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Texas Health Worker Tests Positive For Ebola

Thomas Eric Duncan, the first person to have been diagnosed in the U.S. with Ebola, and who subsequently died of the disease, was treated at Texas Health Presbyterian Hospital in Dallas. Now, in a second diagnosis for the U.S, an unidentified health-care worker from the hospital has tested positive for Ebola as well. According to the linked Reuters story, Texas officials did not identify the worker or give any details about the person, but CNN said it was a woman nurse. The worker was wearing full protective gear when in contact with Duncan, Texas Health Resources chief clinical officer Dan Varga told a news conference. "We are very concerned," Varga said. "We don't have a full analysis of all of the care. We are going through that right now." ... The worker was self-monitoring and has not worked during the last two days, Varga said. The worker was taking their own temperature twice a day and, as a result of the monitoring, the worker informed the hospital of a fever and was isolated immediately upon their arrival, the hospital said in a statement. (Also covered by the Associated Press, as carried by the Boston Globe, which notes that "If the preliminary diagnosis is confirmed, it would be the first known case of the disease being contracted or transmitted in the U.S.")

421 comments

  1. Everybody Panic! by Anonymous Coward · · Score: 0

    well no, I bet a dollar there was a tear in his suit. Simplest explanation is always right.

    1. Re:Everybody Panic! by sribe · · Score: 3, Insightful

      Simplest explanation is always right.

      No. Most likely. But in the absence of more information, most certainly NOT "always right".

    2. Re:Everybody Panic! by plover · · Score: 4, Insightful

      well no, I bet a dollar there was a tear in his suit. Simplest explanation is always right.

      Be prepared to lose a dollar. The protocol for donning and removing the protective gear is very complex, and very hard to get perfect. When putting the suit on, it's possible to get gaps between the goggles and suit without even knowing it. And when taking it off, a tiny flap of the contaminated suit brushing against a clean surface is almost impossible to detect.

      In contrast, Tyvek suits are very hard to tear unless you're doing hard physical labor in a rough environment. Most hospital settings don't have the infectious care nursing staff crawling through piles of dirty rebar or squeezing along rough mortared brick walls.

      --
      John
    3. Re:Everybody Panic! by aaaaaaargh! · · Score: 4, Interesting

      What I don't understand: Wouldn't it be possible to put the wearer through a disinfectant decontamination shower before he or she takes off the suit?

    4. Re:Everybody Panic! by BrianPRabbit · · Score: 1

      According to NBC, this is exactly what appears to have happened.

    5. Re:Everybody Panic! by BrianPRabbit · · Score: 1

      This was exactly My thought at first.

    6. Re:Everybody Panic! by MisterSquid · · Score: 2

      well no, I bet a dollar there was a tear in his suit. Simplest explanation is always right.

      My favorite part about this is how it gives the lie to all the xenophobic rationalizations that people in various African nations were contracting Ebola because of $DANGEROUS_TRIBAL_FUNERARY_CEREMONY.

      Ebola is transmitted through bodily fluids including sweat and aerosolized saliva (produced by sneezing). Containing bodily fluids in a social context—especially saliva and sweat—is virtually impossible and probably makes Ebola a lot more contagious than the talking heads are letting on.

      --
      blog
    7. Re:Everybody Panic! by the_other_chewey · · Score: 4, Interesting

      well no, I bet a dollar there was a tear in his suit. Simplest explanation is always right.

      Be prepared to lose a dollar. The protocol for donning and removing the protective gear is very complex, and very hard to get perfect. When putting the suit on, it's possible to get gaps between the goggles and suit without even knowing it.

      Goggles?! - Proper biohazard suits are full-body and pressurized, with a full-head hood and absolutely
      no openings in the vicinity of the head. Or any place on the front side of the body for that matter.

      And when taking it off, a tiny flap of the contaminated suit brushing against a clean surface is almost impossible to detect.

      Eh, again? - There's a multi-step decontamination procedure before taking off the suit.

      Taking off a still-contaminated suit would be a major fuckup, and a (potentially) contaminated suit should never
      be in an environment where any "un-suited" contact can happen.

      Have a look at how this works at the BSL-4 level (skip to about minute 13).

      What kind of amateurs are running this place?

    8. Re:Everybody Panic! by icebike · · Score: 2

      According to NBC, this is exactly what appears to have happened.

      The NBC report is pure speculation. Nobody knows. It's just as likely aerosolized cough droplets, which is another thing the CDC insisted couldn't possibly happen.

      Where are all those Slashdot posters who scream "Stop blaming the victim" now? Too scary to stand on principles?

      When it comes to a choice if blaming the victim or admitting that their protocol is woefully inadequate, the CDC seems to take the low road.

      --
      Sig Battery depleted. Reverting to safe mode.
    9. Re: Everybody Panic! by Anonymous Coward · · Score: 0

      I blame Thomas Duncan. That stupid selfish fuckhole.

    10. Re:Everybody Panic! by Anonymous Coward · · Score: 1

      What I don't understand: Wouldn't it be possible to put the wearer through a disinfectant decontamination shower before he or she takes off the suit?

      I would have assumed that this would be standard protocol. It's at least standard protocol for chemical and radio-logical handling, wash'em before you take'em off. Even there trace chemicals can get on your skin if your not very careful.

    11. Re:Everybody Panic! by DesertJazz · · Score: 2

      Actually my understanding is that they are not treating patients with the full suits on. The decision to just do face masks, gloves, etc. was pretty common it seems now... I think people have gotten more lax with Ebola simply because wearing the full suits is hot and tough to deal with for a long epidemic like we're seeing. It sounds like the nurse in question wasn't in full protective gear. I agree with the idea this shouldn't be happening... How many of these places really have full training for BL-4 diseases though? Last I knew there were only a few labs in the US capable of fully handling diseases like this in the laboratory. (CDC and USAMRID) How is an average hospital set up for this? Hopefully the Dallas one was, but if this trend continues these will not be the last patients we see coming to the US. My guess is this little incident will get in hand just fine, but I doubt that the ones that are likely to come will be as easy to contain.

    12. Re: Everybody Panic! by Anonymous Coward · · Score: 0

      The googles do nothing!

    13. Re: Everybody Panic! by Anonymous Coward · · Score: 0

      The nurse Thomas Duncaned the deadly disease from the quarantine zone out into the world again.

    14. Re:Everybody Panic! by Anonymous Coward · · Score: 0

      Nope, I have seen the security footage, and it is being hushed up right now, but I suspect it will leak eventually. What happened, is that after Thomas Duncan died, the health worker went over to undo the containment straps, but wasn't paying full attention. Thomas Ducan CAME BACK TO LIFE AND BIT THEM!

      Get this out to as many people as possible, the government is covering this up, and the public needs to know!

    15. Re:Everybody Panic! by Stan92057 · · Score: 1

      I don't have a clue in the world what your taking about. Why would i change my stance on victim blaming? The nurse is a victim, its not her fault, she did everything she was required to do.and your answer is? You know something we don't know? Please explain.

      --
      Jack of all trades,master of none
    16. Re:Everybody Panic! by iluvcapra · · Score: 5, Informative

      What kind of amateurs are running this place?

      I had brunch with my friend this morning, who is an MD PhD in infectious disease and works in a BSL-4 laboratory from time to time, so I asked about this.

      BSL-4 is a standard that only applies to laboratories, the same standards aren't necessarily applied to clinical environments, and in the case of Ebola are major overkill. Ebola can't travel through the air, so positive pressure suits aren't appropriate, and they still have to be taken on and off, and that's when health workers seem to get infected. People who "test positive" for Ebola are not contagious, only people who have symptoms are, and they can only pass the disease through contact with bodily fluids -- this usually implies touch, since hemorrhagic fevers cause people to give off all kinds of gross effluent, but it's just not like a "virus" one gets from casual contact, like, say, rubella.

      The fact is, Ebola isn't that contagious -- HIV is more virulent, and these two are nothing compared to the influenza or SARS. It's bad that health workers can get it, but this is still one person, so on a completely epidemiological basis it's really not a big deal. Characterizing a single case as somehow indicative of the safety of these procedures is sensationalism.

      --
      Don't blame me, I voted for Baltar.
    17. Re: Everybody Panic! by dgatwood · · Score: 1

      As I understand it, in humans, Ebola has a very low concentration in saliva, sweat, and mucus until the patient is quite sick, so although those methods of transmission are possible, they aren't highly likely.

      --

      Check out my sci-fi/humor trilogy at PatriotsBooks.

    18. Re:Everybody Panic! by bongey · · Score: 2

      Decontamination shower is part of the protocol in Africa, but not in the US. The doctors in the US need to be trained better on this.

    19. Re:Everybody Panic! by budgenator · · Score: 3, Informative

      One problem is to most healthcare workers, all of their training on blood-borne pathogens is geared primarily toward AIDS, unfortunately HIV is a very labile with a fairly high infectious dose, so basically if you do just about anything you kill it and it remains infectious in the environment for minutes to an hour if you do nothing. Ebola on the other hand is a robust virus with a very low infectious dose (1 -10 virus), anything strong enough to guarantee a 99.999% kill rate is going to also dissolve plastic, peel the paint off the walls and corrode any metals to uselessness.

      --
      Apocalypse Cancelled, Sorry, No Ticket Refunds
    20. Re:Everybody Panic! by the_other_chewey · · Score: 1

      BSL-4 is a standard that only applies to laboratories, the same standards aren't necessarily applied to clinical environments, and in the case of Ebola are major overkill.

      I mostly agree, but I'd still expect strict precautions to be taken to prevent the mixing of
      clean and contaminated environments. That includes not taking contaminated objects (suits,
      gloves, whatever) out of the containment area.

      Ebola can't travel through the air, so positive pressure suits aren't appropriate, and they still have to be taken on and off, and that's when health workers seem to get infected.

      So WhyTF are they taking off undecontaminated gear?

      People who "test positive" for Ebola are not contagious, only people who have symptoms are, and they can only pass the disease through contact with bodily fluids -- this usually implies touch, since hemorrhagic fevers cause people to give off all kinds of gross effluent, but it's just not like a "virus" one gets from casual contact, like, say, rubella.

      And still somebody got infected. Somebody who knew they were dealing with an infectious
      and lethal disease. This should never have happened. You're not making me feel better about the
      competence of those involved.

      The fact is, Ebola isn't that contagious -- HIV is more virulent, and these two are nothing compared to the influenza or SARS. It's bad that health workers can get it, but this is still one person, so on a completely epidemiological basis it's really not a big deal. Characterizing a single case as somehow indicative of the safety of these procedures is sensationalism.

      Well, yes and no. I'm not really concerned about it "getting out". And while it's obviously not enough
      for proper statistics, it's more than enough for concern for the health workers: How many people were
      treating this patient? 10-20?

      That makes for a 5-10% infection rate amongst people who knew what they were dealing with, in a supposedly
      first-rate facility in a highly developed country. And the infection happened despite Ebola "not being that contagious".

      Yikes.

    21. Re:Everybody Panic! by sumdumass · · Score: 1

      I think he was talking about the other victim who likely killed this nurse by lies and knowingly placing the nurse in danger of catching the disease.

      When the original story broke, people were blaming dincan for all sorts of things.

    22. Re:Everybody Panic! by iluvcapra · · Score: 0

      So basically you're just anxious, because none of this "seems right" in complete absence of empirical evidence? And in your sample of 10 (or 20, who knows!) one person became ill, because, we dunno, but it sounds fishy.

      What recommendations would you make, if you were, say, a public health official? Everyone who develops illness has to be treated in something akin to a BSL-4 facility? Have you any idea how many plane flights that would require, just to cite one small aspect of the logistics? And all this to protect from a disease vector that's completely unsubstantiated in the literature?

      Or do you do like Judge Clay Jenkins, and personally go to the family's house in shirt-sleeves and drive them to a new home? Which approach is more appropriate? Which one balances our available resources against the actual concrete threat of the disease? Which one is actually workable?

      --
      Don't blame me, I voted for Baltar.
    23. Re:Everybody Panic! by the_other_chewey · · Score: 3, Insightful

      So basically you're just anxious, because none of this "seems right" in complete absence of empirical evidence?

      Somebody in a modern clinical environment who supposedly knew what they were doing got infected.
      That right there is empirical evidence of something not being right.

      And in your sample of 10 (or 20, who knows!) one person became ill, because, we dunno, but it sounds fishy.

      It doesn't to you? "Well, they have to take off those contaminated suits, and some will get infected while
      doing that. Shit happens." really isn't the right approach here.

      What recommendations would you make, if you were, say, a public health official? Everyone who develops illness has to be treated in something akin to a BSL-4 facility?

      No, but how about "don't mix clean and unclean environments, and follow proper decontamination
      procedures while moving between them, and before undressing"?

      Have you any idea how many plane flights that would require, just to cite one small aspect of the logistics?

      Huh? Plane flights? Are we still talking about a controlled clinical environment in a big American city?

      And all this to protect from a disease vector that's completely unsubstantiated in the literature?

      Or do you do like Judge Clay Jenkins, and personally go to the family's house in shirt-sleeves and drive them to a new home? Which approach is more appropriate? Which one balances our available resources against the actual concrete threat of the disease? Which one is actually workable?

      You're losing me here.

    24. Re:Everybody Panic! by iluvcapra · · Score: 1

      It doesn't to you? "Well, they have to take off those contaminated suits, and some will get infected while
      doing that. Shit happens." really isn't the right approach here.

      Do you even know how this case of infection occurred? I made no claims along these lines, you're the one who says he knows, or rather knows enough to know there was a systemic problem and not one merely attributable to failure to follow established protocols.

      Huh? Plane flights? Are we still talking about a controlled clinical environment in a big American city?

      There are only about a dozen BSL-4 facilities in the US; if you want to establish the principle that patients must be treated in such a facility, you will be moving A LOT of them. Also, none of these facilities are equipped to handle patients. The first requirement of a BSL-4 lab is that it's a separate building purpose-built for containment.

      You're losing me here.

      I sure am, because you seem to think every metro in the US has a world-class biohazard facility and infrastructure, and has plenty to spare on a wild goose chase of isolating minimally-virulent ebola patients, and you can't seem to understand that your fears are based completely on your own speculation and snap judgement. Your conceptualization of this disease, and the means required to contain it, constitute the textbook definition of cargo cult science.

      --
      Don't blame me, I voted for Baltar.
    25. Re:Everybody Panic! by sumdumass · · Score: 1

      Every biohazzard situation i have been through reqired a complete disinfection of the safety gear before you can remove it. It was similar on level 1 hazmat responses too, you stood in what looks like a kiddie pool anf an overhead shower sprayed down while people sprayed from side angles. What was sprayed depended on the hazzard- disinfectant/water/citric acid/or whatever was needed to neutralize the danger. This was the same for all your equiptment too.

      I haven't worked in a field where i do this since the late 1990s- early 2000s but i cannot imagine much has changed on this. It was all regulated by OSHA, MSHA and usfmc dot regulation which helped developed most of the internation response proceedures and adopted those it didn't so it was pretty uniform across the board on anything that posed a risk of death from contamination.

      Maybe they are not treating this as seriously as death being a result.

    26. Re:Everybody Panic! by sumdumass · · Score: 1

      According to the cdc and various other sources, a 1-10 solution of household bleach for 10min would work to disinfect ebola contaminated surfaces. It also seems to be killed by strong UV light.

      Perhaps someone needs to update something.

    27. Re:Everybody Panic! by plover · · Score: 5, Insightful

      What I don't understand: Wouldn't it be possible to put the wearer through a disinfectant decontamination shower before he or she takes off the suit?

