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US Army To Transport American Ebola Victim To Atlanta Hospital From Liberia

acidradio (659704) writes American air charter specialist Phoenix Air has been contracted by the U.S. Army to haul an American physician afflicted with Ebola from Liberia to the Emory University Hospital in Atlanta. This will be the first 'purposeful' transport of an Ebola victim to the U.S. The patient will be flown in a special Gulfstream III (formerly owned by the Danish Air Force) outfitted for very specialized medical transports such as this. I dunno. I know there are brilliant doctors and scientists in Atlanta who handle highly-communicable diseases, but is this such a brilliant idea? theodp (442580) writes with related news In response to the Ebola outbreak, the Centers for Disease Control and Prevention (CDC) has issued Interim Guidance about Ebola Virus Infection for Airline Flight Crews, Cleaning Personnel, and Cargo Personnel. "Ebola virus is transmitted by close contact with a person who has symptoms of Ebola," the CDC explains. "Close contact is defined as having cared for or lived with a person with Ebola or having a high likelihood of direct contact with blood or body fluids of an Ebola patient. Examples of close contact include kissing or embracing, sharing eating or drinking utensils, close conversation (3 feet), physical examination, and any other direct physical contact between people. Close contact does not include walking by a person or briefly sitting across a room from a person."

84 of 409 comments (clear)

  1. PANIC! by DiamondGeezer · · Score: 4, Funny

    The Zombie Apocalypse is nearly upon us! Run ! RUNNNNNN!

    --
    Tubby or not tubby. Fat is the question
    1. Re:PANIC! by Anonymous Coward · · Score: 3, Funny

      Better move to Madagascar before its too late.

    2. Re:PANIC! by Talderas · · Score: 4, Funny

      God. Madagascar always locks their shit down fast. It was so hard killing off all the humans. I tried starting in Madagascar but they'd lock their shit down so fast I wasn't able to spread anywhere else. I only ever had one game where I killed all humans but I hit plenty where everyone except those bastards in Madagascar died.

      --
      "Lack of speed can be overcome. In the worst case by patience." --Znork
    3. Re:PANIC! by Bardez · · Score: 3, Insightful

      That's why I *always* start in China or India. Shitty places to live, quick to spread a new disease.

      --
      Perception is the thin dividing line between reality and fiction.
    4. Re:PANIC! by Maxo-Texas · · Score: 2

      I start on one of the islands. I prefer iceland since it usually picks up greenland easily.

      --
      She was like chocolate when she drank... semi-sweet at first and then increasingly bitter.
    5. Re:PANIC! by drew_92123 · · Score: 2, Funny

      Dear US Gov't,

      You've done gone and lost your fucking minds!

      Sincerely,
      A concerned citizen

    6. Re:PANIC! by DivineKnight · · Score: 5, Interesting

      Their stated reason for doing it -> "So the patient receives better healthcare."

      Their real reason for doing it -> "We received a phone call at 4 AM on Tuesday telling us that Ebola Zaire (the magical strain of D00M) has been hopping between countries in Africa, and that the natives are hiding the infected because their witch doctors told them that Western Medicine is the source of the disease. The people at the CDC (that's us) actually have a plan written down for this particular scenario, and we're following it to the letter.

      Long ago, we figured that it was only a matter of time, in a scenario like this, before Ebola Zaire would become airborne; our goal is then to extract several of the infected early on, and learn what we can from them, living and dead. Officially, we will be keeping airports open, and so on, right up until the first infected lands stateside; this is to keep the people from panicking. Once that panic sets in, God help you.

      Seeing how it's Ebola Zaire, we are not totally defenseless. Antiviral drugs, such as interferon analogs, may increase the chances of survival; the question of the supply of said drugs be a source of contention.

      As always, your fearless leaders will be directing the relief effort from the nearest bunker, with a sign over the entrance "No Admittance.""

    7. Re:PANIC! by tlhIngan · · Score: 4, Insightful

      God. Madagascar always locks their shit down fast. It was so hard killing off all the humans. I tried starting in Madagascar but they'd lock their shit down so fast I wasn't able to spread anywhere else. I only ever had one game where I killed all humans but I hit plenty where everyone except those bastards in Madagascar died.

      The trick is you want to have high infectivity, low severity and low lethality. This way you're highly infectious but since you don't do anything, no one really bothers. Once you start climbing in severity and lethality, the humans notice.

      then just wait until you've infected all humans, then recoup DNA points from infectivity (everyone's infected), and spend it on symptoms that are lethal. Because by then it's too late - once you start killing, it hits everyone and they can't research a cure fast enough before everyone is dead.

      (It also shows how the game simulation doesn't reflect real life - because once you've infected everyone, if you switch to become lethal, everyone's disease gets lethal, which never happens. Usually you have to re-infect everyone with the new lethal strain. Then there's the entire population thing - assumes newborns will have the disease as well).

  2. Vaccine is coming by timrod · · Score: 4, Informative

    CNN had an article on this shortly before it popped up here. In their article, they said that an Ebola vaccine is well underway, with trials expected to begin in humans soon. It's apparently been proven effective in monkeys already. I was a little concerned before I read that, but if they've got a working vaccine, it's really not a big deal.

    1. Re:Vaccine is coming by xylo36 · · Score: 2

      I listened to an interview with Tom Frieden, head of the CDC, and he indicated a vaccine won't be available for a year in the best case scenario.

    2. Re:Vaccine is coming by s0litaire · · Score: 2

      But the Ebola virus is a bit like the Flu virus, as it mutates when it becomes infectious to humans

      It's probably more like the you have to create a new batch for every outbreak, which only occur every 3 to 4 years in small isolated groups, which means it will be expensive to produce.

