admitted an American doctor exposed to the virus while volunteering in Sierra Leone. Four other patients have been treated at hospitals in Georgia and Nebraska.

U.S. doctor exposed to Ebola arrives at NIH

A doctor exposed to the Ebola virus has arrived safely at National Institutes of Health Clinical Center in Bethesda, NIH said in astatement released Sunday.
The patient, who was flown from Africa to Frederick, Md., was taken by ambulance to nearby Bethesda about 4 p.m. ET for observation and to enroll in a clinical protocol, NIH said.
The doctor was volunteering in Sierra Leone when he or she was exposed to the virus, NIH said.
The patient has not yet been infected with the disease, but is being admitted “out of an abundance of caution” and will be at the NIH Clinical Center for observation, NIH said.
NIH infectious disease chief Dr. Anthony Fauci wouldn’t discuss details about the patient but said that, in general, exposure to Ebola doesn’t necessarily mean someone will become sick.
“When someone is exposed, you want to put them into the best possible situation so if something happens you can take care of them,” Fauci said.
“NIH is taking every precaution to ensure the safety of our patients, NIH staff and the public,” said an agency statement.
Four other Americans aid workers who were infected with Ebola while volunteering in the West African outbreak have been treated at hospitals in Georgia and Nebraska. One remains hospitalized while the others have recovered.

Ebola could strike 20,000 in six weeks, “rumble on for years” – study

The Ebola outbreak in West Africa could infect 20,000 people as soon as early November unless rigorous infection control measures are implemented, and might “rumble on” for years in a holding pattern, researchers said on Tuesday.
In an article in the New England Journal of Medicine, experts from the World Health Organization and Imperial College said that infections will continue climbing exponentially unless patients are isolated, contacts traced and communities enlisted.
The WHO, in an initial roadmap issued on Aug 28, predicted that the virus could strike 20,000 people within the next nine months. The current death toll is at least 2,811 out of 5,864 cases, the U.N. agency says.

Can Ebolo Spread via the Air?

It’s already possible that Ebola can spread, in rare cases, through direct contact with respiratory secretions. This might occur, for example, when an infected person coughs or sneezes directly on another, uninfected individual. The Centers for Disease Control specifically recommends “droplet protection” be taken in the hospital setting when healthcare workers are treating patients infected with Ebola. This kind of direct spread is sometimes referred to as “droplet contact,” …
Here is a snippet from that same article…
It’s highly unlikely. It would be unusual for a virus to transform in a way that changes its mode of infection. Of the 23 known viruses that cause serious disease in man, none are known to have mutated in ways that changed how they infect humans.  Of course, we only know about a small portion of the existing viruses.

GUINEA RESIDENTS ‘REFUSE’ EBOLA TREATMENTS

More News on Ebola from The Pluto Daily

Local resident Tairu Diallo said on Friday that people living in his neighborhood refused to seek medical help and instead stayed at home, trying to alleviate their symptoms with drugs bought at a pharmacy.
Diallo said people think doctors at hospitals inject patients with a deadly poison.
“If we have a stomach ache we don’t go to hospital because doctors there will inject you and you will die,” he said.
Many Guineans say local and foreign healthcare workers are part of a conspiracy which either deliberately introduced the outbreak, or invented it as a means of luring Africans to clinics to harvest their blood and organs.

Gov’t lets Liberians stay in US amid Ebola crisis

Source: The Pluto Daily

Liberian immigrants living in the United States without a visa won’t be sent back to the epicenter of Ebola crisis in West Africa for at least another two years, the Obama administration said Friday.
President Barack Obama signed a memo extending a legal protection called “deferred enforced departure” that continues a protection from deportation that has been in place for more than a decade.
The government first granted Liberians temporary protective status during that country’s bloody civil war, which started in 1991 and ended in 2003.
That original protection expired in October 2007. President George W. Bush then approved deferred enforced departure for the community.
Obama later approved the same protection and Friday renewed it again for two more years.
Sen. Jack Reed, D-R.I., applauded the decision, which he says protects immigrants with long-standing ties to the United States.