      There is a strong protocol, and yes, it includes decontamination sprays. As I understand it the protocol includes a disinfectant spray before taking off the suit, a hand spray after removing the first layer of gloves, then another disinfectant spray after stripping. And the gloves and suit are all supposed to come off inside-out, always turning the the hot side to the inside.

      Remember that any suit that can protect the wearer against virus is also impermeable to air. That means the suits heat up. They are sweating profusely as soon as they get their suits on, and they can only remain suited up for less than an hour before roasting in their own juices. When every surface is soaked in sweat, it's impossible to recognize when it's the patient's infectious sweat or your own.

      We know the best practical approach is to use a buddy system, and have them help each other. Even so, the first buddy to disrobe is still handling the infectious materials while helping the other to strip, so they still have to be vigilant. Repeat that clothing protocol every other hour for a long work day, week after week, and if the wrong piece of fabric ever accidentally brushes on you any time during the process you may get infected with a disease that has a 60% chance of killing you. Or if this is your first time dealing with an Ebola case, how do you know you've followed the protocol perfectly?

      Now, cross the ocean. Place all of that in the context of extreme poverty; chronic suit, glove, equipment, and doctor shortages; wailing and shrieking family members; orphaned babies that may be infected; contaminated water supplies; relentless heat; men who tell rumors that Ebola is a disease from the West that is being spread by doctors and is being used to kill Africans, or that Ebola doesn't exist; populations frightened by the presence of workers in "moon suits" coming to collect their dead relatives; a culture that grieves by touching the bodies of the dead; and the dozens of other deadly diseases that still strike Africans constantly, including malaria, dengue fever, AIDS, hepatitis, typhoid fever, and chronic diarrhea caused by rampant bacterial and protozoal infections. Oh, and attacks on clinics by gunmen.

      It's almost as if the disease evolved itself to adapt to collapsing health care systems in impoverished nations.

      --
      John
    28. Re:Everybody Panic! by tibit · · Score: 1

      Please don't conflate transmission by contact with bodily fluids vs. airborne transmission. The latter is something way more than merely due to contact with droplets. Transmission via droplets is, by definition, transmission by contact. Airborne transmission is when the virus can survive in the air without being in the droplet at all. Aerosolized cough droplets are what masks are to protect us from - masks that should be, BTW, worn by both the patients and the personnel.

      --
      A successful API design takes a mixture of software design and pedagogy.
    29. Re:Everybody Panic! by tibit · · Score: 1

      Ebola travels through aerosolized body fluid droplets, such as what you cough up. Of course once the droplets dry up, the virus neutralized (or has been, so far).

      --
      A successful API design takes a mixture of software design and pedagogy.
    30. Re:Everybody Panic! by the_other_chewey · · Score: 2

      Do you even know how this case of infection occurred?

      I don't. You, however, speculated about contaminated suits which "still have to
      be taken on and off, and that's when health workers seem to get infected."
      Which really shouldn't happen.

      you're the one who says he knows, or rather knows enough to know there was a systemic problem and not one merely attributable to failure to follow established protocols.

      Please tell me where I said that.

      Huh? Plane flights? Are we still talking about a controlled clinical environment in a big American city?

      There are only about a dozen BSL-4 facilities in the US; if you want to establish the principle that patients must be treated in such a facility, you will be moving A LOT of them.

      1.) I don't. My video example above was meant as a "look at how the pros do it".

      2.) You do expect "A LOT" of Ebola patients in the US?

      you seem to think every metro in the US has a world-class biohazard facility and infrastructure, and has plenty to spare on a wild goose chase of isolating minimally-virulent ebola patients, and you can't seem to understand that your fears are based completely on your own speculation and snap judgement. Your conceptualization of this disease, and the means required to contain it, constitute the textbook definition of cargo cult science.

      Hm? What part of "don't mix clean and unclean environments" is cargo cult?

      Also: I'm not afraid.

      Just to clarify: I'm not talking about the Ebola outbreak as such, and arbitrary
      patients. I'm talking about this one specific case of an infected health worker in
      a proper clinical environment.

    31. Re:Everybody Panic! by Bartles · · Score: 3, Insightful

      No, the protocol needs to be changed if it's inadequate.

    32. Re:Everybody Panic! by bongey · · Score: 1

      Nope decontamination sprays are not part of removing PPE gear, according to the CDC. http://www.cdc.gov/HAI/pdfs/pp...

    33. Re:Everybody Panic! by icebike · · Score: 2

      No, I was talking about the CDC blaming the victim for breaking protocol, when it is clearly their own protocol that is at fault here.

      Doctors without borders uses a much stricter protocol, with a buddy system for donning and doffing, and they have had
      a much better record in keeping their people safe in absolutely horrible conditions.

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      Sig Battery depleted. Reverting to safe mode.
    34. Re:Everybody Panic! by budgenator · · Score: 2

      1:10 bleach solution is one of my favorites, but what it lacks is the guarentee, in this case manufacturer's product liability insurance. It doesn't disolve plastic, but repeated and prolonged contact does oxidative damage and embrittlement. It also does a number on latex paint but not immeadiatly and it will corrode metal even stainlees steel and colbalt-chrome alloy.

      --
      Apocalypse Cancelled, Sorry, No Ticket Refunds
    35. Re: Everybody Panic! by Anonymous Coward · · Score: 0

      They never mentioned airborne in the sense you're accusing them off conflating. Those face masks do little to prevent you receiving the droplets in your eyes or pores on your face. You need full hazmat suits.

    36. Re:Everybody Panic! by Anonymous Coward · · Score: 0

      It may just be "just one person", but - isn't it one for one? If there were a few hundred ebola patients across a few hospitals and "just one" healthcare professional was infected, I'd be much less concerned.

      You say HIV is more virulent. Do you get HIV from someone with HIV coughing or sneezing on you? Can you get it from sharing a glass of water? Growing up in the 90s, I've been pretty conditioned that the only way I'm going to get HIV is through sharing a needle with someone, or screwing without a condom. Use a condom, woot, no worries about HIV. There was even a tv movie designed to make you feel guilty about denying HIV-infected people the pleasure of human contact. Hell, you can play sports with it, no worries - there are apparently no records of HIV being transmitted through sports. And we're not talking competitive chess here.

      If ebola is less virulent than that, and it's still spreading like this, we may need to rethink this whole "HIV people are just like you and me", don't-ask don't-tell policy.

      Regardless, you try to help someone bleeding on the sidewalk and get infected with HIV/Ebola, tough titties. Guess I should carry around sterile gloves, a mash, goggles and a quart of prep soap just in case. It's one pretty damn gray area.

    37. Re:Everybody Panic! by thegarbz · · Score: 2

      And neither coughing or sneezing are Ebola symptoms.

    38. Re:Everybody Panic! by tchdab1 · · Score: 1

      Why isn't anyone blaming the administration? The people responsible for drawing up procedures, training their staff, monitoring operations, having the proper resources and facilities to get the job done, yeah those guys.

    39. Re:Everybody Panic! by tchdab1 · · Score: 1

      I think that's not done because it's messy and you have to dispose of the liquid, and you're going to throw away the suit anyway so why bother to clean it first.
      So then it's up to you to take the suit off without getting any of the outside of it on you, or getting it on anything else that will remain.

    40. Re:Everybody Panic! by icebike · · Score: 1

      Sa this posted over on SoylentNews:
      Seems some are getting a little pissed at getting blamed, without any proper training
      http://blink.htcsense.com/Web/...

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    41. Re:Everybody Panic! by thaylin · · Score: 1

      It is not "clearly" If the nurse failed to take off the suit properly then it is not "clearly" The CDC's fault. Even with a buddy it is possible to contract it;.

      --
      When you cant win, ad hominem.
    42. Re:Everybody Panic! by mrchaotica · · Score: 1

      Remember that any suit that can protect the wearer against virus is also impermeable to air. That means the suits heat up. They are sweating profusely as soon as they get their suits on, and they can only remain suited up for less than an hour before roasting in their own juices. When every surface is soaked in sweat, it's impossible to recognize when it's the patient's infectious sweat or your own.

      We have the technology to make climate-controlled underwear (although admittedly it might be hard to find a way to exhaust the heat without compromising the seal).

      We know the best practical approach is to use a buddy system, and have them help each other. Even so, the first buddy to disrobe is still handling the infectious materials while helping the other to strip, so they still have to be vigilant.

      It seems to me a good plan would be to have the person on the next shift suit up, then help the person on the previous shift remove his suit. That way, the only person at additional risk is the last person in the chain.

      --

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

    43. Re:Everybody Panic! by Aeros · · Score: 1

      Well that person would just have to wait until the next shift of people came out..and they would be first in line. Set them up with a TV or something and they'll be fine.

    44. Re:Everybody Panic! by Anonymous Coward · · Score: 0

      You people do realize infections and disease are actually quite prevalent in hospitals despite the utmost precision of care and attention to detail, right?

    45. Re:Everybody Panic! by bongey · · Score: 1

      Nope I was right, the CDC is adding a bleach/water spray down on exiting now as part of the official protocol. No the CDC did fuck up, this should have been out months ago, not after "oh shit" after a nurse caught it.

    46. Re:Everybody Panic! by brantondaveperson · · Score: 1

      When you say "1-10 virus", does this mean that a single Ebola virus can - if it makes it into your body or onto your mucus membranes - infect you?

      Because if that's the case, then no amount of spraying your hazmat suit is going to guarantee your safety surely? A single virus could easily be hiding in the folds of those baggy-looking suit things, and then you touch that part on the way out of the suit, and you're done.

      Scary.

    47. Re:Everybody Panic! by Bartles · · Score: 1

      So, you are saying that the protocol was changed because it was inadequate. Got it.

    48. Re:Everybody Panic! by budgenator · · Score: 1

      I found a more reputable source ebola is listed with ID10 1-100, ID50 10-1000, ID90 50-1000 which means 1-100 virus is enough to infect 10% of the population and 50-1000 will infect 90% of the population; (on page 4) It's scary stuff. Figure a hospital-grade "kills" 99.999% (5-log) after 10 minutes contact time, a sneeze might disperse a million virus that leaves 10 virus which is enough to infect half the people who contact them, and seriously if no one suspects Ebola or Marburg, your less likely to see 10 minute contact time than you're to see 30 second hand washing.

      On the plus side if you take off the barrier suit properly your going to be ok with or without a disinfectant spray down; it's just when the personel were trained, they took the training as a hypothetical situation, not a "your life depends on this" situation. This is universal, in the Army I notice the attention to detail was several orders of magnitude higher before your were exposed to Sarin than before your were exposed to teargas.

      --
      Apocalypse Cancelled, Sorry, No Ticket Refunds
    49. Re:Everybody Panic! by BrianPRabbit · · Score: 1

      It's just as likely aerosolized cough droplets, which is another thing the CDC insisted couldn't possibly happen.

      When did the CDC say this? I know People have said the virus cannot become "airborne" but that's different than being shared via aerosolized droplets.

      When it comes to a choice if blaming the victim or admitting that their protocol is woefully inadequate, the CDC seems to take the low road.

      While I admit NBC has since changed its reporting on the issue I don't see any formal statements by Officials from the CDC "blaming the victim".

    50. Re:Everybody Panic! by BrianPRabbit · · Score: 1

      Why isn't anyone blaming the administration? The people responsible for drawing up procedures, training their staff, monitoring operations, having the proper resources and facilities to get the job done, yeah those guys.

      When did it become the administration's responsibility for all medical knowledge? The CDC is one of dozens, if not hundreds of medical organizations.

    51. Re:Everybody Panic! by icebike · · Score: 1

      CDC has already apologized for blaming the victim.

      So your failure to see them doing the original blaming, and your apparent failure to see the apology suggests you weren't paying attention.

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    52. Re:Everybody Panic! by BrianPRabbit · · Score: 1

      CDC has already apologized for blaming the victim.

      Do You have a source?

    53. Re:Everybody Panic! by icebike · · Score: 1

      Do you have a computer that can access Google?

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  2. For those who said "No need to panic" by BarbaraHudson · · Score: 0
    For those who said "No need to panic" ... are we there yet?

    One thing these outbreaks in Europe and the US show - we don't know enough about Ebola.

    --
    "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
    1. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      Doesn't have anything to do with how much we know-has to do with human idiocy. No doubt it'll be someone took off their gloves then touched part of their suit or didn't wash completely etc.

      The technogy and theory on containing this is great, but people are not predictable and they are pretty shit for following process exactly.

      Viruses are not a game. Compassion is great but it's better to acknowledge weaknesses and address them than do this pretend karma bullshit until the situation is out of control.

    2. Re:For those who said "No need to panic" by iggymanz · · Score: 2

      No, there is no need to panic. Get a grip on your fantasies.

    3. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 1

      There is no outbreak in the US. Learn what that word means.

    4. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 0

      HOLY SHIT!

      Two cases! TWO! Not one, not three, but TWO!

      Let's burn the Constitution! Stock up on canned beans! Break some shop windows and loot!

      It's a MURRICAN MERGENCY. ...Seriously though, no, we're not there, and hopefully the hysterical loons on CNN will not push soccer moms and/or loony survivalists into believing we're there.

    5. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 0

      I would definitely curtail traveling this year.

    6. Re: For those who said "No need to panic" by TheGavster · · Score: 4, Insightful

      I'm sure that there's a protocol you could follow to prevent catching the flu from flu patients, too, but I doubt it would be practical to practice medicine at the same time. I think that as Western medical personnel are beginning to be infected, it becomes less easy to just say "the training/equipment/conditions were the problem". At some point, we need to look at how the containment protocol interacts with the treatment protocol, and see if it actually works.

      Remember, correctly executed withdrawl is just as effective a form of birth control as a correctly applied condom, but a greater share of condom users use them correctly than those who attempt pulling out.

      --
      "Because Science" is one step from "Because old book". Try "Because of my experiment testing my falsifiable assertion".
    7. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 1

      For those who said "No need to panic" ... are we there yet?

      One thing these outbreaks in Europe and the US show - we don't know enough about Ebola.

      Personally, I think the authorities trying to avoid a widespread panic... However, it's clear the outbreak is getting out of control and it's only a matter of time before it spreads to the rest of the world. I'm preparing by stashing up on food and water and other emergency supplies. When it spreads... Your best precaution is to avoid going out as much as possible (fortunately, I am a slashdot geek so that suits me!). We've been warned about the dangers of global pandemic for years now, but this is it folks... Get ready and look out for yourself!

    8. Re:For those who said "No need to panic" by ultranova · · Score: 2

      No, there is no need to panic. Get a grip on your fantasies.

      You know, I've heard that many times now, yet Ebola continues spreading. And every new case gives it new opportunities to evolve further. So perhaps it would be better to panic and spend some serious dough to crush the outbreak while it's still possible, rather than wait for it to turn into the doomsday scenario a deadly and highly contagious disease has every potential to become?

      --

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

    9. Re:For those who said "No need to panic" by taiwanjohn · · Score: 4, Interesting

      As someone who lived through the SARS panic in Asia, I would say no, we're not "there" yet. Apparently it has taken a bit longer than it should have for the rank-and-file health workers in the USA to get clued in on this, but I would venture to say that the number of them who remain unaware of this threat today is approximately zero. If anything, I'd expect to see a lot more "false alarms" than actual infections in the next few weeks.

      Once the public is aware, the infection rate will plummet. Because of SARS, I still avoid doorknobs and elevator buttons whenever possible (use your keys, lighter, sleeve, etc. to buffer such contact), it just makes sense to do so. Once the protocols for avoiding Ebola become widely known, this so-called "epidemic" will quickly dissipate.

