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Texas Ebola Patient Dies

BarbaraHudson writes Thomas Duncan, the ebola patient being treated in Texas, has died. "It is with profound sadness and heartfelt disappointment that we must inform you of the death of Thomas Eric Duncan this morning at 7:51 am," hospital spokesman Wendell Watson said in an emailed statement. If he had survived, he could have faced criminal charges in both the US and Liberia for saying on an airport screening questionnaire that he had had no contact with an Ebola patient. UPDATE: Reports of a possible second Ebola victim in Texas are coming in. From the article: "The patient was identified as Sgt. Michael Monning, a deputy who accompanied county health officials Zachary Thompson and Christopher Perkins into the apartment where Thomas Eric Duncan stayed in Dallas. The deputy was ordered to go inside the unit with officials to get a quarantine order signed. No one who went inside the unit that day wore protective gear."

64 of 487 comments (clear)

  1. He thought she had maliaria, not Ebola by daveschroeder · · Score: 5, Insightful

    Whether he lied or not, some accounts say that he believed the woman he aided had malaria, not Ebola. And the woman's family themselves may have lied to the people aiding them.

    Ultimately, the biggest breakdown occured with the hospital, which was told twice that he had just traveled from Liberia on the first visit, and has since admitted this information was available to all providers. This has caused the tilt to the other extreme, with even the most innocuous cases of fever, adominal distress, and similar, with no travel or other history that would point to Ebola, being handled as such "out of an abundance of caution".

    Keep in mind that viral hemorrhagic fevers (VHFs) are nothing new in the US. what happens in the United States with other fatal VHFs, that, like Ebola, are only spread via direct contact with bodily fluids and can be easily addressed in first world nations:

    Hanta: http://www.cdc.gov/hantavirus/...

    Marburg: http://www.cdc.gov/mmwr/previe...

    Lassa: http://www.cdc.gov/media/relea...

    Hanta is especially on point, as the US typically has dozens of cases -- and dozens of deaths -- each year, all of which are rapidly contained. The cases of "imported" VHFs, like has occurred with Marburg and Lassa, result in identification, isolation, and either the recovery or death of that person -- and that's the end of it.

    Also, Ebola is NOT airborne. Ebola researchers will AT MOST say things like:

    Peters, whose CDC team studied cases from 27 households that emerged during a 1995 Ebola outbreak in Democratic Republic of Congo, said that while most could be attributed to contact with infected late-stage patients or their bodily fluids, "some" infections may have occurred via "aerosol transmission."

    "Those monkeys were dying in a pattern that was certainly suggestive of coughing and sneezing â" some sort of aerosol movement."

    "May". "Suggestive". "Some sort".

    Even if we change all of these statements to absolute certainty, it still does not translate to, "Ebola is airborne," in the meaning of "airborne" in the context of disease transmission.

    Airborne transmission occurs when a droplet nuclei containing a virus (or bacteria) is small enough (10 μm) occurs when droplets of saliva or mucous (or even blood) containing the virus are projected during a sneeze or cough and and projected directly onto someone's eyes, mouth, or mucous membranes. This kind of transmission is usually within 3', and is NOT considered "airborne" transmission.

    "Droplet" transmission can certainly occur with Ebola -- or any disease that spreads via bodily fluids and is present in saliva or mucous. VHFs are not airborne diseases, and a study of one strain where monkeys in adjacent cages sneezed on each other and passed the disease does not make it "airborne".

    Being able to get something from having someone sneeze or cough droplets onto you and airborne transmission are very different things.

    The quickest way to have a threat of possible airborne transmission of Ebola via mutation would be to not aid Africa in this fight, and let Africa fend for itself, creating an environment where the cases could skyrocket into the millions (due to Africa's infrastructure and inability to deal with the onslaught), thereby increasing the statistical likelihood of the feared airborne mutation -- which, if a foothold were to be gotten in the West as an airborne disease, would truly be a catastrophe worthy of fear and panic.

    In reading much of the news coverage, online commentary, and this thread, this article struck me as very relevant:

    http://www.nationaljournal

    1. Re:He thought she had maliaria, not Ebola by lxw56 · · Score: 2

      Aerosol from a sneeze could travel up to eight feet, according to reports on a recent study.

    2. Re:He thought she had maliaria, not Ebola by Nezic · · Score: 2

      Keep in mind that viral hemorrhagic fevers (VHFs) are nothing new in the US. what happens in the United States with other fatal VHFs, that, like Ebola, are only spread via direct contact with bodily fluids and can be easily addressed in first world nations:

      Hanta: http://www.cdc.gov/hantavirus/... [cdc.gov]

      Marburg: http://www.cdc.gov/mmwr/previe... [cdc.gov]

      Lassa: http://www.cdc.gov/media/relea... [cdc.gov]

      Hanta is especially on point, as the US typically has dozens of cases -- and dozens of deaths -- each year, all of which are rapidly contained. The cases of "imported" VHFs, like has occurred with Marburg and Lassa, result in identification, isolation, and either the recovery or death of that person -- and that's the end of it.

      I don't think you know what you're talking about. Saying "only spread via direct contact with bodily fluids and can be easily addressed in first world nations" seems to be a very dismissive attitude.

