First US case of Ebola


Could also be malaria.
While the symptoms Dr. Spencer displayed are similar to those of other diseases endemic in West Africa, including malaria, the health department was proceeding as though he had Ebola.

http://www.nytimes.com/2014/10/24/n...-bellevue-hospital-in-new-york-city.html?_r=0

Dr. Spencer had been working with Doctors Without Borders in Guinea, treating Ebola patients, before he returned to New York City on Oct. 14, according to a city official.

He told the authorities that he did not believe the protective gear he wore while working with Ebola patients had been breached.

Test results expected later today. (Actually about 3:00pm Eastern they said "the next 12 hours" for results)
 
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Could rats actually spread the disease? I understand that bats can, but the people in Africa eat the bats?

Yes they eat sun dried bats.

bushmeat2.jpg


No rats are supposedly not a vector.

Neither mosquitoes nor rats can spread Ebola, Besser said.
http://abcnews.go.com/Health/rats-spread-ebola-questions-answered/story?id=26282017

Pigs, like the feral hog outbreak in Dallas wetlands would be a host.

mammals such as humans, bats, monkeys [] apes []dogs and pigs can be infected with the virus
 
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Please, only eat candy bats on Halloween and avoid getting anywhere near those real, sun-dried bats (and all bush meat).
 
http://www.zerohedge.com/news/2014-...identally-released-bioweapons-lab-west-africa
[h=1]EXCLUSIVE: Was Ebola Accidentally Released from a Bioweapons Lab In West Africa?[/h]
Submitted by George Washington on 10/23/2014 11:31 -0400
Accidents at Germ Labs Have Occurred Worldwide Nations such as Russia, South Africa and the U.S. have long conducted research into how to make deadly germs even more deadly. And accidents at these research facilities have caused germs to escape, killing people and animals near the facilities.
For example, the Soviet research facility at Sverdlovsk conducted anthrax research during the Cold War. They isolated the most potent strain of anthrax culture and then dried it to produce a fine powder for use as an aerosol. In 1979, an accident at the facility released anthrax, killing 100.
The U.S. has had its share of accidents. USA Today noted in August:
More than 1,100 laboratory incidents involving bacteria, viruses and toxins that pose significant or bioterror risks to people and agriculture were reported to federal regulators during 2008 through 2012, government reports obtained by USA TODAY show.

***

In two other incidents, animals were inadvertently infected with contagious diseases that would have posed significant threats to livestock industries if they had spread. One case involved the infection of two animals with hog cholera, a dangerous virus eradicated from the USA in 1978. In another incident, a cow in a disease-free herd next to a research facility studying the bacteria that cause brucellosis, became infected ....

The issue of lab safety and security has come under increased scrutiny by Congress in recent weeks after a series of high-profile lab blunders at prestigious government labs involving anthrax, bird flu and smallpox virus.

***

The new lab incident data indicate mishaps occur regularly at the more than 1,000 labs operated by 324 government, university and private organizations across the country ....

"More than 200 incidents of loss or release of bioweapons agents from U.S. laboratories are reported each year. This works out to more than four per week," said Richard Ebright, a biosafety expert at Rutgers university in New Jersey, who testified before Congress last month at a hearing about CDC's lab mistakes.


continued...
http://www.zerohedge.com/news/2014-...identally-released-bioweapons-lab-west-africa
 
This Doc might have ignited the powder keg...

http://newyork.cbslocal.com/2014/10...ng-into-possible-ebola-case-in-new-york-city/

NEW YORK (CBSNewYork) — A New York City doctor has tested positive for the Ebola virus after coming down with symptoms Thursday, officials have announced.

Tests Thursday evening at Bellevue Hospital Center came back positive for Dr. Craig Spencer, Mayor Bill de Blasio said at a news conference.

De Blasio urged New Yorkers not to panic, and reemphasized multiple times along with other officials that Ebola is only transmitted through bodily fluids.

“We want to state at the outset – there is no reason for New Yorkers to be alarmed,” de Blasio said.


As CBS 2’s Lou Young reported, EMS crews picked up Spencer just after noon Thursday. He was rushed from a building on West 147th Street in Hamilton Heights where he lives, and taken to Bellevue by a procession of two city ambulances and a police squad car.

Spencer, a 33-year-old physician who works with Doctors Without Borders, came back a week ago from Guinea where he is believed to have been treating Ebola patients.