      --
      XML is like violence. If it doesn't solve your problem, you're not using enough of it. --AC
    10. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 0

      But where is the evidence of a pandemic? It's only a few thousands at this stage. We need to follow real hard science, not fantasies and speculation. After 20 years of real researchers using the scientific method, then we'll know for sure.

      Trust science. It knows best for us. Stop questioning authority. Pseudoscepticism is the only way.

    11. Re:For those who said "No need to panic" by The+Ickle+Jones · · Score: 2

      For those who said "No need to panic" ... are we there yet?

      No. Panicking does nothing, except perhaps make you look like an irrational moron. Like all those people panicking about terrorism after 9/11; idiots.

    12. Re:For those who said "No need to panic" by The+Ickle+Jones · · Score: 1

      It also leads to morons getting upset over jokes, like with the man who joked about having Ebola, or when government thugs harass people when they joke about bombing something. The idiot isn't the one who made the joke, but the ones who overreact. Oftentimes it's an infringement upon someone's constitutional rights when the government gets involved. As if making a joke about having Ebola makes you more likely to have Ebola, or making a joke about being a terrorist makes you more likely to be one.

      All of these things caused by irrational, worthless panic.

    13. Re:For those who said "No need to panic" by ShanghaiBill · · Score: 5, Insightful

      yet Ebola continues spreading.

      No, no really. There are more and more victims in Guinea, Sierra Leone, and Liberia. But it was stopped in Senegal and Nigeria. All African nations are not the same. In terms of institutions and infrastructure, Guinea, Sierra Leone, and Liberia are at or near the bottom. While primitive by Western standards, Senegal and Nigeria are far more functional countries. If they were able to control and contain the disease, then more developed countries should not have much difficulty doing the same.

    14. Re:For those who said "No need to panic" by Garridan · · Score: 0

      I predict this turning into a "global conspiracy to push more vaccines (hence autism) on our kids". I, for one, welcome our viral overlords.

    15. Re:For those who said "No need to panic" by iggymanz · · Score: 0

      Much money is already being spent, no real "spreading" outside the countries where people are very, very foolish and do disgusting things that spread this disease.

      We should just cut off travel from those places, that doesn't take spending money.

    16. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 0

      So perhaps it would be better to panic and spend some serious dough to crush the outbreak while it's still possible

      I'm confused. Why must we first panic before doing the rest? Can't we do that without the panic?

    17. Re:For those who said "No need to panic" by CrimsonAvenger · · Score: 3, Insightful

      For those who said "No need to panic" ... are we there yet?

      No.

      We MIGHT (and I stress "might") be getting to time to panic the first time we get an ebola victim who hasn't been to Africa, and hasn't been in contact with any known Ebola victim.

      Note that this case is one of the 48 people who are currently being monitored due to contact with that ebola victim who brought it here from Africa.

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    18. Re:For those who said "No need to panic" by khallow · · Score: 2

      But where is the evidence of a pandemic? It's only a few thousands at this stage.

      The evidence is continued exponential growth of Ebola to recent past. It appears that the rate of infection may be slowing down in the worst of the three primary countries of infection, Liberia. If true, fears of pandemic are overstated.

      If instead, cases continue to climb exponentially, but patients are staying away from hospitals, then you still have the eventual pandemic problem looming on the horizon.

    19. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      No shit??? It is not meant literally, moron. But people should be afraid of this. Nobody alive has seen anything like this. This WILL be serious.

    20. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 0

      But the number of people infected in the United States has literally doubled in the past couple weeks, and half of those infected in the United States are already dead!

    21. Re: For those who said "No need to panic" by HornWumpus · · Score: 1

      It's not too late until it makes the jump to central/south American as well as Asian shitholes. Than things get real ugly, real fast. Imaging Ebola infected Brazilian crackheads who are convinced the hospitals are holding out a cure.

      --
      John McAfee 'It was like that time I hired that Bangkok prostitute; to do my taxes, while I fucked my accountant'
    22. Re: For those who said "No need to panic" by taiwanjohn · · Score: 1

      Highly trained workers are getting infected.

      Exactly as happened with SARS. Most of the infections were among health workers.

      the rate of transmission is phenomenal. The death rate upon infection is phenomenal.

      Yes, the death rate is high, but the transmission rate is low. The common flu is far more transmissible. And even though its death rate is much lower, the flu kills many times more people each year than Ebola will ever affect in the USA.

      --
      XML is like violence. If it doesn't solve your problem, you're not using enough of it. --AC
    23. Re:For those who said "No need to panic" by Rich0 · · Score: 1

      We MIGHT (and I stress "might") be getting to time to panic the first time we get an ebola victim who hasn't been to Africa, and hasn't been in contact with any known Ebola victim.

      Uh, Ebola spreads through contact, so by your logic it still wouldn't be time to be concerned if every last person on earth contracted the disease...

      Panic of course is never helpful. However, extreme vigilance is. I think we're really underestimating the ability of this to get out of control.

    24. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      I still say that there is no need to panic.

    25. Re: For those who said "No need to panic" by hey! · · Score: 3, Insightful

      The barrier protocols are quite onerous. It doesn't need to be idiocy, fatigue is enough to induce human error. Experts have pointed to this as a factor in the spread of Ebola in West Africa; aside from the fact that most people have access to medieval levels of health care, or facilities that lack things like latex gloves, supplying hospitals with equipment is not enough. The workload of health care workers has to be kept light enough that they can take the extreme precautions needed without making errors.

      It is also possible that the barrior protocols have a bug somewhere in them.

      --
      Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
    26. Re:For those who said "No need to panic" by CrimsonAvenger · · Score: 2

      Uh, Ebola spreads through contact, so by your logic it still wouldn't be time to be concerned if every last person on earth contracted the disease...

      By my logic, if you people start getting ebola with no KNOWN ebola contact, it's time to think about maybe panicking.

      Because that would mean an unidentified reservoir of ebola in the country. Which is potentially disastrous.

      So long as we have a clear eye on patient zero and everyone in contact with him, we don't need to be terribly worried....

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    27. Re:For those who said "No need to panic" by BrianPRabbit · · Score: 1

      Let's see: total number of Ebola Patients in the U.S. is ... 1. Mssr. Duncan is dead and cremated and no longer spreading the disease. So, the answer is "no".

    28. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      Yes because time and time it has been proven that there is a link between autism and vaccines *sarcasm*. www.cnn.com/2011/HEALTH/01/05/autism.vaccines/ in case you don't like CNN, you can go look up the papers.

    29. Re:For those who said "No need to panic" by BrianPRabbit · · Score: 1

      GP was answering OP's question. I see no error in GP's statement nor any need to qualify it.

    30. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      Once it hits the crackheads in the "cracolândias", it will go out of control. "Cracolândia" crackheads piss, shit and puke everywhere they can and are extremely filthy, and paranoid. There is no way we can avoid they getting contaminated eventually, and the disease will spread like crazy until they're all contained and quarantined (which is not going to be _easy_).

      Shit. This will be extremely ugly. A lot of people are going to die, and the death tool to the fear might end up far worse than the death toll to the virus!

    31. Re:For those who said "No need to panic" by hey! · · Score: 4, Insightful

      For those who said "No need to panic" ... are we there yet?

      Nope. And we never will be. Panicked people make stupid decisions that make the situation worse.

      One thing these outbreaks in Europe and the US show - we don't know enough about Ebola.

      There is no "outbreak" in the US or Europe. And not knowing enough about Ebola is not the same as saying we know nothing about Ebola, and what we know says there is not going to be an outbreak here -- just a few isolated cases of transmission. Thus far there have been one confirmed case of endemic transmission in the US and one in Europe, both nurses. The other "cases" were people with other viral diseases. One transmission does not an "outbreak" make, except to people who are panicky. It's normal in a situation like this for "suspected cases" to pop up all over the place. What do you expect, with the media spreading panic.

      The CDC is now saying that the transmission in TX was caused by a "breach of protocol", which is not surprising given that the barrior protocols are exacting and onerous.

      --
      Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
    32. Re:For those who said "No need to panic" by BrianPRabbit · · Score: 2

      Note that this case is one of the 48 people who are currently being monitored due to contact with that ebola victim who brought it here from Africa.

      While I agree We should not panic, this case is not 1 of the 48 according to NPR.

    33. Re: For those who said "No need to panic" by Garridan · · Score: 1

      Yes because time and time again it has been proven that lampooning conspiracy theorists is the same as buying into their theories. Thank you, lieutenant obvious. Hope you get that promotion you've been working towards.

    34. Re:For those who said "No need to panic" by ScentCone · · Score: 4, Informative

      Let's see: total number of Ebola Patients in the U.S. is ... 1. Mssr. Duncan is dead and cremated and no longer spreading the disease. So, the answer is "no".

      You didn't bother reading the summary or the article, did you? Not just 1, Mr. Duncan. The next victim is the trained, well-equipped health care professional who - despite having far better protection and awareness than the vast majority of people in the world - just tested positive for having caught the virus from him.

      What's your point in ignoring that glaring little dose of reality?

      --
      Don't disappoint your bird dog. Go to the range.
    35. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 1

      No, in fact, we're nowhere near "needing to panic."

      AMG, 2 people with Ebola - one who traveled to West Africa and apparently had prolonged contact to an Ebola patient there, and a nurse who was part of his care team when he presented with Ebola symptoms - have gotten sick here. One died in an isolation unit, and the second is in an isolation unit with teams of CDC epidemiologists tracking her network of contacts since she was exposed, and setting up monitoring (twice-daily temperature checks and notifications) on all of those contacts.

      In all likelihood, this is the last one in this chain, because the nurse *just* started presenting symptoms, and immediately was placed in isolation and started receiving treatment - which means that she would have had a VERY small window to transmit to other people, and those people are now being monitored closely.

      One thing these outbreaks in Europe and the US show - we know plenty about Ebola, and the risks are ridiculously minimal. 2 people in a country of 300 million does not constitute a pandemic, and the resources being brought to bear on this small cluster are enormous. There are numerous problems in Africa that exacerbate outbreaks: poor medical care, poor sanitation, customs & culture, poverty, and simple lack of resources. Those conditions have led to ~8,000 people contracting the disease so far; none of those conditions are likely to be prevalent here in the US - where a grand total of TWO people have been infected - and only ONE of those people was infected here in the US.

      The CDC transported several health care workers with full blown Ebola back here to the US, too, and treated them here: and yet, where are the clusters from that outbreak? The procedures for eliminating transmission are well-defined, and they are proven to work, when they're adhered to.

      So no, it's not time to panic. It's time for you to take a deep fucking breath, and get some perspective, and stop trying to sound like you know what you're talking about - because you don't.

      --
      this post brought to you by the letter 'H' in HPWKWTFTTA (Healthcare Professionals Who Know What The Fuck They're Talking About)

    36. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      Highly trained workers are getting infected.

      Really? A random nurse in Texas who was treating the guy who "maybe kinda could possibly have some terrible disease, but we've not tested him yet", is a "highly trained health worker?"

      I'd love to see the details of her extensive training. I bet it involved "read this pamphlet, watch this video, practice putting on this suit once or twice."

      The rate of transmission is NOT phenomenal - the R0 measure for Ebola - with no particular precautions or attempt to isolate and quarantine - is usually in the 1.5-2 range - which means on average, someone with Ebola will infect 1-2 other people. With significant network tracing, isolation, and aggressive monitoring, that R0 is going to rapidly drop to 0 anywhere Ebola would crop up in the US.

      Yes, it's serious. No, it's not worth the US hyperventilating over. We should be focused on helping to control and contain the outbreak in West Africa, and taking small, prudent steps to enact temperature scanning and screening for people arriving from affected countries to ensure that someone didn't slip through the controls there. We should NOT be declaring Martial Law and threatening to nuke any country that tries to send a plane towards us.

    37. Re:For those who said "No need to panic" by Rich0 · · Score: 1

      So long as we have a clear eye on patient zero and everyone in contact with him, we don't need to be terribly worried....

      Well, that would be true if we didn't have opportunities for new infections, and if we REALLY had a clear eye on everybody in contact with patient zero. As far as I understand it they were basically all told to stay home and are on the honor system. That really doesn't strike me as a responsible way to manage public health. I don't want to punish anybody, but this is a serious matter - by all means shower them with support, but at least post a guard to ensure nobody goes in or out of their homes.

    38. Re:For those who said "No need to panic" by Slim_Jack · · Score: 2

      How do you know it was stopped in Nigeria? Because the Nigerian government, who have a strong incentive to protect their billions of dollars in trade with the rest of the world say they stopped it? 21 days will tell more than any press releases.

    39. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 0

      Outbreak only means there have been cases where infection originated in the US. It doesn't imply numbers or a pandemic. In the history of Ebola outbreaks in Africa, most involved small numbers of people. Therefore, an Ebola outbreak in the US is already taking place.

    40. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      "Remember, correctly executed withdrawl is just as effective a form of birth control as a correctly applied condom, but a greater share of condom users use them correctly than those who attempt pulling out."

      That is simply not true. Withdrawal *cannot* be effective since semen is leaking from the penis long before there is an ejaculation. If pulling out works, it's simply luck.

    41. Re:For those who said "No need to panic" by DougDot · · Score: 1

      Not quite true, there were 8 more cases in Nigeria during the last reporting period: http://en.wikipedia.org/wiki/E...

    42. Re: For those who said "No need to panic" by Slim_Jack · · Score: 1

      The whole point is that a regular US trained nurse got it when the ambulance bringing him into the hospital immediately went into quarantine, so the nurse new about it from the get go. Those people out there who lied about Ebola contacts to get into the U.S. over the past few weeks to be with their families, girlfriends, etc, will first be contacting _regular_ nurses and healthcare workers, not highly trained Level 4 infectious disease prepared specialists from the CDC.

    43. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      The whole point is that a regular US trained nurse got it when the ambulance bringing him into the hospital immediately went into quarantine, so the nurse new about it from the get go.

      Yes, and none of the other 48 people who he was in contact with have so far developed Ebola. So where, exactly, is the need for panic? He was in contact with dozens of people in the hospital, and only 1 person has been infected as a result.

      That makes the case that, even with relatively sloppy protocols, it's still awful hard to get infected.

      But yeah, let's panic!

    44. Re:For those who said "No need to panic" by icebike · · Score: 1

      Exactly.
      Furthermore Ebola never did reach Nigerian cities. When it does, it will be the same disaster as the other countries.

      Nigeria has a better military, to control their borders, but once the infection get past borders and into the cities its game over.

      --
      Sig Battery depleted. Reverting to safe mode.
    45. Re:For those who said "No need to panic" by bugs2squash · · Score: 1

      How you you propose to improve the outcome by panicing ?

      --
      Nullius in verba
    46. Re:For those who said "No need to panic" by bugs2squash · · Score: 2

      Which half of the person infected in the united states is dead ?

      --
      Nullius in verba
    47. Re:For those who said "No need to panic" by Opportunist · · Score: 1

      Umm... what again does panicking accomplish?

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    48. Re:For those who said "No need to panic" by Opportunist · · Score: 1

      Paging Dr. Schrödinger...

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    49. Re: For those who said "No need to panic" by Opportunist · · Score: 3, Insightful

      Highly trained workers... hmm...

      Before you go on a tangent, think about this:

      Look at the average person who works with you.
      Note his abilities, how he handles himself, how he acts and how he does his work.
      Note that this is what we call "a professional"

      Now reevaluate that statement about "highly trained workers".

      In my experience, 9 out of 10 times "professional" only means getting paid to do it. It's not a statement of quality.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    50. Re: For those who said "No need to panic" by Opportunist · · Score: 2

      Ok, then let me rephrase my question that you'll probably find below:

      What does being afraid of it accomplish?

