Thursday, October 2, 2014

Ebola Outbreak to be preventive or not to be

Ebola is a nasty little bug when it is nasty, but for the most part you need to
know what it is and what not to do.

All that can really be done if you have it is to call 911 and let them know stay home.
As for workers let the pro take care of it. And for all other bad things take preventive
actions use bleach if needed or other high up disinfectants!
That would be more needed for the more likely viruses than getting
Ebola more like E.Coli is what you need to worry about!

Many want to ban flights in from hot zones of Ebola but that just
does not work when you could just get your ticket to a non infected zone
and take a bus or rent a car to where you need to go etc.
Jump flights, bounce around a bit! There are ways if things are banned!
Like banning illegal aliens from coming to the US "Poof here we are!"

But to be safe with the flu, etc, just be aware when you go to a Walmart
or other stores knowing they are big accessed public places there is more
chances to run in to something there.

Also in many towns many workers will work sick being they can't miss anymore
days at work they have no sick time or bad attendance policy's work places have
forces the workers to work sick.

The issue of Ebola is just not just at one place it's all the places in town you live at.
If someone in your small town gets it and works sick!
But the issue is more on the Flu than anything! 

Really all you need to do is to just take preventive actions.
Clean you hands, don't use the bathroom at Walmart etc! Take care of yourself!

For the workers. Clean door handles, bathrooms etc, disinfecting all you can and
for workplaces to get more staff in doing this action.
Don't think in the do more with less staffing if things look bad!
It's panic time, maintenance time stops give everyone bleach or something
until things look better around you!

Ebola is just a small worry controlled. More people get the common cold than Ebola!

A Q&A with Dr. James Childs
Dr. James “Jamie” Childs is a zoonotic disease specialist at the Yale School of
Public Health who worked on a previous outbreak of Ebola virus.
The deadly disease is currently afflicting several countries in Africa
(Guinea, Liberia and Sierra Leone) and has triggered fears that it could
spread into territories where it has previously been unknown. Prior to coming to
Yale, Dr. Childs worked at the Centers for Disease Control and Prevention and
spent four weeks on the ground in Kikwit, Zaire
(now the Democratic Republic of the Congo) in 1995 investigating an outbreak
of the disease that killed 280 of the 318 people infected.
Dr. Childs currently works on a range of other zoonotic diseases,
including hantaviruses, arenaviruses, rabies and vector-borne,
or environmentally transmitted bacteria, including
rickettsia, borrelia and leptospira. He joined Yale in 2004.

Why is the Ebola virus so deadly?
JC: Ebola causes multisystem diseases with vascular involvement leading to
bleeding under the skin, in internal organs, or from the mouth, eyes or ears.
However, patients rarely die directly from blood loss, but show shock, nervous system,
kidney or pulmonary malfunctions, coma, delirium, and seizures.
The patho-physiologic causes of bleeding abnormalities vary with the etiologic agent
and include endothelial cell tropism with attendant capillary leakage and disseminated
intravascular coagulation. Ebola viruses vary in their ability to cause human infection,
disease and death. The five currently differentiated species in the genus Ebola virus
(Family: Filoviridae) have different virulence for humans. The Zaire species of Ebola,
currently circulating in West Africa causes mortality of up to 85 percent among humans,
while the Sudan species causes mortality in the 50 percent to 60 percent range.

How is the virus transmitted? 
JC: These are zoonotic agents, which circulate among bats in their natural
maintenance cycle. Animals other than humans, most notably the great apes,
are susceptible to infection and the fatal disease caused by Ebola viruses.
In many instances we do not know the immediate source of exposure involving the
index human case, but butchering meat obtained from a freshly dead chimpanzee has
been directly linked to a small outbreak. Once a human is infected the virus can be
directly transmitted to another human without the further need of reintroduction from
the extra-human reservoir species. Close human-to-human contact is required for
Ebola virus transmission as the virus is shed in body excretions, secretions and blood.
There is no aerosol transmission, such as occurs with measles and influenza virus. 
As the load of virus can be very high in blood and contaminated waste products,
extreme caution and stringent barrier-protection techniques are essential when using
needles or sharp instruments in the care of infected patients.
Sexual transmission by infectious semen may be a rare occurrence after
apparent recovery from infection.

What are its symptoms?
JC: The incubation period of Ebola hemorrhagic fever ranges from a few days to
weeks. However, the onset of febrile disease is abrupt, prostrating, and often
accompanied by severe headache and sore throat. Gastrointestinal complications
with nausea, vomiting and diarrhea usually follow and high titers of virus are then
present in the blood and feces. At this point laboratory examinations usually show
low white blood cell and platelet counts and internal and external bleeding abnormalities
are evident; a rash is sometimes present.

Too often an epidemic of Ebola virus begins in a hospital setting where physicians,
nurses and technicians, lacking critical barrier protection or sterile equipment,
are exposed to infectious bodily materials. Seemingly routine procedure on an
Ebola patient presenting with early, non-readily differentiated symptoms can lead to
multiple infections among attending health care workers.
Disease can rapidly spread through health workers at a hospital with disastrous
results including closures of hospitals and clinics. Patients must then be treated at home,
usually by family members who, in turn, are at risk of becoming infected.
Added to that is the difficulty of safely disposing of the highly infectious bodies
of the recently dead. One of the major challenges to effective control of Ebola
is that the symptoms and signs of early infection cannot be readily distinguished from
those associated with numerous parasitic diseases, such as malaria, or other viral infections
afflicting persons in endemic regions of Central and West Africa.

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