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deminks

(11,014 posts)
Thu Jul 31, 2014, 07:03 PM Jul 2014

Ebola patient to be transferred to Atlanta's Emory hospital

Source: Associated Press

ATLANTA (AP) - Emory University Hospital officials say there are plans for an American aid worker who has been diagnosed with Ebola to be transferred there for treatment.

Officials said in a statement Thursday the hospital has a special isolation unit that was built in collaboration with the Centers for Disease Control and Prevention that's used to treat people with certain serious infectious diseases.

The unit is physically separate from other areas and hospital officials say staff are trained and fully prepared to care for the patient. The patient's identity hasn't been released because of privacy laws.

Hospital officials say they're unsure of when the patient will arrive.

Read more: http://www.wrcbtv.com/story/26167239/ebola-patient-to-be-transferred-to-atlantas-emory-hospital





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Ebola patient to be transferred to Atlanta's Emory hospital (Original Post) deminks Jul 2014 OP
Sorry but that's a bit frightening. Ed Suspicious Jul 2014 #1
More than just a bit. This is a lot frightening. n/t Tess49 Jul 2014 #2
What's that sound? The sound of people stampeding away from the hospital. TwilightGardener Jul 2014 #3
WTF? bigwillq Jul 2014 #4
Say Hello to Stories about how Ebola has infected someone in America.... LovingA2andMI Jul 2014 #5
It will be bad. bigwillq Jul 2014 #6
I'm not worried about issolation protocols being followed defacto7 Jul 2014 #37
isolation during transport is likely the riskiest part of transferring.... mike_c Jul 2014 #7
Yes. There are so many possible single points of failure. Divernan Jul 2014 #40
Can't they build wheniwasincongress Jul 2014 #8
The isolation should not be that difficult. McCamy Taylor Jul 2014 #9
Isolation A Little Weird Jul 2014 #32
I worked with patients in isolation--special air systems and everything. TwilightGardener Jul 2014 #34
If you want a little bedtime reading while thinking about the implications. Ed Suspicious Jul 2014 #10
One of the scariest non-fiction books ever, next to ' THE COMING PLAGUE: Newly Emerging Diseases in Mnemosyne Jul 2014 #31
I have both on audiobook Marrah_G Jul 2014 #71
Scary books, aren't they? I'm trying to read 'Lab 257' right now. Mnemosyne Aug 2014 #74
Spillover is fantastic Marrah_G Aug 2014 #76
+1. Spillover loved how it was broken down -what a great book of science reporting,history & travel lunasun Aug 2014 #99
If you don't mind another rec: politicat Aug 2014 #81
OOO I shall check that out too :) Marrah_G Aug 2014 #88
I really like Laurie Garret. Been following her for years. nt Mojorabbit Aug 2014 #89
Indeed. Gives the horrific reality to the rather normal-sounding "vomiting and diarrhea" reports. WinkyDink Jul 2014 #55
Hot Zone is quite good ChazII Aug 2014 #100
What can they do for the patients here YarnAddict Jul 2014 #11
If everything was being done right, over 100 medical workers would not be infected with Ebola. Divernan Jul 2014 #15
Yes and no... defacto7 Jul 2014 #35
You're correct. Mutation could result in new vectors. Divernan Jul 2014 #36
It's possible that everything is being done right! CoffeeCat Aug 2014 #84
Guilt XemaSab Jul 2014 #29
CDC has about two dozen staffers in West Africa to try to control outbreak;plans to send more. Divernan Jul 2014 #12
What are they thinking? Marthe48 Jul 2014 #13
This is a very bad idea The Traveler Jul 2014 #14
Hope you can find another medical center for your child's treatment. Divernan Jul 2014 #17
Can't. But thanks The Traveler Jul 2014 #38
I'm sorry to hear that. Best wishes for him. deurbano Jul 2014 #61
Every flight goes through Atlanta it seems. Ed Suspicious Jul 2014 #19
There is no need for this tempting of Fate. WinkyDink Jul 2014 #56
I would not be too quick to panic passiveporcupine Jul 2014 #16
Both of the Americans used protective equipment and still somehow got the disease. LisaL Jul 2014 #18
Where did I claim it's not infectious? passiveporcupine Jul 2014 #22
Even the most educated people about this virus are catching it. TwilightGardener Jul 2014 #26
"I should have known better that to step into this sky is falling thread." Yup way to much stupid cstanleytech Jul 2014 #27
HIV killed a lot of people. LisaL Jul 2014 #33