      You can't declare them roughly equivalent to Ebola since they all cause types of hemorrhagic fevers, and therefor Ebola isn't anything special because it's "nothing new".

      Hanta in particular. It isn't even transmitted from person to person, only from exposure to infected rodents. It isn't at all relevant to discussions on Ebola.

      Lassa is also from exposure to rodents with 80% of cases asymptomatic, and from what I understand is much less likely to transmit person to person than Ebola.

      Hanta and Lassa also have much lower mortality rates than Ebola.

      Marburg seems to be especially rare, with one case ever of someone returning to the US with it, and it wasn't during an outbreak the size of the current one with Ebola, but is also to be taken seriously should there be an outbreak. I don't know the ease of person to person transmission with this one.

  2. The critical question by phantomfive · · Score: 2, Insightful

    Did he turn into a zombie?

    --
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  3. i could make a comment but... by Anonymous Coward · · Score: 2, Funny

    I'm not going to touch this one.

  4. Re:The Conservative Option by Karmashock · · Score: 5, Insightful

    Wrong. Aid workers from the US could return if they go through quarantine. And throughout that process they would receive our best medical care. However, having unrestricted travel between countries when there is a plague on the loose is moronic.

    Moronic... an opinion morons have.

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  5. Errata: slashdot mangled my reply... by daveschroeder · · Score: 4, Informative

    ...when trying to use the carat symbol. Fix here:

    Airborne transmission occurs when an droplet nuclei containing a virus (or bacteria) is small enough (under 5 um) to travel on dust particles, and can invisibly hang in the air or travel on air currents in large spaces long after someone has sneezed or coughed, and travel great distances, and can infect when breathed in.

    There is NO EVIDENCE that Ebola is, or has been, spread in this way. In fact, the evidence is that Ebola is almost exclusively spread via direct contact with bodily fluids.

    Droplet transmission (over 10 um) occurs when droplets of saliva or mucous (or even blood) containing the virus are projected during a sneeze or cough and and projected directly onto someone's eyes, mouth, or mucous membranes. This kind of transmission is usually within 3', and is NOT considered "airborne" transmission.

    "Droplet" transmission can certainly occur with Ebola -- or any disease that spreads via bodily fluids and is present in saliva or mucous. VHFs are not airborne diseases, and a study of one strain where monkeys in adjacent cages sneezed on each other and passed the disease does not make it "airborne".

    Being able to get something from having someone sneeze or cough droplets onto you and airborne transmission are very different things.

  6. Capt Tripps by Anonymous Coward · · Score: 3, Funny

    M-O-O-N ... That spells Ebola!

  7. Re:The Conservative Option by Anonymous Coward · · Score: 2, Interesting

    Wrong. Aid workers from the US could return if they go through quarantine. And throughout that process they would receive our best medical care. However, having unrestricted travel between countries when there is a plague on the loose is moronic.

    Moronic... an opinion morons have.

    Really? You don't think the people that want to get to the United States are going to travel somewhere else first and then simply go to the US from there? Thus, if they are infected, spreading the disease even further? Or simply trek to the nearest nation they can travel around from?

    Call names all you want, that seems to be the method employed by the people promoting the travel ban option. That and batshit insane fear mongering.

  8. Re:I have very little sympathy by Racemaniac · · Score: 2

    i find it strange that people seem to think that even if he knew, he must be doing it on purpose.
    some people just go into denial if something like that (that is likely to kill you) happens
    others just completely get blocked mentally and don't dare to tell the truth because they know what will then happen.

    We're not talking about robots that just without emotions can say yes or no you know.
    people don't always lie because they're evil masterminds bent on infecting the world.

  9. Re:Ah yes... by BarbaraHudson · · Score: 4, Interesting

    There's a lot of high-tech going on wrt ebola. Just look at the efforts to predict its spread using different models. These models could eventually bias the debate over whether extreme measures such as total border closures should be taken. Then there's the race to test different medications, and as was pointed out in an earlier article, the ethical questions surrounding control groups, with only a partial solution being the step wedge (giving different people the same treatment at different times).

    Only 774 people died in the last SARS epidemic. We're already way, way beyond that, with no end in sight.

    This is a human disaster unfolding as we watch, and at least a few of us here are still humans.

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  10. Re:The Conservative Option by Anonymous Coward · · Score: 5, Insightful

    A deadly plague is a small price to pay to be able to say we're not racists.

  11. Re:Ah yes... by BarbaraHudson · · Score: 5, Informative

    Some have wondered why President Obama is sending 3,000 American troops to Africa, when it would make more sense to send 3,000 medical workers instead.

    Troops are being sent because unprotected aid workers are being butchered to death. Also, troops are really good at logistics, like setting up field hospitals - something desperately needed in the rush to try to contain the spread of the disease.

    --
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  12. Re:Ah yes... by Frosty+Piss · · Score: 4, Informative

    Troops are being sent because unprotected aid workers are being butchered to death.

    In addition, many of those troops are medical workers.

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  13. Re:Ebola is airborne by daveschroeder · · Score: 5, Informative

    Wrong. Different strain, VERY bad source, did not happen through ventilation system. It happened to monkeys in adjacent cages without direct contact, through "some sort" of aerosolized transmission in very close quarters. I.e., droplets.

