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  • Archive for the 'Ebola' Category

    Poukisa Mwen Te Ale An Ayiti

    Posted by Jay Manifold on 27th March 2016 (All posts by )

    After 240 years of relative quiescence, at 4:53 PM local time on Tuesday 12 January 2010 the Enriquillo fault system ruptured near 18°27’ N, 72°32’ W in an M 7.0 earthquake, followed by numerous aftershocks, mostly westward of the mainshock hypocenter. Institutional functionality, or the lack thereof, in Haiti prior to the earthquake was such that there was no local seismometer network in place, so nuances of slip in the 2010 earthquake involving several associated faults have had to be inferred from kinematic models.
    The Enriquillo fault itself forms the boundary between the Gonâve Microplate and the Caribbean Plate, but seismic activity along it is driven by collision with, and subduction of, the North American Plate. The entire fault system may have begun a new cycle of large earthquakes similar to those of the 18th century, in which case there will be several more such events with significant effects in Haiti and the Dominican Republic through, very roughly, 2080.
    Around half the entire US population donated money for Haitian earthquake relief in 2010. I may not have been among them, but as initially recounted in this forum in April of 2011, I was drawn into restoration work in a computer lab and fixed-wireless network in Petit-Goâve, and have subsequently assisted in similar efforts in Musac (Mizak), La Vallée-de-Jacmel. Paging through the visa section of my passport, I now find an astonishing number of red ENTRÉE and blue SORTIE stamps from the Ministere de l’Interieur et des Collectivites Territoriales / Direction de l’Immigration. My God, I’ve been down there 16 times. What was I thinking?
    Something like this …

    Read the rest of this entry »

    Posted in Americas, Book Notes, Christianity, Civil Society, Culture, Current Events, Ebola, Elections, History, Human Behavior, International Affairs, Latin America, Personal Narrative, Politics, Predictions, Religion, Society, Systems Analysis, USA | 4 Comments »

    A Few Cautious Predictions About Our “Crisis Era”

    Posted by Jay Manifold on 6th January 2015 (All posts by )

    The world weighs on my shoulders, but what am I to do?
    You sometimes drive me crazy, but I worry about you
    I know it makes no difference to what you’re going through
    But I see the tip of the iceberg, and I worry about you …

    – Neil Peart, Distant Early Warning

     

    But wouldn’t it be luxury to fight in a war some time where, when you were surrounded, you could surrender?

    – Ernest Hemingway, For Whom the Bell Tolls

     

    Reading through background material on the UN’s recent request for $16.4 billion in humanitarian aid in 2015, I find that the number of displaced people was already at its highest since World War II at the end of 2013, and has risen by several million since then. Nearly all are somewhere inside or on the perimeter of the Muslim world, with Ukraine the only sizeable exception. My sense, in which I am hardly alone, is that we are reliving the mid-1930s, with aggression unchecked and chaos unmitigated by morally exhausted Western institutions. That “low dishonest decade” ended in global war with a per capita death toll around 1 in 40. A proportional event a few years from now would kill 200 million people.

    Read the rest of this entry »

    Posted in Americas, Anti-Americanism, Book Notes, China, Christianity, Current Events, Ebola, Elections, History, Human Behavior, Immigration, India, International Affairs, Islam, Latin America, Libertarianism, Middle East, Military Affairs, National Security, Politics, Predictions, Society, Space, Systems Analysis, Terrorism, United Nations, USA, War and Peace | 31 Comments »

    Don’t Panic: A Continuing Series – Ebola Realities and the True Test

    Posted by Jay Manifold on 22nd November 2014 (All posts by )

    as airline stocks tracked – and predicted – Ebola did not become established in the US

    as airline stocks tracked – and predicted – Ebola did not become established in the US

    Although the false alarms might continue for a few more weeks, we have obviously transitioned into the lessons-learned phase of the Ebola non-outbreak in the US. I will list those lessons below, but first, a useful summary of a talk I attended on the evening of Tuesday the 4th.

    [Readers needing background may refer to the earlier members of this series, Don’t Panic: Against the Spirit of the Age; Don’t Panic: A Continuing Series; and Don’t Panic: A Continuing Series – Ebola or Black Heva?]