Ebola notadmblnd Jul 2014 #45
Viruses mutate. LisaL Jul 2014 #52
Well I'm sure you know best. notadmblnd Jul 2014 #58
they were in contact with local people outside the hospital magical thyme Jul 2014 #62
Yes and the chances of catching HIV without physical contact are about the same or in other words cstanleytech Jul 2014 #46
Or dying from the flu notadmblnd Jul 2014 #64
THIS! ^ DaDeacon Aug 2014 #75
New strains of influenza and new viruses like SARS and MERS are worrisome Marrah_G Aug 2014 #77
It has a much higher case fatality rate than influenza. Mojorabbit Aug 2014 #91
I'm with you. I hate when fear leads to panic. Live and Learn Aug 2014 #90
Swat teams and quarantine? Ed Suspicious Jul 2014 #20
If US health care was so damn good, we would not have MRSA rates rising Divernan Jul 2014 #21
This person will be kept in a special isolation ward. passiveporcupine Jul 2014 #24
CDC guidelines to hospitals on MRSA have not worked Divernan Jul 2014 #30
I suspect the main problem combating mrsa is that alot of the health providers are carriers already. cstanleytech Jul 2014 #47
Big Pharma is falling down on this one. Divernan Jul 2014 #49
They want to continue making their billion$ with old drugs wordpix Aug 2014 #105
Weren't some viable smallpox vials found, unsecured and rattling around, recently? TwilightGardener Jul 2014 #23
Exactly. LisaL Jul 2014 #25
I've read that there is speculation in the field The Traveler Jul 2014 #39
Ebola + AirTravel = Death ....nt quadrature Jul 2014 #28
I play an infection game on my phone christx30 Jul 2014 #41
It's always Atlanta... Baclava Jul 2014 #42
Do you play DayZ? stonecutter357 Jul 2014 #43
How can a plane KT2000 Jul 2014 #44
Aeromedical Biological Containment System magical thyme Jul 2014 #63
Thanks for the info KT2000 Jul 2014 #67
I don't think so magical thyme Jul 2014 #68
Fine by me. Emory is about the best hospital in the world (I grew up blocks away). onehandle Jul 2014 #48
OMG onehandle, this is the kid of stuff that onecent Aug 2014 #95
They want them here to study them B2G Jul 2014 #50
Ebola vaccine trials to start in September. DhhD Jul 2014 #59
Agree. n/t kiranon Jul 2014 #66
Agree n/t Strelnikov_ Jul 2014 #70
^eom littlemissmartypants Aug 2014 #86
Alive or dead, yes. nt msanthrope Aug 2014 #93
I wish all involved well think Jul 2014 #51
They'd better hope that Sherman remains the worst person to visit. WinkyDink Jul 2014 #53
AH! General Sherman and his march to the sea. Divernan Aug 2014 #92
I know, I know d_r Jul 2014 #54
"Everything will turn out fine," said Ebbie the Ebola virus. "I've always wanted to visit America!" WinkyDink Jul 2014 #57
OK d_r Jul 2014 #60
You can almost flash forward in your mind and visualize the Congressional hearings TwilightGardener Aug 2014 #79
Huh? One woman spread it all over just by transferring. Worried? Ya! glinda Jul 2014 #65
I'm not worried by this Marrah_G Jul 2014 #69
And if it is as contagious (antigen shift) as some here think Strelnikov_ Aug 2014 #72
if it was airborne I would worry, but it is not. Marrah_G Aug 2014 #73
It very likely is. DeSwiss Aug 2014 #78
It could possibly be airborne... CoffeeCat Aug 2014 #83
Anything is possible Marrah_G Aug 2014 #87
True about Reston, but B2G Aug 2014 #94
Three American aid workers became infected.., CoffeeCat Aug 2014 #80
Two aid workers are infected, not three. LisaL Aug 2014 #82
Thank you for that clarification... CoffeeCat Aug 2014 #85
I'm not an expert as some here apparently are. notadmblnd Aug 2014 #96
from what I've read about this strain that the survival rate is much better TorchTheWitch Aug 2014 #97
Well that's good news then. notadmblnd Aug 2014 #98
A PhD (molecular epidemiologist) friend agrees that this is insane. K&R n/t bobthedrummer Aug 2014 #101
US Ebola victim arrives at Emory University hospital in Atlanta muriel_volestrangler Aug 2014 #102
I remember when people said hospitals should not treat AIDS patients KinMd Aug 2014 #103
think about it - if you were visiting an African country and contracted Ebola wordpix Aug 2014 #104

TwilightGardener

(46,416 posts)
3. What's that sound? The sound of people stampeding away from the hospital.
Thu Jul 31, 2014, 07:11 PM
Jul 2014

And aides, housekeepers and orderlies thinking, "How much do I want to put up with for $10 an hour?" Oh well, good luck. Glad I'm not in health care anymore.