    Fearmongers or people who think "the government" is "lying to stem panic" always trot out this story. It does NOT mean "Ebola is airborne".

    It took Africa, with some of the worst healthcare, sanitation, and infrastructure in the world, 10 MONTHS to get to the ~7400 cases there are now. If it were airborne, it would be much, much worse. Ebola is not airborne; stop spreading your bullshit.

    Thank you.

  14. Re:The Conservative Option by Karmashock · · Score: 5, Insightful

    Thus other countries establish quarantine procedures.

    Are you literally slower on the uptake here then an ignorant medieval city state prince? Because even they were able to connect these dots.

    The whole region needs to be quarantined.

    The issue is not travel restrictions to the US, though that is of course relevant as well. The issue is rather controlling population into and out of the hot zone to prevent the further spread of the infection.

    Yes provide assistence. Yes aid workers. Yes work on a vaccine.

    However, in the meantime do not fuck around with this disease and just assume you can kiss it on the mouth, give it tongue, and then expect to not die horribly shortly there after.

    This disease is a proven killer. Show it some respect. That is all I am saying here. We are dealing with something dangerous. Like dealing with fire arms, explosives, toxic chemicals, or psychopaths. There are protocols. Please follow a couple.

    What I am seeing is people play hackysack with granades and occasionally blow their fucking legs off... And that would really be just fine only that analogy ultimately includes my legs and the legs of my friends and family. The disease has not spread much beyond west africa at this point. We have isolated incidents beyond that but very few incidents of the disease actively spreading outside of west africa. That is good.

    We cannot help the west africans if the disease spreads in the US or infects south america. If that happens our resources will focus internally. We will abandon the west africans entirely.

    If you care about them you will first ensure that our own safety is secured. If our safety is threatened we will turtle and anyone that says otherwise will not be able to sustain their position politically.

    You do not have a choice here. This is another lead/follow/get out of the way situation. You can either take the issue seriously. Follow the direction of those that wish to take it seriously. Or stand aside. One of these three things is happening.

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  15. Re:The Conservative Option by Razed+By+TV · · Score: 5, Insightful

    No mod points, or I would have modded GP up.

    An Ebola outbreak in the US is undesirable by pretty much everybody here, except maybe for people with stock in the companies producing cures and vaccines.

    Travel bans seem entirely reasonable to me. If aid workers want to go over and help, then by all means we should have some sort of quarantine procedure in place so we can get them home. But we don't need Joe Schmoe going over there, getting infected, and bringing it back with him. It's an unnecessary risk, just as it is unnecessary to take a leisure trip to Liberia in the middle of an epidemic.

    I am a little surprised that noone is fear mongering about someone intentionally spreading Ebola. It seems like the perfect thing to let loose in a country you are at odds with, whether you are another country or a terrorist organization.

  16. Re:21 day incubation period... by Talderas · · Score: 5, Insightful

    On average, 12.5% of the US population will get the flu in a year. That amounts to 39,500,000 individuals getting the flu. 50,000 people means the mortality rate of flu is 0.126% of cases. We have had 1 death due to ebola with 1 case of infection that was not intentionally tranfered to the US for treatment. That's a 100% mortality rate with current non-intentional US cases. Ebola's average mortality rate is 50% though it varies between 25-90% depending on the outbreak studied.

    I think a little perspective is certainly justified.

    --
    "Lack of speed can be overcome. In the worst case by patience." --Znork
  17. Airborne Mutation Remains Greatest Fear! by Scot+Seese · · Score: 2

    Probably the biggest concern is the possibility of a mutation occurring that would allow the virus to go airborne.

    Were that to happen, you are then looking at every SciFi/Fantasy end-of-days horror movie fan's highlight reel. The Stand meets Outbreak with a dash of The Walking Dead minus the zombies. The government bombing population centers in a vain attempt to contain th...

    No, wait that's what CNN wants you to believe to drive click traffic and Geico commercial video pre-rolls.

    Disinfectant hand washing and passenger screening will stop this. But that doesn't boost web traffic CPM, so let's sell the worst case scenarios. It's crucially important for everyone in the sound of my voice to believe we're all going to die from a horrible wasting hemorrhagic fever, melting like the wax nazis at the end of Raiders of the Lost Ark.

    Give us dirty laundry.

    --
    THIS SPACE INTENTIONALLY LEFT BLANK.
  18. Re:The Conservative Option by 0123456 · · Score: 3, Insightful

    Um, yes. That's because it's not been able to spread here until this man was allowed to fly across the Atlantic carrying it.

  19. Re:The Conservative Option by AK+Marc · · Score: 4, Interesting
    I have two pasports, as do many people.

    http://edition.cnn.com/2012/07...

    It is nearly impossible to estimate how many U.S. citizens have dual -- or even triple -- citizenships, says Michael A. Olivas, an immigration professor at the University of Houston Law Center.
    [...]
    The number is likely well over 1 million, he says, and is probably several times that.

    So, I can use one passport to go in and out of Cuba, Africa, Iraq, or wherever, and use the US passport for going in and out of the USA. How would they track that?