At the news conference, Gov. Andrew Cuomo said officials believe Spencer came in contact with four people during the time he was infected and symptomatic, and state officials are already talking to those four people. ("believe")

Those four people include Spencer’s fiancée and two friends – all of whom are healthy, but have still been quarantined, New York City Department of Health and Mental Hygiene Commissioner Dr. Mary Travis Bassett said. (WTF is "Mental Hygiene"? and "all healthy" like the Doc was just days before?)

The fourth person who is in contact with the state is the driver of an Uber car, which Spencer took when he went bowling Wednesday night in Williamsburg, Brooklyn, Bassett said. The Uber driver had no direct contact with Spencer, and is not believed to be in any danger, she said.

Uber issued a statement indicating that it also contacted the U.S. Centers for Disease Control and Prevention and the city Health Department, which said the driver and subsequent passengers were not at risk. ("Nothing to see here, move along...")

Cuomo emphasized that the state of New York has “a full coordinated effort that has been working night and day, coordinating city, state and federal resources.”

“People come through New York, they come through New York’s airports, so we can’t say this is an unexpected circumstance,” Cuomo said.

Cuomo also emphasized that New York state and city are well-prepared for the threat of Ebola, unlike Dallas – where Thomas Eric Duncan became the first person to be diagnosed with the virus in the U.S. and later died.

“We are as ready as one could be for this circumstance. What happened in Dallas was exactly the opposite,” Cuomo said.

“The more facts you know, the less frightening this situation is,” Cuomo added, also stressing the only way to contract the disease is to come into direct contact with infected bodily fluids.

New York State Health Commissioner Dr. Howard Zucker said all processes so far have gone well in treating Spencer, and Spencer can likely make a quick recovery from his illness.

“He was immediately brought to the isolation area that Bellevue Hospital has established for patients that could have Ebola,” Zucker said. “He is being taken care of by an excellent team.”

Bassett said Spencer left Guinea on Oct. 14, and returned to the U.S. three days later. He went through mandatory Ebola screening processes upon arriving at John F. Kennedy International Airport, officials said.

Spencer was well and asymptomatic until Thursday, but started feeling “tired” on Tuesday, Bassett said.

Still, Bassett went on a three-mile jog on Wednesday. He also went to the High Line and may have stopped at a restaurant on Wednesday before his bowling excursion, Bassett said. (why do we care that Commissioner Dr. Mary Travis Bassett went on a jog? how is that relevant to Spencer? Or is this another example of stellar journalism?)

As WCBS 880’s Peter Haskel reported, Bassett said Spencer has also used the subway system. He has ridden on the A Train, the No. 1 Train and the L Train.


But Bassett and Zucker both emphasized that there was virtually no chance that Spencer could have spread the virus on the subway, 1010 WINS’ Carol D’Auria reported.

“The patient in Dallas — many people were exposed to him and in the end, very, very few people got sick. As to the point of riding the subway, I would get on the subway tomorrow and take the subway,” Zucker said.

Bassett added that Spencer had no fever when he was at The Gutter bowling alley at 200 North 14th St. in Brooklyn on Wednesday night. But The Gutter was closed as a result Thursday night, and a CMJ music show planned for the venue was canceled.

The Health Department will visit the bowling alley on Friday, WCBS 880’s Peter Haskell reported.

Bassett emphasized that Spencer was well aware of the Ebola risk in his work, and took precautions from the beginning. (So one would assume he did not get blood, vomit, feces, etc on his skin or near open mucous membranes, etc...)

“He did attempt to self-isolate and we’re still getting clear the amount of time he spent outside of his apartment,” Bassett said. “But our impression is that he spent most of his time in his apartment and he was taking his temperature twice a day, he was being mindful about contact with people.” (except the jog, subway, bowling, restaurant, etc...)

But Spencer was not shutting himself off, Bassett said.

“During the time that he was leaving his apartment he had no fever. He was monitoring his temperature twice a day, as has been recommended and he had no fever,” she said. “I don’t want to give the impression he was self-quarantining because he did leave his apartment.”

On Thursday, the EMS crews who responded to Spencer’s home were wearing “F Suits,” which are Level D Hazmat gear that covers the entire body, CBS 2 reported.

They stayed with the patient in the back of the ambulance, sources said, so as not to risk possible contamination of the front cabin. A third EMS paramedic drove to Bellevue — one of eight hospitals in New York state with specialized Ebola units.

Mayor de Blasio said at an earlier news conference that Spencer was “very communicative and very precise” with health officials prior to the tests.

The positive results will now be sent to the U.S. Centers for Disease Control and Prevention in Atlanta for confirmation, CBS 2 Political Reporter Marcia Kramer reported.

Officials added that health care workers treating Spencer will be doing so “while following the utmost safety guidelines and protocols.”