LovingA2andMI

(7,006 posts)
5. Say Hello to Stories about how Ebola has infected someone in America....
Thu Jul 31, 2014, 07:14 PM
Jul 2014

In about TWO WEEKS.....Watch! This one will not be pretty at all.

defacto7

(13,485 posts)
37. I'm not worried about issolation protocols being followed
Thu Jul 31, 2014, 08:33 PM
Jul 2014

and extra precautions because of the type of disease. The CDC is perfectly capable. It's the out of the ordinary that I am more concerned about like a plane crash or just some mechanical failure on route, on the runway. Maybe the ambulance gets in an accident on the way... who knows. What we know, I'm not worried about. It's what we don't that gets my attention.

mike_c

(36,281 posts)
7. isolation during transport is likely the riskiest part of transferring....
Thu Jul 31, 2014, 07:17 PM
Jul 2014

It seems an extreme risk unless there is something more that can be done at Emory than in Lagos.

on edit: I live in California, right on the left coast. There's a lot of room to kill it with fire between here and Atlanta....

Divernan

(15,480 posts)
40. Yes. There are so many possible single points of failure.
Thu Jul 31, 2014, 08:57 PM
Jul 2014

Protocols really matter with Ebola. Even the smallest error in protocols can be fatal.

McCamy Taylor

(19,240 posts)
9. The isolation should not be that difficult.
Thu Jul 31, 2014, 07:18 PM
Jul 2014

Not in a US hospital. It is a miracle that more health care workers do not get infected when working in the field in Africa. Even the food and water there could get contaminated if the wrong person or container is used to prepare it.

A Little Weird

(1,754 posts)
32. Isolation
Thu Jul 31, 2014, 08:13 PM
Jul 2014

I remember visiting my grandma in the hospital years ago. As I was walking down the hall to her room, I passed a room that was plastered with all kinds of warnings - stuff about isolation, quarantine, mask requirement, etc. The door was standing wide open and a nurse walked out with no mask or any obvious protective gear. I peeked in as I passed and the patient was still in there. Even as a teen I knew that wasn't right. Now I'm sure he wasn't suffering from ebola, but it scares me anyway. All the rules they care to make won't matter if just one careless employee screws up and gets the virus out of that room.

TwilightGardener

(46,416 posts)
34. I worked with patients in isolation--special air systems and everything.
Thu Jul 31, 2014, 08:19 PM
Jul 2014

It's only as good as the staff's diligence (including that of non-professional personnel such as housekeeping, aides, techs, etc.) AND family/visitor cooperation. While I realize the CDC will run the ship more stringently than an ICU, anything that relies on humans being perfect has a chance to fail.

Mnemosyne

(21,363 posts)
31. One of the scariest non-fiction books ever, next to ' THE COMING PLAGUE: Newly Emerging Diseases in
Thu Jul 31, 2014, 08:10 PM
Jul 2014

a World Out of Balance' by Laurie Garret 1994pub.

Marrah_G

(28,581 posts)
71. I have both on audiobook
Thu Jul 31, 2014, 11:58 PM
Jul 2014

actually I think i have every audiobook available on viruses ... yes I am weird

The more I've learned the less I worry about things like Ebola and the more I worry about emerging strains of avian/swine flues from southeast Asia.

Mnemosyne

(21,363 posts)
74. Scary books, aren't they? I'm trying to read 'Lab 257' right now.
Fri Aug 1, 2014, 12:13 AM
Aug 2014

Plum Island possible source of lyme disease, etc.

I do worry a bit about Ebola becoming airborne, but the resistant bacteria emerging scare the bejeezus out of me, way more than Ebola.

Any readings you've found especially intriguing? I'm always looking for interesting input from others.

Marrah_G

(28,581 posts)
76. Spillover is fantastic
Fri Aug 1, 2014, 12:21 AM
Aug 2014

Beating back the Devil
The Viral Storm
Scourge
The Fatal Strain
Yellow Fever Black Goddess
Virus Ground Zero
Demon Under the Microscope
Deadly Feasts
No Time to Lose
Deadly Outbreaks
The Coming Plague
Demon in the Freezer
Panic in Level 4

lunasun

(21,646 posts)
99. +1. Spillover loved how it was broken down -what a great book of science reporting,history & travel
Fri Aug 1, 2014, 07:14 PM
Aug 2014

politicat

(9,808 posts)
81. If you don't mind another rec:
Fri Aug 1, 2014, 12:55 AM
Aug 2014

The Speckled Monster: A Historical Tale of Battling Smallpox, by Jennifer Lee Carroll. She looks at the parallel vaccination efforts in Boston, Turkey and England in the 18th century, specifically Lady Mary Wortley Montagu (who is fascinating in her own right) and Doctor Zabdiel Boylston, in Boston. Without them, the cowpox vaccination effort later on would have been impossible.

She does take the liberty of re-creating likely conversations, but after the first chapter, I didn't find it annoying. Especially in the audio format, it works.