      Unless they go the whole hog and give everyone in the African continent an Ebola jab every few years

      --
      Laters Sol "Have you found the secrets of the universe? Asked Zebade "I'm sure I left them here somewhere"
    3. Re:Vaccine is coming by OakDragon · · Score: 2

      I actually don't like this kind of race-baiting, but this is a joke:

      Experts: Ebola Vaccine At Least 50 White People Away

    4. Re:Vaccine is coming by tiberus · · Score: 5, Informative

      I heard the same interview with Tom Frieden, Head of the CSC, that xylo36 did. In the interview he stated that Ebola has not really changed since it was first discovered, they have been monitoring the viruses DNA. It's just a nasty little bugger.

    5. Re:Vaccine is coming by angel'o'sphere · · Score: 2, Insightful

      It is not a big deal, but for other reasons.

      Sidenote: a vaccine does not heal you if you are already ill, it only powers up your immune system to prevent you catching the illness ...

      --
      Cost free eBook I read (by iBook/Kobo/Amazon/ObookO/Gutenberg etc.): "The Green Odyssey" by Philip Jose Farmer.
    6. Re:Vaccine is coming by mythosaz · · Score: 5, Insightful

      On the timeline of vaccine research, "available in a year" sounds entirely like it's a solved problem with a pile of paperwork to be done...

    7. Re:Vaccine is coming by umghhh · · Score: 2

      This epidemic problem is mostly one of education and capabilities. People in affected regions of Africa do not trust doctors and hospitals (for a good reason I think) and have traditions that help the virus spread like touching dead friends and family members to say good bye or eating the animals that tend to have the virus - these are exactly the wrong things to do. Belief in healers and lack of trust in helpers from the West makes things double problematic. The good thing that the virus is less lethal is problematic too as now instead of being killing almost directly ill people wander around and spread the virus. Lack of sanitation and basic medical supplies but also basic stuff like washing hands, means that virus is spread further and further. This all is tragic because the virus is very fragile and its transmission is easy to deal with by washing hands already. One may think that unless US army does not want to make experiments with it, then the transportation of this poor person back home is actually a good thing for this person and does not change anything for the rest of us. The reason for this are as listed already. If a scenario like from Dustin Hoffman movie, as unlikely as it may be, were to happen that this one transport makes no difference - we would all die as nobody can stop pandemic with a bomb like in the movie etc. If instead people see that we take good care of those that took great risks to help others than there is bigger chance of containing the disease where it is now. In other words - this is actually a good way to decrease chance of having ill people traveling to US or Europe. Me thinks.

    8. Re:Vaccine is coming by Electricity+Likes+Me · · Score: 2

      Ebola is an RNA virus, very simple, with a very mistake prone polymerase - which is why it tends to mutate to harmless fairly easily. When you have such a short gestation and kill rate, there isn't much room for evolution.

    9. Re:Vaccine is coming by AnOnyxMouseCoward · · Score: 5, Informative
    10. Re:Vaccine is coming by rahvin112 · · Score: 2

      It's not particularly race that decides this as much as national origin. American's or Europeans start dieing and real resources will be poured into the research. As long as it's an "African" disease no one really cares in the west enough to pour real resources into a vaccine.

      A Africa could be a major world power because of it's resources, that is if every tribal group wasn't trying to kill every other tribal group and every religion wasn't trying to kill every other religion. There is one simple fact of life, money gets things done and when poor people are dieing and the rich aren't, the problem won't be solved because the poor people don't have the resources to solve it and the rich don't care.

  3. Tom Clancy thought of it first by RetiredMidn · · Score: 2

    Wasn't a patient transported on a Gulfstream a sub-plot of a Tom Clancy novel? (Executive Orders, IIRC)

    1. Re:Tom Clancy thought of it first by iinventstuff · · Score: 2

      If you're saying that the only way to make this better is to have a Jack Ryan become President, well, ... I'm game... ;-)

  4. Re:Why do you think that by 93+Escort+Wagon · · Score: 5, Informative

    The Centers for Disease Control is in Atlanta.

    It's nice to see reason and logic flying out the window with most of these early posts, by the way. I think I'll invest in pitchfork futures, pronto!

    --
    #DeleteChrome
  5. What a bunch of pansies by 3.5+stripes · · Score: 3, Informative

    The disease is not particularly communicable. It tends to externalize a lot of bodily fluids, which is why in places with poor sanitary conditions, it spreads pretty quickly. Hospitals which handle patients like these tend not to be considered poor sanitary conditions..

    --


    He tried to kill me with a forklift!
    1. Re:What a bunch of pansies by SchroedingersCat · · Score: 2

      We have Taco Bell. It will spread faster than flu.

    2. Re:What a bunch of pansies by DigiShaman · · Score: 2, Insightful

      Up to 22 days without having any symptoms as I recall. So what happens when someone breaks out into a fever and puts their sweaty hands all over hand railings, desks, kiosks, and whatnot? How long does Ebola last once it's on the surface?

      There's a reason animals (and humans) are paranoid about shit we don't understand. From a survival standpoint, it's an advantageous attitude to have. And right now, I'm pretty fucking paranoid about being anywhere near people with Ebola!

      --
      Life is not for the lazy.
    3. Re:What a bunch of pansies by Andy+Dodd · · Score: 4, Insightful

      Note that those are cases in an area where part of the funeral rites include (I believe) washing the body of the deceased by hand.

      --
      retrorocket.o not found, launch anyway?
    4. Re:What a bunch of pansies by Solandri · · Score: 5, Informative

      The disease is not particularly communicable. It tends to externalize a lot of bodily fluids, which is why in places with poor sanitary conditions, it spreads pretty quickly. Hospitals which handle patients like these tend not to be considered poor sanitary conditions..

      The various strains of the flu which become pandemics don't start off as particularly communicable either. They usually develop in other animals (e.g. birds or pigs) and mutate into a form which can infect humans. Even then their outbreak is usually limited to farmers and people who work closely with animals because, like current Ebola strains, they can only be transmitted via direct contact.