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    51. Re:For those who said "No need to panic" by CrimsonAvenger · · Score: 1

      *shrugs*

      Feel free to panic, then. I suggest a cabin in a remote corner of Alaska.

      Go there, avoid all human contact for at least ten years.

      You should be safe by then, so you can rejoin the world no later than early 2025....

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    52. Re:For those who said "No need to panic" by 93+Escort+Wagon · · Score: 1

      How you you propose to improve the outcome by panicing ?

      Personally, I've always found looting to be calming and restful. But to loot effectively requires you first incite panic in a sizable group.

      --
      #DeleteChrome
    53. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 1

      The United States could easily keep even a single grain of sand from blowing across the Mexican border. The actual implementation of a sealed border isn't the showstopper. It's politics alone that poses the only real difficulties.

    54. Re:For those who said "No need to panic" by Rich0 · · Score: 1

      When did I advocate panic? In fact, I said the post you replied to that panic was useless.

      What is necessary is treating the issue seriously, and not just like an outbreak of food poisoning.

    55. Re: For those who said "No need to panic" by penguinoid · · Score: 1

      Remember, this is slashdot, and he's technically correct. The withdrawal system works if you withdraw before any physical or emotional contact with a female.

      --
      Don't waste your vote! Vote for whoever you want, unless you live in a swing state it won't matter anyways
    56. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 0

      As far as I understand it they were basically all told to stay home and are on the honor system.

      And the first chance they got, they violated the honor system to go shopping at the supermarket. WTF?

    57. Re:For those who said "No need to panic" by ShanghaiBill · · Score: 2

      Furthermore Ebola never did reach Nigerian cities. When it does, it will be the same disaster as the other countries.

      Unlikely. Nigeria has twice the literacy rate of Sierra Leone, three times the per capita GDP, a much stronger public health system, and working government institutions. It is a democratic country, with leaders answerable to the electorate. Nigeria has plenty of problems, as any country does (well, maybe not Denmark), but compared to Liberia, Sierra Leone, or Guinea, it is not even close to the same level of dysfunction.

    58. Re: For those who said "No need to panic" by ewibble · · Score: 1

      Being afraid accomplishes lots, it motivates us, it is stops us doing stupid things,
      but too much, of pretty much anything including fear can be a bad thing too, it can do the opposite, paralyze us, make us do stupid things.

      Maybe if the nurse was a little more afraid she would have followed procedures better. (don't know what went wrong so I am only guessing).

      Maybe if we are afraid we have tested this first patient at the border instead of taking his word for it.

      Maybe it will stop the US spending billions on fighting terrorism which truly is an insignificant problem, and has very little potential to become bigger. And start focusing more on this which is small but has the potential to become massive.

    59. Re: For those who said "No need to panic" by dgatwood · · Score: 1

      You could feasibly cut off the entire continent, if desired. It isn't hard to guard the tiny little border with the Indian subcontinent. Then ban flights in or out, and use RADAR and air cover to enforce it.

      --

      Check out my sci-fi/humor trilogy at PatriotsBooks.

    60. Re: For those who said "No need to panic" by DigiShaman · · Score: 1

      There will be the largest human migration from Mexico into America the world has ever witnessed; all for advanced healthcare and handouts should the outbreak occur. And, it will.

      Learn Spanish. You will eventually use it more than English.

      --
      Life is not for the lazy.
    61. Re: For those who said "No need to panic" by The+Ickle+Jones · · Score: 1

      No shit??? It is not meant literally, moron.

      Then don't say just that without even a hint of meaning anything else. The problem with this "Read between the lines" crap is that you often end up reading things that simply are not there.

      But people should be afraid of this.

      Contrary to what the other person said, you don't need to be afraid of something to take rational measures to stop it. There is no need to be afraid nor panic. That just leads to the loss of civil liberties and rational solutions.

      Nobody alive has seen anything like this. This WILL be serious.

      *yawn* I doubt it.

    62. Re:For those who said "No need to panic" by iluvcapra · · Score: 2

      The evidence is continued exponential growth of Ebola to recent past.

      This is why Africa was finally made barren of human inhabitants in 1980...

      Also this is what, two cases in the US, three? Maybe 5 total outside of Africa, and almost all of them among health workers collateral to treating confirmed Ebola-suffering patients?

      --
      Don't blame me, I voted for Baltar.
    63. Re:For those who said "No need to panic" by budgenator · · Score: 1

      it isn't free. and we still can't keep mexican's from crossing in the south without a plague and panic driving them to flee.

      <BlackHumor> Just tell the Mexicans we're putting illegals into the secret FEMA Ebola Quarentine Camps, problem solved. </BlackHumor>

      --
      Apocalypse Cancelled, Sorry, No Ticket Refunds
    64. Re:For those who said "No need to panic" by Rich0 · · Score: 1

      The CDC is now saying that the transmission in TX was caused by a "breach of protocol", which is not surprising given that the barrior protocols are exacting and onerous.

      I'll agree that a few cases an "outbreak" does not make. However, what is going to prevent the next case from involving a "breach of protocol?" If a hospital can't contain a single patient's disease, what are they going to do if there actually is an epidemic?

      I think we need to take this a bit more seriously and pull out the stops to get ahead of things. Panic obviously isn't going to help anybody, but are we really doing all that we can to prevent an actual outbreak?

    65. Re:For those who said "No need to panic" by Alien1024 · · Score: 1

      Furthermore Ebola never did reach Nigerian cities.

      Um, ebola certainly reached Lagos, Nigeria's largest city, populated by 17.5 million people. The index case, doctor Patrick Sawyer, even performed surgery while ill and symptomatic.

    66. Re:For those who said "No need to panic" by Alien1024 · · Score: 2

      How do you know it was stopped in Nigeria? Because the Nigerian government, who have a strong incentive to protect their billions of dollars in trade with the rest of the world say they stopped it?

      No. We know it because US health authorities and the WHO reported it.

    67. Re:For those who said "No need to panic" by Alien1024 · · Score: 2

      More recent version of the WHO report (which confirms no new cases in Nigeria since 8 September).

    68. Re:For those who said "No need to panic" by hey! · · Score: 2

      To answer your question, if you mean *absolutely* prevent, the answer is nothing. But that's not the right question. The question is whether this will be transmitted at such a rate that it can result in sustained "endemic" transmission. "Endemic" is defined as a situation where each person infected in a location on average infects at least one other person. There may be a handful of transmissions from this index case, but it will fizzle out.

      People worried about Ebola becoming endemic based on what's happening in West Africa have no idea how primitive conditions are in West Africa, where hospital workers often lack basic supplies like gloves, and are even reduced to re-using hypodermic needles. And people there who get to one of those horrible hospitals are the lucky ones. The health care and sanitation standards in the effected regions has been described as "medieval".

      "Pulling out all the stops" sounds like a good idea, except if you think about it, it gives you absolutely no guidance about what you should do. Some of those "stops" would actually make things worse, and others would be a ridiculous overreaction. For example, should we quarrantine the state of Texas? After all there's been a case of transmission there. That's an overreaction.

      Beware the Dunning Kruger effect. Not knowing anything about public health or tropical disease makes it really easy to design a containment program that sounds to you like it ought to work. But there aren't infinite dollars, even to fight Ebola. Every half-baked thing you do comes at the expense of something that would have been more effective. I've worked with the CDC, specifically the Fort Collins DVBID, which does vector borne stuff. The agency is full of PhDs and MDs who've spent their career studying tropical disease outbreaks and what to do about them.

      People who think they know better remind me of this quote from Terry Pratchett:

      Sergeant Colon had had a broad education. He'd been to the School of My Dad Always Said, the College of It Stands To Reason, and was now a post-graduate student of the University of What Some Bloke In The Pub Told Me.

      --
      Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
    69. Re:For those who said "No need to panic" by khallow · · Score: 1

      This is why Africa was finally made barren of human inhabitants in 1980...

      The current bout of Ebola is of larger extent than than all previous incidents combined. And even if it did infect everyone over time with current lethality, there would still be 30-50% survival rate.

      Also this is what, two cases in the US, three? Maybe 5 total outside of Africa, and almost all of them among health workers collateral to treating confirmed Ebola-suffering patients?

      Because nothing ever changes. We have several examples throughout history of novel diseases making their way into vulnerable human populations such as various historical plagues, colonization of the New World, and AIDS. I hope that this bout of Ebola becomes just another odd footnote in history. But it has already passed a key hurdle to becoming a pandemic and infected several urban populations - something no other known Ebola flareup has done.

    70. Re: For those who said "No need to panic" by Opportunist · · Score: 1

      Being afraid accomplishes nothing. Being wary is. Being careful is. But if you're afraid you start being irrational.

      Being afraid WAS a pretty good survival strategy from back when survival often meant running fast or fighting tooth and nail. Neither is going to serve any purpose in the presence of a virus. If anything, a level head and methodical action will keep you safe, not frantic "must do something" action.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    71. Re: For those who said "No need to panic" by WilyCoder · · Score: 1

      So I'm safe then. Whew, I was worried there for a second!

    72. Re:For those who said "No need to panic" by icebike · · Score: 1

      It is still a majority Muslim country and if you had been following this epidemic at all you would know
      that Islam's funerary rituals are the main problem.
      http://www.thedailyvox.co.za/e...

      --
      Sig Battery depleted. Reverting to safe mode.
    73. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      Or, we could "spend serious dough" to crush the virus, but not actually panic. You know, proceed in a calm and rational manner.

      Why are the only two sides of this argument:

      Panic! Ebola will kill us all!!! Kill all African! Ban travel! Arm the public!
      Ebola? That's stupid.

      The seems to be very few advocating the middle ground. How come all the Fox News cronies aren't out there advocating a strong response backed by federal dollars?

    74. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      Sweet! Thanks! I hate it when the places I travel are full of ignorant Americans.

    75. Re:For those who said "No need to panic" by ShanghaiBill · · Score: 1

      if you had been following this epidemic at all you would know that Islam's funerary rituals are the main problem.

      There is nothing "Islamic" about the rituals, and your citation does not say there is. It does not even mention religion.

    76. Re:For those who said "No need to panic" by icebike · · Score: 1

      Are you being willfully blind?

      Muslim leaders have had to be badgered by WHO into revising their teachings in the face of Ebola.
      http://www.esinislam.com/Other...
      http://ahmadiyyatimes.blogspot...

      --
      Sig Battery depleted. Reverting to safe mode.
    77. Re:For those who said "No need to panic" by Rich0 · · Score: 1

      "Pulling out all the stops" sounds like a good idea, except if you think about it, it gives you absolutely no guidance about what you should do. Some of those "stops" would actually make things worse, and others would be a ridiculous overreaction. For example, should we quarrantine the state of Texas? After all there's been a case of transmission there. That's an overreaction....there aren't infinite dollars, even to fight Ebola.

      Well, you could quarantine the folks who actually came in contact with the one case. And by quarantine I mean actually putting them in a segregated area of some kind, with controlled access, not telling them to stay home and to call if they get a fever.

      Sure, there aren't "infinite" dollars, but you're not saving money if you save a few million and then end up with an actual outbreak.

      Also, there is no reason that we can start mass-producing treatments like wmapp. Sure, it could turn out to not work out as well as it seems, but it isn't like there are a lot of other options. Whatever options there are should also be explored.

      Situations like this almost always cost a lot less if you spend a lot of money up-front vs waiting for things to really get bad and then REALLY spend a lot of money. What else are we going to spend the money on? Certainly it isn't going to the welfare state...

    78. Re:For those who said "No need to panic" by ShanghaiBill · · Score: 1

      Are you being willfully blind?

      Muslim leaders have had to be badgered by WHO into revising their teachings in the face of Ebola.

      Neither of your citations describe any "badgering". Nor do they say the problems are specific to Muslims. Nor do they present any data, or even imply that any exists, that ebola is infecting Muslims more than other religions.

    79. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 0

      Actually, from the standpoint of how outbreaks historically have been measured, including Ebola outbreaks in Africa's past, a single digit number of cases of Ebola does indeed constitute an outbreak. That said, "outbreak" doesn't mean pandemic, or epidemic, or necessarily a need to panic. It's a simple fact that there has been cases reported that document spread of a particular uncommon disease.

    80. Re: For those who said "No need to panic" by stephanruby · · Score: 2

      Remember, correctly executed withdrawl is just as effective a form of birth control as a correctly applied condom, but a greater share of condom users use them correctly than those who attempt pulling out.

      Here were some of the problems with the studies you've alluded to:

      A noted limitation to these previous studies' findings is that pre-ejaculate samples were analyzed after the critical two-minute point. That is, looking for motile sperm in small amounts of pre-ejaculate via microscope after two minutes – when the sample has most likely dried – makes examination and evaluation "extremely difficult."[4] Thus, in March 2011 a team of researchers assembled 27 male volunteers and analyzed their pre-ejaculate samples within two minutes after producing them.

      The researchers found that 11 of the 27 men (41%) produced pre-ejaculatory samples that contained sperm, and 10 of these samples (37%) contained a "fair amount" of motile sperm (i.e. as few as 1 million to as many as 35 million).

      Of course, that study as well is not completely definitive either.

      However, two things need to be kept in mind. First, the study suggests that some men can leak sperm into their pre-ejaculate (though the authors do not extrapolate on this supposition and the possible causes of such a phenomenon). Second, the authors admit that some of their subjects who submitted sperm-positive pre-ejaculate samples could have actually used their ejaculate – due to failure of producing pre-ejaculate – to avoid the "embarrassment" of not producing pre-ejaculate.

      So I'd say, the jury is still out on this question.

    81. Re:For those who said "No need to panic" by arth1 · · Score: 2

      We had 0.
      Then Mr Duncan arrived. We had 1.
      Then Mr Duncan died. We had 0.
      Then the nurse tested positive. We have 1.

      We've never had more than one case. Unless the guy in Boston who went to renew his prescription and complained about muscle aches tuns out to test positive. In which case there are two cases.

      In comparison, every year, between 3,000 (confirmed) and 49,000 (estimated) people in the US die from influenza.

    82. Re:For those who said "No need to panic" by ScentCone · · Score: 1

      We had 0.
      Then Mr Duncan arrived. We had 1.
      Then Mr Duncan died. We had 0.
      Then the nurse tested positive. We have 1.

      You're an idiot. If you have to play those kinds of semantic games in order to avoid counting above 1, please just avoid participating.

      --
      Don't disappoint your bird dog. Go to the range.
    83. Re:For those who said "No need to panic" by Slim_Jack · · Score: 1

      The _village_ in Africa that got exposed to a disease like Ebola probably died off, but they did not have peaceful and easy interaction with other tribes, much less easy transportation with continental highways, airplanes, etc, that they have today. The village model successfully protected the majority of Africa by isolating any disease to a cell-like level, something that is not possible in our modern open societies.

    84. Re:For those who said "No need to panic" by BarbaraHudson · · Score: 1
      I guess you chose to ignore the rest of my post - that we don't know enough about Ebola to make reliable predictions.

      We know that Ebola continues to exist between outbreaks, but we don't know what serves as the reservoir. Or if there are multiple possible hosts between outbreaks. Or the true risk of dogs as possible carriers and agents of transmission.

      Most people won't take any action unless they're panicked into it. Common-sense stuff like aid to help get it under control at the source - "What's the hurry - it doesn't affect US." If that's what it takes to mobilize people, that's the reality of the situation. If they won't act out of altruism or enlightened self-interest, do you have a better idea? And please don't say "better information and education." That takes at least a generation.