  20. Re:The Conservative Option by ColdWetDog · · Score: 4, Informative

    The incredibly high case fatality rate.

    That tends to get one's attention, it does.

    --
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  21. Re:The Conservative Option by lgw · · Score: 3, Interesting

    When it comes to life-threatening problems, 90% solutions are great solutions. Don't let the perfect be the enemy of the good.

    --
    Socialism: a lie told by totalitarians and believed by fools.
  22. Re:21 day incubation period... by nedlohs · · Score: 2

    The flu kills people who are already sick (or elderly or infants) before they got the flu.

    Ebola kills people who are perfectly healthy at the time of infection.

    Which you certainly knew, but just decided to be deceptive about.

  23. Re:The Conservative Option by Karmashock · · Score: 3, Funny

    Yes and more people have died of heart disease then were killed in WW2. So if there is a world war... just keep that in mind... we can ignore it and just focus all efforts on heart disease.

    I'm not sure if you're a chat bot pretending to a person or if you are really that stupid... either way... you're a one man example of how easy it would be to replace some people with machines. Less because the machines are so clever and more because some people are so fucking stupid.

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  24. Re:21 day incubation period... by Charliemopps · · Score: 2

    You mention all of the relevent numbers but then fail to see their significance. It's HARD to get Ebola in a country with modern sanitation systems. Yes, if 12% of the population catches Ebola we're screwed. But they wont.

  25. Re:And if Mitt Or Rick were president... by Bing+Tsher+E · · Score: 2

    because big gov't == BAD

    Why did you use a test, and not an assignment operator?

  26. Re:The Conservative Option by atfrase · · Score: 4, Insightful

    Just to play devil's advocate here for a moment:

    This guy knew he had been in the hot zone and may have been exposed, and was trying to get back to the US. So his options were

    • a) be honest about his exposure and almost certainly be denied re-entry; or
    • b) lie about exposure in order to get back into the US.

    Now, if he had not actually contracted ebola, he was likely to live in either case, (a) just would have been more inconvenient. But if (as was the case) he really did have ebola, then he would have seen (a) as suicide, and (b) as a small but measurable chance to live, given the quality of health care facilities in the US.

    So, he had quite an incentive to lie about his exposure, didn't he? I'm clearly not condoning it, but... that's quite a catch, that catch-22.

  27. Re:The Conservative Option by Karmashock · · Score: 5, Interesting

    Who said anything about forcing other countries to do anything? And as to burning bridges, do you really want to get into the whole "democrat vs republican" thing in this thread?

    I mean is that all you political tools are able to do at this point? Are you brains so hardwired into this pathetic US vs THEM mentality that EVERYTHING turns into a proxy fight in your pathetic struggle against your very similar rival?

    This has nothing to do with the ongoing joke which is the Obama presidency or the ongoing joke which is the republican party. It has everything to do with there being a "plague".

    What is being asked here is nothing extreme. Just basic quarantine procedures. You know, the things we learned to do with diseases when we stopped being ignorant savages that didn't understand microbes.

    If this breaks out the aid the west Africans are currently getting will be GONE. It will all shift to internal defense faster then you can snap your fingers. Gone. So if you want to help these people as I do... first make sure we don't have cause to refocus those resources.

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  28. Re:The Conservative Option by Khashishi · · Score: 4, Insightful

    We cannot help the west africans if the disease spreads in the US or infects south america.

    Certainly not true. This means we would spend more resources on a cure.

  29. Cost of treatment? by bhlowe · · Score: 2, Interesting

    Someone should do a FOIA request on the amount of money that was spent at the hospital and for cleanup... I assume the public taxpayer is footing the bill, we should be able to know how much one patient costs. Then we can compare that to the cost of keeping our borders open to vs. restricting some "tourist" visas.

  30. Re:And if Mitt Or Rick were president... by AK+Marc · · Score: 2

    Bah, that disease was caused by the federal government. The modern outbreak of it was caused by infected animals kept insecurely who transmitted carrier ticks to deer who swam from Long Island to Lyme, CT. It's not a coincidence that Lyme is the closest City to Plum Island disease research center. But it was the FDA, not the CDC that caused it. It's all part of the master plan to blame the federal government for everything. We should disband the federal government. Isn't that the goal of the conservatives? That's the ultimate states rights move. Civil War II!

  31. Re:The Conservative Option by Karmashock · · Score: 3, Informative

    Location of infection.
    Lack of control of infected population.
    Number of people killed.
    Mortality rate of those infected.

    Basically everything is different. I'm struggling to understand why you think they're the same.

    Bird flue has killed fewer then 200 and is contained. Ebola has killed more then 3000 and is not.

    Math is hard.

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  32. Re:The Conservative Option by ColdWetDog · · Score: 2

    Bring out your dead!

    Bring out your dead!

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  33. Re:The Conservative Option by ScentCone · · Score: 3, Insightful

    In the US, more poeple have died of gunshot wounds in the last month than have died from Ebola since it was discovered. Let's not talk about rational, effective responses from conservatives.