 

WinkyDink

(51,311 posts)
55. Indeed. Gives the horrific reality to the rather normal-sounding "vomiting and diarrhea" reports.
Thu Jul 31, 2014, 10:25 PM
Jul 2014

Yeah, the "diarrhea" comprises one's intestines.

 

YarnAddict

(1,850 posts)
11. What can they do for the patients here
Thu Jul 31, 2014, 07:23 PM
Jul 2014

that they can't do in Africa? Seems like the doctors most familiar with treating Ebola are already there. They have the hazmat suits, and the isolation equipment, and all the treatments available here are also there, so I can't believe there are any medical reasons to bring them here.

defacto7

(13,485 posts)
35. Yes and no...
Thu Jul 31, 2014, 08:26 PM
Jul 2014

If everything we know to do was being done right, we would know that everything we know to do was being done. It does not mean that the medical workers would not be infected. It's what we don't know that may be more important.

The possibility is being studied right now that the disease has vectors we either didn't know about or is mutating into... like airborne transmission. There are situations where all protocols were being adhered to and still there was transmission.

There is a lot we don't know about this disease because no one wanted to get close enough to study it years ago. It was inevitable it would start to get our attention sooner or later.

CoffeeCat

(24,411 posts)
84. It's possible that everything is being done right!
Fri Aug 1, 2014, 01:08 AM
Aug 2014

You're assuming human error here, but that may not be the case. This Ebola strain may be incredibly lethal, and it could just be more efficient at infecting and killing hosts.

After all, the three American aid workers who contracted Ebola were all following CDC guidelines, and they became infected. They were in full masks and protective garb from head to toe.

XemaSab

(60,212 posts)
29. Guilt
Thu Jul 31, 2014, 08:03 PM
Jul 2014

Spending $$$$$$$$$ every day on the white lady seems a little tacky when right outside there's a plastic tent full of black Africans being treated for ¢¢¢.

Divernan

(15,480 posts)
12. CDC has about two dozen staffers in West Africa to try to control outbreak;plans to send more.
Thu Jul 31, 2014, 07:26 PM
Jul 2014

That is the last sentence of the op's link, and significant in that if/when any of those workers are infected, they will surely be brought home as well.

The CDC is based in Atlanta, as is the Emory University Hospital. Odds are that any further American health care workers coming down w/ Ebola will be brought back there as well. I'd expect a condition for them volunteering for this dangerous assignment was that they would be brought home for treatment if necessary.

The disease needs to be stopped, and the CDC staffers are taking their lives in their hands to go to West Africa. I think they should be brought back to the USA for the best possible medical treatment. On the other hand I wouldn't set foot in Emory Hospital for any treatment. There's been a trend in US hospitals to assign nurses to double shifts. A friend's daughter/new R.N. was just hired and will be working 3 12 hour shifts a week. That results in tired people making errors, forgetting safeguards, etc. Never a good idea, but disastrous when in a high risk situation like caring for Ebola patients.

A hospital can have all the safety protocols in the world but underpaid, undertrained and/or overworked staff fail to follow them - that's why we have MRSA. It came to mind, because I just heard this afternoon that an 63 year old, former workmate of mine, who beat cancer several years ago, just died of a MRSA infection.

Marthe48

(16,954 posts)
13. What are they thinking?
Thu Jul 31, 2014, 07:28 PM
Jul 2014

Are they thinking? I just read that 3 countries are affected by this terrible disease and a Liberian official says it is above the the control of the national government. How can people risk spreading this to even more countries?

 

The Traveler

(5,632 posts)
14. This is a very bad idea
Thu Jul 31, 2014, 07:30 PM
Jul 2014

The risks are really probably small ... but the consequences of getting unlucky are catastrophic. The sane reaction to the idea of a contagion like ebola making it to Atlanta (major city, huge transportation hub) is something along the lines of "No! Oh god no!"

My kid has to take treatments at Emory ... and I don't want my kid within a 1000 miles of this thing. But even if I could pretend to be sanguine about that, deliberately bringing this stuff into a major transportation center like Atlanta seems insane. The risk/reward structure seems unjustifiable.

Trav

passiveporcupine

(8,175 posts)
16. I would not be too quick to panic
Thu Jul 31, 2014, 07:33 PM
Jul 2014

From Wiki:

EVD is believed to occur after an ebola virus is transmitted to a human index case via contact with an infected animal's bodily fluids. Human-to-human transmission occurs via direct contact with blood or bodily fluids from an infected person (including embalming of an infected dead person) or by contact with contaminated medical equipment, particularly needles and syringes. Medical workers who do not wear protective clothing, such as gloves and surgical masks, may also contract the disease.[9] In the past, explosive nosocomial transmission has occurred in under-equipped African hospitals due to the reuse of needles and lack of implementation of universal precautions.[citation needed] Aerosol transmission has not been observed during natural EVD outbreaks.[citation needed] The potential for widespread EVD epidemics is considered low due to the high case-fatality rate, the rapidity of demise of patients, and the often remote areas where infections occur.


All epidemics of Ebola have occurred in sub-optimal hospital conditions, where practices of basic hygiene and sanitation are often either luxuries or unknown to caretakers and where disposable needles and autoclaves are unavailable or too expensive.


Because bodies of the deceased are still infectious, some doctors had to take measures to properly dispose of dead bodies in a safe manner despite local traditional burial rituals.


I read that the reason it has spread in Africa, is because of the social tradition of how the deceased bodies are dealt with, and some areas have no training in how to deal with it. It will be controlled. If someone gets it here, it won't become a wide-spread plague. We know how to contain it and handle the equipment and bodies.

LisaL

(44,973 posts)
18. Both of the Americans used protective equipment and still somehow got the disease.
Thu Jul 31, 2014, 07:38 PM
Jul 2014

So I wouldn't be jumping up and down claiming it's not infectious, considering the even the people using protective equipment got it.

passiveporcupine

(8,175 posts)
22. Where did I claim it's not infectious?
Thu Jul 31, 2014, 07:51 PM
Jul 2014

I'm not saying it can't be passed on here, or anywhere. Just that in the right conditions it's not as infectious as where it's spreading now.

I should have known better that to step into this sky is falling thread. It just sounds a lot like the fear of HIV to me...and with education we lost some of that fear.

TwilightGardener

(46,416 posts)
26. Even the most educated people about this virus are catching it.
Thu Jul 31, 2014, 07:59 PM
Jul 2014

This is not HIV. I really have to question the head of the CDC, even President Obama, for doing this.

cstanleytech

(26,291 posts)
27. "I should have known better that to step into this sky is falling thread." Yup way to much stupid
Thu Jul 31, 2014, 08:01 PM
Jul 2014

here over this.

notadmblnd

(23,720 posts)
45. Ebola
Thu Jul 31, 2014, 09:46 PM
Jul 2014

Ebola: since its emergence in 1976, there have been 2,586 cases of Ebola virus disease in humans and 1,717 deaths. While that's a fatality rate of 66.4 per cent, or roughly two out of every three patients, influenza kills approximately 500,000 people every year. In 38 years, Ebola has killed fewer than 2,000 people. The flu? Nineteen million.

very informative current article here.

http://www.independent.co.uk/life-style/health-and-families/features/ebola-epidemic-plagued-by-fear-9636462.html

LisaL

(44,973 posts)
52. Viruses mutate.
Thu Jul 31, 2014, 10:22 PM
Jul 2014

This particular strain appears to be more infectious.
Medical professionals who used protective equipment managed to get it.

 

magical thyme

(14,881 posts)
62. they were in contact with local people outside the hospital
Thu Jul 31, 2014, 10:47 PM
Jul 2014

as were other hospital workers. It is entirely possible that they were infected outside the hospital setting.

cstanleytech

(26,291 posts)
46. Yes and the chances of catching HIV without physical contact are about the same or in other words
Thu Jul 31, 2014, 09:50 PM
Jul 2014

almost nil.
If you want to worry about something though thats far more likely to happen to you though I would be worried about getting struck by lightning.

notadmblnd

(23,720 posts)
64. Or dying from the flu
Thu Jul 31, 2014, 10:55 PM
Jul 2014

But why bother reading, learning, and educating yourself about Ebola when it's more fun to post hyperbole and attempt to instill fear and panic?

Marrah_G

(28,581 posts)
77. New strains of influenza and new viruses like SARS and MERS are worrisome
Fri Aug 1, 2014, 12:26 AM
Aug 2014

Ebola is gruesome and scary but has killed a relatively small amount of people in total, so I agree with you.

When I first read The Hot Zone it scared the heck out of me too, but after reading/listening to lots of other books on the topic it got a lot less scary.

Mojorabbit

(16,020 posts)
91. It has a much higher case fatality rate than influenza.
Fri Aug 1, 2014, 02:50 AM
Aug 2014

There is an teeny outside change it may have or may be mutating. I am glad personally that they will have a case to study in country. They also may come up with something that might aid in treatment.
It is more frightening to people I suspect because of the bleeding factor. There is an almost primal reaction to the thought of bleeding out from all orifices. I was a young nurse when the first aids patients started coming in. There was fear in those days but not at this level IMO. I never thought twice about caring for HIV patients and did so for many years but I would think twice about working with ebola patients. It would only take one slip and that slip could be fatal.
I am loving the discussions.

Live and Learn

(12,769 posts)
90. I'm with you. I hate when fear leads to panic.
Fri Aug 1, 2014, 02:40 AM
Aug 2014

This is a serious disease and it will eventually reach us no matter what. It is time we step up, accept some of the risks and start doing what we can to find a cure.

And btw, I remember when people were calling for those with HIV to be isolated. In fact, my Aunt was a nurse that advocated for such. I was disgusted by it then and am equally disgusted by the fear and panic shown here.

We are NOT all going to die from Ebola. Some will, but most won't. We WILL all die of something. As far as I am concerned, doing so with a clear conscience will be the best way.

Divernan

(15,480 posts)
21. If US health care was so damn good, we would not have MRSA rates rising
Thu Jul 31, 2014, 07:45 PM
Jul 2014
http://www.sciencedaily.com/releases/2012/07/120726180309.htm
http://www.theatlantic.com/health/archive/2012/07/mrsa-on-the-rise-infections-have-doubled-in-5-years/260495/

Methicillin-resistant Staphylococcus aureus (MRSA) has rapidly become the bacteria of the decade. MRSA infections now respond only to very advanced antibiotics that were never meant to be a first-line defense. Usually, the drugs have to be delivered intravenously -- which often means spending some nights in the hospital. And it doesn't help that the state of antibiotics is falling behind. With new antibiotics being approved at slower and slower rates, the battle against MRSA has many doctors worrying about creating a superbug they can't kill at all. Now, new data suggest that the MRSA problem may be even worse than we thought.


In fact, the Chicago scientists say, the new estimate might even be low-balling the disease's pervasiveness because the database they use -- a collection of insurance bills -- tends to under-report instances of MRSA if patients were hospitalized for some other ailment. When the researchers went back to correct for the statistical inaccuracy, they discovered that the insurance claims had missed between a third to one-half of actual MRSA cases as recorded by the hospitals' own records.

At least some of the increase reported in the Chicago paper may simply be due to the fact that we're now more alert to MRSA than we used to be. Better screening means we'll find more of what we're looking for. Still, that doesn't change the fact that more people in general are becoming carriers for MRSA. Getting infected may not guarantee illness in a specific patient, but it also increases the bacteria's chances of eventually being spread to someone who will fall ill from an infection. And that's why understanding the scope of MRSA's potential -- as opposed to measuring only the immediately-consequential cases of MRSA infection -- is so important.


There is disagreement as to what percentage of MRSA cases are caught in medical settings and which are "community based". The biology professor from whom I took a class on infectious diseases, says that MRSA contracted while in a hospital may not become symptomatic until after discharge, and he criticizes epidemiologists who categorize such cases as community-based.

passiveporcupine

(8,175 posts)
24. This person will be kept in a special isolation ward.
Thu Jul 31, 2014, 07:52 PM
Jul 2014

MRSA is throughout hospitals. It's not the same thing at all.

Divernan

(15,480 posts)
30. CDC guidelines to hospitals on MRSA have not worked
Thu Jul 31, 2014, 08:10 PM
Jul 2014

2 possible reasons:
1. the guidelines are inadequate.
2. the guidelines are not enforced/followed.

cstanleytech

(26,291 posts)
47. I suspect the main problem combating mrsa is that alot of the health providers are carriers already.
Thu Jul 31, 2014, 09:53 PM
Jul 2014

Until they can find a way to eradicate it from them they probably wont be able to get it under control.

Divernan

(15,480 posts)
49. Big Pharma is falling down on this one.
Thu Jul 31, 2014, 10:00 PM
Jul 2014

As I linked to / quoted in post 21 above, "It doesn't help that the state of antibiotics is falling behind. With new antibiotics being approved at slower and slower rates, the battle against MRSA has many doctors worrying about creating a superbug they can't kill at all."

This was a major concern of the professor from whom I took a class on infectious diseases a couple of years ago.

TwilightGardener

(46,416 posts)
23. Weren't some viable smallpox vials found, unsecured and rattling around, recently?
Thu Jul 31, 2014, 07:52 PM
Jul 2014

The CDC or whoever was in charge of that fucked up, mightily. But now we're supposed to trust them?

 

The Traveler

(5,632 posts)
39. I've read that there is speculation in the field
Thu Jul 31, 2014, 08:50 PM
Jul 2014

(by field I mean docs on the scene) that this stuff might have gone airborne. It is a different strain (lower mortality rate ... **only** 60%) and has a highly variable incubation period (2-21 days). So ... lot of question marks still around this strain.

Look, the odds of this getting out are small. But the potential consequences of it emerging in the metro Atlanta area are incalculable. So I guess it boils down to how lucky you feel ...

Trav

**edited because I is clumsy with smart phone**

christx30

(6,241 posts)
41. I play an infection game on my phone
Thu Jul 31, 2014, 09:24 PM
Jul 2014

where you are trying to create a plague that wipes out humanity. I'm picturing a red plane that travels from Africa to Atlanta, and an "infected" icon showing up for the US, and the number of infected in the US to go from 0 to 1, then 6, then 72, to 81, then red planes and ships spreading to other parts of the globe.
I hope I'm wrong. But it seems like Ebola currenly has 25 DNA points it can spend on other Vectors or Resistances .