      --
      "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
    85. Re:For those who said "No need to panic" by arth1 · · Score: 1

      I wasn't playing semantics games. i just immediately understood what the GP meant, unlike you.

      (But he was also wrong - this is disregarding the two simultaneous cases we had last month in Atlanta. The score now is 4 confirmed cases, 3 of them imported cases, one death, which may rise to two. Plus the possible case in Boston, but at this point I think it's more likely to be a case of hysteria than Ebola.)

    86. Re:For those who said "No need to panic" by BarbaraHudson · · Score: 1
      So, if we know so much about Ebola, how come we euthanized a dog because we couldn't quantify the risks? How come we don't know what species (one or more) serve as reservoirs for Ebola between outbreaks? There's a LOT we don't know.

      And taking useless measures such as temperature screening at airports, instead of checking each person's passport to see if they've been through a "hot" country, and then not allowing them to board an airplane or other mode of international transport, with a mandatory 23-day quarantine period ... and the same for returning aid workers ... would be a lot more effective.

      --
      "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
    87. Re:For those who said "No need to panic" by BarbaraHudson · · Score: 1
      A bit of a sense of panic might get some people to get a clue, to realize that it's not just a problem for "those people" in "that far-away country."

      When neither a sense of moral duty nor enlightened self-interest will make people get off their butts, a bit of panic can be a good thing.

      --
      "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
    88. Re:For those who said "No need to panic" by BarbaraHudson · · Score: 1

      Umm... what again does panicking accomplish?

      People did nothing about AIDS as long as they could call it "the gay plague." It was only when politicians found out they could get it from their hookers that things began to change.

      As long as people have the "it's not my problem because it's 'those people' and not me", nothing short of a bit of panic is going to get them to change their attitude wrt the need to actually help the countries that are most affected. Liberia is broke, the hospital workers are going on strike Monday morning (tomorrow) because they are only getting $80 a month in hazard pay because the government hasn't got the money to fulfill the earlier promise of $700 a month (the disease spread way too far way too fast), and the 2,000 deaths they've had to date could quite easily be only just a start.

      --
      "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
    89. Re:For those who said "No need to panic" by thegarbz · · Score: 1, Insightful

      The next victim is the trained, well-equipped health care professional who - despite having far better protection and awareness than the vast majority of people in the world - just tested positive for having caught the virus from him.

      What's your point in ignoring that glaring little dose of reality?

      Some of the best trained people do stupid things. If you want an example of this just look at any record of industrial accidents. Ironically it's the ones who aren't trained that normally take the most care and see the safety breaches in typical tasks.

    90. Re: For those who said "No need to panic" by Anonymous Coward · · Score: 0

      You know it's weird, I've known three people to die of cancer, one of aids, one of hep c, one in a car crash, one with kidney failure, two of old age, three of heart attacks and one of stroke. Virtually everyone I've known has had the flu, but I have NEVER heard of these stats for death by flu outside of the news.

    91. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 0

      HOLY SHIT!

      Two cases! TWO! Not one, not three, but TWO!

      Let's burn the Constitution! Stock up on canned beans! Break some shop windows and loot!

      It's a MURRICAN MERGENCY. ...Seriously though, no, we're not there, and hopefully the hysterical loons on CNN will not push soccer moms and/or loony survivalists into believing we're there.

      ObTheRussiansAreComing: "Emergency, everybody to get from street!"

    92. Re:For those who said "No need to panic" by bmajik · · Score: 3, Interesting

      The CDC is now saying that the transmission in TX was caused by a "breach of protocol", which is not surprising given that the barrior protocols are exacting and onerous.

      I don't want to misattribute something to the CDC, but what I read was glaringly clear on this point.

      What the unnamed party said, was, "there HAD to be a breach of protocol, because this person is infected. However, we haven't identified what the breach was yet"

      Circular reference?

      --
      My opinions are my own, and do not necessarily represent those of my employer.
    93. Re:For those who said "No need to panic" by icebike · · Score: 1

      Do your own research son, your desire to remain willfully ignorant suggests there is simply no point in talking to you.

      --
      Sig Battery depleted. Reverting to safe mode.
    94. Re:For those who said "No need to panic" by The+Ickle+Jones · · Score: 1

      I guess you chose to ignore the rest of my post - that we don't know enough about Ebola to make reliable predictions.

      Still no need to panic, especially if it's an unknown. I'm not going to quake in my boots about this.

      Most people won't take any action unless they're panicked into it.

      Get them panicked, and they'll take irrational, harmful courses of action. See: TSA, NSA surveillance, and the general erosion of our fundamental liberties in response to (mostly imaginary) terrorism. A rational, clear head that recognizes any danger this poses and knows how to take effective measures against it is what is necessary.

    95. Re: For those who said "No need to panic" by Slim_Jack · · Score: 1

      -so far - -- but the nurse has been constantly monitoring herself -- so wait 21 days before you claim no one else was infected there...

    96. Re:For those who said "No need to panic" by amiga3D · · Score: 1

      Nah....just run for the hills.

    97. Re:For those who said "No need to panic" by Anonymous Coward · · Score: 0

      how come we euthanized a dog because we couldn't quantify the risks?

      A VAST over-abundance of caution. Dogs can be "infected" with the virus - that is, their immune system develops antibodies for the virus, but they remain asymptomatic, and the virus is shortly thereafter cleared from their system. There are no documented cases of transmission from dogs to humans, but it's unknown whether or not they can infect humans when they have the virus in their system. It's a remarkably low risk, but Spanish authorities decided to err on the side of more caution, and euthanized the dog.

      How come we don't know what species (one or more) serve as reservoirs for Ebola between outbreaks?

      All research points to various species of fruit bats native to West Africa, which have been implicated in Marburg and Ebola outbreaks in the past, and which can be infected (while remaining clinically asymptomatic -- hallmark of a reservoir species) via inoculation with the virus, while the virus is unable to reproduce in many other species. Not sure why you seem to think we don't know any of this.

      And taking useless measures such as temperature screening at airports

      What makes you think temperature screening is "useless"? It doesn't catch every person, but it prevents people who are symptomatic from getting on a plane with 300 other people, and puking and shitting all over those people to turn the entire plane into an Ebola Missile. People travel through intermediate destinations, or have multiple passports - checking their passport is woefully inadequate. As far as a mandatory 23 day quarantine - who pays for that? But seriously, it sounds like you've got a whole lot of great ideas, I'm sure that the CDC and US government would love to hear how they've overlooked all these obviously effective solutions to the problem - you should hasten to write them a really long letter immediately.

      --
      this post brought to you by the letter 'H' in HPWKWTFTTA (Healthcare Professionals Who Know What The Fuck They're Talking About)

    98. Re:For those who said "No need to panic" by BarbaraHudson · · Score: 1
      Your "answers" just make my point.

      We euthanized the dog because we don't know for sure. In such cases, it's NOT an over-abundance of caution.

      We don't know for sure that fruit bats are the reservoir. "All research points to various species of fruit bats native to West Africa, which have been implicated in Marburg and Ebola outbreaks in the past" is not the same as "We know that fruit bats serve as the reservoir." So, again, we don't know.

      Even the government has admitted that temperature screening is next to useless, wouldn't have caught Thomas Duncan (whereas passport screening would have), and has been roundly criticized as security theatre. And at least one airline (El Al) does passport screening, in response to bombers. When's the last time El Al had a hijacking? The first and last time was in 1968.

      It's not what you know, it's what you "know" that ain't so, that will bite you in the rear. So, until we know for sure ...

      As for who pays for the 23-day quarantine? Simple - you want to come here, you pay all the costs, same as any visitor, unless you're an aid worker sent to alleviate the problem.

      --
      "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
    99. Re: For those who said "No need to panic" by ewibble · · Score: 1

      Afraid, weary same thing, the reason we have fear is because we need it, we evolved to need and we still need it. Kids don't usually jump of high thing because they are afraid.

      If this case if we underestimate the danger, it will be too late, you are right we will not be able to run an hide from this. So a little bit of overreaction is better than a little bit of under reaction.

      So be afraid, be slightly afraid.

    100. Re:For those who said "No need to panic" by BrianPRabbit · · Score: 1

      Arth1 is right. This is what I meant.

    101. Re:For those who said "No need to panic" by BrianPRabbit · · Score: 1

      this is disregarding the two simultaneous cases we had last month in Atlanta.

      I was "discounting" them due to the fact the infections not only occurred outside of the U.S. but the patients were specifically brought to the U.S. for treatment.

  3. Robots? by rolfwind · · Score: 2

    We have robots for ridding explosive ordinance. Considering the humber of healthcare workers that contracted this disease so far, hopefully some remotely controlled robot doctor/nurses would help further quarantine the situation.

    We are far from autonomous humanoid robots, but since this isn't a labor saving measure, it should be much easier, as they are rather more like walking drones, how far is current tech from making this possible?

    1. Re:Robots? by gweihir · · Score: 0

      Not there yet, unless you want to only kill and incinerate the victims.

      --
      Most ACs are not even worth the keystrokes to insult them. Be generically insulted by this and ignored otherwise.
    2. Re:Robots? by rolfwind · · Score: 1

      Not quite. Just thinking dumb humanoid robots that need a puppetmaster would have a lot of uses.

    3. Re:Robots? by ledow · · Score: 3, Interesting

      There is virtually nothing (not even Ebola) that can get through basic procedures, even with humans treating them. Even without full isolation, just making sure that direct bodily contact does not occur is enough to stop basically anything - hence why doctors wear rubber gloves even if they digging into your internals with blood everywhere.

      Such a thing would be so unbelievably infectious that we'd all have it - planet-wide - within a couple of days. It's just not in the nature of such things to be that infectious. Ebola is actually no worse than AIDS, from what I can tell from a quick search. So long as there's no bodily fluid contact, you're fine.

      To get to the point that a nurse is infected means that protocol wasn't followed. That it wasn't EVERY nurse and EVERY doctor that touched the patient is quite telling.

      And, think about it... something THAT infectious, it wouldn't matter - you wouldn't GET to the hospital before you'd infected dozens of people.

      Ebola is being blown out of proportion. Sure, it's serious. It's not to be fucked with. But it's just a disease.

      I have friends who work on the frontline of medicine - checking samples that come in for everything from cancer to Ebola. Sure, they have precautions. There are grades of danger for particular samples, etc. There are "classes" of labs that handle the more dangerous stuff. But pretty much it's rubber gloves at the end of the day. The chemicals they use to break samples down and analyse them are actually ten times more dangerous than anything they have come in.

      Just don't lick it, and you're fine.

    4. Re:Robots? by Anonymous Coward · · Score: 0

      Nurses are cheaper than robots

    5. Re:Robots? by Anonymous Coward · · Score: 0

      I think robots would just "dispose" the "defective" humans.

    6. Re:Robots? by Anonymous Coward · · Score: 0

      This ebola outbreak is going to cost a lot of money.

    7. Re:Robots? by Anonymous Coward · · Score: 0

      There are insane people asking for exactly that.

    8. Re:Robots? by Anonymous Coward · · Score: 0

      Nowhere near close enough to make a difference in this outbreak.

      I would imagine we could use robots for a few tasks...stripping a bed of infected linens, delivering food to a patient who is still moderately able to feed themselves. But helping them with toilet activities, washing, bathing - or dealing with them once they are too sick to care for themselves - changing IV bags...there are tasks that we're a decade away from being able to do with a robot.

      But even if only a few of the simpler tasks could be handled that way, maybe we could (say) halve the amount of time that a human has to be exposed with simple (existing) remote-controlled robots.

    9. Re:Robots? by Anonymous Coward · · Score: 2, Insightful

      So you honestly believe those thousands who got infected licked another's bodily fluids?

      You may have prestigious friends, or not, but you just sound like an ignorant moron.

      Reality is that most people are not as vigilant as professional scientists handling bioweapons that could wipe us out many times over.
      If you lived in Africa, you would know how deadly and debilitating HIV/AIDS can be.

    10. Re:Robots? by Anonymous Coward · · Score: 0

      We have robots for ridding explosive ordinance. Considering the humber of healthcare workers that contracted this disease so far, hopefully some remotely controlled robot doctor/nurses would help further quarantine the situation.

      We are far from autonomous humanoid robots, but since this isn't a labor saving measure, it should be much easier, as they are rather more like walking drones, how far is current tech from making this possible?

      I've been present in the emergency room where this was used by a neurologist at a different hospital to interact with a stroke patient:

      http://www.intouchhealth.com/products-and-services/products/rp-7i-robot/

    11. Re:Robots? by rolfwind · · Score: 1

      I agree with your overall message, but humans being what they are (not always following the rules), another barrier of protection would not hurt imo.

      A salute to your friends for me.

    12. Re:Robots? by Hrrrg · · Score: 4, Informative

      There is virtually nothing (not even Ebola) that can get through basic procedures, even with humans treating them. Even without full isolation, just making sure that direct bodily contact does not occur is enough to stop basically anything - hence why doctors wear rubber gloves even if they digging into your internals with blood everywhere.

      Such a thing would be so unbelievably infectious that we'd all have it - planet-wide - within a couple of days. It's just not in the nature of such things to be that infectious. Ebola is actually no worse than AIDS, from what I can tell from a quick search.

      There are so many things wrong with this, it is hard to know where to start...

      Many diseases are much more infectious than ebola. I recall from medical school that you can catch chicken pox (if you haven't had it or been vaccinated) from the air two hours after a patient has left the room. Influenza is also much more infectious than ebola, which is why is spreads around the world in weeks/months every year.

      Fortunately ebola is not nearly so infectious. But if someone is having continuous watery diarrhea and bleeding everywhere (e.g. Ebola) and your job is to roll them over every hour, while they are thrashing around, to clean up their bloody virus-laden excrement, and your only protection is mask/gloves/gown - well, good luck.

      HIV requires that you get infected bodily fluid (usually blood) into your own bloodstream, which is much hard than catching Ebola.

    13. Re:Robots? by Anonymous Coward · · Score: 0

      If you lived in Africa, you would know how deadly and debilitating HIV/AIDS can be.

      You don't have to live in Africa to know what a horror HIV/AIDS is as anyone who was alive and aware in the 1980's knows.

      I also don't have to worry about getting HIV because I know that it is just about the most difficult disease there is to catch from another person.
      I know to not let random people stick their dicks in me, and I know not to share needles with anyone.

    14. Re:Robots? by ShanghaiBill · · Score: 4, Informative

      So you honestly believe those thousands who got infected licked another's bodily fluids?

      Yes. In the countries with widespread Ebola, they have funeral rites that involve touching and kissing the corpse. In some instances, relatives washed the corpse, and then, as a sign of respect, drank the water. These countries have a deep distrust of official authority, including health workers, so there has not been much success at discouraging these traditional practices. Except for a few isolated and quickly contained instances, Ebola has not spread beyond the regions with these practices.

    15. Re:Robots? by Znork · · Score: 2

      Ebola is vastly more infectious than HIV. With HIV you basically need to get blood with a viral load injected to have any certainty of getting it. Transmission rates with vaginal intercourse are in the rates of far below 1% per act. More than half the pregnancies don't even transmit the virus to the baby.

      Compare that with Ebola where the virus is in basically present in infectious levels in every bodily fluid spread around to the extent that hospital personnel don't even know how they got it.

      HIV, lick it, you'll still be fine. Ebola, touch anything they've touched and all bets are off.

    16. Re:Robots? by ColdWetDog · · Score: 2

      The big unknown is what 'full protective gear' means. A class A suit? Masks, gloves, Tyvek gown? It would be pretty hard to get an infection in the former (although hardly impossible), rather easy to take the stuff off incorrectly (which turns out to be the hard part) and get a couple of viral particles on you. This will be a teaching point for health care workers - Do It Right. People get tired, they get distracted, they get sloppy. Although Ebola won't jump out an bite you, it still deserves quite a bit of respect.