    Yes, and far more people die every in the US from being beaten to death by killers using fists and blunt instruments than have died by killers using rifles of any kind, let alone the small number that involved scary looking rifles with black plastic parts on them. So what? Someone deciding to kill someone else - with a knife, a pipe, a gun, or their bare hands - isn't nearly as common as stupid kids killing themselves and others in cars, but mostly: it's an active decision. There's no comparing that to an outbreak of an ugly infectious disease, especially one with a high mortality rate that can kill you weeks after pick it up from someone's spit on a doorknob.

    You want rational responses to both topics? OK, don't let violent criminals out of jail. Don't tolerate the existence of violent gangs like MS13 in our cities, and stop making it so politically incorrect to lock up crazy people who are plainly dangerous. And of couse, find ways to reduce one of the largest sources of death-by-gun stats, which is suicide - like, make Oregon's option more widely available. And in the meantime, work globally to stop travel out of West Africa until their outbreak problem is under control.

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  34. Re:The Conservative Option by Gr8Apes · · Score: 3, Insightful

    The problem with Ebola is that at best it's a geometric expansion, worst, exponential, and has a minimum 50% fatality rate. Right now it's still relatively contained, and we should ensure it stays that way.

    --
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  35. Re:The Conservative Option by Karmashock · · Score: 2

    half truth... we'd work on a cure to save ourselves... however, we'd probably have to deploy the national guard to the southern border because you might have millions of people trying to stream across if a pandemic broke out.

    in any case, the point is that if our own safety is threatened, we'll act to protect ourselves first. That is what you do in a plague. First you keep your own house in order.

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  36. Re:21 day incubation period... by jeffmflanagan · · Score: 2

    >The flu kills people who are already sick (or elderly or infants) before they got the flu.

    This is false. The most dangerous flu variants kill healthy people in their prime.

    >Which you certainly knew, but just decided to be deceptive about.

    Awesome to see someone who's spreading falsehoods call someone who's telling the truth "deceptive."

  37. Barney by PopeRatzo · · Score: 5, Interesting

    Wait, the best part of this sad and frightening story of Ebola in Texas is that the second Ebola patient was one of the sheriff's deputies who was the first to enter the house of the first patient. When offered protective gear, he declined, and entered the man's apartment without gloves, or even a facemask. Being Texas, he probably had his gun drawn, figuring that if he saw any Ebola he'd just shoot that sumbitch.

    The over/under on when Texas goes full Walking Dead is now Thanksgiving. If there's one place that's not going to do will in an Ebola outbreak, it's a state where no goddamn government scientist is gonna tell me I gotta wear a facemask. Plus, post-Darwin biology is not really their strong suit, so it's doubtful they even believe there's such a thing as a "virus". I'm betting the churches and gun shops are gonna be doing big business in the coming weeks. Well, they're already doing big business, but you know what I mean.

    I understand that (and I'm not joking) that in the past days Alex Jones has been talking about home remedies for Ebola that the government doesn't want you to know about.

    --
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    1. Re:Barney by PopeRatzo · · Score: 2

      You know, I was halfway joking, but here we go...

      "Is The Government Orchestrating The Ebola Crisis To Confiscate Guns?"

      http://mediamatters.org/blog/2...

      --
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    2. Re:Barney by dwpro · · Score: 2

      I know you're a highfalutin yank and all, but I wonder what you'd think if I'd made the same ignorant assumptions about hippie communes with holistic remedies and chakra massage to cure Ebola if the outbreak had started in New York.

      --
      Millions long for immortality who do not know what to do with themselves on a rainy Sunday afternoon. -- Susan Ertz
  38. Re:Numbers are meaningless these days by Gr8Apes · · Score: 5, Interesting

    Did you read TFA? This deputy walked into the apartment after the patient had left, in order to get a decontamination warrant signed. Without protective gear. And he caught it. Apparently it's significantly more contagious than HIV. When's the last time you heard that an HIV victim's apartment or ambulance had to be completely decontaminated by people in level 4 bio-hazard gear?

    --
    The cesspool just got a check and balance.
  39. Re:The Conservative Option by duck_rifted · · Score: 4, Insightful

    The TSA actually has a chance to be useful and humane at the same time, and instead we come up with crap to argue about. Behold the uselessness of Washington D.C. and nearly every "solution" it comes up with.

    Step 1: Track all travel paths. This already happens. Did somebody's travel originate in a high-risk place for ebola?

    Step 2: Take them from the airport to quarantine if they manage to make it to the states. Hopefully that won't happen because...

    Step 1.5: They will have been denied boarding without medical clearance or quarantined at a layover.

    Some will argue that the region should be locked down. It should. Others will argue that free enough travel is necessary to provide aide and let people escape before they're infected. It should. These are not mutually contradictory options. Nobody goes into those regions except medical personnel and nobody comes out without being cleared. This isn't rocket science, and it shouldn't take an event of black plague proportions to make obvious decisions.

    If people could cut the crap and use their heads instead of seizing on opportunities to argue for their ego's sake in just one instance for our entire lives, then this needs to be it. And if people have complaints about being told rudely that they're thinking like morons then maybe they should stop thinking like morons. Politeness exists so that undeserving insult or correction doesn't happen, not so that people can't be told when they have body odor (so-to-speak).