      They become a pandemic when they mutate into a form which can be transmitted via the air. Not saying this will happen with Ebola. Just saying that just because it's not particularly communicable now doesn't mean it'll stay that way. Ebola is so deadly (50%-90% mortality rate, c.f. 10%-20% for the Spanish Flu) that it inhibits its own spread - killing its victims before they have a chance to mingle with other people and spread the disease. That's also why they haven't transported a patient out of Africa yet - they tend to die before the red tape is cleared. Given the deadly nature of the disease I think it's a good idea to be able to study a case in a modern hospital facility rather than some rural village in Africa. They just need to be super careful handling the case, which it sounds like they are.

      There's also something to be said for backing up the doctors who are working on this outbreak with the best possible care we can provide them should they become infected. These folks are casualties on the front lines of an inter-species war. Writing them off and treating them as pariahs if they become infected doesn't exactly bolster their confidence nor encourage other doctors to try to help contain similar outbreaks. Modern epidemiology has become a victim of its own success. People point to fizzled outbreaks like MERS, SARS, the Bird Flu, and criticize our disease control agencies of overreacting because those diseases didn't really spread that far, when the reason those diseases didn't spread that far was likely in large part due to the quick actions of those agencies. We need to be backing these people up. They need to know that should they become casualties, the world is going to provide them with the best possible care to help them recover, not treat them like lepers.

    5. Re:What a bunch of pansies by angel'o'sphere · · Score: 3, Interesting

      Then get your paranoia treated and read the relevant wikipedia articles.
      Ebola is not the flu nor the black death ... the likelihood to catch it if you don't fuck, kiss, embrace, or otherwise intensive care for a patient is basically ZERO.
      Ebola viruses survive on any surface until it either dries out (body fluid containing it evaporates) or by UV radiation.

      Do you really believe the USA governments health agency carries an US citizen into the US if it was not perfectly safe? In what paranoia 1984 world do you live?

      --
      Cost free eBook I read (by iBook/Kobo/Amazon/ObookO/Gutenberg etc.): "The Green Odyssey" by Philip Jose Farmer.
    6. Re:What a bunch of pansies by DigiShaman · · Score: 2, Insightful

      Do you really believe the USA governments health agency carries an US citizen into the US if it was not perfectly safe?

      Umm, YES! Damn, you're that incredibly naive to believe that line of bullshit? How many professionals...how many politicians for that matter have promised one thing only later to either admit they fucked up, or blatantly flat-out lied?! Sorry, but oops doesn't count as an excuse if they fuck this up.

      --
      Life is not for the lazy.
    7. Re:What a bunch of pansies by bugs2squash · · Score: 3, Informative
      More of the usual right wing BS...

      from: http://www.cbpp.org/files/esta...

      Today, 99.86 percent of estates owe no estate tax at all, according to the Urban-Brookings Tax Policy Center (TPC).4 Among the 3,780 estates that owe any tax, the “effective” tax rate — that is, the percentage of the estate’s value that is paid in taxes — is 16.6 percent, on average

      ...

      Only the wealthiest estates in the country pay the tax because it is levied only on the portion of an estate’s value that exceeds a specified exemption level, currently $5.25 million per person (effectively $10.5 million per married couple).

      --
      Nullius in verba
    8. Re:What a bunch of pansies by GiganticLyingMouth · · Score: 4, Informative
      Ebola is only contagious when the symptoms are present , NOT during the incubation period. The symptoms of Ebola are pretty pronounced, so if you see someone projectile vomiting and bleeding from their eyeballs, steer clear, but otherwise you should be alright. From the WHO Ebola FAQ:

      The incubation period, or the time interval from infection to onset of symptoms, is from 2 to 21 days. The patients become contagious once they begin to show symptoms. They are not contagious during the incubation period.

  6. Ebola Cross with Rabies by Scottingham · · Score: 4, Funny

    Just for fun, the folks at the CDC should combine Ebola with the rabies virus. This zombie apocalypse isn't going to start itself!

  7. Nothing to panic over by sjbe · · Score: 4, Informative

    I know there are brilliant doctors and scientists in Atlanta who handle highly-communicable diseases, but is this such a brilliant idea?

    Ebola is hardly the only scary pathogen handled by the CDC. In fact I believe the CDC doesn't even consider this among the most dangerous of pathogens because of the relative difficulty in transmission which requires direct contact and it evolves relatively slowly apparently. They know very well how to handle this. The main concern is that they actually follow proper procedures. If they do that then there is little to worry about.

    If you really want to study ebola to find a cure this is probably a very good idea provided they exercise appropriate caution. You want the experts at the CDC to be able to study this up close in a live patient. Of course one has to wonder why we had to wait for an american physician to get infected before deciding this was a good idea...

  8. Thanks for the pointless scaremongering by sjbe · · Score: 5, Informative

    Let's bring all the diseases here. What could go wrong?

    In all likelihood, nothing. The CDC handles copies of pretty much every known pathogen on the planet. It is the premier pathogen research institution on the planet. They've already seen ebola. The only thing novel about this is that they are bringing in a live patient with the disease to a top tier hospital so they can bring the best tools to bear on researching the disease and hopefully treating this guy.

    1. Re:Thanks for the pointless scaremongering by minstrelmike · · Score: 2, Interesting

      Yup, CDC knows how to handle this sort of shit.
      It's not like they lose track of pathogens or accidentally expose workers to smallpox, no sirree bob.
      They know what they're doing ;-)

    2. Re:Thanks for the pointless scaremongering by fuzzyfuzzyfungus · · Score: 3, Interesting

      What I find slightly curious is that they'd bother to transport the patient for a disease that (at present) has no treatment other than supportive therapy to try to keep the symptoms from killing you. The Liberian medical system is not exactly a shining star; but this isn't one of those "Oh, sure, we could cure that; but this hospital doesn't have an endoscopic microsurgery suite and we'd need $250k worth of drugs that you can't even buy here." diseases.

      Is there a research interest? Is supportive therapy that much better here and the CDC is the place with isolation expertise? What advantage is being sought?