    The venue was the Johnson County Science Café, a monthly forum sponsored by Kansas Citizens for Science. Johnson County is, by some measures, the wealthiest county in the country outside of the DC and NYC metro areas; greatly simplifying, this is a product of a somewhat unique combination of blue-state salaries and red-state cost of living. Kansas Citizens for Science was founded in the wake of upheavals on the Kansas Board of Education, which resulted in the initial imposition of, and subsequent drastic changes to, science-curriculum standards for public primary and secondary schools for ~300 school districts half a dozen times between the early 1990s and mid-2000s. The most famous was a 1999 board vote to remove key questions about the historical sciences (including astronomy, geology, and paleontology) from assessment testing, but there were several others which either re- or de-emphasized those sciences as the makeup of the board fluctuated with each election. After a decade and a half of chaos, as of now the board is relatively quiescent – its makeup was ironically substantially unaffected by this month’s wave election – and teaching and testing of the historical sciences is in place. I know several of the key personalities involved, and could certainly tell some interesting stories, but that controversy is not the subject of this post. Read the rest of this entry »

    Posted in Bioethics, Civil Society, Current Events, Ebola, Health Care, Human Behavior, International Affairs, Markets and Trading, Medicine, Organizational Analysis, Personal Narrative, Predictions, USA | 5 Comments »

    Observation of the Month

    Posted by Jay Manifold on 17th November 2014 (All posts by )

    Posted in Academia, Ebola | 9 Comments »

    Don’t Panic: A Continuing Series – Ebola or Black Heva?

    Posted by Jay Manifold on 2nd November 2014 (All posts by )

    [Readers needing background may refer to the earlier members of this series, Don’t Panic: Against the Spirit of the Age, and Don’t Panic: A Continuing Series.]

    Time is running out, the man explains, speaking calmly and confidently, in the manner of a university professor. A deadly disease, spread by primitive tribespeople through dead bodies, will kill vast numbers of Americans unless the Federal government uses its powers to stop it.

    The man is Russell Eugene Weston Jr., a paranoid schizophrenic who murdered two policemen inside the Capitol building in the summer of 1998. He has been institutionalized ever since.

    As I write this, the most widely-read individual blog in the English-speaking world, written by a genuine university professor, is infested with (invariably pseudonymous) commenters not readily distinguishable from Weston; we can only hope that none of them will act on their impulses as he did. Read the rest of this entry »

    Posted in Big Government, Bioethics, Civil Liberties, Civil Society, Current Events, Ebola, Elections, Health Care, Human Behavior, International Affairs, Libertarianism, Medicine, Politics, Science, Systems Analysis, Terrorism, Tradeoffs, USA | 8 Comments »

    Ebola is now acknowledged to be airborne.

    Posted by Michael Kennedy on 29th October 2014 (All posts by )

    I was just going to add another comment to my previous post on whether Ebola can be airborne but comments are now closed. The CDC has now changed its guidelines on transmission. I linked to Patterico because he has a good post on this. The guidelines are out now as public knowledge.

    “If you are sniffling and sneezing, you produce microorganisms that can get on stuff in a room. If people touch them, they could be” infected, said Dr. Meryl Nass, of the Institute for Public Accuracy in Washington, DC.
    Nass pointed to a poster the Centers for Disease Control and Prevention quietly released on its Web site saying the deadly virus can be spread through “droplets.”

    Why is this stuff coming out in drips (sorry for the pun) like it was Benghazi ?

    “The CDC said it doesn’t spread at all by air, then Friday they came out with this poster,” she said. “They admit that these particles or droplets may land on objects such as doorknobs and that Ebola can be transmitted that way.”

    I won’t duplicate any more of Patterico’s post as he has been on the case nearly as long as I have.

    As for the idiot nurse from Africa who defied authority about quarantine and is suing, she has more trouble today.

    Maine state police were stationed outside the home of Ebola nurse Kaci Hickox Wednesday as Gov. Paul LePage said he was seeking legal authority to force the “unwilling” health care workers to remain quarantined for 21 days.

    The 33-year-old nurse, who has shown no symptoms of the deadly virus, arrived in Maine on Monday after being forcibly held in an isolation tent in New Jersey for three days under that state’s strict new law for health care workers who have recently treated Ebola patients in West Africa.

    There is actually little risk as she is a CDC Epidemiology Fellow with little contact with patient care.

    She is also a lefty Obama supporter.

    It turns out that Kaci Hickox is a registered democrat and Obama supporter who works for the CDC. “The nurse currently quarantined in New Jersey is an employee for the Centers for Disease Control and a registered Democrat with a history of left-wing advocacy,” reports GotNews.com.

    The CDC Epidemiology Fellowships are http://www.cdc.gov/eis/index.html not patient care positions.

    EIS officers are on the public health frontlines, conducting epidemiologic investigations, research, and public health surveillance both nationally and internationally.

    She has an number of published papers on epidemiology that are statistical studies, not clinical care.

    Posted in Ebola, Health Care, Medicine, Politics | 17 Comments »

    Buy Ebola, Sell the Fed

    Posted by Jonathan on 24th October 2014 (All posts by )

    The stock market began to recover from its recent selloff as initial ebola fears abated. Meanwhile bond markets remained strong.

    Conclusions? The fed-fueled bubble bull market in stocks isn’t over. Ebola won’t kill us all. Future Ebola outbreaks will have to be much more severe to generate market reactions of similar magnitude. (Corollary: The next Ebola-inspired market selloff will be a buying opportunity, and thus may not happen.)

