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Ebola Tag

Posted by Leslie Eastman on January 16, 2016 5 Comments
While listening to Obama's "State of the Union" address this week, I noted that he claimed victory over the spread of Ebola.
That's how we stopped the spread of Ebola in West Africa. Our military, our doctors, and our development workers set up the platform that allowed other countries to join us in stamping out that epidemic.
Since Obama's has real talent for making claims that turn out to be the opposite of reality, I remarked that we would likely see another outbreak of the hemorrhagic fever again shortly. Right on cue, and days after West Africa was declared "Ebola free", a new case has been reported in Sierra Leone.
Sierra Leone officials have confirmed a death from Ebola, hours after the World Health Organization declared the latest West Africa outbreak over. The country was declared free of the virus on 7 November, and the region as a whole was cleared when Liberia was pronounced Ebola-free on Thursday.

Posted by Leslie Eastman on October 18, 2015 13 Comments
After declaring "victory" in the war against the Ebola epidemic we were following earlier this year, scientists are now making some disturbing new discoveries about the hemorrhagic fever virus. Chief among those discoveries is that patients who were "cured" of the disease continue to experience debilitating symptoms.
Researchers following 49 survivors of a 2007 Ebola outbreak in Uganda found that — even two years after the illness — they had eye problems like inflammation and blurred vision as well as joint pain, difficulty sleeping, difficulty swallowing and even hearing loss, memory loss and confusion. A third study examining 105 survivors of the 2014-15 outbreak in Guinea found that about 90 percent had chronic joint pain and 98 percent had poor appetites or an aversion to food. They also reported difficulty with short-term memory, headaches, sleeplessness, insomnia, dizziness, abdominal pain, constipation, sexual dysfunction, and decreased libido and exercise tolerance.

Posted by Leslie Eastman on March 15, 2015 4 Comments
In the wake of the Ebola Czar stepping down and a presidential commission laying part of the blame for the spread of Ebola on this country, news comes that nearly a dozen Americans are heading home after potential exposure to the deadly virus.
At least 10 US citizens possibly exposed to the deadly Ebola virus were being flown to the US from Africa for observation, the US Centers for Disease Control and Prevention (CDC) said on Saturday. The individuals were set to be transported by non-commercial air transport, on their way to be housed near the University of Nebraska Medical Center, the National Institutes of Health in Maryland, or Emory University Hospital in Atlanta, the CDC said. It said none of the individuals had been identified as having Ebola. A US healthcare worker who tested positive for Ebola while in Sierra Leone arrived at the NIH on Friday and was in serious condition, the NIH said. CDC spokesman Thomas Skinner said 10 people who may have been exposed to the unidentified Ebola patient or who had a similar exposure to the virus as the patient were being flown to the US. But he said the investigation was continuing and there could be more Americans evacuated from Africa. A CDC statement said the individuals would follow the center’s recommended monitoring and movement guidelines during a 21-day incubation period.
One intrepid American headed to Honduras after a stay in an Ebola-striken area, and now that country is hosting a 21-day quarantine period:

Posted by Leslie Eastman on February 01, 2015 3 Comments
Finally, a little good news to share with Legal Insurrection readers about epidemics. It looks like we're declaring victory on our "War with Ebola". Recall that after after outrage at this administration's "Keystone Cop" style response to America's first Ebola patient, President Obama appointed political operative Ron Klain as Ebola Czar. He was slated to leave office in March, but now that date has been pushed up:
Ron Klain, the Obama administration's point man in the fight against the Ebola virus, will leave the administration on February just shy of three months after he stepped in to coordinate the government's response to the crisis at home and abroad. In an interview on "Face the Nation" in late December, Klain said that the American people should be "proud" of the work done by Centers for Disease Control and Prevention (CDC) and praised the generosity of Americans who had traveled to West Africa to help provide medical treatment and other services. The World Health Organization said Wednesday that the fight against the disease had moved to a "second phase" focused on ending the epidemic rather than slowing transmission. There were fewer than 100 new confirmed cases last week in the three hardest-hit countries since the end of June 2014.
It is standard practice of political operatives to take modestly good news about a small battle and declare outright victory in a war. So, let's take a look at the number the World Health Organization has reported. While the number of cases on one West African region has fallen, there are troubles elsewhere on the continent:

Posted by Leslie Eastman on December 22, 2014 16 Comments
Although the media has recently been less focused on Ebola, the disease is still impacting Africa and the death count now tops 7000. Meanwhile, a new epidemic of a disease that was once thought well-contained by vaccinations may be occurring in my home state of California. The number of cases of whooping cough (pertussis) has skyrocketed this year.
Nearly 10,000 cases have been reported in the state so far this year, and babies are especially prone to hospitalization or even death. ...Whooping cough is cyclical in nature and tends to peak every three to five years. The last outbreak of the disease in California was in 2010. But doctors are discovering that immunity from the current vaccine may be wearing off on a similar timeline. Medical recommendations suggest booster shots after eight years, but doctors are seeing kids who received a booster three years ago getting sick. Public health officials are considering an update to the recommendations to account for the dip in immunity seen after three years. Plus, many kids in some areas aren't getting vaccinated at all. The highest rates of whooping cough are found in the Bay Area counties of Sonoma, Napa and Marin, which also have some of the highest rates of parents who opt out of vaccinating their children. Doctors believe these kids are the root of the current and recent epidemics.
Whooping cough feels like a cold at first, but an intense cough that develops later can produce a "whooping" sound. The disease is caused by the bacterium Bordetella pertussis. It can be treated with antibiotics, but the drugs may not be effective when the illness is in the severe coughing stages. Whooping cough can last for weeks and is especially dangerous to infants under 1 year. California isn't the only state seeing jumps in pertussis infections.

Posted by Leslie Eastman on December 03, 2014 5 Comments
Has anyone else noticed that since Ferguson hit the news, there has been a lot less press attention paid to America's favorite virus? When checking the status of the epidemic, I discovered that there is another potential Ebola patient in this country.
Massachusetts General Hospital is treating a patient suspected of having contracted the Ebola virus, Public Affairs Officer Noah Brown has confirmed to Boston.com. Dr. Paul Biddinger, Director Of Emergency Preparedness at MGH, said the patient involved in the suspected Ebola case meets the CDC definition of a “person under investigation” to possibly have the ebola virus. “This definition involves the possibility of travel to where Ebola is present, the possibility of exposure to that virus, and symptoms that are consistent with that virus,” Biddinger said at a press conference Tuesday evening. The patient is in stable condition and good spirits, according to Biddinger. He declined to answer specific questions about the patient—including travel history, potential exposure to others, and location in the hospital—citing an inability to comment on individual patient details. Biddiger did say, though, that there is not a reason for panic.

Posted by Leslie Eastman on November 27, 2014 13 Comments
While Ebola continues to rage in West Africa, an outbreak of another deadly disease is occurring in the African island nation of Madagascar.
An outbreak of bubonic plague in Madagascar has now claimed almost 50 victims and is spreading to the island's capital, officials warned today. There have been 138 suspected cases of the disease - similar to the Black Death in medieval Europe - since the start of the year, with the death toll of 47 expected to rise in the coming months. Two people have been infected in the capital of Antananarivo, one of them dying, and health workers have mounted a pest control campaign through slum areas around the city. The health ministry said 200 households had been ‘disinfected’ this month, adding that those who had contact with the infected had been given antibiotics in a bid to arrest the spread the disease.
A video glimpse of the situation comes via the UK Daily Mail:

Posted by Leslie Eastman on November 26, 2014 2 Comments
Some good news from the frontlines related to our battle with Ebola: The outbreak is now "stable" in Guinea, according to the World Health Organization.
There were still some flare ups in the south-east, but things were improving in other prefectures, WHO co-ordinator Dr Guenael Rodier told the BBC. More than 5,400 people have died in the latest outbreak, with Guinea, Sierra Leone and Liberia the worst hit. The outbreak can be ended by mid-2015 if the world speeds up its response, UN Secretary General Ban Ki-moon has said.
Although the rate of new cases shows signs of decreasing in parts of West Africa, Mali - where six people have died and a seventh case has been reported - is now of concern. Additionally, the United Nations Ebola Emergency Response Mission has formally announced that it will not meet its self-imposed December 1st deadline of containment.
The mission set the goal in September, seeking to have 70 percent of Ebola patients under treatment and 70 percent of Ebola victims safely buried. That target will be achieved in some areas, head of UNMEER Anthony Banbury told Reuters news agency, citing progress in Liberia. "We are going to exceed the December 1 targets in some areas. But we are almost certainly going to fall short in others. In both those cases, we will adjust to what the circumstances are on the ground," he said in an interview.

Posted by Leslie Eastman on November 18, 2014 15 Comments
As Ebola continues to rage in Africa, one key person seems to be missing in action: Ron Klain, Ebola Czar.
Ebola was on the top of everyone’s minds five weeks ago, but now that it’s largely disappeared from the mainstream media, it continues to fade into the background in this country. But the fact remains: Ebola continues to kill hundreds of people in Africa. Ebola continues to destroy families and leave many children without parents. It was sad for me to hear about the passing of a surgeon – who was a citizen of Sierra Leone and a permanent resident of the U.S. – on Monday. From what I know, he was a dedicated health care professional who did his best to keep his patients safe and alive. But what is sadder to me is that our Ebola czar, Ron Klain, did not have the courage to publicly come out and offer a statement in regards to the death of this physician, and also has failed in keeping the American public informed about the progress in this Ebola war.
I would have expected a political operative such as Klain to at least try to "message" us. Hopefully, we won't discover videos of him calling Americans stupid for being concerned about a potential pandemic..after being paid millions in taxpayer dollars for questionably professional services. However, at least Ebola did attract some mainstream media coverage. That differs from Enterovirus-D68, which has swept through the country and has sent hundreds of American children into emergency rooms with respiratory distress. There has been very limited, local coverage. One of the few who took up the story is Sharryl Attkisson, who now reports that 12 deaths have now been linked to this pathogen.

Posted by New Neo on November 17, 2014 13 Comments
When I heard that Dr. Martin Salia, a Sierra Leone native who is married to a US citizen and who contacted ebola while treating patients in his native country, had been flown here for treatment and was in "very critical" condition, I thought "if we can cure him, then American medicine is really onto something in the treatment of ebola." Sadly, it was not to be: Dr. Salia has died of the disease. He was very very far gone when he arrived:
"He was placed on dialysis, a ventilator and multiple medications to support his organ systems in an effort to help his body fight the disease. He also received a dose of convalescent plasma and ZMapp therapy was initiated on Saturday," the hospital said in a statement. "We used every possible treatment available to give Dr. Salia every possible opportunity for survival," Smith said. "As we have learned, early treatment with these patients is essential. In Dr. Salia's case, his disease was already extremely advanced by the time he came here for treatment."
There are two very salient facts about the case of Dr. Salia. The first is that he never knew how he got the disease; he was a general surgeon in Sierra Leone and was not specifically treating ebola patients. This reflects the fact that ebola is not always easy to spot, even for medical personnel who are well-versed in its diagnosis and are treating patients in areas where it is endemic, and therefore would be on high alert for it. That is one of the many many dangers of the disease, and you may recall that the same thing happened with Dr. Rick Sacra, who was treated here much earlier in the disease's course than Salia and has survived. The second thing I'd like to highlight is that it took four (or five; I've read differing accounts) full days after Dr. Salia first showed ebola symptoms for his blood test to become positive for the disease. By that time he was extremely sick indeed. The loss of those days of possible treatment here may have made a big difference. Here is the story:

Posted by William A. Jacobson on November 16, 2014 4 Comments

From the "totally unofficial" Harvard Parody website, "Eve of Destruction: Ron Klain, Ebola Czar": Adding to Harvard Law School's already considerable reputation for producing "elite" lawyers who fill high-level government positions for which they are totally incompetent (in terms of the real-world practical skills and ethical...

Posted by Leslie Eastman on November 07, 2014 9 Comments
Concern about the administration's handing of the global Ebola crisis was a contributing factor in the Republican success across the country in Tuesday's election; polls indicated Americans were more worried about the lack of a comprehensive response than they were about immigration and same-sex marriage. It is likely this concern will remain for quite some time, especially as Americans returning from Africa are still being impacted by this pathogen.
The Iowa Department of Public Health said Thursday that 13 travelers who were in West African countries are being monitored in Iowa for Ebola. The travelers were in Sierra Leone, Liberia or Guinea in the last 21 days and are now in Iowa. Twelve had low risk of having been exposed to Ebola in those countries health officials said, so they are being allowed to resume normal activities. IDPH has ordered them to take their temperature twice a day and report their health status to public health. One person had some risk of being exposed to Ebola, and has been quarantined. The person was told to stay at home and take their temperature twice daily, including at least once with a public health official observing.
Let's hope the quarantined Iowan takes the situation more seriously than the Maine nurse who fought against restrictions based on public health concerns. Meanwhile, one of the nurses who contracted the deadly virus while treating America's patient zero, Thomas Duncan, is mystified as to how she became infected and resents being thrown under the bus after she boarded a flight to Ohio:

Posted by New Neo on October 31, 2014 29 Comments
A District Court judge in Maine has overturned a lower court ruling that restricted Kaci Hickox's movements, which means that the formerly-quarantined nurse is now free to go about her business. The reason? The science on ebola transmission is apparently settled:
Judge Charles C. LaVerdiere ruled Hickox must continue daily monitoring and cooperate with health officials if she chooses to travel. The judge said there’s no need to restrict her movements because she’s not showing symptoms of Ebola. In his ruling, the judge thanked Hickox for her service in Africa and wrote that “people are acting out of fear and that this fear is not entirely rational.” Maine Gov. Paul LePage disagreed with the judge’s decision, but said the state will follow the law... The judge...acknowledged the gravity of restricting someone’s constitutional rights without solid science to back it up. “The court is fully aware of the misconceptions, misinformation, bad science and bad information being spread from shore to shore in our country with respect to Ebola,” he wrote. “The court is fully aware that people are acting out of fear and that this fear is not entirely rational.”
No doubt the judge is also fully aware of certain statements made by Nobel-prize-winning immunologist Dr. Bruce Beutler:
It may not be absolutely true that those without symptoms can’t transmit the disease, because we don’t have the numbers to back that up,” said Beutler, “It could be people develop significant viremia [where viruses enter the bloodstream and gain access to the rest of the body], and become able to transmit the disease before they have a fever, even. People may have said that without symptoms you can’t transmit Ebola. I’m not sure about that being 100 percent true. There’s a lot of variation with viruses.”
On the subject of possible further court action by the state:

Posted by New Neo on October 29, 2014 51 Comments
Kaci Hickox is back home in Maine. But she's as defiant as ever:
Kaci Hickox, the nurse who was quarantined at a New Jersey hospital despite exhibiting no Ebola symptoms after arriving from West Africa, won't follow the quarantine imposed by Maine officials, her attorney said tonight. "Going forward she does not intend to abide by the quarantine imposed by Maine officials because she is not a risk to others," her attorney Steven Hyman said. "She is asymptomatic and under all the protocols cannot be deemed a medical risk of being contagious to anyone." Hickox will abide by all the self-monitoring requirements of the Centers for Disease Control and Prevention and the state of Maine, Hyman said.
But I wonder how many people in Fort Kent, Maine are going to be eager to attend her "Welcome home, Kaci" party? Now that Christie has washed his hands (metaphorically speaking) of Hickox---which is beginning to look more and more like a savvy decision---what will LePage of Maine do? Treat her with kid gloves, perhaps:
Maine requires that health care workers such as Hickox who return to the state from West Africa will remain under a 21-day home quarantine, with their condition actively monitored, Gov. Paul R. LePage said in a statement. "We will help make sure the health care worker has everything to make this time as comfortable as possible," he said.
The comments to the linked article are uniformly angry. Typical is this: "She makes it REALLY easy to hate her." And that's among the nicer ones. From some of the statements in this article, however, it sounds like Maine may be ready for a legal battle with Hickox:

Posted by Leslie Eastman on October 28, 2014 23 Comments
I am going to go out on a limb and project that there are going to be historic election results on November 4th that would have been unimaginable until this August, when reports on Ebola coming to this country began filling the news. This has transformed the women that Democrats have historically relied on, "soccer moms", into "health and safety moms". Because I am both a mother and an environmental health and safety professional, other mothers question me on the latest news related to both Ebola and the potentially deadly Enterovirus D-68. Every last one of those women say that we should have had travel bans, mandatory quarantines, and that the administration isn't being completely candid in its reports related to these pathogens. For example, there is news that the New Jersey nurse quarantined after returning from work with Ebola patients in Africa was just released:
A nurse who was quarantined at a hospital in New Jersey after returning from West Africa was released Monday, her attorney said. Kaci Hickox, who told CNN the quarantine was violating her rights, was discharged after testing negative for Ebola. Hickox was put in isolation Friday after returning to New Jersey from a month in Sierra Leone. Her quarantine, part of a days-old policy the governors of New York and New Jersey instituted for all health care workers who've had contact with Ebola patients in West Africa, has been criticized widely by health care experts. On Sunday, she spoke by phone with CNN's Candy Crowley and Elizabeth Cohen. "This is an extreme that is really unacceptable, and I feel like my basic human rights have been violated," Hickox said. She said she was flummoxed as to how New Jersey Gov. Chris Christie, who has no medical training, could describe her as "obviously ill."
This video summarizes the story from CNN:

Posted by Bryan Jacoutot on October 27, 2014 49 Comments
The late September arrival of Ebola-postive Thomas Eric Duncan at Texas Health Presbyterian Hospital has caused many Americans to worry about their personal health in the event of an Ebola outbreak. Right on the heels of that worry, however, is a worry of another kind. What about your personal rights? In particular, what about that most fundamental liberty interest: freedom from confinement. As Professor Eugene Kontorovich noted at The Volokh Conspiracy earlier today, this question has caused the (now released) quarantined nurse to threaten a legal challenge to the constitutionality of her recent confinement in New Jersey. So what are your rights when faced with involuntary quarantine? The answer, while simple, is completely unsatisfying and even a bit concerning: It depends. As a result, the true “answer” is a very nuanced and fact intensive inquiry into each particular case of confinement. Books can be written (and have been) about the legality of involuntary confinement in the face of a public health crisis, but this blog post may serve as highly generalized primer for the curious. To begin, quarantining “separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick.” [Emphasis Added]. Note that “quarantine” refers to the confinement of those who are not currently sick, but have been exposed to an infectious disease and may ultimately develop symptoms. “Isolation,” on the other hand, refers to confinement of individuals who are sick.
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