      --
      Faster! Faster! Faster would be better!
    17. Re:Robots? by Anonymous Coward · · Score: 0

      In the days before hand washing, doctors used to go directly from anatomy lab (handling cadavers) to dealing with patients. The first doctor to say we shouldn't do that was actually committed to a mental hospital and beaten to death.

      https://en.wikipedia.org/wiki/Ignaz_Semmelweis

    18. Re:Robots? by Razed+By+TV · · Score: 2

      Ebola is actually no worse than AIDS, from what I can tell from a quick search.
      ...
      Just don't lick it, and you're fine.

      I can put AIDs in my mouth all I want and not get AIDs.
      If I put Ebola in my mouth, I will get infected with Ebola.
      Please stop spreading this nonsense that Ebola is as difficult as AIDs to transmit. It is carried in more bodily fluids, and can be spread by contact with those fluids. It does not require a wound, as AIDs does.

    19. Re:Robots? by Tom · · Score: 4, Informative

      To get to the point that a nurse is infected means that protocol wasn't followed. That it wasn't EVERY nurse and EVERY doctor that touched the patient is quite telling.

      We know some details about the nurse that was infected in spain: She touched her face with her hands before disinfecting them.

      Yes, protocol wasn't followed. But here's the point: You need to follow protocol 100% of the time to be safe. You only need to make one mistake to be infected. For a virus with such a crazy lethality rate, that's not good. Treating an ebola patient is a lot like playing russian roulette.

      Just don't lick it, and you're fine.

      Very few of the people who are now dead licked it. Yes, the media loves fear stories and it's overblown, but you're underblowing it.

      --
      Assorted stuff I do sometimes: Lemuria.org
    20. Re: Robots? by Anonymous Coward · · Score: 0

      Can you show a study which says that there is a probability ofinfection of 1using your 'i put Ebola in my mouth ' protocol ?

    21. Re:Robots? by phantomfive · · Score: 4, Informative

      In some instances, relatives washed the corpse, and then, as a sign of respect, drank the water.

      Here's a reference, in case anyone finds that incredible
      Also, in some places they don't trust health workers, and actually attack them. They are afraid of the disease, but they are more afraid of the health workers.

      --
      "First they came for the slanderers and i said nothing."
    22. Re:Robots? by Anonymous Coward · · Score: 0

      Just don't lick it, and you're fine.

      Ah ha! Um, disregard the last part about the stick.

    23. Re:Robots? by gweihir · · Score: 1

      Not insane, but so deeply in fear that any rationality has left them. A side-effect of various governments (chief among them the US one) spending a lot of effort on keeping people as deeply in fear as possible from things that are no real threats, but can easily be blown up into ones (terrorism, drugs, sex-trafficking, socialism, immigrants, etc.). The results are wimps tat cower in fear all the time and are ready to kill, main, slaughter and torture as the slightest provocation. Of course, they barely qualify as human anymore and are an utter disgrace. The reason this is done to them is of course that a population in fear is easy to control. The reason this can be done to them is that they never mastered emotional control. Unfortunately, these people are a rather large group and possibly a majority.

      --
      Most ACs are not even worth the keystrokes to insult them. Be generically insulted by this and ignored otherwise.
    24. Re:Robots? by Sibko · · Score: 3, Insightful

      You're kidding me right?

      A woman working under biohazard 4 conditions, wearing a hermetically sealed suit, working with a patient she KNOWS has ebola and is infectious; gets Ebola herself, and you are seriously trying to play it off like it's no worse than HIV? Acting like a know-it-all expert on infectious diseases and trying to reassure everyone that this isn't going anywhere and isn't dangerous?

      Look, I'm not trying to fear-monger here for the sake of it, and I'm certainly no ebola-expert, but trying to reassure everyone that this is just going to blow over with this idiocy about how safe Ebola is and how nobody can catch it unless they fucking lick infected blood when that is increasingly not the case just sets me right off. Even the media has done a complete 180 on their usual fear-mongering. Let's suppose for a moment that this woman did something out of procedure - she didn't clean her suit or something, and she touched it, then rubbed her eyes.

      That's not HIV-level infectious. That's influenza/cold-level infectious, and that is extremely worrying, because the CDC seems to be grossly incompetent in this entire situation and I'm beginning to wonder if the corporations involved who have the potential to make literal billions to trillions off Ebola vaccines aren't giving little nudges here and there to maintain a certain level of incompetence in the matter. We aren't even quarantining Africa - the CDC says that wouldn't do anything. Like hell it wouldn't. The first thing we did when SARS was worrying people was to quarantine and shut down air travel, but apparently we're finding out only just now that this didn't work and won't work for Ebola, so let's just spend millions trying to screen for it ineffectively at the airports into our countries? I'm sorry, I'm not buying this. I'm not buying anything the mass media are telling us about this disease anymore. How many times does the mass media have to lie to people before they stop actually trusting them?

      Did you know that one of the Ebola strains quite possibly moved through an air gap to cause infection?
      http://www.nature.com/srep/201...

      We also know that the Filovirus family can easily become airborne:
      http://www.nature.com/nbt/jour...

      This virus is spreading into the tens of thousands range in West Africa. That's an immense breeding ground for it to adapt to a new host. We know that Ebola strains can become airborne, and we keep having doctors getting sick with the virus in spite of hefty precautions against it. So why are we assuming it can't be airborne and can't be transmitted during its incubation period? Why are we assuming it has low infectivity when doctors in full protective gear are getting it? When people are literally getting this virus from just touching things that ebola victims have touched? Why is nobody taking precautions in case it IS highly infectious? This isn't some joke of a virus that kills 2% of the people it infects; almost everyone who gets it dies. This isn't something to be jovial and careless around, yet we took more precautions around SARS than anything we're doing with Ebola. It's fucking madness, and I keep seeing people parrot this bullshit that we shouldn't be worried, have nothing to fear if we aren't literally bathing in Ebola-blood like West Africans obviously are, and so on.

      No, we DO have something to fear from this - you'd be foolish not to be worried - and I am not satisfied in the least with the way our governments are treating this whole thing. It's almost flippant. I think some serious discussion about this virus getting into western countries uncontrollably needs to seriously start happening. What are you going to do if Ebola ends up in your town? Have you even considered talking about it with your family? With your local community? Is the effort involved in being prepared really worth the risk o

    25. Re:Robots? by bongey · · Score: 1

      Really just need a water/bleach spray down at entrace and exit before taking off gear. The spray down is part of the process in Africa but not in the US , which is just dumb.

    26. Re:Robots? by bongey · · Score: 2

      A water/bleach spray down at entrace and exit before taking off gear. The spray down is part of the process in Africa but not in the US , which is just dumb.

    27. Re:Robots? by will_die · · Score: 1

      Can we please drop the widow corpse washing it is something that had a very small following in Nigeria and has been made illegal years ago. And in the region it was known to be practiced the ebola spread has been stopped.

    28. Re:Robots? by Vellmont · · Score: 2


        Ebola is actually no worse than AIDS, from what I can tell from a quick search. So long as there's no bodily fluid contact, you're fine.

      I agree with everything else you're saying, but this is absolutely false. AIDS is VERY difficult to get. You won't get AIDS from casual contact with saliva, urine, sputum, or feces. Ebola can be contracted by any of these coming in contact with your eye.

      So they're worlds apart in terms of how transmissible each is.

      --
      AccountKiller
    29. Re:Robots? by Opportunist · · Score: 1

      Umm... in what field outside of politics?

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    30. Re:Robots? by Opportunist · · Score: 1

      Could we just kill and incinerate them? Then Ebola would have at least have a positive effect, too.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    31. Re:Robots? by Mashiki · · Score: 1

      Uh-huh. And in Pakistan and other African countries they outlawed marrying girls under the age of 10. Of course it still happens, as we all know "making something illegal" doesn't stop it from happening.

      --
      Om, nomnomnom...
    32. Re:Robots? by penguinoid · · Score: 1

      She was just dying to scratch that itch?

      --
      Don't waste your vote! Vote for whoever you want, unless you live in a swing state it won't matter anyways
    33. Re:Robots? by Rich0 · · Score: 1

      A water/bleach spray down at entrace and exit before taking off gear. The spray down is part of the process in Africa but not in the US , which is just dumb.

      But, they just redid the paint last year! Nobody would choose us as the best place to give birth and have colonoscopies if we had bleach splotches on the wall!

    34. Re:Robots? by Anonymous Coward · · Score: 0

      The GP will continue to spout inane bullshit until he/she gets ebola, and then blame the government for not spending trillions on a miracle cure.

    35. Re:Robots? by gnasher719 · · Score: 1

      I agree with everything else you're saying, but this is absolutely false. AIDS is VERY difficult to get. You won't get AIDS from casual contact with saliva, urine, sputum, or feces. Ebola can be contracted by any of these coming in contact with your eye.

      Someone with AIDS can pass the disease on for many years. Someone with Ebola can pass it on for 21 days.

    36. Re:Robots? by bongey · · Score: 1

      Sad but true.

    37. Re:Robots? by Anonymous Coward · · Score: 0

      You're a ducking idiot, the u.s. has around one hundred twenty people on quarantine and isolation and we've only had one person contract the disease stateside. Don't panic, sure, but ffs quit telling people it's about as difficult as licking vomit off the floor. You are solo full of shot, you should be shot for the equivalent of claiming gasoline is a fire retardant.

    38. Re:Robots? by Anonymous Coward · · Score: 0

      Fucking ignorant gay cancer Nazis.

    39. Re:Robots? by bmajik · · Score: 1

      Any protocol that results in you dying if you make a single mistake in a very long list of mundane tasks is a poor protocol.

      Organizations with operational excellence have basic things like written checklists and safety tags and other stuff. The USAF for instance has methods of managing risk and mitigating risk that can be carried out by people who aren't anywhere near as well educated as most American medical professionals.

      --
      My opinions are my own, and do not necessarily represent those of my employer.
    40. Re:Robots? by Xyrus · · Score: 1

      Very few of the people who are now dead licked it. Yes, the media loves fear stories and it's overblown, but you're underblowing it.

      Incorrect. The practices of the most affected countries is the equivalent of "licking" it (drinking the water used to wash the dead). Combined with a mistrust of health workers/modern medicine/sanitation practices it's a wonder why it hasn't spread farther than it has.

      --
      ~X~
    41. Re:Robots? by Anonymous Coward · · Score: 1

      Pakistan and other African countries

      Hello Face, I see you've met my friend palm.

    42. Re:Robots? by Anonymous Coward · · Score: 0

      And we all know that making something illegal will stop it in its tracks, especially something founded on cultural tradition.

    43. Re:Robots? by Himmy32 · · Score: 1

      Nigeria isn't where is Ebola currently is. It's not even relevant even if it was still happening...

    44. Re:Robots? by Tom · · Score: 1

      drinking the water used to wash the dead

      I didn't read about it before, but a quick Google search seems to confirm it. Thanks for the information!

      --
      Assorted stuff I do sometimes: Lemuria.org
  4. Olami by Anonymous Coward · · Score: 0

    USA Records Its Second Ebola Case

    http://www.mobloaded.com/usa-records-second-ebola-case.html

  5. Everybody Panic! by Anonymous Coward · · Score: 0

    Probably didn't take it off correctly.

  6. Ebola obviously spreads more easily... by kervin · · Score: 0, Troll

    ...than they're letting on.

    I understand though that admitting this would cause a panic, especially since there is no working vaccine. But it's beginning to look like the "direct contact with bodily fluids only." thing is not entirely true. Unless the amount of fluids needed is small enough to be transmitted via a sneeze, cough or something similar.

    1. Re:Ebola obviously spreads more easily... by iggymanz · · Score: 1

      nonsense, more likely contaminated objects were not properly isolated to sick area and not disposed of properly. Carelessness can get one maimed or killed in the real world.

      By the way, "not airborne" does not included someone sneezing or coughing droplets right on you.

    2. Re:Ebola obviously spreads more easily... by Anonymous Coward · · Score: 0

      Get a grip.

      It requires direct contact with bodily fluids. This includes sweat and you only need a little on you, you know, on your skin. Ebola dies when the thing dries out. This is why health workers are particularly at risk - they are in contact with patient and any moment of carelessness results in infection. If someone tells you that somehow it needs more than this, they are ill informed.

      You know, in Liberia, more than 5% of all people that dies of Ebola were health workers. The people in those full suits. And those Liberia does not have many health workers in the first place.

      Ebola is classified as lv 4 pathogen not because it spreads easily. It is classified as such because the people that would work with the virus would most likely end up exposing themselves otherwise. Just like this nurse.

    3. Re:Ebola obviously spreads more easily... by Rich0 · · Score: 2

      Yup, nothing to worry about. We've had all of about three people in the US with the disease so far with no more than one in any hospital at a time, and yet the workers still manage to get themselves infected. That is under fairly ideal conditions - these patients are actually in specialized isolation wards and they can dedicate personnel to them and generally isolate them from the rest of the hospital.

      So, 3 sick patients leads to 1 sick healthcare worker. That isn't a particularly good ratio. If we had 100 people with Ebola then you'd expect 33 sick healthcare workers, and then you'd expect those to go on an infect another 11, then another 4, and then one more for good measure. If you're keeping count that is 50 healthcare workers in total, from treating 100 sick people.

      Now, maybe we're just really unlucky or something, but I'd think that if the ERs started filling up with Ebola patients the amount of isolation would go down, not up.

      The "nothing to worry about, it is just Ebola" crowd is beginning to sound a bit like the "the space shuttle is designed to not blow up more than once per 100k missions" crowd. All the hand-waving about how hard the disease is to transmit is in complete contrast that in first-world medical centers we already have two infected nurses.

      This isn't AIDS. You CAN catch it from a handshake, let a lone a kiss.

    4. Re:Ebola obviously spreads more easily... by aaaaaaargh! · · Score: 1

      It would be easily spread by coins and monetary notes, though, wouldn't it?

    5. Re:Ebola obviously spreads more easily... by Anonymous Coward · · Score: 0

      So, 3 sick patients leads to 1 sick healthcare worker. That isn't a particularly good ratio. If we had 100 people with Ebola then you'd expect 33 sick healthcare workers, and then you'd expect those to go on an infect another 11, then another 4, and then one more for good measure. If you're keeping count that is 50 healthcare workers in total, from treating 100 sick people.

      Oblig xkcd: http://xkcd.com/605/

    6. Re:Ebola obviously spreads more easily... by BrianPRabbit · · Score: 1

      Fairly ideal is not ideal. According to CNN, the 2nd Patient broke protocol. If One does not do what One is supposed to do, bad things can happen.

    7. Re:Ebola obviously spreads more easily... by BrianPRabbit · · Score: 1

      No, according to CNN, the 2nd Patient broke protocol. If One does not do what One is supposed to do, bad things can happen. So far, the disease has spread only thru the exact process which "they" have stated.

    8. Re:Ebola obviously spreads more easily... by Anonymous Coward · · Score: 1

      So, 3 sick patients leads to 1 sick healthcare worker.

      That's an R0 of 0.3 -- which means the disease will eventually burn itself out without ANY external intervention... why is that cause for alarm, again?

      In total, your scenario suggests that 150 people will die, and then the disease will burn itself out because there's nobody transmitting it further. Certainly tragic, but not exactly the stuff of worldwide pandemics.