    Caveats. Watch for a govt bond selloff, perhaps as a result of unexpected events. The entire financial world has been watching for this for the past several years. It could happen in two weeks or two years, but it will happen eventually.

    —-

    Disclaimer: This is not investment advice. You would be crazy to listen to me and probably shouldn’t even be reading this, as I have predicted twenty of the last 2 bear markets in bonds.

    Posted in Current Events, Ebola, Economics & Finance, Markets and Trading, Predictions | 7 Comments »

    China Syndrome comes home to roost.

    Posted by Mrs. Davis on 19th October 2014 (All posts by )

    Two viruses are making the news these days. One, Ebola hemorrhagic fever has infected two in the United States with no deaths yet. It has created wide spread concern bordering on panic. The other, Non-Polio Enterovirus D 68, appears to have infected 825 this year and been directly responsible for at least one death and indirectly responsible for many others, primarily among children. It has generated comparatively little media attention and very little panic. Why the difference?

    First the victims of D 68 are primarily children, Ebola also strikes adults. As a culture we no longer value children as much as we once did. Children are an option, almost a luxury. They have become more expensive than most luxuries we consume. Perhaps it is because the high cost to rear a child is reflective of the damage we humans are doing to the planet Or because so few of them die at an early age as compared to the past. And I suspect that childlessness is far more prevalent among our media elite opinion makers. In any case, few children vote and so they don’t really matter to policy makers.

    Second, D 68 generally kills indirectly by weakening the child so that pneumonia or some other respiratory illness can be the cause of death. Ebola eats you alive! I’ve seen it on TV! And it is a terrible new way to die unlike ways we’ve died before.

    Finally, WE’RE ALL GOING TO DIE. D 68 is poorly understood and we have no idea how prevalent it is in the population or how many childhood deaths it has contributed to. And it’s non-Polio. But we know Ebola has a 50-70% fatality rate among those who contract it in African third world countries. After all it’s hemorrhagic fever. We’re going to bleed to death. So, if it gets loose here we could have millions of deaths like that! But we actually have all the tools we need in our public health system to prevent it from spreading widely, once we get the Bozos out of power. So it’s highly unlikely that this outbreak will spread among the general population.

    It’s a very small probability of a terribly frightening event. And some folks have used the propensity of people to exaggerate the possibility of catastrophic outcomes to further their political goals. I’m thinking of nuclear power, an energy source that has killed no one in the US. Compared to the coal industry, which routinely contributes to the death of both its producers and consumers, nuclear power is harmless. However, some used Three Mile Island to shut down the development of power plants that could have cushioned us from the effects of the OPEC cartel. Or how about the Anthropogenic Global Warming (AGW) fraud? Or the reaction to a terrible but unrepeated terror bombing? The public has been taught to fear by leaders who want to harness public opinion to support their political goals.

    Now comes Ebola. True, a threat. But a highly improbable one. Except when the incompetence of our elite leaders is made abundantly clear for all to see. And then those leaders have the audacity to be surprised when a formerly courageous people are reduced to trembling? The chickens are coming home to roost.

    Posted in Current Events, Deep Thoughts, Ebola, Health Care, Human Behavior, Science, Statistics, Terrorism, Tradeoffs | 23 Comments »

    Market Shrugs Shoulders at Ebola

    Posted by Dan from Madison on 17th October 2014 (All posts by )

    One of the ways I like to put “disasters” into perspective is to try to understand what the markets, in general, think. This from today’s Bloomberg Municipal Market Brief:

    Debt issued for Texas Health Resources is gaining even after the death of a patient from Ebola and the infection of two nurses raised questions about practices at one of its 25 hospitals. Bonds sold through an agency of Tarrant County, Texas, that mature in February 2021 traded Wednesday at an average yield of 0.55 percent, or 0.09 percentage point above benchmark munis, data compiled by Bloomberg show. That’s the smallest yield spread in at least 20 months. Obligations due in 2036 and 2040 changed hands this week with the least extra yield since last month.

    Hospital debt has gained 12 percent this year, better than any other investment-grade area of the muni market, Barclays Plc data show. Texas Health has the fourth-highest grade from Moody’s Investors Service, which said in August it could raise the nonprofit’s rank. That was enough to make David Jaderlund of Jaderlund Investments LLC a buyer Wednesday. “I’ve been following them for years and they continue to have
    strong debt coverage — I’m really not worried,’’ said Jaderlund. “I’ve been a buyer of that hospital for years and will continue to be. I’m not concerned and the market doesn’t seem to be either.’’

    Well, I guess, at least for this company, Ebola doesn’t seem to be that big of a deal, for now anyways.

    Posted in Ebola, Markets and Trading | 9 Comments »

    Don’t Panic: A Continuing Series

    Posted by Jay Manifold on 16th October 2014 (All posts by )

    [Readers needing background may refer to the first member of this series, Don’t Panic: Against the Spirit of the Age, posted last month. This post, unlike that one, was hastily written due to time constraints involving, perhaps ironically, international travel to a Third World country.]

    Constructive foreword: suggested case studies in disruption are the Chicago blizzard of 1/13-14/1979 (~3 million commuters immobilized) and the Milwaukee Cryptosporidiosis outbreak of 3/23-4/8/1993 (~400k residents sickened simultaneously).

    Thesis: I argue that, at least with Ebola, inept and overwrought responses pose far greater risks to American society than the disease itself. With regard to managing the risks associated with Ebola in the US, it is vital that we identify easily disrupted institutions and design our processes intelligently to avoid creating bottlenecks, mostly by resisting the urge to overreact; likely candidates include …
    Read the rest of this entry »

    Posted in Big Government, Bioethics, Civil Society, Current Events, Ebola, Health Care, Human Behavior, Organizational Analysis, Predictions, Systems Analysis, Tradeoffs, Transportation, USA | 9 Comments »

    Ebola and the “Open Borders Derangement Syndrome”

    Posted by Trent Telenko on 16th October 2014 (All posts by )

    Sometimes looking at politics, the only explanation that makes sense is a personal identity based mental illness affecting the politicians involved.

    So, we see this reported —

    Texas Health Presbyterian nurse Briana Aguirre criticizes hospital over Ebola response
    Nurse speaks out on TODAY Show

    Ashley Fantz, Holly Yan and Catherine E. Shoichet CNN
    9:54 AM, Oct 16, 2014

    “The federal government is weighing putting those who treated Duncan on a list that would prohibit them from being able to fly, an official familiar with the situation told CNN.

    In June 2007, federal agencies developed a public health Do Not Board list, which allowed domestic and international public health officials to request that people with communicable diseases who meet specific criteria and pose a serious threat to the public be restricted from taking commercial flights departing from or arriving in the United States. The CDC and the U.S. Department of Homeland Security manage the Do Not Board list. “

    So follow me here.

    American citizens who have been in the vicinity of an Ebola patient, particularly healthcare workers, would be considered “a serious threat to the public” even though;

    1. They have simply been around people with Ebola but,
    2. They are not exhibiting signs of the disease.

    These individuals (who demonstrate no symptoms of Ebola) may soon be placed on a “Do Not Board List” by the Center for Disease Control and Department of Homeland Security.

    Meanwhile, non-citizens, people from West Africa who are now:

    1. Surrounded by an “out of control” Ebola virus outbreak,
    2. Who are living in countries saturated with Ebola due to its rampant community spread,
    3. Who are not now showing symptoms of the disease yet,
    4. Are free to travel to America, plus wherever they like to in America without restrictions after they get here.

    A sane Federal government would have put all passengers from Ebola Pandemic affected West African nations on a “Do Not Board List” long past. Yet they are not sane, and it gets worse.

    Not only is this “American Citizens With Ebola Only “Do Not Board List” a dumb policy that destroys the credibility of the Federal Government in time of crisis when it is needed most. It is law suit bait on equal protection grounds in Federal court. Yet both Obama and Congressional Democrats, plus a few Republicans, support limiting AMERICAN CITIZENS rights to travel, but not that of WEST AFRICANS.

    What we are seeing here is the outstanding symptom of a mental illness called OPEN BORDERS DERANGMENT SYNDROME. A mental illness shared by 99.5% of Democrats and the Republican leadership in the US Senate.

    A political identity based mental illness now set to kill lots of Americans by Ebola for the sake of cheap immigrant labor now and future Democratic votes later (like 2016 via voter fraud enabled by Democratic Party opposition to Voter ID laws).

    Posted in Current Events, Ebola, Health Care, Immigration, Politics | 10 Comments »

    Generational Challenges

    Posted by Mrs. Davis on 16th October 2014 (All posts by )

    We know how to combat Ebola effectively as the Firestone Plantation demonstrates. But, in its drive to multiply Ebola has an ally in our decaying culture and its abandonment of personal responsibility and imposition of penalties for violating cultural norms. Not all such actions result in the spread of the disease but the spread depends on a sufficient number of such actions. The question we should be asking is where we will find the will to properly combat this disease.

    Let’s start with Patient Zero. He knew he had been exposed to Ebola and I strongly suspect he came to America to obtain the best care he could. Can’t blame him for that at all. I’d spend $3,400 to survive. However, he does not appear to be one of the Liberian 1 percenters, so the question arises, where did he get the sum, which must be an enormous expenditure to one of the 99 percent in a country whose average annual income is $450? Somebody else probably paid to bring him into the country illegally to gain access to our medical system. Who was it? Is anybody investigating to find out? Would any action be taken if we knew whom it was? We all know how unlikely that is. So the person or persons who have paid to import Ebola into the US will not be held accountable.