    3. Re:Thanks for the pointless scaremongering by dcollins117 · · Score: 4, Funny

      Unless I'm mistaken, one of the few remaining samples of smallpox is located in Atlanta.

      There's some in the storage closet in Maryland. Might be some in Atlanta, too. Who knows. The reason they call it smallpox is because it's so hard to see. Makes it difficult to keep track of.

      http://www.washingtonpost.com/news/post-nation/wp/2014/07/08/smallpox-discovered-sitting-in-maryland-storage-room/

    4. Re:Thanks for the pointless scaremongering by Charliemopps · · Score: 5, Insightful

      What I find slightly curious is that they'd bother to transport the patient for a disease that (at present) has no treatment other than supportive therapy to try to keep the symptoms from killing you. The Liberian medical system is not exactly a shining star; but this isn't one of those "Oh, sure, we could cure that; but this hospital doesn't have an endoscopic microsurgery suite and we'd need $250k worth of drugs that you can't even buy here." diseases.

      Is there a research interest? Is supportive therapy that much better here and the CDC is the place with isolation expertise? What advantage is being sought?

      Because it's the right thing to do. Both of these people are heros, and had the bravery to travel to a remote foreign land and care for a people the majority of us didn't even know exist. They've a level of humanity that's rare in Americans, and we should celebrate that just like we'd protect a wounded soldier. You're not going to die alone in a foreign land. You'll receive the best care possible, and if you die, you'll be around your family when it happens. Because that's the right thing to do. Let people volunteer to care for them. I'm sure there are plenty that would do so. I would.

    5. Re:Thanks for the pointless scaremongering by ultranova · · Score: 4, Insightful

      You'll receive the best care possible, and if you die, you'll be around your family when it happens. Because that's the right thing to do.

      Would you want your family to be anywhere near you when you're dying of a highly contagious and extremely deadly disease?

      It seems illogical to honor your heroes in a way that risks the very cause they are fighting for.

      --

      Forget magic. Any technology distinguishable from divine power is insufficiently advanced.

    6. Re:Thanks for the pointless scaremongering by DivineKnight · · Score: 2

      Enough painkillers to stop their breathing, me thinks. And their purpose now is either to recover, and give medical science some info on how to do that, or not recover, and give medical science some info on what experimental drugs / treatments are not going to work. IANAD, but were I in a similar position, I'd be flooding them with retrovirals. Ebola seems to knock out certain interferons (alpha, beta, something, look it up), which allows it to screw up the human body something severe. Since interferon is how the human body stops virii from ravaging a body, I'd make that a priority. I'd basically give them a chemo patient's equivalent of it...and that person would hate it...but they might survive. Here's a link for some light reading on Ebola and Interferon: http://www.ncbi.nlm.nih.gov/pu... There's more if you google those terms. And yes, we can create interferon.

  9. Going through Customs... by tekrat · · Score: 5, Funny

    Is the TSA agent going to give the Ebola patient a pat-down? After all, he might have a bomb in his underwear.

    --
    If telephones are outlawed, then only outlaws will have telephones.
  10. Re:Why do you think that by Shortguy881 · · Score: 5, Informative

    Emory University's Campus touches the CDC, so much so you can look out of some of the windows in Emory and see into the offices at the CDC. They also work together professionally. Essentially this person is being transferred to the CDC.

    --
    Brilliance without wisdom, power without conscience. Ours is a world of nuclear giants and ethical infants.
  11. Re:What an idiot you are by 3.5+stripes · · Score: 2, Funny

    Herp and derp, doctors in african countries in makeshift hospitals should have access to all sorts of sanitary facilities, just like in the CDC!

    Look, I managed to counter your argument without seeking refuge in ad hominem, you pinheaded microphallic butt sniffer!

    --


    He tried to kill me with a forklift!
  12. FUD much? by plcurechax · · Score: 3, Insightful

    I know there are brilliant doctors and scientists in Atlanta who handle highly-communicable diseases, but is this such a brilliant idea?

    When did Slashdot become home to stupid FUD* spewing dweebs with little or no common sense? The subtitle is "News for Nerds," which would suggest somebody who submits something might have half a clue about what they are talking about (leaving the plebs to pontificate on logical and scientific fallacy or imagine a Beowulf cluster of hot grits ).

    I want my Slashdot with nerds filter enabled.

    And yes it is an excellent idea, because it gives the CDC a living "test tube" of the actual active Ebola virus, not a sample of infected blood collected, and shipped on ice. Making it ideal for study, and possibly detection of any variant (i.e. mutation) that had not been notice before. Of course, this will likely cost the American doctor his/her life, but such is the risk of fighting an viral outbreak, and the real-world beyond web forums and politicians rambling.

    * FUD: Fear, Uncertainty, and Doubt

    1. Re:FUD much? by Anonymous Coward · · Score: 2, Funny

      >When did Slashdot become home to stupid FUD* spewing dweebs with little or no common sense?

      I'd tell you but I don't recall the date Slashdot launched either.

    2. Re:FUD much? by steelfood · · Score: 2

      I dunno

      The editors aren't even trying anymore.

      --
      "If a nation expects to be ignorant and free in a state of civilization, it expects what never was and never will be."
    3. Re:FUD much? by Qzukk · · Score: 2

      News for trolls, pageviews that matter.

      --
      If I have been able to see further than others, it is because I bought a pair of binoculars.
    4. Re:FUD much? by SecurityGuy · · Score: 2

      And yes it is an excellent idea, because it gives the CDC a living "test tube" of the actual active Ebola virus, not a sample of infected blood collected, and shipped on ice.

      Right, because it's absolutely impossible to ship a plane full of CDC scientists and equipment. Far, far, better to ship a live human body full of ebola over and to a densely populated area. What could possibly go wrong?

    5. Re:FUD much? by SecurityGuy · · Score: 2

      So, your argument is that because a bad thing is probably going to happen eventually, we may as well just do it now?

  13. It's not the flu or a cold. by sirwired · · Score: 4, Informative

    If you could catch Ebola by touching the sweat somebody left behind as they passed through a room, it would have spread a lot farther than it has. I'm pretty sure they'll be testing everybody that comes into contact with this guy for the virus, and even if the tests miss it, the symptoms are not subtle, it being a hemorrhagic fever and all...

    Not every virus acts like the flu or cold viruses. Ebola isn't particularly virulent, even if it is pretty nasty if you come down with it. Being able to perform tests on a live patient in a state-of-the-art facility (as opposed to a 3rd-world heap whose "hospitals" are about as sanitary as a mid-grade highway rest stop) is invaluable in researching treatments. Just like the movies, the CDC has on-site facilities specifically designed to treat people with scary diseases we don't want in the population at large; this seems like an excellent use for them.

  14. Re:Yes, let's do this. by GNious · · Score: 3, Funny

    As long as no-one shoots down the plane, while it is over some heavily populated location, like, Atlanta.

  15. Re:Try, try again? by Andy+Dodd · · Score: 4, Interesting

    Um, there are massive differences between Atlanta and Liberia.

    Do you believe the following are regular occurrences in Atlanta?
    1) Family of someone who died of a known infectious disease choose to hand-wash the corpse anyway, with full knowledge of the cause of death. (Note: Many Africans apparently don't believe the disease exists.)
    2) Local residents protest the hospital because they believe that the "story" about the infections disease is a coverup for ritual cannibalism. http://www.reuters.com/article...
    3) Local residents break in to the isolation ward to remove an infected family member from the hospital

    --
    retrorocket.o not found, launch anyway?
  16. Remember the facilities by sirwired · · Score: 3, Insightful

    This guy had limited equipment, and was treating patients in a facility that would make a highway rest stop look like a model for cleanliness. I expect he was taking every precaution he could, but that's not necessarily a lot.

    The CDC has purpose-built facilities designed precisely for treating patients with deadly diseases a lot more communicable than this. This seems like a good use for them.

  17. NIMBY at its finest by sjbe · · Score: 4, Insightful

    Yup, CDC knows how to handle this sort of shit.

    Yes they do. Nobody's perfect but I trust the CDC to handle this. I've met people that work there. I'm married to a physician that deals with the CDC from time to time and she trusts them. They are very good at their job.

    It's not like they lose track of pathogens or accidentally expose workers to smallpox, no sirree bob.

    And that is relevant in what way here? Seriously. Explain to me how some leftover vials of a pathogen from decades ago has any relevance to this case beside pointing out the already obvious fact that there is a tiny but non-zero chance someone might do something stupid. That failure mode has precisely zero bearing on this issue. People are not perfect, news at 11.

    Cut out the sissy NIMBY scaremongering. There is really, truly nothing to worry about here. It's not funny and it scares people who don't know any better.

    1. Re:NIMBY at its finest by eli+pabst · · Score: 4, Insightful

      My concern is whether the potential risks outweigh the benefit of bringing them to the US. It's not like there is some magical cure awaiting them upon arrival at Emory, there is no cure for Ebola. About the best they can hope for is palliative care, so why not just send a team to West Africa to do the same. Would the care in Atlanta be that much better that it is worth introducing an extremely dangerous pathogen to a large metropolitan area? Yes, I know the CDC already has Ebola in it's freezers in Atlanta, but having a pathogen stored in a BSL4 lab is *much* different than trying to treat an infected patient that is bleeding out in a hospital isolation unit. The opportunity for someone to f*ck up is substantially higher in that situation, so why take the risk?

    2. Re:NIMBY at its finest by Anonymous Coward · · Score: 3, Insightful

      My concern is whether the potential risks outweigh the benefit of bringing them to the US. It's not like there is some magical cure awaiting them upon arrival at Emory, there is no cure for Ebola. About the best they can hope for is palliative care, so why not just send a team to West Africa to do the same. Would the care in Atlanta be that much better that it is worth introducing an extremely dangerous pathogen to a large metropolitan area? Yes, I know the CDC already has Ebola in it's freezers in Atlanta, but having a pathogen stored in a BSL4 lab is *much* different than trying to treat an infected patient that is bleeding out in a hospital isolation unit. The opportunity for someone to f*ck up is substantially higher in that situation, so why take the risk?

      The transport is less likely for treatment and more likely for research. Or do you think the CDC has top notch research facilities abroad?

    3. Re:NIMBY at its finest by Garfong · · Score: 3, Insightful

      Right. Because the purpose of research is to generate papers.

      Kind of like the purpose of falling in love is to get a marriage certificate.

    4. Re:NIMBY at its finest by eli+pabst · · Score: 3, Insightful

      Right. Because the purpose of research is to generate papers.

      If you like being employed as a researcher it is. Or are you naive enough to think that it has no bearing on this?

    5. Re:NIMBY at its finest by Anonymous Coward · · Score: 2, Insightful

      It is scaremongering to entertain the idea that a patient, under strict isolation procedures, that is infected with sed -e 's/ebola/Klebsiella pneumoniae carbapenemase/g' could somehow cause an outbreak in the US. The sed -e 's/virus/bacteria/g' does not transmit in a way that would support the type of Hollywood outbreak the scaremongering is referring to.

      Because it couldn't happen somewhere like the CDC or the NIH. Oh Wait.

      We think we know a good deal about the ebola virus and the methods of transmission. We're pretty sure we've got the isolation procedures down pat. Is this really worth the gamble, or are we better off flying a whole fucking team with a hospital and any piece of equipment they can fucking dream up to Liberia and doing all we can to treat him there?

      After 45 days of symptom free days of proper isolation, the team can fly back to the US and Liberia is the proud recipient of a BILLION dollars of US tax payer funded medical equipment. Say "hey" to General Buck Naked while you're there.

      As a taxpayer, I'm pretty ok with that idea.

      Interestingly, captcha is "manage" as in "manage risk"

    6. Re:NIMBY at its finest by Garfong · · Score: 2

      If I thought that generating papers had no bearing on choice of research, I would have said that. Since that's not what I said, please don't assume that's secretly what I meant.

      But (ideally) high quality papers will come from high quality research. I think you're doing a huge disservice to the doctor who has a 60-90% chance of dying, and the researchers working with him. If all they cared about was their tenure review and grant cycles, they could probably find some research that had 100% less chance of dying of a strange African disease.

    7. Re:NIMBY at its finest by bjs555 · · Score: 2

      Whether the goal is patient treatment or research it seems risky to bring an infected individual into a hospital setting in a populated area. It might be argued that sending a team of doctors/researchers to Liberia would be a burden on the them. But perhaps the patient could be housed in an offshore hospital ship. Apparently the patient is wealthy or his case is interesting enough to justify spending funds on him. If he could stay in a ship 25 miles or so offshore wouldn't that provide some protection and also convenience for the doctors/researchers?

  18. Yes there is a research interest here by sjbe · · Score: 5, Informative

    Is there a research interest? Is supportive therapy that much better here and the CDC is the place with isolation expertise? What advantage is being sought?

    Probably yes there is a research interest. Otherwise there would be no reason to choose Atlanta (home of the CDC) of all possible treatment locations. There are plenty of places for treatment but only one place where the experts at the CDC can look at things up close. It's a lot harder to bring the CDC to the patient than the other way around.

  19. More NIMBY by sjbe · · Score: 3, Insightful

    You realise the different between some freeze dried sample in a jar, in a sealed drawer, in a sealed room, and a living human being infected with it and being transfered all over the place? Right?

    Of course there are differences which is why comparing the two is both stupid and irrelevant. The failure modes have nothing to do with one another. It is well understood how ebola is transmitted and we have very well established containment protocols that we know work well. Ebola is not highly communicative, readily contained and the risks are quite low. The CDC doesn't even consider it among the most dangerous pathogens because it is relatively hard to transmit. They've already had the ebola virus in Atlanta for study. The only thing different here is simply that they have a live patient to handle which is something infections disease doctors deal with every single day.

    1. Re:More NIMBY by mrchaotica · · Score: 4, Insightful

      It is well understood how ebola is transmitted and we have very well established containment protocols that we know work well. Ebola is not highly communicative, readily contained and the risks are quite low. The CDC doesn't even consider it among the most dangerous pathogens because it is relatively hard to transmit.

      Sierra Leone's only expert on Ebola died from Ebola a couple of days ago, despite being an expert and therefore following all the safety procedures to the best of his ability.

      --

      "[Regarding the 'cloud,'] ownership was what made America different than Russia." -- Woz

    2. Re:More NIMBY by sjbe · · Score: 4, Informative

      Sierra Leone's only expert on Ebola died from Ebola a couple of days ago, despite being an expert and therefore following all the safety procedures to the best of his ability.

      I'm not going to bother confirming what you said but let's assume it is true. Do you have any idea what sort of conditions this person was working under? If it is anything like much of West Africa then you've probably been in highway rest stops that are cleaner than some of the hospitals. Per capita GDP in Sierra Leone is under $1000/year so I'm pretty sure any doctors working there are working without adequate supplies which equals unsafe working conditions. The CDC on the other hand has access to literally every medical technology known to man and the money to utilize them.

      So what exactly is your point? That a doctor, heroically working to save people, died due to a lack of adequate medical supplies to do his job properly? Yeah, happens all the time in places like that. It's a tragedy but nothing new or shocking.

    3. Re:More NIMBY by rochrist · · Score: 2

      I expect they already have customized equipment to do just that. Only rather than a MASH setup, it would be something more akin to a biosaftey level 4 containment lab.

  20. Uneducated panic by sjbe · · Score: 4, Informative

    There's a reason animals (and humans) are paranoid about shit we don't understand. From a survival standpoint, it's an advantageous attitude to have. And right now, I'm pretty fucking paranoid about being anywhere near people with Ebola!

    Then you need to educate yourself because ebola is NOT even in the top 20 pathogens you should be worried about. Infectious disease doctors worry about diseases like Vancomycin-intermediate Staphylococcus aureus which is an example of a much more serious threat. You're worrying about a meteor strike when while living in Tornado Alley. Sure there is a tiny risk but it isn't what you should be concerned about. Ebola is scary but there are MUCH scarier and FAR more likely pathogens out there.

    Ebola is hard to transmit, easy to contain, evolves slowly and is very unlikely to come anywhere near you in the near future.

  21. Of COURSE it's a good idea. by sirwired · · Score: 2

    Better to study Ebola in a large, properly-equipped research facility where we know exactly who has it (this one guy), and can take appropriate precautions. The precautions needed to keep the infection from spreading in a hospital setting are not particularly elaborate; better than what's available in BFE General Hospital, but nothing fancier than the isolation unit present in just about every major academic medical center in the US.

    That's about 1000x better than somebody bringing it over here and spreading it to some other people before somebody recognizes it for what it is, and that being the first chance to run real research on a live patient. This way, we bring over one guy, and the best infectious disease doctors in the world can all be treating him at once in a facility designed for exactly this purpose, with virtually zero chance of this not-particularly-communicable disease going anywhere.

    Or, we could have a surprise panic when this shows up in a family somewhere in flyover country, or somebody spreads it to patients in the waiting room of the Metropolis General Hospital ER... yeah, that's LOTS better.

    Or not.

  22. Re:Yes, let's do this. by Anonymous Coward · · Score: 3, Funny

    As God as my witness, I thought ebola victims could fly!

  23. We have assured the Administrator... by Pvt_Waldo · · Score: 2

    SCIENTIST 1
    I'm afraid we'll be deviating a bit from standard analysis procedures today, Gordon.

    SCIENTIST 2
    Yes, but with good reason. This is a rare opportunity for us. This is the purest sample we've seen yet.

    SCIENTIST 1
    And potentially the most unstable!

    SCIENTIST 2
    Oh, if you follow standard insertion procedures, everything will be fine.

    SCIENTIST 1
    I don't know how you can say that. Although I will admit that the possibility of a resonance cascade scenario is extremely unlikely, I remain uncomfortable with the---

    SCIENTIST 2
    Gordon doesn't need to hear this. He's a highly trained professional. We have assured the Administrator that nothing will go wrong.

    SCIENTIST 1
    Ah yes, you're right. Gordon, we have complete confidence in you.

    SCIENTIST 2
    Well, go ahead. Let's let him in now.

  24. Re:Yes, let's do this. by Charliemopps · · Score: 3, Informative

    Let's bring all the diseases here. What could go wrong?

    They are all, already here. If you think they aren't, you're rather foolish. The difference here is this case got the media's attention. You literally have to get the carriers bodily fluids in your mouth to catch this. That's only happening in areas with sanitation so poor that hardly exist in this country, or if you're in healthcare and taking care of the victims. Which, btw, is what both these people were doing. They're heros, and should be treated as such.

  25. Failure to plan in advance by OrangeTide · · Score: 2

    We've had about 30 years to decide draw up plans for dealing with Ebola. There is the real amount of time available for transparency, not the brief time you claim. That we chose to make no plans today does not mean we automatically agree to bring Ebola infected patients into our population centers, even if someone's life is on the line.

    --
    “Common sense is not so common.” — Voltaire
  26. Re:Yes, let's do this. by Anonymous Coward · · Score: 2, Insightful

    Many of the foreigners are dirty with infestation and disease And that's the fucking point. They're supposed to be in guarantee. No actually, they're supposed to be DEPORTED unless they have a valid entry visa!!! In fact, that's exact what went on at Ellis Island.

    Am I against illegal immigration? You God damn right I am. OUR PEOPLE COME BEFORE THEIRS! Period. Those fuckers need to walk back to where they came from and start a revolution in their own countries. If they can't keep their own country form turning into a 3rd world hellhole, why in the fuck are we allowing the same thing to happen to this one?

    Let me beat you over the head with a clue stick. It's for the votes. The middle class is a threat to the establishment. Both the Republican's and Democrats want slave labor. A caste base system is their ultimate goal!

  27. Re:The research is to stop an outbreak, not cause by eli+pabst · · Score: 3, Insightful

    or research ... risking an Ebola outbreak in a major US city

    The entire point of the research is to learn enough to be able to stop an outbreak in a major US city if one were to start.

    Why do you seem to be advocating not doing such research?

    I'm all for it, just do it in Africa. Send a team from the CDC with everything they need and enough LN2 to freeze every specimen they could possibly want, then fly that back to the CDC and do the research in a BSL4. If you want to do in vivo research, then use an animal model. Unlike many other pathogens, there are animal models for Ebola infection that are comparatively good. Realistically, bringing two patients who are already infected with Ebola to the US probably isn't going to advance knowledge in that area in such a quantum way as to outweigh the potential risks.

  28. Don't worry about this... by gestalt_n_pepper · · Score: 3, Interesting

    Worry about the folks who flew here from Africa who didn't know they were infected, and are even now having hamburgers at the airport.

    --
    Please do not read this sig. Thank you.
  29. considering the virus resivoir... by swschrad · · Score: 2

    who can blame me for saying this is batshit insane? and isn't the level-4 biohazard lab at the CDC still closed because they can't read the freakin' instructions?

    --
    if this is supposed to be a new economy, how come they still want my old fashioned money?
  30. Actually they ARE working on some treatments. by Ungrounded+Lightning · · Score: 5, Informative

    It's not like there is some magical cure awaiting them upon arrival at Emory, there is no cure for Ebola. About the best they can hope for is palliative care, so why not just send a team to West Africa to do the same.

    Actually there ARE some experimental treatments and antivirals, both general and specific to Ebola, being worked on. At Emory, in particular. (It's their business.)

    In fact, according to previous reports, THIS GUY was working on them. And he had ONE dose of one of them WITH him.

    Unfortunately, when he and a colleague both started showing symptoms, THIS GUY gave the ONE DOSE to the OTHER GUY.

    Has he had other treatments already that might have made him more resistant than J. Random Villager? Haven't heard yet, but it sure wouldn't surprise me.

    Bring this partiular guy back to the US, to the CDC facilities, shove him in a best-of-its-class isolab, and give him the best supportive care available (including more experimental stuff)? This might make sense, big time, despite the risks in transit.

    --
    Bantam Dominique roosters crow a four-note song. Once you've heard it as "Happy BIRTHday" you can't NOT hear it that way
    1. Re:Actually they ARE working on some treatments. by nbauman · · Score: 4, Informative

      Actually there ARE some experimental treatments and antivirals, both general and specific to Ebola, being worked on. At Emory, in particular. (It's their business.)

      In fact, according to previous reports, THIS GUY was working on them. And he had ONE dose of one of them WITH him.

      Unfortunately, when he and a colleague both started showing symptoms, THIS GUY gave the ONE DOSE to the OTHER GUY.

      Actually, the infected doctor, Kent Brantly, gave the treatment to another missionary, Nancy Writebol, and she's also being evacuated on that plane. http://www.washingtonpost.com/... They haven't announced what the treatment is, but it might have been IgG blood serum http://www.livescience.com/471... separated from the blood of one of the other victims. Or it might have been a new untested adenovirus vaccine, which works (on monkeys) even after they're infected. Or it might have been a monoclonal antibody. Or it might have been an experimental RNA virus. http://www.nature.com/news/ebo... I can't understand why they're keeping it a secret.

      These untested treatments are all desperate measures. From what I've read in the New England Journal of Medicine clinical cases, these are the kind of treatments that they use when everything else fails, the patient is dying, they don't know what else to do, and there's nothing to lose.

      As I understand it, the odds are against it, but they're the best doctors in the world, and I hope it works.

      I also don't understand why they're bringing them to the U.S. The only treatment is supportive care. I think they also have planes that are set up with a transportable ICU, so they should be able to treat them on site.

      There is a risk of the virus getting out, no matter how careful they are. They're doing this all for the first time. One problem is that handling a case like this is so complicated, and you only have to make one mistake. An ICU is full of equipment. Since ebola can't be treated, an epidemic spreads until it kills off so many of its victims that there's nobody left to infect, and it burns itself out.

      With SARS, a lot of medical workers, particularly nurses, got infected, and they were a large number of the fatalities.

    2. Re:Actually they ARE working on some treatments. by damienl451 · · Score: 2

      I don't believe he was working on them. He is a medical missionary, not a researcher, and the experimental drug was flown in after he had become sick. So, no, he's had no special treatment before. Just a regular guy straight out of residency who had gone to Liberia to provide regular medical care and found himself in the middle of an Ebola epidemic.

      Why are they flying him in? Good question. Although it's very unlikely that Ebola would start spreading in the US, there may be isolated cases, which means that it could be a good idea to see what can be done in a more controlled environment, as you point out. Plus it might allow the family to say goodbye to them if they're not gonna recover. Sooner or later, people would have complained that America/Obama/Democrats let down two American heroes who were left to die in a foreign country when perhaps they could have been saved. Especially if they're missionaries working with a rather polarizing organization.

  31. It's not NIMBY, it's VECTOR by Anonymous Coward · · Score: 5, Insightful

    The ebola virus, so far, are not airborne, but it does spread via liquid flow

    The ebola virus that CDC and all other research labs study are stored inside sealed containers which are stored inside sealed rooms which are inside sealed buildings, and every single time they are done with their research ***EVERYTHING*** goes into the incinerator, ***EVERY SINGLE THING***, in order to make sure that no virus, not even one , will get the chance to escape

    But bringing in the patients striken with ebola will mean importing a human being with all the body fluids that are infected with that virus --- and the bodily fluid, from tears to saliva to sweat to blood to excrement are full of the virus

    Unless they seal the patient inside a sealed container and then move that seal container inside the military transport plane, and then moved it out when the plane reached the destination, that military transport plane itself will, one way or another, be left with traces of bodily fluid from the ebola patients

    Now, I am not scare mongering, but in the medical world there is a thing called "vector" --- which means, the way the disease spread --- and those traces of bodily fluids inside the big military transport plane may become a vector for spreading that disease

    Furthermore, when the patient arrives inside the States, that patient will gonna discharge his/her bodily fluid (pee, sweat, saliva, blood, shit) and how are all those bodily fluid gonna be taken care of ?

    Unless that hospital has a specialized toilet where all the thing flushed from that toilet goes through an incinerator / or some kind of total disinfection system before that fluid was discharged out into the sewage system --- which will flow down, eventually, into rivers --- how can anyone be sure that none of the ebola virus is going to escape from the hospital ?

    It is not about NIMBY --- it is just common sense

  32. Well you can't blame him... by Anonymous Coward · · Score: 2, Funny

    for mistaking 'bringing back Ebola' with 'bringing back Ebonics'. I just wish he hadn't mixed up those CDC acronyms...

  33. Re:The research is to stop an outbreak, not cause by Anonymous Coward · · Score: 2, Interesting

    No animal model is a substitute for real human treatment data. Speak to any immunologist/virologist and they will tell you that you can never be sure if pre-clinical treatments, developed in animal models, will actually be effective in humans.
    If you think rationally about the potential risks, then you will realize that there is really is no chance of an outbreak in the US and the only people that have any risk are those that are going to directly come in close contact with the patient.

  34. Re:The research is to stop an outbreak, not cause by Sabbatic · · Score: 2

    It's a public policy issue, not a people in white coats issue. So, the public gets to comment, and the burden is on the CDC and the rest of the government to prove that what they are doing is necessary by public standards. The only people who trust the white coats to make consistently smart decisions in the public interest are people who have an ideological investment in believing that they make great decisions far above what we mere mortals can, and those who are profoundly ignorant and follow the government's lead regularly. For everyone else, for everyone with a brain and no ideological investment, questioning is practically an ethical mandate.

  35. Re:The research is to stop an outbreak, not cause by rahvin112 · · Score: 2

    Your wrong on this. If Ebola has gone airborne (it kills more than 2/3rd of infected and it's got a 21 day incubation) we could be in for the worst pandemic the world has seen since the black death in Europe. The typical response to that statement is an eyeroll and a "they've said that before". Yes they did, and then they did what they always do, massive massive research to understand the virus so they could develop a vaccine before it got to the kill everyone stage. The end goal of bringing these people home is a vaccine for the rest of us before Ebola comes here for real (and it will come here if it goes airborne). The secondary goal is to save their life. But if they die they have direct access to the live virus and a corpse killed by it. The research value is immeasurable for those two things.

    Please understand without a threat of this coming to the west there is almost no chance whatsoever that a vaccine will be developed. West Nile Virus has been around for hundreds or thousands of years. It's arrival in the US triggered real research that is probably going to result in a vaccine next year. The same is true of Ebola, bringing an infected American home is going to result in fast tracking the research on this virus.

    A pandemic like this is incredibly scary. In every major city in the US we have enough medical beds to support about 1/4 of 1% of the population being sick enough to require hospitalization. If 20% of the population needed medical attention about 19.75% probably wouldn't get any. There is a movie that I think accurately displays this. It's called Contagion, they show the CDC and FEMA building basically large warehouse facilities to hold the sick and dieing (with very little care) and they even show the massive central disposal systems that would need to be in place to handle that number of bodies. The other nice thing is they show the breakdown in society including uncontrolled rioting and all the bad stuff humans will do to survive.