    9. Re:Ebola obviously spreads more easily... by Anonymous Coward · · Score: 0

      And if what One is supposed to do cannot realistically be followed by trained professionals, bad things will happen.

    10. Re:Ebola obviously spreads more easily... by Rich0 · · Score: 1

      Fairly ideal is not ideal. According to CNN, the 2nd Patient broke protocol. If One does not do what One is supposed to do, bad things can happen.

      Thus proving my point. There is no such thing as truly ideal conditions, and if your disease management program starts with assuming that things are ideal it is going to fail.

      You can't do just enough to stop the spread of the epidemic. You need to multiply that by a factor of 10 once or twice, while you still can. If it gets out of control, then there is nothing you CAN do.

    11. Re:Ebola obviously spreads more easily... by Rich0 · · Score: 1

      That is only counting healthcare workers wearing space suits.

      I'm not saying that we should give up hope on containing Ebola. I'm just saying that we should be pulling out all the stops. By all means aid those who have been affected by the disease, but let's be a LOT more serious about quarantines to prevent its spread.

      If I called up the FBI and told them that I had anthrax in my basement they'd send in a small army. If I called up the CDC and told them that I had lunch with the guy who had Ebola they'd tell me to stay home and call them if I get a fever. Maybe we should be less worried about saving money, and more worried about whether I decide I get tired of staying home and just make one quick trip to the grocery store.

    12. Re:Ebola obviously spreads more easily... by gnasher719 · · Score: 1

      If I called up the FBI and told them that I had anthrax in my basement they'd send in a small army. If I called up the CDC and told them that I had lunch with the guy who had Ebola they'd tell me to stay home and call them if I get a fever. Maybe we should be less worried about saving money, and more worried about whether I decide I get tired of staying home and just make one quick trip to the grocery store.

      If you had anthrax in your basement, you would most likely be a dangerous nutcase you could do untold damage. If you had lunch with the guy who had Ebola, the assumption would be that you are a normal upstanding godfearing citizen who knows that if they leave their apartment after being told to stay and someone dies because of that they would get hit with a manslaughter charge.

    13. Re:Ebola obviously spreads more easily... by tibit · · Score: 1

      Of course the small amount of bodily fluid needed is well known, you pretty much need contact with one droplet of airborne saliva from a sneeze/cough. That's about it. With ebola it seems that you really need to get one, literally one viable virus into your body and you're infected.

      --
      A successful API design takes a mixture of software design and pedagogy.
    14. Re:Ebola obviously spreads more easily... by Rich0 · · Score: 1

      If I called up the FBI and told them that I had anthrax in my basement they'd send in a small army. If I called up the CDC and told them that I had lunch with the guy who had Ebola they'd tell me to stay home and call them if I get a fever. Maybe we should be less worried about saving money, and more worried about whether I decide I get tired of staying home and just make one quick trip to the grocery store.

      If you had anthrax in your basement, you would most likely be a dangerous nutcase you could do untold damage. If you had lunch with the guy who had Ebola, the assumption would be that you are a normal upstanding godfearing citizen who knows that if they leave their apartment after being told to stay and someone dies because of that they would get hit with a manslaughter charge.

      Funny. When you go to borrow money at the bank they don't just assume that you're a fine upstanding citizen who will pay back the loan. People act negligently all the time - just look at how they drive. If you put 100 people in self-imposed quarantine, chances are a few are going to step out (only for important stuff, of course).

      Also, imagine if the news broke that Al Qaeda or whatever was working hard to try to break into the CDC to steal Ebola samples for a biological weapon - you'd probably see an army stationed outside the research labs. Think about it - if they want to get their hands on it now all they have to do is go visit somebody who is waiting at home for the results of their tests.

    15. Re:Ebola obviously spreads more easily... by Anonymous Coward · · Score: 0

      Dude, within days of becoming symptomatic, Thomas Eric Duncan (the guy in Texas who died from it) was begging hospital staff to put him in a diaper because he was too tired to keep getting up and going to the bathroom to deal with his explosive diarrhea.

      If you end up with Ebola, you're not happily skipping around town infecting people willy-nilly. You're almost immediately plunged into a world of projectile vomiting, explosive diarrhea, pain, and bleeding that gets progressively more debilitating until you die, or your immune system catches up, and then you're still going to spend a significant amount of time recovering from the infection.

      If you had lunch with someone with Ebola, and, say, shared a spoon... you'd want the CDC to know because you MIGHT be able to get aggressive treatment and experimental drugs that could save you from dying. If you had a basement full of anthrax, you wouldn't want to notify the CDC, because the only fucking reason you'd have a basement full of anthrax spores would be because you were trying to develop a biological weapon. Ebola victims make poor biological weapons - they're largely incapacitated by the disease, they can only infect other people by exposing them to their bodily fluids, and it's generally pretty obvious (and distasteful) when somebody tries to vomit all over you.

    16. Re:Ebola obviously spreads more easily... by Rich0 · · Score: 1

      The problem is that between being asymptomatic and being on death's door you have moderate flu symptoms and are contagious. That is something we want to keep an eye on.

      As far as Al Qaeda goes, I was just pointing out the irony of the situation. In any case, if they wanted to spread it around I agree that they probably would want to avoid catching it. If you had a sample of tainted blood/vomit/whatever you could easily soak a rag in that and wipe every doorknob in town. Even if you wore no protection it would take a week before you showed any symptoms, so if you were into suicide you could just keep a bag of vomit in your coat pocket and periodically dip your hand in it as you go about your day.

      I don't think we should be more serious about quarantines to keep Ebola out of the hands of terrorists. I think we should stay on top of quarantines because it simply makes sense.

    17. Re:Ebola obviously spreads more easily... by BrianPRabbit · · Score: 1

      Thus proving my point. There is no such thing as truly ideal conditions

      Except that's not how your point came across; it came across as "these are conditions ideal enough; therefore, the disease should not have spread".

      if your disease management program starts with assuming that things are ideal it is going to fail.

      It's not clear this assumption was made.

    18. Re:Ebola obviously spreads more easily... by Rich0 · · Score: 1

      Thus proving my point. There is no such thing as truly ideal conditions

      Except that's not how your point came across; it came across as "these are conditions ideal enough; therefore, the disease should not have spread".

      I was saying that the conditions in the hospital were better than could be expected if Ebola got out of control (ie hundreds of people sick in every town). I don't dispute that they weren't ideal enough. My point is that you can't expect hospitals to be "ideal enough."

      Yes, it is apparent that under truly ideal conditions you can contain the spread of Ebola. My point is just that so far we aren't doing a great job at it, and if we fail to contain it things will get even worse as hospitals aren't even able to afford the level of rigor they used in Dallas (which again was obviously already insufficient).

    19. Re:Ebola obviously spreads more easily... by BrianPRabbit · · Score: 1

      With the exception of Ms. Vinson's potential exposure to ~800 People, I'm not sure how You conclude "we aren't doing a great job at [containing Ebola in the U.S.]" Like Ms. Vinson, the only other two Individuals known to have contracted the disease were not adequately trained by the hospital in Texas. In fact, according to congressional testimony this week, They were not trained at all and the CDC had apparently informed the hospital not only did Workers need to be adequately trained but level 4 PPE was likely necessary, as opposed to the level 2 PPE used. Now, if by "we", You mean the Texas hospital, yes, I agree "we" aren't doing a great job at it. However, this point is not clear from Your statement.

    20. Re:Ebola obviously spreads more easily... by Rich0 · · Score: 1

      With the exception of Ms. Vinson's potential exposure to ~800 People, I'm not sure how You conclude "we aren't doing a great job at [containing Ebola in the U.S.]" Like Ms. Vinson, the only other two Individuals known to have contracted the disease were not adequately trained by the hospital in Texas. In fact, according to congressional testimony this week, They were not trained at all and the CDC had apparently informed the hospital not only did Workers need to be adequately trained but level 4 PPE was likely necessary, as opposed to the level 2 PPE used. Now, if by "we", You mean the Texas hospital, yes, I agree "we" aren't doing a great job at it. However, this point is not clear from Your statement.

      By we I mean every person in the USA.

      Diseases don't care whose fault it is that the ball got dropped. They kill people all the same. If people aren't competent to manage a disease, then they shouldn't be managing it. The CDC shouldn't be just sending memos from on high. If a hospital isn't doing enough, then this should be recognized as a national emergency and those who are mismanaging the situation should be placed under the supervision of somebody who knows what they are doing.

      Of course, stepping in and actually doing something would mean that we can't just keep pointing the finger of blame at the folks who are bungling things.

      People need to realize that the worst possible outcome of an Ebola epidemic isn't that people will stop shopping in malls and that the locally-elected coroner/etc and hospital board might lose some authority temporarily. In a state of emergency that requires coordination at the national level, sometimes you can't leave every decision up to the local level.

  7. Why Slashdot, why? by Anonymous Coward · · Score: 0

    Oh dear god lets get as sensational and stupid as possible. If this disease had gone airborne there would be a LOT more cases than 2. You were bound to have one or two extra cases from direct contact with the original case in Texas, thats not that surprising. What would be surprising is if someone who was COMPLETELY unrelated and unconnected to the health workers in Africa fighting the outbreak caught the virus, but that hasn't happened and won't happen so long as hospitals containing the currently infected follow the best practices. The media is trying to make more out of this than there actually is. Stop adding to the fear machine slashdot. I'd say that sort of thing was below you but we all know you've sunk to epic lows as of late. This website is only a shadow of its former self. A shadow that apparently has lost the ability to spell and grammar check their posts (Or even do simple proofreads). Often times stories submitted to slashdot are put on the front page without looking it over and correcting spelling/grammar errors. And if the people who filter the submissions can't even be bothered to look for basic spelling errors how can we expect them to vet stories to be sure they were actually factual in nature.

  8. Human infections caused by Ebola-Reston by jbeaupre · · Score: 1

    "Human infections caused by Ebola-Reston virus in the US in 1990"
    Source: http://www.cdc.gov/ncidod/dvrd...

    More info: http://en.wikipedia.org/wiki/R...

    Yeah. Pigs and monkeys. And in the US and Philippines. Enjoy your day!

    --
    The world is made by those who show up for the job.
    1. Re:Human infections caused by Ebola-Reston by rkww · · Score: 1

      "Human infections caused by Ebola-Reston virus in the US in 1990"

      Oh dear, selective quoting at its best / worst. That sentence in full: "Human infections caused by Ebola-Reston virus in the US in 1990 and in the Philippines resulted in no clinical illness."

    2. Re:Human infections caused by Ebola-Reston by jbeaupre · · Score: 1

      True. But I was just trying to point out that it wasn't the first infection in the US. And not just humans can get it. Reston is sort of an oddball ebola strain. We're damn lucky it is. There was some evidence it can be airborne.

      --
      The world is made by those who show up for the job.
  9. 1st or 2nd transmission within the US? by Anonymous Coward · · Score: 0

    the Boston Globe, which notes that "If the preliminary diagnosis is confirmed, it would be the first known case of the disease being contracted or transmitted in the U.S."

    But last week it was reported that Sgt. Michael Monning contracted ebola while trying to get the quarantine order signed.

    http://science.slashdot.org/story/14/10/08/1737237/texas-ebola-patient-dies

    Was the diagnosis of Sgt. Monning ever confirmed? Did the Boston Globe just forget to count him?

    1. Re:1st or 2nd transmission within the US? by Dahan · · Score: 4, Informative

      But last week it was reported that Sgt. Michael Monning contracted ebola while trying to get the quarantine order signed.

      No, it says a possible second Ebola victim. He didn't actually have the symptoms of Ebola, but felt sick, and since he had been in Thomas Duncan's apartment, he went to get checked out just in case. But his test for Ebola was negative.

    2. Re:1st or 2nd transmission within the US? by rkww · · Score: 2

      Was the diagnosis of Sgt. Monning ever confirmed? Did the Boston Globe just forget to count him?

      http://www.khou.com/story/news...

      "Monnig was transported to Texas Health Presbyterian inside an ambulance protected with plastic on the inside. Once there, his blood was drawn. He was cleared of the Ebola virus the next day."

  10. worker wearing full protective gear by edxwelch · · Score: 1

    Does anyone know how the virus can penetrate a hermetically sealed suit?

    1. Re:worker wearing full protective gear by ledow · · Score: 1

      Sloppy procedure.

    2. Re:worker wearing full protective gear by codepigeon · · Score: 4, Informative

      Does anyone know how the virus can penetrate a hermetically sealed suit?

      It cant, but when the health worker does not use care to disinfect and properly remove the gear, he/she may not as well have worn the suit in the first place.
      One of the workers infected in africa admitted that that was the cause of their infection; accidentaly touching their bare skin with the outside of the suit.

    3. Re:worker wearing full protective gear by Anonymous Coward · · Score: 0

      These suits are warm. You can't wear them all day. Plus, on footage you rarely see adequeate suits. It's mostly band-aid, especially for brown people.

    4. Re:worker wearing full protective gear by Rich0 · · Score: 1

      Does anyone know how the virus can penetrate a hermetically sealed suit?

      It cant, but when the health worker does not use care to disinfect and properly remove the gear, he/she may not as well have worn the suit in the first place.
      One of the workers infected in africa admitted that that was the cause of their infection; accidentaly touching their bare skin with the outside of the suit.

      This is completely true, but it is very much a blame-the-victim mentality. I really don't care whose fault it is that mistakes get made. I think this just points to the need to really step up our game if we want to stay ahead of this. We're acting like the worst possible outcome of this situation is that people will stop going to the mall or getting on planes, and our policies are designed to try to prevent that from happening.

    5. Re:worker wearing full protective gear by phantomfive · · Score: 1

      I think this just points to the need to really step up our game if we want to stay ahead of this.

      What do you suggest doing to 'step up our game?'

      --
      "First they came for the slanderers and i said nothing."
    6. Re:worker wearing full protective gear by ericloewe · · Score: 1

      She was not infected in Africa, she was infected in Spain.

    7. Re:worker wearing full protective gear by Anonymous Coward · · Score: 0

      Howze about running the suit through a crematorium before he gets out of it? ;)

    8. Re:worker wearing full protective gear by Rich0 · · Score: 2

      I think this just points to the need to really step up our game if we want to stay ahead of this.

      What do you suggest doing to 'step up our game?'

      I would initially greatly restrict travel (air, land, and sea) out of Africa and limit it to those involved in aid efforts. Those workers would be carefully observed. If a tight quarantine could be imposed at a level of granularity smaller than the entire continent, then I'd be willing to lift travel bans on the entire continent after they were effective for an incubation period with no sign of spread. However, it is hard to contain a disease area as large as the current outbreak, and the entirety of the continent provides geographic barriers to spread.

      If somebody does develop Ebola then anybody they had contact with would be quarantined, with police enforcement (either monitoring devices as are commonly used in house arrest, or guards outside the door). Anybody infected would be isolated in dedicated facilities, with the healthcare workers quarantined. Of course, without an endless stream of flights out of Africa there would be few infections outside of Africa so these measures would be very limited.

      First world nations should immediately fund rapid development and testing of promising treatments, offering bounties or fee-for-service models where necessary to get around concerns around marketability of the treatments. Nations really need an Ebola treatment in their bag of tricks even if this outbreak goes away before it is developed. There is no reason there can't be ten thousand greenhouses doing a crash course in wmapp production right now, even if it turns out to be a dud (which seems unlikely). Anybody with a biochem degree could be trained to produce it, and they aren't THAT uncommon. By all means use the drug domestically first, but with the travel ban there won't be much demand for that so you can actually give doctors without borders a good supply of the stuff. The fact is that having a pool of a million people with Ebola anywhere on the planet isn't a good thing for anybody, so even if everybody is completely selfish it is in their interest to fund getting that epidemic under control.