    And Patient Zero was not held accountable by society for his action in deceitfully spreading the disease. He was wanted in Liberia for lying on his exit papers. We could have put him in a Hazmat suit and flown him back to Liberia to face charges. Instead we gave him an entire floor of a major metropolitan hospital. And I doubt he had insurance.

    Then there’s Dr. (and I use the title advisedly) Nancy Snyderman. She goes to Liberia with her news crew and returns when one of them is infected with the disease. She agrees to a voluntary quarantine that she soon violates to go get takeout from her local restaurant. If I were in her shoes, the last place I would be is in a confined car with friends in public. I’d find a place to stay, away from my family, alone for three weeks, and eat take out delivered to my door step. But Nancy doesn’t need to do that. She can take the chance that she is exposing the nation to this virus to satisfy her culinary cravings. And what sanctions does she face? A State order of mandatory quarantine and a public apology. No doubt she’ll be back on the air at the end of the 21 days pontificating on the disease she might have spread.

    Nurse 2 finds she has a fever. She calls the CDC to get permission to do what she suspects she shouldn’t. And she gets it! Just so she can go home on an airplane potentially exposing hundreds to the disease. Do you want someone who exercises this kind of judgment making literal life and death decisions for you? And who gave her permission to fly? Why is that person still employed at the CDC? Do they not take this outbreak seriously?

    Finally there is Dr. Frieden. Clearly his agency failed to prepare the nation’s health care system to deal with this crisis. And now his risible statements about the situation are making him the Baghdad Bob of Ebola. He has become ineffective as a public leader and his continued presence serves to increase panic, not inspire confidence. But he continues in office.

    These are all individuals making decisions that they think are in their best interest. And because they anticipate no penalty for violating societal norms.

    This prevalence of irresponsibility did not happen overnight. For 80 years we have been creating a culture where the few do not have to bear the burden for their actions or chance events. Instead the burden is spread lightly on the many so that the few can have security. This can work as long as the few are few and the security is provided mainly for chance events. But as more of the few are protected from their actions and more become members of the few, the system creates moral hazard and a resulting decline of personal responsibility. As we have become rich and secure we have become more compassionate, a luxury we can afford as we can do so with other people’s money.

    Strauss & Howe posit that each Civic generation must overcome a challenge that threatens the very existence of the nation. Having overcome the challenge, the generation is revered for its courage. However, the Civics are led to success by a Prophetic generation that makes the decisions upon which success depends. Though the Greatest Generation did the fighting and dying in World War II, it was the Missionary Generation that made the decisions to defeat Germany first, demand unconditional surrender, and totally mobilize the economy in support of the war effort. These were not easy decisions and different decisions could have been made with much different costs and consequences.

    I have often wondered what challenge my Millennial children, a Civic generation, would face. War in the Middle East is nasty, but ultimately a nuisance, not an existential threat. War with China seems unlikely and would be accidental and tragic like World War I, not existential like World War II. Ebola may be their challenge. And I fear for the leadership they will receive from their Boomer elders. Having lived as a compassionate culture that increasingly prefers not to hold individuals accountable for the actions Boomers may not have the strength to make the unpleasant decisions necessary to defeat Ebola. That seems to be the case so far. Both at the bottom, where individuals make decisions without consideration for their wider effects and at the top where the leaders a majority of us elect behave similarly. Ebola will not be defeated by compassion and selfishness. Perhaps Ebola will be the existential threat the Millenials must overcome. Will the Boomers provide the leadership?

    Posted in Big Government, Civil Society, Current Events, Ebola | 14 Comments »

    3rd Ebola Case in Dallas, Texas

    Posted by Trent Telenko on 15th October 2014 (All posts by )

    There is a 3rd case of Ebola in Dallas among the 70 health care workers (HCW) that treated Thomas Eric Duncan at Texas Health Presbyterian Hospital, AKA “Presby” as it is known here in Dallas This makes it 1 on 35 of the HCW exposed to Ebola getting it using the inadequate “any hospital in American can care for an Ebola patient” Center for Disease Control (CDC ) protective personal equipment (PPE) standards, which were not well implemented at “Presby” in any case, see article In statement, nurses at Presbyterian Dallas describe confused response to Ebola case

    Short form, it was SNAFU from the word go at Presby and it is likely that Presby is currently facing huge legal liabilities because the CDC ignored the experience of Doctors Without Borders and the health care systems in West Africa which showed that Ebola must be treated by Ebola specialists in separate healthcare facilities.

    The Ebola epidemic isn’t a matter of “Medical infrastructure” or “local cultural practices” — the two phrases being liberal terms of art for racism against West Africans in the Obama Administration public health community — it is a matter of treating a biohazard level four pathogen like a biohazard level four pathogen. Bio-hazard four pathogens require a separate medical system to deal with them, prolonged detention for medical screening, travel controls to support those medical detentions and further involuntary quarantine for a positive diagnosis, in other words, a positively controlled, 100% medical screening and detention, border immigration policy a ‘la Ellis Island.

    Only a magical thinking “Open Borders” ideological cultist would do any different in ignoring the experience of the one medical organization that has treated the majority of Ebola cases in human history. Which the head of the CDC Dr Frieden now appears to be, in keeping with Obama Administration Central American minor immigration/Public Health Policies (See also the “Unattended Child Border Crisis” and the outbreak of Central American EVD68 in American public schools).

    The Obama Administration is risking further epidemics of Ebola because it has done so already with EVD68, in order to increase the number of future Democratic Party voters.

    I predict based upon the above, we will see we are going to see Frieden’s firing and/or the cut off of commercial air travel from West Africa to the USA as President Obama’s “Rumsfeld Replacement Moment,” after Republican’s take over the Senate in November 2014. Just in the way that the 2006 Congressional election results moved President George W. Bush to change Iraq War policy with the public disposal and replacement of Secretary of Defense Rumsfeld.

    The proximate reason for this is that the “R0” of the Ebola virus in Dallas is 2.0, even with CDC recommended PPE. “RO” — pronounced “ARRH Awwght” in public health speak — means the rate of infection for each newly infected person getting even more people sick. An “RO of 2.0,” causes the doubling of Ebola cases every three weeks (24 Sept to 15 Oct is exactly 3-weeks). That “RO” in Dallas will be higher, and the doubling time will be shorter, as more HCW who attended Thomas Eric Duncan come down with Ebol…thus keeping Ebola and policy for dealing with it as “front page news” or “attracting a lot of eyeballs” right through the 2014 Congressional election.

    Sad, but true, the Obama Administration is not as concerned with controlling the Ebola outbreak in Dallas as much as it is concerned with “Controlling the Narrative” about the Ebola epidemic.

    Obscuring the reality of the Ebola in Dallas means far more to them in terms of retaining political power, this close to the November Congressional election, as the policy/people/political contradictions of Obama’s Ebola policies are being shown to the low information voters Democrats count on far better than anything Saul David Alinsky ever thought of. As the news of the CDC scrambling to contract 132 airline passengers in Ebola Case #3’s Cleveland to Dallas flight yesterday makes abundently clear.

    Posted in Big Government, Civil Society, Current Events, Ebola, Elections, Health Care | 32 Comments »

    2nd Ebola Case in Dallas Texas

    Posted by Trent Telenko on 12th October 2014 (All posts by )

    One of the health care workers (HCW) that treated Thomas Eric Duncan on in Dallas during the period of 28th thru 30th of September has tested positive for Ebola after coming down with a fever Friday night. Heath care workers at Texas Health Presbyterian Hospital intubated and placed Duncan on dialysis as a part of his palliative treatment schedule. The HCW were in personal protective equipment (PPE) level two or “droplet level” protection at the time.

    It is notable that in the laboratory environment that Ebola is treated as a full bio-hazard level four or “inhalation” threat. Especially when you see circular thinking in public by CDC .


    “I think the fact that we don’t know of a breach in protocol is concerning because clearly there was a breach in protocol. We have the ability to prevent the spread of Ebola by caring safely for patients.”

    The statement said the CDC had NO IDEA how the protocol was breached, but protocol must have been breached because there was a an infection.

    There was no mention as to why there was a two tier PPE protection level structure with widely different infection rates by routes other than Ebola virus injection accidents.

    There is a huge no confidence vote in the CDc coming. One that will take the form we are seeing in Spain — HCW no-shows for hospitals caring for Ebola outbreaks.

    Posted in Big Government, Bioethics, Current Events, Ebola, Health Care | 54 Comments »

    Treatment of the Ebola contact.

    Posted by Michael Kennedy on 3rd October 2014 (All posts by )

    The early information of the Ebola patients in Dallas seems to suggest that competence has not been high on the list of priorities. First, the patent seems to have known about his illness before he got on the plane to the US. He lied to the authorities in Liberia but that is not that unusual. All it takes is ibuprofen to evade the screening at the airport.

    Second the treatment of the relatives Has finally become humane after days of cruel treatment including quarantine in a contaminated apartment.

    The initial treatment was not a model of infectious disease protocol. Why he was sent home with a GI illness and a history of travel to Liberia is still not explained. My medical students are all told to take a history of travel with any GI illness symptom. It’s not clear who he saw but many ERs use Nurse practitioners or PAs to see ER patients.

    He is not doing well and he seems to be declining. We will see how he does but his relatives are still in serious trouble. We are still in trouble.

    The promised treatment program is still inadequate. Tomorrow will bring more bad news.

    A CDC official said the agency realized that many hospitals remain confused and unsure about how they are supposed to react when a suspected patient shows up. The agency sent additional guidance to health-care facilities around the country this week, just as it has numerous times in recent months, on everything from training personnel to spot the symptoms of Ebola to using protective gear.

    This is only the first case.

    UPDATE: More news from Bookworm.

    Ebola can transmit through people’s skin. It’s not enough to keep your hands away from your nose and mouth. If someone’s infected blood, vomit, fecal matter, semen, spit, or sweat just touches you, you can become infected. Even picking up a stained sheet can pass the infection. Additionally, scientists do not know how long the virus will survive on a surface once it’s become dehydrated. The current guess is that Ebola, unlike other viruses, can survive for quite a while away from its original host.

    Oh oh. This explains the infection of hospital workers in Nigeria from urine.

    The good news, if any, is this:

    If patients get Western medicine that treats the symptoms — drugs to reduce fever and to control vomiting and diarrhea, proper treatment if the body goes into shock, and blood transfusions — the mortality rate is “only” 25% — which is still high, but is significantly lower than the 70%-90% morality in Africa, where patients get little to no treatment.

    I will update this as news becomes available.

    UPDATE #2

    Now we have a possible case #2

    A patient with Ebola-like symptoms is being treated at Howard University Hospital in Washington, D.C., a hospital spokesperson confirmed late Friday morning.

    The patient had traveled to Nigeria recently.

    That person has been admitted to the hospital in stable condition, and is being isolated. The medical team is working with the CDC and other authorities to monitor the patient’s condition.

    “In an abundance of caution, we have activated the appropriate infection control protocols, including isolating the patient,” said hospital spokesperson Kerry-Ann Hamilton in a statement. “Our medical team continues to evaluate and monitor progress in close collaboration with the CDC and the Department of Health.”

    No final word yet. Then, of course, we have the NBC case.

    Thursday, news broke that a freelance NBC cameraman covering the outbreak in Monrovia, Liberia had tested positive for Ebola after experiencing symptoms of the disease.

    The cameraman, Ashoka Mukpo, had been working with chief medical correspondent Dr. Nancy Snyderman. NBC News is flying Mukpo and the entire team back to the U.S. so Mukpo can be treated and the team can be quarantined for 21 days.

    Posted in Ebola, Health Care, Immigration, Medicine, Science | 21 Comments »

    Ebola Case Has Been Confirmed in Dallas, Texas

    Posted by Trent Telenko on 30th September 2014 (All posts by )

    A patient who has recently traveled to West Africa at Texas Health Presbyterian Hospital of Dallas has a confirmed case of Ebola. There will be a CDC conference this evening with local Dallas officials.

    See:

    KERA News @keranews 57m 57 minutes ago Dallas patient tested for possible #Ebola.
    “We want to caution Dallas County residents not to overreact.”
    http://bit.ly/1rDjBEM @keranews

    As my children go to a pediatric clinic across the street from Texas Health Presbyterian Hospital of Dallas, this hits close to home.

    The CDC’s “Risk communications” have gone to DefCon-1. The Dallas County Health and Human Services director Zachary Thompson has been on local media this morning with the following message:

    “This is not Africa,” DCHHS Director Zach Thompson said. “We have a great public health infrastructure to deal with this type of disease.”

    Notably missing was any mention of the Ebola fomite threat (AKA human body fluids with Ebola in them) in an urban environment.

    I will try and keep you up to date on the latest local Dallas CDC “Ebola Risk Messaging.” Don’t expect the MSM to be of any use during this outbreak. You need to start reading the PANDEMIC FLU INFORMATION FORUM and the Free Republic EBOLA SURVEILLANCE THREAD for the latest real Ebola news updates, as opposed to MSM delivered “Risk Messaging.”

    See:

    http://www.singtomeohmuse.com/viewtopic.php?t=5725&postdays=0&postorder=asc&start=2655

    and see

    http://www.freerepublic.com/focus/chat/3191066/posts?q=1&;page=1#1

    Wish all the folks in Dallas good luck. We are going to need it in the days ahead.

    Posted in Ebola, Health Care | 24 Comments »

    Is Ebola airborne ?

    Posted by Michael Kennedy on 13th September 2014 (All posts by )

    Ebola has become an uncontrolled epidemic in Africa. I have previously posted on Ebola.

    UPDATE: A new CDC report has now been provided on precautions. Somebody is worried. The document, itself, is here (pdf)

    Now, we are going to send 3,000 military personnel to Africa to help. I sure hope none of these US people are infected. They did not volunteer for this and the training to protect themselves will take time.

    Now the German epidemiology community has concluded that Liberia and Sierra Leone are lost.

    Jonas Schmidt-Chanasit of the Bernhard Nocht Institute for Tropical Medicine in Hamburg told DW that he is losing hope, that Sierra Leone and Liberia will receive the neccessary aid in time. Those are two of the countries worst hit by the recent Ebola epidemic.

    “The right time to get this epidemic under control in these countries has been missed,” he said. That time was May and June. “Now it will be much more difficult.”
    Schmidt-Chanasit expects the virus will “become endemic” in this part of the world, if no massive assistence arrives.

    With other words: It could more or less infect everybody and many people could die.