KT2000

(20,577 posts)
44. How can a plane
Thu Jul 31, 2014, 09:38 PM
Jul 2014

be turned into an isolation unit? They operate with recirculated air as it is. Could the plane ever be used again? I guess some poor military folks have been volunteered to do this.
This just does not sound good at all.

 

magical thyme

(14,881 posts)
63. Aeromedical Biological Containment System
Thu Jul 31, 2014, 10:53 PM
Jul 2014

It's a specially designed, portable isolation unit that looks like it has it's own air filtration system.

"The Centers for Disease Control and Prevention has outfitted a Gulfstream jet with an isolation pod designed and built by the U.S. Defense Department, the CDC and a private company. The pod, officially called an Aeromedical Biological Containment System, is a portable, tentlike device that ensures the flight crew and others on the flight remain safe from an infectious disease."

http://www.cnn.com/2014/07/31/health/ebola-isolation-treatment/index.html?iid=article_sidebar

 

magical thyme

(14,881 posts)
68. I don't think so
Thu Jul 31, 2014, 11:41 PM
Jul 2014

Apparently we have, in the past, flown in people with Lassa Fever and Marsburg. They are similar, hemorrhagic diseases.

onehandle

(51,122 posts)
48. Fine by me. Emory is about the best hospital in the world (I grew up blocks away).
Thu Jul 31, 2014, 09:58 PM
Jul 2014

And the odds of Ebola being spread from the patient is almost impossible.

The fun part will be when Georgia GOPNRAteahadists show up to protest against science.

Idiots.






The real danger was my ex-girlfriend who used to work at the CDC, also in Atlanta. She was a little nuts, and had access to things that you simply don't want to know about.



I kid you not.



onecent

(6,096 posts)
95. OMG onehandle, this is the kid of stuff that
Fri Aug 1, 2014, 08:57 AM
Aug 2014

DOES freak me out. Someone (whether half crazy nuts,) or some terrorist thinking
what a GREAT opportunity this could be.

Divernan

(15,480 posts)
92. AH! General Sherman and his march to the sea.
Fri Aug 1, 2014, 07:39 AM
Aug 2014

Took me a second to get the reference.

I have forgot much, Cynara! gone with the wind,

d_r

(6,907 posts)
54. I know, I know
Thu Jul 31, 2014, 10:24 PM
Jul 2014

everything will turn out fine.

But, every once in a while do you ever get the feeling that a news story sounds like an excerpt from the first chapter in a novel? Or the TV playing a blurb of news in the background with no one really paying attention during the first part of a movie?

 

WinkyDink

(51,311 posts)
57. "Everything will turn out fine," said Ebbie the Ebola virus. "I've always wanted to visit America!"
Thu Jul 31, 2014, 10:29 PM
Jul 2014

TwilightGardener

(46,416 posts)
79. You can almost flash forward in your mind and visualize the Congressional hearings
Fri Aug 1, 2014, 12:33 AM
Aug 2014

on what went wrong, two or three years from now, LOL.

Marrah_G

(28,581 posts)
69. I'm not worried by this
Thu Jul 31, 2014, 11:53 PM
Jul 2014

The worker will get excellent care in a place that was built specifically for this type of situation.

Strelnikov_

(7,772 posts)
72. And if it is as contagious (antigen shift) as some here think
Fri Aug 1, 2014, 12:05 AM
Aug 2014

we are already . . I think the technical term is . . fucked.

Marrah_G

(28,581 posts)
73. if it was airborne I would worry, but it is not.
Fri Aug 1, 2014, 12:08 AM
Aug 2014

Ebola is not a good candidate for a pandemic. The spread in Africa is directly related to poverty and cultural practices. The workers over there do not have the same equipment they have here.

 

DeSwiss

(27,137 posts)
78. It very likely is.
Fri Aug 1, 2014, 12:30 AM
Aug 2014
Ebola virus disease

Recent research

In late 2012, Canadian scientists discovered that the deadliest form of the virus could be transmitted by air between species. They managed to prove that the virus was transmitted from pigs to monkeys without any direct contact between them, leading to fears that airborne transmission could be contributing to the wider spread of the disease in parts of Africa. Evidence was also found that pigs might be one of the reservoir hosts for the virus; the fruit bat has long been considered as the reservoir. A 2013 study isolated antibodies from fruit bats in Bangladesh, against Ebola Zaire and Reston viruses, thus identifying potential virus hosts and signs of the filoviruses in Asia.

https://en.wikipedia.org/wiki/Ebola_virus_disease



- It has now spread to five countries (Sierra Leone, Guinea, Ghana, Liberia and Nigeria). One person flew (unprotected while sick) on an airplane from Sierra Leone to Lagos, Nigeria. A city of over 21,000,000 people. No one was quarantined after the flight.

CoffeeCat

(24,411 posts)
83. It could possibly be airborne...
Fri Aug 1, 2014, 12:59 AM
Aug 2014

Here is a link to an article about 2012 research in which possible airborne transmission of Ebola was observed from pigs to monkeys.

http://healthmap.org/site/diseasedaily/article/pigs-monkeys-ebola-goes-airborne-112112

Of course, there are many unknowns, but it is possible that this strain is airborne or just incredibly virulent. After all, 670 are dead, the worst Ebola outbreak ever.

It's also very curious that these three American ms who were fighting Ebola--have all suddenly been infected. They were following CDC guidelines, which meant that they were suited up like astronauts. They've been working with Ebola patients for months, but suddenly 1 is dead and two are on the verge of death.

It's possible that the Ebola strain has become more lethal, for many reasons, including maybe being airborne.

Marrah_G

(28,581 posts)
87. Anything is possible
Fri Aug 1, 2014, 01:41 AM
Aug 2014

I'll keep an eye on the WHO and MSF sites to see if they say its gone airborne.

I am familiar with that experiment, but as far as I know it has never had human to human airborne transmission. Ebola Reston can go airborne but that doesn't effect humans.

 

B2G

(9,766 posts)
94. True about Reston, but
Fri Aug 1, 2014, 08:31 AM
Aug 2014

They initially thought it was Zaire because it was so similar.

In the case of this virus, it is so similar to Zaire, but not exactly like it. It shares 97% of it's genetic makeup, according to WHO.

It's that 3% that doesn't match that worries me about transmission.

CoffeeCat

(24,411 posts)
80. Three American aid workers became infected..,
Fri Aug 1, 2014, 12:50 AM
Aug 2014

One American aid worker died. The other two are no doubt heroes. Last reports of their conditions described them both as gravely ill and worsening.

Why would they try to transport people who are in Very critical condition and so close to death? It's doubtful that they could withstand the air travel. There is no cure! There is nothing here that could save these people.

Possibly--this is another American aid worker, besides the three that we know about?

LisaL

(44,973 posts)
82. Two aid workers are infected, not three.
Fri Aug 1, 2014, 12:56 AM
Aug 2014

The guy who died was not an aid worker. He got it from his sister.
The ones they plan to transport are the two currently infected.

CoffeeCat

(24,411 posts)
85. Thank you for that clarification...
Fri Aug 1, 2014, 01:21 AM
Aug 2014

I see that I had it wrong. You are right. The American man who died, Mr Sawyer, worked for the government.

Thanks for the clarification.

notadmblnd

(23,720 posts)
96. I'm not an expert as some here apparently are.
Fri Aug 1, 2014, 12:32 PM
Aug 2014

However, I do know that about one out of every three patients do survive.

TorchTheWitch

(11,065 posts)
97. from what I've read about this strain that the survival rate is much better
Fri Aug 1, 2014, 05:46 PM
Aug 2014

Over half. Around 60% last I heard.


muriel_volestrangler

(101,315 posts)
102. US Ebola victim arrives at Emory University hospital in Atlanta
Sat Aug 2, 2014, 01:11 PM
Aug 2014
One of two two US victims of the West African Ebola outbreak arrived in the country on Saturday and was transferred to an Atlanta hospital with one of the most sophisticated isolation units in the country.

Dr Kent Brantly of Texas, who contracted the disease while working for a charity in Liberia, was flown by specially adapted private jet to Dobbins Air Force Base in Marietta, Georgia, just outside Atlanta. From there, he was driven by ambulance to Emory University hospital, about 15 miles away.

When the ambulance carrying Brantly arrived at the hospital, one person in protective clothing climbed down from the back and a second person in protective clothing appeared to take his gloved hands and guide him toward a building. The ambulance was flanked by a few SUVs and police cars en route to the hospital.

Outside the hospital, about 20 members of the media had gathered to chronicle the arrival. There was no noticeable police presence and all roads were open.

http://www.theguardian.com/society/2014/aug/02/us-ebola-victims-facility-atlanta-emory-university

I didn't expect he'd be well enough to walk.

KinMd

(966 posts)
103. I remember when people said hospitals should not treat AIDS patients
Sun Aug 3, 2014, 12:47 AM
Aug 2014

and how those infected should be quarantined in the desert on on a island

wordpix

(18,652 posts)
104. think about it - if you were visiting an African country and contracted Ebola
Sun Aug 3, 2014, 02:38 PM
Aug 2014

would you want to be treated there or in the US?

If it's your life at stake, I'll bet you'll answer the US.

Have some compassion. This doctor was helping people with the virus when he contracted it. He deserves the best treatment he can get---apparently that's in the US and not in Africa where the disease is hitting hardest.

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