      In a nutshell I'd treat this more like a war and less like a recession. The US has an insane 10% unemployment rate or something like that - there are plenty of bodies that could be given the necessary training to get ahead of this if we just got off of our collective rear ends and maybe did something with that nice GDP growth besides build private jets for CEOs. Since this could save the CEOs own hides, they probably won't complain too much about it.

    9. Re:worker wearing full protective gear by Anonymous Coward · · Score: 0

      If a procedure does not account for human errors its a lousy procedure. Thats why MSF has people supervising disinfection and PPE removal. Hospitals in question apparently expect the nurses to know all about biohazard safety and see no need for it.

    10. Re:worker wearing full protective gear by Anonymous Coward · · Score: 0

      "accidentaly touching their bare skin with the outside of the suit." ... that's one bad bugger. Maybe the most critical part of the care is taking off the suit. Maybe use of a suit inside of the suit would help.

    11. Re:worker wearing full protective gear by u38cg · · Score: 1

      What you are suggesting is literally as ridiculous as shutting down California because of a school shooting in New York.

      --
      [FUCK BETA]
    12. Re:worker wearing full protective gear by Rich0 · · Score: 1

      What you are suggesting is literally as ridiculous as shutting down California because of a school shooting in New York.

      We're not talking about shootings. We're talking about an infectious disease.

      A better analogy would be shutting down an entire company email system because 2% of the users of that system have been infected with a virus that spreads by email and is on the lookout for industrial control systems so that it can cause extremely expensive sabotage. Most corporate administrators would do just that in such a situation until they could deploy patches/signatures/etc to contain the spread of the virus, since so much is at stake.

      Of course, the sensible thing would have been to set up a quarantine around a few villages when the problem first came up - that would have been pretty easy to do. However, as with most such incidents nobody wants to interfere with somebody else's problem until things are completely out of control.

      The alternative seems to be to sit back and see what happens. Maybe that will work out, maybe it won't. I don't debate that there is a decent chance that everything will go fine if we don't do much of anything. However, this has the potential to be an incredible disaster, so I think that is about as wise as just hoping that another Cat 3 hurricane doesn't hit New Orleans, or that everything will work fine in 2038 without any code audits.

      But, if everything works out fine the pundits will be out in full force saying, "see, I told you it would be fine" - just as many point to Y2K and call it a waste of effort. I bet they still own fire insurance.

    13. Re:worker wearing full protective gear by u38cg · · Score: 1

      I was trying to point out how fucking ridiculous your initial assertion was. Throw Africa to the lions? You're an idiot. You have literally no idea what you're saying and yet you keep flapping your jaw.

      --
      [FUCK BETA]
    14. Re:worker wearing full protective gear by Rich0 · · Score: 1

      I was trying to point out how fucking ridiculous your initial assertion was. Throw Africa to the lions? You're an idiot. You have literally no idea what you're saying and yet you keep flapping your jaw.

      When did I ever suggest throwing Africa to the lions? We absolutely should be helping to deal with the problems there. Isolation is at best a stalling move - you can't just let millions of people harbor an infection and hope that it won't spread beyond your ability to contain it.

      Right now we're basically just sitting back and watching what happens, which is about the worst thing we can do. We're not taking serious measures to either contain or solve the problem. If we treated these kinds of problems more seriously in the first place, we wouldn't be where we are now, so now we need to spend a fortune and deal with it.

    15. Re:worker wearing full protective gear by WuphonsReach · · Score: 1

      BoLS says unemployment is down to around 6%.

      Now, you may argue with the specifics, but the general trend has been downward since 2009. Or a more detailed article.

      --
      Wolde you bothe eate your cake, and have your cake?
    16. Re:worker wearing full protective gear by Rich0 · · Score: 1

      BoLS says unemployment is down to around 6%.

      Now, you may argue with the specifics, but the general trend has been downward since 2009. Or a more detailed article.

      I think the statistic you're looking for is this. Nobody believes the official US unemployment rate - it only makes sense as a short-term trend. The US doesn't count anybody who has been unemployed long-term.

      Whether by choice or not, the participation rate does reflect the potential manpower available in an emergency without impacting the normal labor force.

  11. Protocols by Anonymous Coward · · Score: 5, Interesting

    The fact that the nurse in Spain, and the one in Dallas both contracted the disease despite wearing full protective gear - and in full knowledge that the patient was infectious - is pretty scarey. You have to imagine that both of those people were fully aware of how dangerous the situation was and were doing their very best to avoid doing anything to compromise their own safety. Clearly we either need better suits or better training, or some kind of a 'buddy system' where two people watch each other to ensure that they don't accidentally do something wrong.

    There was a piece on NPR a few days ago that said that the Doctors Without Borders people use a buddy system like this - and despite having hundreds of people on the ground in Africa for a month or more, have only had three staff infections.

    Without some improved level of protection, asking doctors and nurses to expose themselves to a disease with a 70% mortality rate (latest WHO estimate...up from 60%), no immunization and no known cure, is asking a lot. Clearly we aren't going to be able to make a vaccine or a cure in any reasonable timescale - so we really need to be working hard to improve protection. The idea of using robots for at least some of the jobs is interesting - but probably impractical for all but the simplest tasks.

    We know that this disease can spread exponentially the "base reproduction" figure (the number of people who catch the disease from one infected person) is between 1.7 and 2.3, and it takes 2 to 3 weeks for the infected person to develop symptoms and pass it on. So there is a potential for the disease to double every 3 weeks. We have just a couple of victims in the USA right now, so in a year, we could have a million victims and 700,000 deaths. Clearly, we have to reduce that base reproduction number below 1.0 - but if...with proper protection gear and highly aware workers...both the Spanish and Dallas initial cases were able to spread to one additional victim, we're clearly not going to get anywhere close to a 1.0 rate anytime soon.

    1. Re:Protocols by Anonymous Coward · · Score: 0

      As you point out, hundreds of doctors and nurses in Africa have not gotten Ebola despite treating many patients. So it's really quite surprising that out of 2 patients diagnosed in the developed world, both have transmitted the disease to a health worker.

      Either something is wrong with the way American and European hospitals are dealing with the patients, or it's just really, really unlucky.

    2. Re:Protocols by david_bonn · · Score: 2

      I think a lot of what is going on is that healthcare workers in rich western countries have very little actual experience with an 80% fatal infectious disease.

      While they may have training on protocols for dealing with such a disease, they undoubtedly are too busy to actually practice enough to keep current.

      With the exception of SARS (and SARS didn't get most places it quite positively could have), we haven't had a real, o my god outbreak in living memory in the western world. So our health care professionals are going to be a little out of practice.

      Yes, people die from the flu. Most doctors and nurses get flu shots. Most doctors and nurses are neither extremely young nor extremely old, so the worst case outcome if the get the flu is that they get the flu.

    3. Re:Protocols by Anonymous Coward · · Score: 0

      Arrogance, over confidence, denial.

      "It can't happen *here*. We know what to do. Everything's under control."

      Words are cheap. So far they've been demonstrated to be even cheaper than expected.

    4. Re: Protocols by Anonymous Coward · · Score: 0

      Maybe it's because the few Ebola cases in Europe and US have spent most of the time while infectious in hospital?

    5. Re:Protocols by TubeSteak · · Score: 1

      There was a piece on NPR a few days ago that said that the Doctors Without Borders people use a buddy system like this - and despite having hundreds of people on the ground in Africa for a month or more, have only had three staff infections.

      I heard that too, so I went looking for more information.

      October 04, 2014: Since March 2014, 16 MSF staff members contracted the virus; nine of them have died.

      The "three" that NPR reported is probably Doctors Without Borders international staff, with the other infections being local staff.

      --
      [Fuck Beta]
      o0t!
    6. Re:Protocols by Spy+Handler · · Score: 1

      I think a lot of what is going on is that healthcare workers in rich western countries have very little actual experience with an 80% fatal infectious disease.

      The one in Texas is a registered nurse, and you do not get to be a registered nurse unless you fully comprehend the Germ Theory of Disease.

      And unless that nurse has an IQ of 80 and been living under a rock for the past month, she would've been aware of what Ebola is and how easily it can kill you if you get it.

      There isn't anything special about Ebola containment that one needs vast amount of experience to master. Any competent healthcare professional would've learned it long ago. It's just a matter of being scared enough to do it religiously.

      I am not an Obama basher. I think other men in his position would've done the same thing given the information he's been told by CDC and the other experts around him.

      However it should be clear by now that that information is not entirely accurate and that Ebola is a greater danger than he's been let on. As president of the United States he needs to do his damn job now and stop incoming flights from Ebola-stricken countries.

    7. Re:Protocols by Anonymous Coward · · Score: 1

      your typical nurse or health worker isnt trained in biohazard level four containment, nor equipped for it.

      the fact that over the course of two weeks there has only been 1 infection outside of africa shows how little we actually need to worry.

    8. Re:Protocols by Anonymous Coward · · Score: 0

      Yeah, even MSF is not immune. But they clearly manage to have better procedures in Africa than hospitals in Dallas and Madrid. Thats amazing all on its own. Or maybe the amazing part is the failiure of said hospitals.

    9. Re:Protocols by Anonymous Coward · · Score: 0

      One of the dirty little secrets to western medicine is that many hospitals have a laissez-faire attitude about providing proper safety equipment to staff (cost cutting you know. I've met a few administrators who were down-right evil), and unforeseen circumstance can require improvisation which is less than perfect.

      Medical staff are regularly put in harms way do to short-sighted policies of people who will never bear the brunt of the cost. Look at infection rates of staff for what are normally nosocomial infections. Look at the sick-leave policies and workman comp. claims. Only now that the stakes are extremely high is it starting to unravel.

    10. Re:Protocols by earthminion · · Score: 1

      @"We have just a couple of victims in the USA right now, so in a year, we could have a million victims and 700,000 deaths" Unfortunately its worse that than. Unfortunately you are taking this one case in isolation. Exponential Growth in numbers of cases also means Exponential Growth in numbers of chances the virus will be brought into each country. It won't just be one or two people bring the virus into each country. It will be more and more over time. Its for this reason, its madness to fail to quarantine the 3 countries where Ebola is now spreading exponentially. Quarantine with only military access for aid would stop this spreading. Exponential Growth in numbers of cases also means Exponential Growth in the numbers of new outbreaks caused by newly infected people spreading the virus around. Also each person who gets infected then has the potential to spread the virus around (before they become so sick they then seek out a doctor for help) and we can see from the months of exponential growth, that enough are spreading the virus around and that is happening month after month. The continuing spread also shows the spread occurs before they go to the doctor. Therefore the doctors are not going to contain this spread, because its consistently occurring before doctors are able to quarantine each new case. Therefore quarantine of areas is the only solution to stop the spread. Meanwhile the WHO have repeatedly underestimated this spread for many months. If you've been following their figures for months, it can be seen their initial estimates assumed exponential decay when the figures for months have shown consistent exponential growth. They are still failing to see how serious Exponential Growth will become. So their insane advice to keep borders open is killing more people and risks killing many more people. Its highly suspicious why officials who work with people who have worked with Ebola for decades using level 4 biohazard containment are consistently failing to see this danger of allowing the potential for the virus to keep spreading to all countries, especially when we can all see from the existing cases how hazardous Ebola is on contact from an infected person. It is able to spread on contact and is consistently spreading on contact. Now imagine the points of contact in an urban environment. Public transport, money, food packaging in shops etc... We all touch so many surfaces during each day, we don't think about who has touched them before. But with Ebola every mutual point of contact becomes a potential source for more spread. Now combine that with an exponentally increasing number of outbreaks and sooner or later there will be serious outbreaks they can't trace all the contacts. The politicians need to be made aware people are going to hold them accountable and punish them if they fail to set-up a global quarantine of the three infected countries. If this spreads, many of the survivors are not just going to watch their family and friends die a horrific death whilst the politicians hide behind their barriers and claim there was no way to foresee the danger, when we can all see the danger. So the politicians better bring in a global quarantine of the 3 countries now ... or else they will pay for their current inaction to quarantine the 3 countries.

    11. Re:Protocols by earthminion · · Score: 2

      (Sorry new here, just joined to post this reply)...

      @"We have just a couple of victims in the USA right now, so in a year, we could have a million victims and 700,000 deaths"

      Unfortunately its worse that than. Unfortunately you are taking this one case in isolation. Exponential Growth in numbers of cases also means Exponential Growth in numbers of chances the virus will be brought into each country. It won't just be one or two people bring the virus into each country. It will be more and more over time.

      Its for this reason, its madness to fail to quarantine the 3 countries where Ebola is now spreading exponentially. Quarantine with only military access for aid would stop this spreading.

      Exponential Growth in numbers of cases also means Exponential Growth in the numbers of new outbreaks caused by newly infected people spreading the virus around.

      Also each person who gets infected then has the potential to spread the virus around (before they become so sick they then seek out a doctor for help) and we can see from the months of exponential growth, that enough are spreading the virus around and that is happening month after month. The continuing spread also shows the spread occurs before they go to the doctor. Therefore the doctors are not going to contain this spread, because its consistently occurring before doctors are able to quarantine each new case. Therefore quarantine of areas is the only solution to stop the spread.

      Meanwhile the WHO have repeatedly underestimated this spread for many months. If you've been following their figures for months, it can be seen their initial estimates assumed exponential decay when the figures for months have shown consistent exponential growth. They are still failing to see how serious Exponential Growth will become. So their insane advice to keep borders open is killing more people and risks killing many more people. Its highly suspicious why officials who work with people who have worked with Ebola for decades using level 4 biohazard containment are consistently failing to see this danger of allowing the potential for the virus to keep spreading to all countries, especially when we can all see from the existing cases how hazardous Ebola is on contact from an infected person.

      It is able to spread on contact and is consistently spreading on contact. Now imagine the points of contact in an urban environment. Public transport, money, food packaging in shops etc... We all touch so many surfaces during each day, we don't think about who has touched them before. But with Ebola every mutual point of contact becomes a potential source for more spread. Now combine that with an exponentally increasing number of outbreaks and sooner or later there will be serious outbreaks they can't trace all the contacts.

      The politicians need to be made aware people are going to hold them accountable and punish them if they fail to set-up a global quarantine of the three infected countries. If this spreads, many of the survivors are not just going to watch their family and friends die a horrific death whilst the politicians hide behind their barriers and claim there was no way to foresee the danger, when we can all see the danger.

      So the politicians better bring in a global quarantine of the 3 countries now ... or else they will pay for their current inaction to quarantine the 3 countries.

    12. Re:Protocols by Anonymous Coward · · Score: 0

      It's entirely possible to avoid getting infected, as many doctors have managed in Africa already. However, just a single mistake, a single itch, can make you infected more quickly than you can blink. This disease is very unforgiving and it doesn't discriminate. Even seasoned doctors having worked with this disease for years, have died themselves of Ebola eventually.

      Now, to expect every nurse and every worker to be able to follow the procedures each and every time, is a bit unrealistic, especially at the start. When people start dying on a regular basis, maybe then will it be taken as seriously as it should be.

      There's an abundance of couch-experts and paper-experts around. But for someone who've just contracted the disease, it may be too late for listening to arrogant verdicts.

      Personally, I think people and experts are severely underestimating the power of exponential growth and how global travel and dense cities will make this disease much much worse, than the few outbreaks in the remote villages in Africa. There's at least the potential for it that should be taken seriously as soon as possible. Yes, there are diseases out there that are much more infectious, but they are not as deadly and hard to treat as this.

    13. Re:Protocols by Anonymous Coward · · