Ebola. Now she has it, now she doesn't?
Posted by freedomforall 10 years, 6 months ago to Politics
When will the truth be made public?
This is one more example of hiding the truth about Ebola.
No explanation whatsoever, but now the Dallas nurses are "cured."
This is one more example of hiding the truth about Ebola.
No explanation whatsoever, but now the Dallas nurses are "cured."
Marathon Man, 1976
Jan
They gave no indication of treatment, no updates on condition, and suddenly both nurses are cured of a disease that supposedly kills 60%+ of those who are afflicted.
(quote)
Ebola virus disease (EVD) developed in a patient who contracted the disease in Sierra Leone and was airlifted to an isolation facility in Hamburg, Germany, for treatment. During the course of the illness, he had numerous complications, including septicemia, respiratory failure, and encephalopathy. Intensive supportive treatment consisting of high-volume fluid resuscitation (approximately 10 liters per day in the first 72 hours), broad-spectrum antibiotic therapy, and ventilatory support resulted in full recovery without the use of experimental therapies. Discharge was delayed owing to the detection of viral RNA in urine (day 31) and sweat (at the last assessment on day 40) by means of polymerase-chain-reaction (PCR) assay, but the last positive culture was identified in plasma on day 14 and in urine on day 26. This case shows the challenges in the management of EVD and suggests that even severe EVD can be treated effectively with routine intensive care.
(endquote)
I suspect that the death rate in US and Europe will be closer to 30%, and it appears that conventional therapies are successful in even some pretty bad cases.
That being said, I am REALLY UPSET with the CDC. They have been 'the source of the Nile' for accurate and competent medical laboratory information and action for the last 40 years, and they are acting like bumbling, politicized idiots.
Jan
I have not followed this. I don't have high expectations of gov't. What is CDC doing wrong at this time?
These guys are supposed to be the top in the world and instead of speaking accurately about ebola they have been making vague reassuring statements (that have been subsequently shown to be false or inaccurate). (eg the assurance that any US hospital had SOP's that would allow it to handle ebola patients safely.)
I feel that they are subscribing to the "do not tell the little people anything that will scare them" philosophy. The result of this is that their own reputation is being trashed. Ebola is not a 'bad' disease insofar as transmission is concerned, but their behavior increases the danger as the public looses confidence in the medical system. Plagues are a numbers game and they must be handled correctly. We know how to do this; it is no secret. What we are now doing is a great job of botching this.
Jan
How about this instead: Let us take a military VIP quarters building and make it the quarantine site. Then, when a doctor or nurse returns home from Africa, let's welcome them as heroes, take their picture for the paper, put them in a limo and drive them to their VIP quarters, where they are plied with custom meals and superb internet access for the duration of their quarantine.
Jan
"... the one thing I've learned about this place. No one here is exactly what he appears."
G'Kar, Babylon 5, Mind War (1994)
They probably think don't rock he boat. Don't cause a panic. Unfortunately lying is more likely to cause a panic than telling an unpleasant truth.
Saturday they stated that Pham is going to play with her dog. The dog is supposed to be in quarantine. Were they planning to dress her in full protective garb and to use proper procedures to protect her and clean up afterward? Who will be paying the thousands of dollars for this cute idiotic photo-op?
Dallas city officials apparently overruled that idiocy on Saturday, but the Dallas judge still continued his happy talk:
Dallas County Judge Clay Jenkins issued a statement Friday saying Pham would be able to see her dog Saturday but City officials supervising the dog’s care said no and Jenkins acknowledged Saturday that experts decided it would be a bad idea.
“There’s no risk to her to be around the dog, but the top veterinarians in the state say the regimen we have the dog on, on monitoring, needs to not be interrupted and that the excitement of seeing her, and the separation anxiety when she would leave the quarantine area would be detrimental to their monitoring,” Jenkins said.
La-la-la-la-la-la-la-la-la-la-la-la-la-la-la-la-la.
Fort Detrick should be the only place that stuff is handled, as they have adequate security and a military posture & practice. The CDC needs to stick to making handout cards that look like the dumb safety-belt how-to's on an airplane and showing people how to put on protective garb.
The problem with federal employees doesn't matter what agency, etc. They self-proclaim this wizardry level of work ethic, etc., but are really just lazy, make mountains out of mole hills of problems, and the over-arching problem is the self-protectionist actions of their own jobs out of fear they may have to work in the private sector instead and "produce" something every day. The "secret sauce" is that huge percentages of the workforce are contracted out to the private sector to work alongside their federal counter parts and do the "all others" because a federal employee will not usually do anything not specifically enumerated in their written job description.
I've heard the cure rate is 50% with treatment. jlc says it may turn out to be closer to 70%. Assuming with treatment 50% die, the chances of two particular patients surviving is equal to doing two coin tosses. The chances of _any_ two patients surviving, not ones you picked before you knew if they would survive, is 100%. _Some_ patients will die and others will survive; we just don't know who until the disease runs its course. This is basic to all infectious diseases and not a conspiracy.
We are not sheep. I have spent the 39 years between 1975 and now in the medical industry - the first 17 of those years working at the bench in laboratories. The CDC was god to us. Now I am going around shouting, "Feet of clay! Feet of CLAY!"
The CDC has some of the top brains in clinical pathology in the world. Now they are acting like brainless adolescent politicians (maybe a redundant phrase). What I am seeing from my seat is the philosophy, "The little people are too dumb to handle the real facts. We will tell them just what they 'need' to know so that they will react in the manner we think they should." and then "Woops. The 'little people' are literate and the internet is ubiquitous. Hey - they keep turning up with inconvenient facts that we had intended to conceal!"
Big Loss of Veracity time for the CDC! They are going to have to work very hard to salvage their reputations after this. Or not.
Jan
For all of the bumbling, there is a certain level of truth to better care levels in the US with isolation, bed rest, fluid levels retained, etc., compared to being treated outside in a mud hut behind a fence in 100 degree humid heat.
Dying from Ebola virus depends on prior health conditions, whether you came or come in contact with someone expelling liquids rife with the virus, whether you can get fluid replenishment and nutrition, and probably a raft of other reasons!
To use any ONE 'survival' or 'fatality rate' is just plain nonsense without accounting for the total environment of the 'next victim.'
People are starting to get that clue and even health officials and some mainscream media folks are admitting that the panic reactions in the media were 'maybe a little bit overblown.'
As Usual.
I didn't mean to imply that Ebola is not a danger to US citizens, but I am glad that more calm voices are finally getting the word out that we all ain't gonna die of it any time soon...
Critical Thinking in the US is dead, at least in the mainscream media. Nobody looks into details which make the difference between panic, worry and BFD...
Remember "West Wing"? The Prez spent precious few minutes in his Situation Room... why does "Woof Blister" spend every waking minute in his? Yep... to get you to watch the next commercials and make him money.
Could make me sick. Then again, it doesn't, because I never watch his show... :)
The rate of survival I heard in the 90s was 50% with advanced treatment 10% with no treatment.
I interpreted CircuitGuy's email to mean that the probability of survival of someone who has already survived is "1". We have (fortunately) a very small sample volume and two people surviving can be just the luck of the odds.
Jan, not a mathematician
http://www.youtube.com/watch?v=73HkgjGDA...
Seriously, will Pham be involved in a fatal "accident" sooner, or later?
For healthy people, who identify infection early in the cycle, who are cared for and have modern techniques used (evidently, Nina Pham had a blood transfusion from the doctor who had earlier survived, thus enhancing her own body's ability to fight the infection), then survival seems to be rather high.
The real issue is not survival, but initial infection. Since it has a relatively long incubation period, then a very virulent form of contagion, keeping the outbreak contained to a level where proper care can be given is the key. This makes quarantining those at risk of exposure for a time period longer than the incubation period, essential. Otherwise we risk the situation where the medical resources would be overwhelmed, and survival rates would skyrocket.
point that even good news is suspect. it's like the
turd in the punchbowl principle -- you just lose
your appetite for the whole buffet. -- j
p.s. we are soooooo glad that Nina and Amber
are doing well == this is not negative about
them, in any way at all !!!
Giving people information and means to act on it prevents panic. Panic comes from lack of information and/or feeling trapped.
If I get the flu and recover, do you consider me to 'not have the flu any more,' or do I still have it, by some measure you're not sharing?
If a patient contracts Ebola, has symptoms and blood tests show the virus is in their system, yet they 'recover' and later show no symptoms or don't fail any blood testing sampling, do they 'still have Ebola' or not?
Without some description of your criteria for that go/no-go choice, the question loses its meaning.
Unless you're Woof Blister and your paycheck depends on Fear, Uncertainty and Doubt...
:)