CDC Director Tom Frieden said with Spencer being treated at Bellevue, the concern Thursday night was for the health care workers there. Bellevue has been preparing and drilling for such a scenario, and an additional CDC Ebola response team was headed to the hospital late Thursday, Frieden said.

Doctors and nurses will treat Spencer wearing specialized gear. Patient waste will be specially handled to prevent contamination.

Late Thursday afternoon, authorities on Spencer’s Hamilton Heights block were trying to reassure the public, handing out cards to neighbors telling them what to do if they think they might have been in contact with Spencer.

The fact that Spencer tested positive for Ebola raised concerns about why Dr. Spencer wasn’t quarantined sooner.

“Here’s a doctor who’s gone to West Africa — who’s done incredible work to help people — and he’s come back into the country and nothing has been done to say, ‘Let’s put you aside for 21 days to make sure you don’t have the virus,’” neighbor Joshua Renick told CBS 2’s Tracee Carrasco.

But like city and state officials, CBS 2’s Dr. Max Gomez emphasized that New Yorkers should remain calm. ("Nothing to see here, move along.")

Spencer would not have been contagious until he developed symptoms, Gomez said. Further, Ebola is not an airborne virus like a cold or the flu – it is only transmitted through bodily fluids such as blood, vomit, and feces.

Even if Spencer had some slight symptoms Wednesday night when he was out and about, he would have had to bleed or vomit to have any chance of spreading the virus – and then someone would have had to touch the bodily fluid and rub it into an open sore or his or her eyes, nose or mouth, Gomez said. (because that is how the Doc got it to start with...)

“The risk here is as close to zero as you can get,” Gomez said.

So, he only exposed 4 people, even though he was "tired" and still went for a jog, went to the High Line, stopped at a restaurant, took a taxi and went bowling, and maybe rode the subway at the same time.

And if he was very careful over there, then what strain did he get to start with? If it has gone airborne or is transmitted anyway beyond blood, feces, vomit, etc... then he has painted the town so to speak. This could be bad...
 
840 PPE suites needed PER WEEK for EACH 60 bed hospital.
There are 2 manufacturers operating at full capacity and they can only provide 35% of the PPE's needed (with the current case load - before any doubling)

only have 1/3 the needed burial teams.

lack ambulances to pick up bodies. currently using a pickup with a mattress and a tarp in it.

getting a lot of honesty this morn.... it's gonna be a good hearing
 
Ebola hearing on now C-SPAN2

majority of symptoms appear 7-11 days after exposure
dir CDC is being called a liar and slammed - sounds like he's being set up to be thrown under the bus
DHS getting slammed for buying wrong stuff, not rotating supplies, not refrigerating vaccines, etc.
med staff rotated every hr due to dehydration. get infected partially because of lack of training partially because of conditions
whole panel is squirmville city!
talking about gvmt failure across the board to prepare for infectious diseases
 
NYC ass kissing (ohhh - just wait... this is going to go off in their faces. This NYC rep sounds like she''s narrating a episodes of cops :rolleyes: - infection - strictest, heroic, etc... what BS!)
serious CDC ass kissing
post arrival monitoring
standard lies about transmission that have been repeated umpteeen times this morn
funding (she's a dem)
didn't ask a single question - just serious ass kissing and bragging about prep levels

FL rep - Mica
pissing time talking about ISIL and patting his own back
infection rate 10,000 a week by early dec
nurses (here) got infected because of sub optimal protective equipment and lack of training
airport screening not working
200,000 TSA respirators and 85% of hand sanitize is expired or has gone bad. IG report
DHS doesn't know who got it or if it's good
 
MA rep - need "shock and awe"
us leadership in w Africa leading
in 3-4 weeks training will be up to speed
supplies will be coming in - not there now
dev of vaccine
monitoring of returning ppl - better
contained within 4-6 months :confused:
lack of profit motive - biodefense only light
public financing to develop defence

NC rep
can't guarantee safety of troops
2 in country hospitals to deal with infected soldiers than moved back home
state dept aircraft can move 4 pts a week that are symptomatic (one at a time)
working on an aircraft pod that can hold 15 pts at a time - not avail till Jan

MA rep
DHS inadequate procurement, wrong stuff bought
85% nurses not trained, preparedness dangerously inadequate hospitals lack equipment
1.2M-1.4M infected by Jan
post arrival vs pre departure
21 day quarantine before flying - temp/blood test to fly
in a couple of months u will come back and give us a whole diff story
containment effort in w Africa contain at source
difficulty recruiting health personnel - min deployment 6 weeks
 
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