Ebola and Infectious diseases Part Two

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Message 1593136 - Posted: 27 Oct 2014, 21:56:41 UTC - in response to Message 1593133.  

US Army to Quarantine Troops Who Were Fighting Ebola

The Army has decided that troops returning from deployments to Liberia should be quarantined so they can be monitored for possible exposure to the Ebola virus and a general was among the first people affected.

The order immediately affected up to a dozen soldiers who returned to their home base in Italy this weekend, including Major General Darryl Williams, the former top U.S. commander in Liberia.

http://abcnews.go.com/Health/us-army-quarantine-troops-fighting-ebola/story?id=26486775

Pentagon not calling it a quarantine. Per Media.
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Message 1593139 - Posted: 27 Oct 2014, 22:04:27 UTC - in response to Message 1593136.  

Changing channels.

Bi*ch and win and hire a Lawyer. Gov. Chris Christie, did he drop the ball??

Ebola nurse to be released from Newark quarantine

The Ebola nurse who lashed out about “inhumane” and “prison-like” conditions while under mandatory quarantine in New Jersey is being released.

The New Jersey Health Department said in a statement that Kaci Hickox, 33, had been symptom-free for 24 hours and would be taken on a private carrier to Maine, where she lives.

http://nypost.com/2014/10/27/ebola-nurse-to-be-released-from-newark-quarantine/
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Message 1593150 - Posted: 27 Oct 2014, 22:31:01 UTC - in response to Message 1593139.  

Changing channels.

Bi*ch and win and hire a Lawyer. Gov. Chris Christie, did he drop the ball??

Ebola nurse to be released from Newark quarantine

The Ebola nurse who lashed out about “inhumane” and “prison-like” conditions while under mandatory quarantine in New Jersey is being released.

The New Jersey Health Department said in a statement that Kaci Hickox, 33, had been symptom-free for 24 hours and would be taken on a private carrier to Maine, where she lives.

http://nypost.com/2014/10/27/ebola-nurse-to-be-released-from-newark-quarantine/

I think the governor is suffering from a sever case of poll-atitus and needs to be put into strict silent isolation, it should be over the day after the election.
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Message 1593162 - Posted: 27 Oct 2014, 22:54:57 UTC - in response to Message 1593150.  

Changing channels.

Bi*ch and win and hire a Lawyer. Gov. Chris Christie, did he drop the ball??

Ebola nurse to be released from Newark quarantine

The Ebola nurse who lashed out about “inhumane” and “prison-like” conditions while under mandatory quarantine in New Jersey is being released.

The New Jersey Health Department said in a statement that Kaci Hickox, 33, had been symptom-free for 24 hours and would be taken on a private carrier to Maine, where she lives.

http://nypost.com/2014/10/27/ebola-nurse-to-be-released-from-newark-quarantine/

I think the governor is suffering from a sever case of poll-atitus and needs to be put into strict silent isolation, it should be over the day after the election.


You might be right Gary.
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Message 1593163 - Posted: 27 Oct 2014, 22:56:06 UTC - in response to Message 1593162.  

Boy, 5, who traveled to West Africa tests NEGATIVE for Ebola at Bellevue Hospital


The boy, who recently returned from Ebola-wracked West Africa, had a “low grade” fever when his temperature was taken at 7 a.m., officials said. When he was rushed to Bellevue from the Soundview section of the Bronx Sunday evening, he had a temperature of 102.7 degrees and bloodshot eyes, sources said.

http://www.nydailynews.com/new-york/boy-5-returned-west-africa-tested-ebola-bellevue-hospital-article-1.1988468
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Message 1593164 - Posted: 27 Oct 2014, 22:58:56 UTC - in response to Message 1593163.  

US updates Ebola monitoring guidelines after controversial quarantine

The US Centers for Disease Control and Prevention is issuing new guidelines for how states should deal with people at risk of contracting Ebola. The CDC now recommends that those with a high risk of exposure voluntarily isolate themselves and agree to be actively monitored for symptoms. Few people in the US will fall into the high-risk group, as the CDC defines it as people who have cared for an Ebola patient without protective equipment and people who have been stuck with a needle used by someone else exposed to the virus.


http://www.theverge.com/2014/10/27/7079657/ebola-monitoring-guidelines-cdc-updates-after-healthcare-worker-quarantine
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Message 1593223 - Posted: 28 Oct 2014, 2:13:38 UTC - in response to Message 1593164.  

All this pu*#yfooting around. The laws have been on the books for more than decade

http://www.cdc.gov/quarantine/aboutlawsregulationsquarantineisolation.html

If you want to read the whole thing here it is. If not, I've copied the relevant part out of it. This was written to cover TB but it can be expanded to cover any infectious disease that threatens public safety.
http://www.cdc.gov/tb/programs/TBLawPolicyHandbook.pdf


Quarantine and Isolation. Public health laws at the tribal, state, and local levels
generally authorize: (1) the quarantine of persons who have been exposed to certain
communicable diseases during the relevant incubation period; and (2) the isolation of individuals
confirmed to have a communicable disease for the period of communicability – to prevent
further disease transmission. Some jurisdictions empower public health authorities to isolate
individuals with a communicable disease based on disease status alone; others may authorize
isolation only of those who engage in “dangerous” behaviors. Regardless,the powers to quarantine and isolate exposed and infectious persons, respectively, are long-standing,non-pharmaceutical interventions to limit the spread of serious, communicable diseases. The use of quarantine and isolation powers can impinge on an individual’s constitutional right to travel, freedom of association, and other constitutionally-protected liberty interests. As a result, these and other powers must be carefully balanced with constitutional protections (discussed above in Part III). The Turning Point Act offers extensive model language on due process and other protections related to quarantine and isolation to help ensure that individual rights and interests are respected.
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Message 1593273 - Posted: 28 Oct 2014, 3:45:09 UTC - in response to Message 1593223.  

All this pu*#yfooting around. The laws have been on the books for more than decade

http://www.cdc.gov/quarantine/aboutlawsregulationsquarantineisolation.html

If you want to read the whole thing here it is. If not, I've copied the relevant part out of it. This was written to cover TB but it can be expanded to cover any infectious disease that threatens public safety.
http://www.cdc.gov/tb/programs/TBLawPolicyHandbook.pdf


Quarantine and Isolation. Public health laws at the tribal, state, and local levels
generally authorize: (1) the quarantine of persons who have been exposed to certain
communicable diseases during the relevant incubation period; and (2) the isolation of individuals
confirmed to have a communicable disease for the period of communicability – to prevent
further disease transmission. Some jurisdictions empower public health authorities to isolate
individuals with a communicable disease based on disease status alone; others may authorize
isolation only of those who engage in “dangerous” behaviors. Regardless,the powers to quarantine and isolate exposed and infectious persons, respectively, are long-standing,non-pharmaceutical interventions to limit the spread of serious, communicable diseases. The use of quarantine and isolation powers can impinge on an individual’s constitutional right to travel, freedom of association, and other constitutionally-protected liberty interests. As a result, these and other powers must be carefully balanced with constitutional protections (discussed above in Part III). The Turning Point Act offers extensive model language on due process and other protections related to quarantine and isolation to help ensure that individual rights and interests are respected.

Interesting table on Page 38, where only one (1) state has a quarantine law.
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Message 1593275 - Posted: 28 Oct 2014, 3:53:40 UTC - in response to Message 1593273.  

True but there are also Emergency Detention, Isolation and Activities Restrictions. Beside, did you see how many states they actually listed? Only 25.
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Message 1593280 - Posted: 28 Oct 2014, 4:00:13 UTC - in response to Message 1593276.  

Why are Posters' ONLY mentioning The Republican Governor Christie, and not the Democrat Governor Cuomo?

AFIK you are the only poster mentioning names .....
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Message 1593283 - Posted: 28 Oct 2014, 4:04:51 UTC - in response to Message 1593275.  

True but there are also Emergency Detention, Isolation and Activities Restrictions. Beside, did you see how many states they actually listed? Only 25.

24. Don't think "NYC" is a state. The report said it was all 50, and if you go down the columns you mention, 1 of those 24 has none of those powers. As to the other 26 states, don't know as the table was cherry picked.
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Message 1593287 - Posted: 28 Oct 2014, 4:27:59 UTC - in response to Message 1593283.  

So, now they are saying the Administration is making plans to convert military transport planes into isolation planes to transport Non-American Eboli patients into the USA for treatment. Who's bright idea is this??
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Message 1593324 - Posted: 28 Oct 2014, 6:34:31 UTC - in response to Message 1593136.  

US Army to Quarantine Troops Who Were Fighting Ebola

The Army has decided that troops returning from deployments to Liberia should be quarantined so they can be monitored for possible exposure to the Ebola virus and a general was among the first people affected.

The order immediately affected up to a dozen soldiers who returned to their home base in Italy this weekend, including Major General Darryl Williams, the former top U.S. commander in Liberia.

http://abcnews.go.com/Health/us-army-quarantine-troops-fighting-ebola/story?id=26486775

Pentagon not calling it a quarantine. Per Media.

Well as they are under orders, They have no choice but to obey a quarantine order.
I think any person who has treated cases of ebola should also be under quarantine. If not for public safety at least for their own families. I did not like going on a year long remoet tour being away from my wife and kids, while I was in the Air Force. But I pledged service to my country for 8 years. So I dont understand how taking safe gaurds so you dont spread it to a loved one is inhumane? Why dont we ask that doctors Fiance in NYC how she feels about it.
[/quote]

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Message 1593328 - Posted: 28 Oct 2014, 6:47:42 UTC - in response to Message 1593324.  

Potential Ebola patient transferred to Maryland hospital

A Maryland hospital has received a potential Ebola patient, a facility spokeswoman said.

A patient was transferred to University of Maryland Medical Center at the request of state health officials and was being treated in isolation, a spokeswoman said Monday night.

http://www.chicagotribune.com/lifestyles/health/bs-hs-ebola-patient-ummc-20141027-story.html
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Message 1593500 - Posted: 28 Oct 2014, 13:47:14 UTC
Last modified: 28 Oct 2014, 13:50:44 UTC

http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2672.2010.04778.x/pdf


The survival of filoviruses in liquids, on solid substrates and
in a dynamic aerosol


T.J. Piercy, S.J. Smither, J.A. Steward, L. Eastaugh and M.S. Lever
Biomedical Sciences Department, Defence Science and Technology Laboratory, Salisbury, Wiltshire, UK


Abstract
Aims:
Filoviruses are associated with high morbidity and lethality rates in humans, are capable of human-to-human transmission, via infected material such as blood, and are believed to have low infectious doses for humans. Filoviruses are able to infect via the respiratory route and are lethal at very low doses in experimental animal models, but there is minimal information on how well the filoviruses survive within aerosol particles. There is also little known about how well filoviruses survive in liquids or on solid surfaces which is important in management of patients or samples that have been exposed to filoviruses.
Methods and Results:
Filoviruses were tested for their ability to survive in dif-
ferent liquids and on different solid substrates at different temperatures. The
decay rates of filoviruses in a dynamic aerosol were also determined.
Conclusions:
Our study has shown that Lake Victoria marburgvirus (MARV)
and Zaire ebolavirus (ZEBOV) can survive for long periods in different liquid
media and can also be recovered from plastic and glass surfaces at low temper-
atures for over 3 weeks. The decay rates of ZEBOV and Reston ebolavirus
(REBOV) plus MARV within a dynamic aerosol were calculated. ZEBOV and
MARV had similar decay rates, whilst REBOV showed significantly better
survival within an aerosol.
Significance and Impact of the Study:
Data on the survival of two ebolaviruses
are presented for the first time. Extended data on the survival of MARV are
presented. Data from this study extend the knowledge on the survival of filo-
viruses under different conditions and provide a basis with which to inform
risk assessments and manage exposure to filoviruses.


I've quoted the Title and Abstract, but go ahead and read the entire paper if you wish.

A further quote from the paper on survival of filoviruses in aerosol:

From the total decay rates, the theoretical decay (as a
percentage of original titre) over time was calculated
(Fig. 5). The time taken for 50% of the initial virus con-
centration to decay (i.e. the half-life of the virus) is 14,
15 and 24 min for MARV, ZEBOV and REBOV, respec-
tively. The time for 99% of the initial virus concentration
to decay was estimated as 93 min for MARV, 104 min for
ZEBOV and 162 min for REBOV.



I have already linked papers demonstrating airborne transmission in animals of REBOV (from 1990) and ZEBOV (from 2012) in previous posts. Yes, I know these are in animals, not people. But, experimentation on people with various EBOV
is illegal, immoral, and unethical.

I forget the paper I saw it in, but there are indications (from examining the data collected) that there was a small airborne vector between people in one of the previous EBOV outbreaks in Africa. If I can find that paper again, I will link it.

Yes, the various Government public health agencies are repeating the mantra OVER and OVER that you can only get Ebola through direct contact with the bodily fluids of someone sick with Ebola. Of course, this is ONE way you can become infected. But is it the only way?

Recall the two of the nurses that cared for the late Mr. Duncan in the Dallas case. Both somehow, despite reasonable care and protective equipment, became infected. Analysis of the circumstances led to identification of two possibilities for just when it occured. 1. Dialysis. 2. Intubation (placement of tubes, such as for a ventilator).

Why is #2 a concern? Partly due to aerosol of bodily fluids during the placement of the tubes.

Also recall the CDC Director's infamous comments about catching it on a bus.

Why would the various Government Public Health agencies (such as the CDC in the USA) make misleading statements about this?

Simple, they do not want the People to panic. If the People panic, it might cost some politicians their jobs (remember, the USA has its midterm elections coming up in a week or so, early voting is going on now).

If some elected politicians get 'fired' by the People, then the new ones might decide to 'clean house' in the ranks of the appointed officials, and the Director of the CDC *is* a political appointee.

Of course the MAIN method of person-to-person infection by Ebolavirus IS by direct contact with bodily fluids. But there is a STRONG possibility that it can be spread by an airborne route, namely inhalation of aerosolized particles of bodily fluids (mucus) produced when an infected, ill person coughs or sneezes. You ever *seen* slow-motion video of someone coughing or sneezing?

Are you willing to bet YOUR life that transmission this way is impossible?

Sometimes, fear IS the rational response.

Voluntary isolation of those exposed is not 100% effective. Remember the NBC news crew? Members of that crew were seen and photographed in public after they were requested to isolate themselves.

Not even medical personnel are exempt. Witness the Dallas Nurse that flew across the country when sick, before she reported to the hospital where it was confirmed she had Ebola.

Witness the Doctor in NYC. He had just returned from working with MSF in Africa where he was caring for Ebola victims. By the way, he did PASS the 'enhanced screening' at the airport. Just a few hours before he was diagnosed with Ebola himself, he was 'out on the town' in NYC.

No, voluntary isolation of those exposed DOES NOT WORK.

We MUST have mandatory quarantine of those exposed at least until such a time as they can be cleared through lab tests. The stakes are just too high to behave otherwise.
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Message 1593562 - Posted: 28 Oct 2014, 23:12:07 UTC

My Buddy, over To The Left of Me, caught OEbola when A Seagull sat Oh His Head and Shat(I Have A DRum DRum covering Mine luckily). The Shat Dripped down Into His Eyes and Well, now, Rappin' Eddie Nui is A Puddle Of Lava. RIP Edd Bo.

HO HUM. Rappin' On My DRum DRum.

May we All have a METAMORPHOSIS. REASON. GOoD JUDGEMENT and LOVE and ORDER!!!!!
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Message 1593787 - Posted: 29 Oct 2014, 11:34:13 UTC - in response to Message 1593500.  

http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2672.2010.04778.x/pdf

[quote]
The survival of filoviruses in liquids, on solid substrates and
in a dynamic aerosol


T.J. Piercy, S.J. Smither, J.A. Steward, L. Eastaugh and M.S. Lever
Biomedical Sciences Department, Defence Science and Technology Laboratory, Salisbury, Wiltshire, UK


We MUST have mandatory quarantine of those exposed at least until such a time as they can be cleared through lab tests. The stakes are just too high to behave otherwise.


To comment. The paper quoted shows that filoviruses do not survive in aerosol form. The authors state: "Epidemiological evidence, however, would suggest that during outbreaks,filoviruses are rarely transmitted by the airborne route." The half life is so short (of the order of minutes under controlled lab conditions) that viral load in aerosol form is rapidly reduced to below infective levels (viral load = number of virus particles needed to get the disease). Although ebola can infect through the lung, this does not mean that ebola is airborne, just that it can invade through mucous membranes. If you consider a truly airborne virus, such as flu, the average carrier can infect 10-14 patients. Thats why the flu virus promotes sneezing. For ebola, the average is 2-3 patients. Ebolas method of spreading is to produce vast amounts of bodily fluid (vomiting, bleeding, diarrhea). It is not transmitted through the air.
Second, if we are going to treat returning medical workers as you suggest, they will stop going. Treating ebola patients at source is the best way the USA can combat this diesease. We should be working to support them. And remember. In the US, it is medical workers who are getting ebola, not the general public.
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Message 1593812 - Posted: 29 Oct 2014, 12:48:24 UTC - in response to Message 1593794.  
Last modified: 29 Oct 2014, 12:59:44 UTC

http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2672.2010.04778.x/pdf

[quote]
The survival of filoviruses in liquids, on solid substrates and
in a dynamic aerosol


T.J. Piercy, S.J. Smither, J.A. Steward, L. Eastaugh and M.S. Lever
Biomedical Sciences Department, Defence Science and Technology Laboratory, Salisbury, Wiltshire, UK


We MUST have mandatory quarantine of those exposed at least until such a time as they can be cleared through lab tests. The stakes are just too high to behave otherwise.


To comment. The paper quoted shows that filoviruses do not survive in aerosol form. The authors state: "Epidemiological evidence, however, would suggest that during outbreaks,filoviruses are rarely transmitted by the airborne route." The half life is so short (of the order of minutes under controlled lab conditions) that viral load in aerosol form is rapidly reduced to below infective levels (viral load = number of virus particles needed to get the disease). Although ebola can infect through the lung, this does not mean that ebola is airborne, just that it can invade through mucous membranes. If you consider a truly airborne virus, such as flu, the average carrier can infect 10-14 patients. Thats why the flu virus promotes sneezing. For ebola, the average is 2-3 patients. Ebolas method of spreading is to produce vast amounts of bodily fluid (vomiting, bleeding, diarrhea). It is not transmitted through the air.
Second, if we are going to treat returning medical workers as you suggest, they will stop going. Treating ebola patients at source is the best way the USA can combat this diesease. We should be working to support them. And remember. In the US, it is medical workers who are getting ebola, not the general public.

Government's Protect THEIR People FIRST. Correct?

Stop with the silly Academic Exercise. The fear and panic are real. It doesn't matter what the reality is. Never has, never will. Saying The People, Peasants, Masses, are stupid and need to be educated: Display's TOTAL Incompetence of the Real World, and Responsibilities.

That is why no one should ever have Academia Types in position of Governmental Power. That is their incompetence. They truly don't understand.



Thats pretty insulting to us medical professionals. Medical personnel have a much better understanding of the risks than the general public. After all, they are the ones taking the risks with treating ebola patients, not you. You have the luxury of sitting safely in your home in the US and insulting medical professionals (yes, academia types) across the world who are working to prevent the spread of this disease and protect people like you. The only fear is when people like you spread unfounded rumors about the risk and provoke fear and panic.
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Message 1593820 - Posted: 29 Oct 2014, 13:27:02 UTC - in response to Message 1593812.  
Last modified: 29 Oct 2014, 13:28:54 UTC

Thats pretty insulting to us medical professionals. Medical personnel have a much better understanding of the risks than the general public. After all, they are the ones taking the risks with treating ebola patients, not you. You have the luxury of sitting safely in your home in the US and insulting medical professionals (yes, academia types) across the world who are working to prevent the spread of this disease and protect people like you. The only fear is when people like you spread unfounded rumors about the risk and provoke fear and panic.



I don't think it's insulting. If you decide that you want to go over there for 4 months then you should plan for 5 months away from work. Nurses just as well as doctors have "God" Complexes. The thought that "I know better" isn't justification to place the general public at risk. So much so, that hospitals as starting to plan for their staffs that go over there to be place on mandatory quarantine with pay at home when they return. That nurse was in direct contact with a child that die 24 hours after she left. Do we know for a fact she won't come down with it? No. I hope she doesn't. But my hoping is worth a pile of beans if she gets it and then passes it on to someone else. The thing is, she shouldn't have to place others at risk, especially other medical personnel if all she has to do is quarantine herself for the duration. I don't care where she does it. If she wants to do it home, on a farm, in the mountains by a lake, etc... But chances are she will not do it because she doesn't want to be away from her home. The problem is, people go stir crazy. They can't sit at home. Especially not in places like NYC where they live in 600 square feet. Could I do it? Yeah but I live out the country with wide open spaces between me and my neighbors so if I feel like walking around my property, there's no one there!! Harder to do in a 600 sq.ft apt. I think states are going to have to look at establishing holding facilities like hotels or cabins with full amenities for these people so they can move around outside and not go stir crazy. Like a vacation but some place where they can be monitored and isolated until they are cleared. Someone is going to ask,how much? Consider it cost half a million to treat Duncan. I think we could afford a few thousand per person as precaution.
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Message 1593824 - Posted: 29 Oct 2014, 13:39:55 UTC - in response to Message 1593820.  

Looks like the public has decided to have 100,000,000 Ebola corpses to bury. After all, it's just _______s catching it. Whatever you do, don't go and help _______s with their suffering. The number of mutations that will promote will turn this into a plague. What a !@#$%^&*()_ pile of idiots on the planet.
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Message boards : Politics : Ebola and Infectious diseases Part Two


 
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