Slashdot Mirror


Obama Presses Leaders To Speed Ebola Response

mdsolar writes with the latest plan from the U.S. government to fight the Ebola epidemic in West Africa, and a call for more help from other nations by the President. President Obama on Tuesday challenged world powers to accelerate the global response to the Ebola outbreak that is ravaging West Africa, warning that unless health care workers, medical equipment and treatment centers were swiftly deployed, the disease could take hundreds of thousands of lives. "This epidemic is going to get worse before it gets better," Mr. Obama said here at the Centers for Disease Control and Prevention, where he met with doctors who had just returned from West Africa. The world, he said, "has the responsibility to act, to step up and to do more. The United States intends to do more." Even as the president announced a major American deployment to Liberia and Senegal of medicine, equipment and 3,000 military personnel, global health officials said that time was running out and that they had weeks, not months, to act. They said that although the American contribution was on a scale large enough to make a difference, a coordinated assault in Africa from other Western powers was essential to bringing the virus under control.

34 of 221 comments (clear)

  1. War! by BringsApples · · Score: 2
    FTFA:

    U.S. lawmakers called for a government-funded "war" to contain West Africa's deadly Ebola epidemic...
    "We need to declare a war on Ebola," Senator Jerry Moran, a Kansas Republican, said...

    It's good to see that word in a context that we can all agree on.

    --
    Politics; n. : A religion whereby man is god.
    1. Re:War! by QilessQi · · Score: 2, Insightful

      Let's hope it goes better than the "War on Drugs".

  2. What good is aid going to do by kruach+aum · · Score: 4, Insightful

    When the populace actively attack medical workers, violently disrupt quarantines, and engage in ebola spreading funerary customs? 3000 soldiers seems hardly enough to combat that level of ignorance of how disease transmission works.

    1. Re:What good is aid going to do by Charliemopps · · Score: 4, Informative

      When the populace actively attack medical workers, violently disrupt quarantines, and engage in ebola spreading funerary customs? 3000 soldiers seems hardly enough to combat that level of ignorance of how disease transmission works.

      When medical workers take your relatives away, lock them into camps where the litteraly die from either the disease or starvation, then refuse to let you burrie your relatives... you might react rather violently when they came for you as well.

      Logically we in the west can think about this and say that all of those things were required to control the outbreak. But now think of it from the perspective of a villager that has never set foot in a school and the only news they get is via word of mouth and text message.

    2. Re:What good is aid going to do by kruach+aum · · Score: 3, Interesting

      I'm not sure what you're trying to say here. Considering the situation from the perspective of someone who is ignorant doesn't remove the ignorance from their point of view. In fact, it makes it more obvious. Their ignorance explains their behavior, and it also explains why this effort to stem the tide will probably be ineffective.

    3. Re:What good is aid going to do by Charliemopps · · Score: 2

      Because you're clearly using it in a disparagingly. They're as learned as can be expected given their situation. Medical staff need to take that into account and deal with them appropriately. If my dentist told me to fix tooth he was going to drill a hole in my head, then tried to strap me to a chair forcibly, punching him in the face would not be an over reaction. If I had a medical degree, you could argue, I'd have know that what he said was an appropriate remedy, but that doesn't negate his responsibly as a doctor to communicate with me in an appropriate manner that didn't lead to me reacting violently. It's part of a medical professionals job.

    4. Re:What good is aid going to do by kruach+aum · · Score: 2

      The disparagement is all in your mind. Ignorance is usually used disparagingly, but I didn't do so here. I simply used the word that was most appropriate to the situation: these people are ignorant of certain information about the world, and that informs their behavior. To stop that behavior, they should be educated, not invaded by soldiers.

      Here is something that is meant disparagingly: stop projecting your insecurities and personal biases onto the world and try to--actually--consider the idea that not everyone is like you. If your use of empathy was genuine you would be able to do that, but instead you just seek to stir shit by going after anything that could be interpreted as "not empathetic enough".

    5. Re:What good is aid going to do by Anonymous Coward · · Score: 3, Insightful

      Different AC but a lot altruism is rooted in selfishness. I'm not saying what he is though, bear with me.

      That doesn't devalue altruism, and sometimes that root can be simply feeling better about yourself for doing a good thing, or making sure horrible things don't tumble into your own comfortable life, which are ultimately good reasons to do good things and those reasons don't cheapen the fact that you did a good deed for someone else. But ultimately good deeds are still about imposing your will on the world, and that by it's nature is a selfish act.

      Basically what I'm saying is in the end no one's completely selfless and even selflessness is rooted in a desire for something. That doesn't make it any less good to be those things. If anything it makes it all the more important and all the more obvious that altruism's the best way to go. If your will is satisfied and in the process you make someone else's life better, everyone wins.

    6. Re:What good is aid going to do by Penguinisto · · Score: 4, Informative

      I see you're still stuck in that Party vs. Party trap. ...need help getting out of that, or do you wish to continue laboring under the delusion that either of the big two political parties actually give a damn about anything beyond the continued acquisition of money and power?

      --
      Quo usque tandem abutere, Nimbus, patientia nostra?
    7. Re:What good is aid going to do by ColdWetDog · · Score: 2, Insightful

      Please do do not move.

      Place your hands on the monitor.

      The SWAT team will be at your door shortly.

      - - -Thank you
      FBI Task Force on Terrorism

      --
      Faster! Faster! Faster would be better!
    8. Re:What good is aid going to do by symbolset · · Score: 2

      This strain of misinformation is not helpful. Doctors are human all over the world. They make mistakes when they are on a long shift without sleep, making do with limited resource, doing their best against an insurmountable terror. Just imagine dedicating yourself to a life of saving lives and thrust into a situation where no matter what you do 60% of your patients are going to die. Struggling with all your might because even that is four times the survival rate without modern medical treatment. And yet outside your clinic are guards who turn away more desperately ill people than they let in, and more every day. This is the reality. In the US you are proud of our first world medicine? Try to access that care when any kid with sniffles can be carrying a disease that kills doctors. You will find that a lot of doctors in the first world can afford a long sabbatical.

      --
      Help stamp out iliturcy.
  3. Worse than it seems. by Scottingham · · Score: 3, Insightful

    This pandemic is almost certainly worse than it seems. For every reported case there are now likely a dozen unreported.

    I have a feeling that all this effort from the US and others is to make the folks back home feel safer in that we are 'doing something'. In all likelihood the only thing that'll stop the spread at this point is stricter quarantine around the infected countries(!). Refugees would need to go into quarantine to make sure they are not carrying the disease.

    This disease, and the corresponding collapse of infrastructure, will likely kill hundreds of thousands of people before its over.

    I hope I'm wrong.

    1. Re:Worse than it seems. by DarkOx · · Score: 2

      I am not sure where some of your numbers are coming from but you are correct about one thing. There are likely *many* unreported cases out there.

      I hope we are not putting our service people into harms way against an enemy that they are not trained or equipped to fight; just to look like we are 'doing something'.

      --
      Repeal the 17th Amendment TODAY! Also Please Read http://www.gnu.org/philosophy/right-to-read.html
    2. Re:Worse than it seems. by Ralph+Wiggam · · Score: 2

      That's the World Health Organization's current estimate of fatalities if more containment is not done immediately.

      They're not exactly "armchair".

    3. Re:Worse than it seems. by Charliemopps · · Score: 4, Insightful

      Don't fall for the media frenzy. Keep in mind they are making a lot of money off of all your panicked clicks.

      This is certainly a tragedy for Africa. Just like the last 5 Ebola outbreaks were. This one's bigger but that mostly appears to be due to changes in culture and population than any change in the disease. But, by and large, Ebola is hard to transmit. It's prevalent in Africa because of poor sanitation. I've been to Africa (not this region, but others) The sanitation there is awful and even I, being careful, pretty much caught everything under the sun. There is no clean water to wash with. I bought bottled water and washed with that... didn't matter. The food is handled by dozens of people before you get it and there's no way to wash that either. The people that handled it clearly couldn't wash up properly either.

      In regards to the medical facilities... they are woefully understaffed, under trained and short on equipment. The biggest difference the United States could make is to send over more of all of these. If the troops were sending are of this nature, it will certainly do a lot of good.

      As far as a threat to us in the west though? No... short of it going airborne which, despite the soulless talking heads on TV are saying, is extremely unlikely. And if it were already airborne, we'd all already have it. Luckily, ultra deadly diseases like this burn out very quickly. It's hard to be virulent and deadly at the same time. The dead aren't that great at walking around and infecting people.

    4. Re:Worse than it seems. by i+kan+reed · · Score: 2

      Okay, and that'd be perfectly reasonable, if there was any way I was supposed to understand that source for the figures.

      To put it another way, how was I supposed to know it wasn't armchair in the context of information available in this thread?

    5. Re:Worse than it seems. by Ralph+Wiggam · · Score: 2

      Fair enough. Obama made that claim, with a citation, in his speech.

    6. Re:Worse than it seems. by david_bonn · · Score: 4, Informative

      Best article I've found on this topic (they are estimating between 77000 and 278000 cases by the end of the year):

      http://www.eurosurveillance.or...

      And the wikipedia page on the outbreak is also quite good:

      http://en.wikipedia.org/wiki/E...

      This is an extremely scary situation. We have a 77% fatal virus with the caseload doubling roughly every three weeks. We might get lucky and this might burn itself out before it goes airborne or global some other way. Then again we might not.

      My concern is what we are sending to Africa is probably not going to be nearly enough. And by the time it all gets there we might be looking at 10000 or 30000 cases, not the few thousand we have today. I also agree that it is very likely that the official figures substantially understate the number of infected.

  4. Re:Grim by Archangel+Michael · · Score: 2, Informative

    It is grim because we don't want to "offend" anyone with the proper response (quarantine the zone) . Political Correctness run amok is going to kill people.

    How many dead or sick people before we stop worrying about feelings and sensibilities?

    --
    Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
  5. so the story goes by nimbius · · Score: 4, Informative

    researchers in 1973:Jesus christ we've just found a horrible disease in africa!
    Nixon: lol africa.
    researchers in 1995: jesus guys this outbreak just killed 250 people in the congo.
    the clinton: but i dont play the congo.
    researchers in 2007: guise this deathtoll is over 1000 so far and Western Uganda is looking pretty bad.
    Dubya: What do you mean western union kicks ass their commercials are funny.
    Ebola 2014: remember me? LOL KILLSTREAK=4000 and i took a few medics too u mad?
    Obama: I'm dedicating 175 million dollars to fight this horrible disease
    congress: nope.jpg
    Obama ....seriously....
    Congress: LOL y u mad bro?

    --
    Good people go to bed earlier.
    1. Re:so the story goes by Anonymous Coward · · Score: 5, Insightful

      ...

      Dubya: What do you mean western union kicks ass their commercials are funny.

      ...

      Get over your "blame BOOOSH!!!!" childishness, you ignorant twerp.

      Eugene Robinson: George W. Bush’s greatest legacy — his battle against AIDS

      This is a moment for all Americans to be proud of the best thing George W. Bush did as president: launching an initiative to combat AIDS in Africa that has saved millions of lives.

      All week, more than 20,000 delegates from around the world have been attending the 19th International AIDS Conference here in Washington. They look like any other group of conventioneers, laden with satchels and garlanded with name tags. But some of these men and women would be dead if not for Bush’s foresight and compassion.

      Those are not words I frequently use to describe Bush or his presidency. But credit and praise must be given where they are due, and Bush’s accomplishment — the President’s Emergency Plan for AIDS Relief, or PEPFAR — deserves accolades. It is a reminder that the United States can still be both great and good.

      When the Bush administration inaugurated the program in 2003, fewer than 50,000 HIV-infected people on the African continent were receiving the antiretroviral drugs that keep the virus in check and halt the progression toward full-blown AIDS. By the time Bush left office, the number had increased to nearly 2 million. Today, the United States is directly supporting antiretroviral treatment for more than 4 million men, women and children worldwide, primarily in Africa.

      ...

      Eugene Robinson and the Washington Post are hardly Bush's greatest supporters. Yet I bet you never even heard of what Bush did for Africa and AIDS, have you? Yet you felt qualified to make fun of what Bush knew about Africa. So that makes "childishness" and "ignorant twerp" quite accurate, aren't they? How about "arrogant", too, to go along with "ignorant"? It fits.

      Meanwhile, Obama's poll numbers are worse 6 years into his Presidency than Bush's numbers 6 years in. Yeah, we know, all Obama's problems are because of "BOOOOSH!!!!".

      Fucking baby.

    2. Re:so the story goes by Tailhook · · Score: 4, Interesting

      From UT Austin: On the Cusp of an Ebola Vaccine

      Bush built that lab (Galveston National Laboratory) as part of the $5 billion Project Bioshield Act of 2004, one of two, the other being at Boston University Medical Center. These are the places where actual research on ebola, dengue, hemorrhagic fever, SARS and others has been happening for years while you perfected your Bush derangement syndrome narrative.

      Ass monkey.

      --
      Maw! Fire up the karma burner!
  6. Re:Africa by jklovanc · · Score: 2

    Rwanda was very different. It was a tribal war and not a medical emergency. Rwanda was much more complex.

  7. Re:It's not really that bad by Irate+Engineer · · Score: 4, Insightful

    It's not the total count (but thousands of people dead sucks) but the *rate* of infection that is freaking people out. It is picking up speed. That's bad.

    We're looking at 10^3 *reported* cases, and this is currently uncontained, so who knows how many are bleeding out of their orifices in single apartments, unreported.

    The bigger an infection gets, the harder it is to stop. So yeah, you want to freak out early and try to put the fire out quick by putting a lot of assets on the scene.

    And, by the way, there are regions of the U.S. (yes, 'Murika!) where washing of the dead is a burial ceremony. Don't say that it can't possibly happen here. It can if you tempt fate enough times.

    --

    Left MS Windows for Linux Mint and never looked back!

    Vote for Bernie in 2016!

  8. Re:Grim by MisterSquid · · Score: 5, Insightful

    It is grim because we don't want to "offend" anyone with the proper response (quarantine the zone) . Political Correctness run amok is going to kill people.

    How many dead or sick people before we stop worrying about feelings and sensibilities?

    Don't be daft.

    It is impossible to quarantine an area encompassing Nigeria, Liberia, Sierra Leone, Senegal, Congo, etc. Furthermore, a quarantine condition would likely lead to a humanitarian disaster, which I'm guessing the US government foresees and wants to establish a presence on the ground to "assist."

    As the days go by I can't help but think of the way in which the military was deployed in 28 Weeks Later (sequel to 28 Days). Let's hope treatment production can ramp up and get to the sufferers before a tactical military response is even contemplated.

    Also, I suspect one reason why the US is out in front of this is that they've run epidemiological simulations on EBV and have found that the whole world, including the US, in a shitload of trouble in short time.

    --
    blog
  9. Re:It's not really that bad by craighansen · · Score: 2

    Perhaps you are unaware of exponential growth - http://www.geert.io/exponentia...

    It's going to be difficult enough to get the 1700 beds constructed quickly enough to make a dent in this problem, and the magnitude of the problem is approximately doubling every month.

    From the comments I've been reading to most of the Ebola news articles these days, American's have been demonstrating their stupidity at a truly alarming rate.

  10. Re:Grim by mdsolar · · Score: 2

    Like this? http://www.google.com/imgres?i... Sorry, no chest hair.

  11. Re:Grim by aaaaaaargh! · · Score: 2, Informative

    You might have a point there. If this happened in the US, people would perhaps really go nuts, many would likely panic and do all kind of crazy things, and some of them would shoot around like mad men, killing their fellow citizens, doctors, nurses and aid workers, and then infect 20 other people ... and then refuse to get vaccinated even tough a vaccine was available ...

  12. Re:Grim by Penguinisto · · Score: 2

    Guns? Yeah, we got 'em in spades. Good luck using one to stop an M1 Abrams, a Hellfire missile, an AC-130, or suchlike.

    Yes, we also have rights, but... an extreme and obvious case such as an Ebola outbreak in the US will obviously trump those rights (hell, past presidents have suspended habeas corpus before in the name of extremes...)

    --
    Quo usque tandem abutere, Nimbus, patientia nostra?
  13. Re:Grim by Penguinisto · · Score: 3, Insightful

    Ye Gods... really?

    If you're quarantined and you see neighbors dying of Ebola, for fuck sakes - do your rights demand that you escape by any means, carry it with you, and spread it to other areas?

    I get individual rights over statism, and would be among the first to take up arms against a tyranny, but damn... think of your fellow human beings for once.

    --
    Quo usque tandem abutere, Nimbus, patientia nostra?
  14. Easy Math by Anonymous Coward · · Score: 2, Insightful

    The death rate for the first 1000 infections was around 75%.

    So 750 deaths.

    By the time we reached 2000 infections the overall death rate was around 65%

    So 1300 total deaths, or only 550 of the second 1000, which is 55%.

    and by the time we reached 3000 infections it was around 55%

    So 1650 total deaths, or only 350 of the third 1000, which is 35%.

    The actual death rate right now is more like 35-45%

    Which is certainly an improvement, but it's still terrible.

    I assume this is because the care is improving and more people are pulling through

    They try to keep them hydrated and well fed so that they don't simply die from the vomiting. They also try to detect them as early as possible to prevent the disease from spreading, and that likely makes the treatment more effective. However, there isn't much they can do as the treatment doesn't attack the virus directly, but is merely focused on keeping the body as healthy as possible so that they don't die before the immune system is able to deal with it.

    but outbreaks like this often become less virulent over time as well.

    That's the nature of things that change. At first they get worse, then at some point they're as bad as they are going to get, then they get better. However, without hindsight, it's difficult to say where we're at on that timeline.

  15. Re:Grim by MisterSquid · · Score: 3, Insightful

    Sure, it won't be pleasant, but the "Western" world shouldn't take anywhere near the damage Africa is taking.

    You're doing that thing some of us call "skating to where the puck was" rather than "skating to where the puck will be".

    EBV has already manifested several versions, some airborne (not yet contagious for humans), others with lower lethality (which is why this recent outbreak is so much more severe than previous ones).

    If EBV is not contained now and stopped in its tracks, it will mutate/evolve and eventually be "successful" enough that you, I, and everyone else in the Western world will wonder what the hell happened.

    --
    blog
  16. Re:Grim by Rich0 · · Score: 3, Insightful

    you're really excited to give your rights away, but I'm not going to let you take mine.

    Uh, if you're in the one town in the US where there is an Ebola outbreak you're not going to be able to stop the rest of the country from taking your rights. There will be fences, tanks, armies, drones, aircraft, and the general works surrounding your town. Your stash of AR-15s in the basement aren't going to accomplish much except maybe to keep your neighbors from stealing your food assuming you have a stockpile so that you can stay inside and let the disease blow over. Besides, if you do have such a stockpile then just hunker down - you'll outlive the epidemic anyway, which is probably why you have that stockpile to begin with.

    Well, that is if the rest of the country has the brains to set up a strong quarantine. There is a good chance that this won't look good in the polls so we'll just ask everybody to be nice and stay at home, and watch the disease overrun the country. Maybe I should work on my own stockpile... :)

    But, if the government has any brains they'll put up a perimeter around the town, lock down all air travel into/out of the country, And burn down everything within 10 miles of the town to create a no-man's land. I mean, we are talking about a plague that could kill half the population here. Given a choice of raising taxes half a percent to rebuild the no-man's land after it is all over, or watching the entire country turn into a post-apocalyptic horror story, I'll take a bit of authoritarianism and call you in the morning.

  17. Re:Grim by Electricity+Likes+Me · · Score: 2

    There is some level of quarantine - the liberian government blockaded in the slum area where a clinic was raided, and sealed off about 50,000 people. That's probably about the limit of their efforts.

    But frankly, you're also ignoring what's been actually happening: such an ambassador catching Ebola in one country, knowingly returning to another (via air travel), then staying in a hotel without telling anyone being treated in secret by a doctor, who also doesn't tell anyone, goes home, and spreads it to his wife.

    Queue a couple 1000 potentially infected, by a vector which would be utterly missed due to plain old corruption and idiocy.

    So what do you do now? Expand the quarantine? Do you even have enough troops to do that? And in the meantime, what about all the regular issues such as food and water, sanitation and normal completely curable diseases which will take hold.