    If I'm being a moron, please let me know so I can correct that. When it comes to mass life or death, it's more important to actually BE correct than to enjoy warm fuzzies and self-congratulation for looking correct. This isn't a damn game of "Let's see who looks smart on the Internet." This is a matter of, "Let's see if we can stop being morons long enough to stay alive."

  40. Re:The Conservative Option by thaylin · · Score: 2

    And you honestly think it has more to do with the disease or the conditions of the countries involved.

    --
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  41. Re:The Conservative Option by AK+Marc · · Score: 3, Informative

    He never lied about being in the hot zone, and it's being said that he answered honestly, even if incorrectly. The infected he had contact with weren't diagnosed at the time, and he may have never known they were ever officially diagnosed. He told the hospital he was in the hot zone, when they turned him away. Before later accepting him. The great health care service in the USA doesn't help people (especially blacks), hence why there is such a stink over this. He should have been admitted the first time, and wasn't.

  42. Re:The Conservative Option by SacredNaCl · · Score: 5, Insightful

    When trying to "close the borders" a 90% solution is not much better than a 10% solution.

    Actually, it dramatically is. Eliminating 90% of a risk is better than eliminating 0% of a risk. Approximately 8000 carriers (though about half that number are dead) in a large population covering several west African states. If you eliminate 90% of those traveling to and from west Africa (only about 1/3 of which travel to the United States) back down to 0.1 persons infected. I'll take a 10% risk that ONE person with Ebola manages to get through. With no meaningful procedures in place we already have 10x that rate -- or precisely what a quarantine or travel ban is set to eliminate.

    --
    Freedom is merely privilege extended unless enjoyed by one and all.
  43. Re:The Conservative Option by Anonymous Coward · · Score: 4, Funny

    Once you go raven, you come back nevermore.

  44. Re:The Conservative Option by vakuona · · Score: 3, Informative

    Not true. Ebola is not infectious until it is symptomatic. That, with the long lead time to becoming symptomatic makes it easier to contain. Just monitor anyone who was in contact with a sufferer for at least 21 days. if they become symptomatic, then quarantine else leave them be.

  45. Re:Ebola is airborne by DamnOregonian · · Score: 3, Interesting

    It's pretty damn unlikely for Ebola to ever become "airborne", as a virus- it's too damn big. You just can't fit enough of them in an aerosol-sized droplet to stand much of a chance at infection.
    The "mutation" required to make it an effective aerosol pathogen would shave off 90% of its genome.

    That isn't to say that it can't be transmitted by a good sneeze or a cough over the air, but even in those cases- it's not so easy, as again, the virus is rather large, and it takes a certain amount of viral load for an active infection to actually occur.

  46. Re:The Conservative Option by TrekkieGod · · Score: 2

    An Ebola outbreak in the US is undesirable by pretty much everybody here, except maybe for people with stock in the companies producing cures and vaccines.

    An Ebola outbreak in the US is also pretty much impossible. Listen to the experts, people: it's not a highly infectious disease. Lack of first world hygiene standards is the reason it's spreading all over certain parts of Africa. The virus isn't even airborne, you have to come in direct contact with the person who is sick or with their bodily fluids.

    If Sgt. Monning caught Ebola, is because we've committed the absolutely stupid act of allowing people to go in to a patient's apartment, where he likely was sweating all over furniture and other items, without any protective gear. It's incredibly unfortunate, and whatever the outcome, hopefully we do the right thing in the future. Once a patient is identified, people only come in contact with them or their stuff while wearing protective gear. And we send in people to disinfect the areas of risk, like the victims apartment. Problem solved, Ebola virus contained. There's no need to do absolutely anything else that we're not already doing (which includes asking people coming to the US from areas of high risk whether they've been in contact with anyone who has had the disease).

    --

    Warning: Opinions known to be heavily biased.

  47. Re:The Conservative Option by quenda · · Score: 2

    Bird flue has killed fewer then 200 and is contained. Ebola has killed more then 3000 and is not.

    Math is hard.

    Swine flu has killed hundreds of thousands in the current global epidemic (not contained), and at least 50 million the previous time (1918).
    Ebola has a lot of catching up to do.

  48. Dallas is not a backwater by bugs2squash · · Score: 2

    Dallas is a major, cosmopolitan, city with one of the world's busiest international airports. It is inevitable that at some point someone with a life-threatening and contagious disease will come to such a city. I'm sure it has happened before and that it will again.

    I'm not a medical professional, but to my untutored eye the preparedness of Dallas' medical professionals is tragically lacking. It seems the original patient's first contact with the medical system was mishandled, the family were reportedly treated badly and now a sheriff's deputy has contracted the disease.

    It's not enough to just offer the guy gloves, he needed good advice and someone to ensure he followed it (I'll bet he got neither).

    If Dallas' medical profession is going to conduct itself in this way, then maybe African airports should consider closing to mitigate the risk of contagion from Dallas

    --
    Nullius in verba
  49. Bullshit. by Seumas · · Score: 3, Insightful

    All the internet Einsteins said, as with the government's statement, Ebola simply couldn't reach America. Then, that even when it reached America, we had the means to keep it spreading to anyone, because the only way to get it is to basically give a victim a blowjob and swallow at the end, because it's very difficult to contract and those filthy heathens that aren't in America only spread the disease, because they liked to drink and bathe in the bathwater of dead Ebola victims and that every precaution anyone might suggest in this country was just the result of ignorant fear-mongering. Are you telling me all of these junior-college keyboard-geniuses are *gasp* possibly wrong?