    This, of course, is from a German site and our own CDC is unwilling to say it.

    For Sierra Leone and Liberia, though, he thinks “it is very difficult to bring enough help there to get a grip on the epidemic.”

    According to the virologist, the most important thing to do now is to prevent the virus from spreading to other countries, “and to help where it is still possible, in Nigeria and Senegal for example.”

    Of course, it is already in Nigeria.

    In the balance therefore, the probability is that the virus is not airborne — yet — but it is more dangerous than its predecessors. This would account for its ability to slip through the protocols designed for less deadly strains of the disease. It’s not World War E time, but it’s time to worry.

    And: This may be a new strain with more virulence.

    The results of full genetic sequencing suggest that the outbreak in Guinea isn’t related to others that have occurred elsewhere in Africa, according to an international team that published its findings online in the New England Journal of Medicine (NEJM). That report was from April 2014.

    Now, we have more news. From 2012, we know transmission in animals may be airborne.

    While primates develop systemic infection associated with immune dysregulation resulting in severe hemorrhagic fever, the EBOV infection in swine affects mainly respiratory tract, implicating a potential for airborne transmission of ZEBOV2, 6. Contact exposure is considered to be the most important route of infection with EBOV in primates7, although there are reports suggesting or suspecting aerosol transmission of EBOV from NHP to NHP8, 9, 10, or in humans based on epidemiological observations11. The present study was design to evaluate EBOV transmission from experimentally infected piglets to NHPs without direct contact.

    The study of this potential explosive development showed:

    The present study provides evidence that infected pigs can efficiently transmit ZEBOV to NHPs in conditions resembling farm setting. Our findings support the hypothesis that airborne transmission may contribute to ZEBOV spread, specifically from pigs to primates, and may need to be considered in assessing transmission from animals to humans in general.

    Now we have more articles appearing about this.

    The second possibility is one that virologists are loath to discuss openly but are definitely considering in private: that an Ebola virus could mutate to become transmissible through the air. You can now get Ebola only through direct contact with bodily fluids. But viruses like Ebola are notoriously sloppy in replicating, meaning the virus entering one person may be genetically different from the virus entering the next. The current Ebola virus’s hyper-evolution is unprecedented; there has been more human-to-human transmission in the past four months than most likely occurred in the last 500 to 1,000 years. Each new infection represents trillions of throws of the genetic dice.

    If the New York Times is publishing this, somebody is worried.

    Read the rest of this entry »

    Posted in Civil Society, Ebola, Health Care, Immigration, Medicine, Science | 31 Comments »

    Why Ebola will not stay in Africa.

    Posted by Michael Kennedy on 8th August 2014 (All posts by )

    Today’s Belmont Club has a good explanation of why Ebola will not stay in Africa.

    UPDATE: Patrick Sawyer was planning to visit Minnesota when he got sick.

    UPDATE #2: More from Belmont Club.

    In the balance therefore, the probability is that the virus is not airborne — yet — but it is more dangerous than its predecessors. This would account for its ability to slip through the protocols designed for less deadly strains of the disease. It’s not World War E time, but it’s time to worry.

    And: This may be a new strain with more virulence.

    The results of full genetic sequencing suggest that the outbreak in Guinea isn’t related to others that have occurred elsewhere in Africa, according to an international team that published its findings online in the New England Journal of Medicine (NEJM). That report was from April 2014.

    His wife, Decontee Sawyer, said that she had spoken to him a week earlier and that he had made plans to be stateside in early August to celebrate the birthdays of two of his three young daughters. She said the couple had been separated.

    He is believed to be the first American to have died from the current outbreak, which has killed 672 people since March, according to World Health Organization figures.

    He was American, not African.

    The man who brought the Ebola virus to Nigeria probably knew he was infected. Surveillance video of Patrick Sawyer before boarding his flight at Liberia’s James Sprigg Payne’s Airport showed “Mr. Sawyer lying flat on his stomach on the floor in the corridor of the airport and seemed to be in ‘excruciating pain.’ The footage showed Mr. Sawyer preventing people from touching him.”

    He collapsed upon arrival in Nigeria, after a layover in Togo and was rushed to a Nigerian hospital. Upon being told he had Ebola, he acted with what the Nigerians called “indiscipline”; a burst of rage and despair against the world and everyone in it.

    Upon being told he had Ebola, Mr. Sawyer went into a rage, denying and objecting to the opinion of the medical experts. “He was so adamant and difficult that he took the tubes from his body and took off his pants and urinated on the health workers, forcing them to flee.

    Amazingly, he was even then in the process of being sprung by his political connections before death intervened. Had he lived Sawyer might have gotten out and protected by the juju of expensive watches and status symbols, mingled among the muckety-mucks of ECOWAS.

    Read the rest of this entry »

    Posted in Current Events, Ebola, Health Care, Medicine, Science | 56 Comments »