  50. Re:The Conservative Option by tshawkins · · Score: 2

    Its virilence works against it, a parasite that kills its host quickly, with high mortality rates, limits its opportunities for propergation, add to that its relatively narrow window of infection, and the fact that it is only infectious when symptoms are showing, helps put the brakes on transmission. That said it is still a very scary organism and needs to be dealt with carefully. This second infection in Texas is worrying though, if indeed it has been communicated by the officer being exposed to the environment that the first patient inhabited, then that goes against all that has been said so far about likely methods of transmission, and does not bode well for the other folks who where living in that appartment.

  51. Re:The Conservative Option by pkinetics · · Score: 2
    on top of the "you probably shouldn't touch those person's liquid wastes including anything that might have sweated on without a bio haz mat suit that is properly sealed and has a proper decontimantion process so you can get out of it"

    this is kind of overwhelming in relation to just about every norm form of influenza

  52. Re:The Conservative Option by antifoidulus · · Score: 4, Funny

    So you'd have to somehow engineer a way to walk around in public bleeding, puking, ejaculating, and defecating on people around you - all without it being obvious that you were very unhealthy.

    So.....basically you should attend burning man?

  53. Re:The Conservative Option by AK+Marc · · Score: 3, Informative

    He didn't lie at the airport. At least according to the news reports.

  54. Re:The Conservative Option by Karmashock · · Score: 2

    The only way you get to that number is by going back to an outbreak from 1918 which was one of the worst viral outbreaks in modern history.

    So you're right... it isn't a complete fucking disaster yet that has claimed 100 million lives.

    So automatically we should just french kiss people with the disease and then cough in the face of every new person we meet. Because this isn't something that should be taken seriously.

    We don't get outbreaks like that anymore BECAUSE we have quarantine procedures. Your attitude is what causes hundreds of millions of people to die. So no. I do not find the fact that this could get more out of control to be an argument in favor of not taking basic precautions to prevent its spread.

    --
    I've decided to stop wasting my time responding to AC trolls/sockpuppets... so if you want a response from me... login.
  55. Re:The Conservative Option by Artifakt · · Score: 2

    It's at least theoretically possible for this to become a general pandemic. Some consequences absolutely follow, IF it does:

    1. If it's out of control in the US, it's out of control in Europe and Asia as well.
    2. If it's a general pandemic, nobody will provide any more aid to any part of the current region that shows even sub-epidemic levels of spreading. The whole rest of the world will be dealing with the problem in their own backyard, unless and until someone gets a real breakthrough. In a pandemic, it won't be worth analyzing whether to give more or less support to countries such as Nigeria which claim to have gotten a measure of control. In a general pandemic, debating how relatively effective Sub-Saharan governments have been is the very first thing that stops mattering.

    But, right now, it's pretty far from a general pandemic,and given the virus is not of a class that has any significant potential to become airborne, it doesn't look all that likely. So some consequences follow in the same way:

    1. It makes sense to fight the disease over there instead of over here, in much the same way as it theoretically does Terrorism. In fact, since Ebola isn't sentient and can't adapt to counter an announced strategy, the "Over there instead of over here" strategy makes more sense than in a human v. human war, not less. If we're going to discuss this in terms of left and right, my question would be why isn't the right comfortable with the same strategy it's been pretty insistent upon in other circumstances? That lack of consistency makes me suspect the right is simply saying whatever the Obama administration chooses is wrong.
    2. If point 1 is true, then it does matter to decide if certain parts of the region can benefit us more than others to help. That's standard triage - you expend resorurces where they may make a difference. There's little point in helping a nation if they can easily get the disease under control by themselves, or if there's nothing else that will work except letting it burn itself out, but great potential value in helping those locations where getting treatment there will stop people from spreading it around further.
    3. This takes military style intelligence gathering, to know how much of what various regional governments are claiming, is actually reliable. The US may face a real problem in deciding what to do, that stems from not having spent our Intelligence dollars wisely. The people pointing out that South Africa has instituted a direct route based quarantine and is currently ebola free might want to note that South Africa has a very high HIV rate and was reporting they had little to no problem with HIV not all that long ago, that many other countries are currently ebola free and have not implemented quarantines, that South Africa is heading into local spring warming while the northern hemisphere is about to cool off for fall, and many other factors, in deciding what to do and what may or may not be expected.

    --
    Who is John Cabal?
  56. Re:The Conservative Option by Dahan · · Score: 2

    Says the guy in the Slashdot thread about the LEO who go infected just by walking inside the house.

    What? The only infected person in the US died earlier today--that's what this Slashdot article is about. Where does anything say that the LEO is infected? He doesn't even have the classic symptoms of Ebola, and neither do any of the people who the Ebola victim was staying with. The LEO just felt a bit sick, so he decided to go to the hospital just in case, but it's extremely unlikely that he caught Ebola--he was in the apartment 4 days after the Ebola victim was taken to the hospital, and he didn't touch anything in there. The linked news article sucks--why link to some place in North Carolina when the situation is going on in Dallas, TX? It's a heavily-edited version of the original WFAA article, which says, among other things, "'He's doing exactly basically what we told him to do: If at any time you don't feel well, go seek some medical attention,' Dyer said. 'I'm being told that he's not exhibiting classic signs of the Ebola virus. It's just a matter that he doesn't feel well, and because he had contact with Mr. Duncan's apartment, they're taking every precaution.'" And, "Denton County Health Department director Dr. Matt Richardson said Monnig is not currently classified as having had 'contact' with Ebola patient Thomas Eric Duncan. 'Because of the absence of contact to the Ebola patient or anyone symptomatic with Ebola, we see no threat to the public's health regarding this individual,'"

  57. Re:The Conservative Option by Artifakt · · Score: 4, Insightful

    US doctrine on the intentional use of biological weapons of mass distruction is to respond with the only WMDs in our arsenal - that is Thermonuclear Devices. Anyone deploying such a biological would presumably kill a similarly large number of Russian, Chinese, Indian and Western European citizens, and all those governments have roughly similar doctrines, (except for the story I can't confirm that a Soviet era ambassador once claimed to his Chinese counterpart that official doctrine of the USSR was to make any language group or religion that released such a bio-weapon literally extinct, down to bayonetting individual 1 year olds). The US cold war era Project Pluto was only seriously considered as a response to some projected Bio-weapons and not just nukes, Israel was rumored to have developed cobalt jackets for a few of its warheads in response to rumors of Iranian bio-labs (although that rumor may just be something started by a Tom Clancy novel). Presumably anyone funding ISIL (or whatever they are calling themselves this week), does not want to risk every nuclear armed state in the entire world going literally ballistic.
            One point in all this that few get. The researchers and theoreticians discussing a weaponized version of Ebola or Smallpox were postulating an airborne hardened virus with such lethality that they could stop saying Megadeaths and start using the Giga- prefix. Current research shows pretty clearly that such a weapon is very unlikely. Ebola isn't the type of virus that's close enough to airborne to make the jump, and getting a smallpox variant that overcomes the existing vaccinated population's resistances seems equally a very hard problem. I doubt such an attack as you're suggesting would kill more than, say 300 million, world wide, tops. Maybe the various nuclear armed nations wouldn't go to a nuclear response, or even conventional full scale war (yeah, right!) It's not like the US got all stirred up about the "mere" 2,996 casualties of 9/11, right? The only real risk of ISIL (or whatever) doing anything this totally insane is if they somehow believe the great powers would all limit themselves to careful, deliberate, reasoned responses in the face of an indescriminately inflicted act of total barbarity that killed the elderly and young disproportionately and destroyed the world's economies and afflicted every nation of that world regardless of whether they were on ISIL's enemies list or not. My own bet is the UN resolution would pass unanimously among all members not implicated, and start with "Purge the sub-human scum with cleansing nuclear fire, unto their last generation", and go to STRONG language from there. The NATO powers would jump the gun before the resolution was finalized, only to find out that Israel had already launched against everybody else in the Middle East, India had already moved against Pakistan, and the Russians had already gone to war against every adjacent "stan" they suspected of harboring ISIL sympathizers. (And the Republican party would blame all of this on Obama).

    --
    Who is John Cabal?
  58. Re:The Conservative Option by dbIII · · Score: 4, Insightful

    Imprisoning people in with those wastes without cleaning it up or moving them is a poor refection on everyone involved in attempting to contain it and just asking for an outbreak. Those Africans we like to look down on were far more professional about it before they got overwhelmed. Meanwhile - one case in Texas, one of the richest states of the USA, and there's a long string of fuckups such that it's amazing luck that we don't have dozens of other cases yet.

  59. That's not Conservative at all by dbIII · · Score: 2

    Nice fantasy casting yourself as the lone hero - but even though it's a common fantasy and it's not your fault Hollywood has brainwashed you it's fucking selfish.

    When disasters hit the job of a citizen is to get off their arse and prevent their neighbours from dying AS PART of keeping that little cutie safe - in fact you can't keep that cutie safe unless someone is working to make sure that there is food and water getting in for her. It means precautions, protective gear and being co-ordinated by whatever bunch can accumulate a clue, but you shouldn't expect to get through a disaster by sitting on your arse and waiting for a food delivery when you are capable of doing something to help when everyone is overwhelmed.

    You don't have to be a Doctor to be a hero. The people that got phones and Wifi going in Haiti after the disaster there were also heroes that saved lives because the doctors etc knew where they were needed and others could find out where to send food and clean water. In a quarantine situation where you can't get close to the people who drop off the food it would be just as important.

  60. Re:The Conservative Option by Ed_1024 · · Score: 2

    One of the problems is that the symptoms of EVD are very much like the common cold or flu, until it gets into the advanced stages. How many people running in to the northern hemisphere winter period display these kind of symptoms? One-in-four? To me it seems most people I see at that time of year are coughing and spluttering and coming into work/public places to give it to everyone else.

    Health workers who know the risks and use protective gear are still getting infected and dying. What chance for the average Joe unless they stop any form of human contact (including things that other humans may have been in contact with)?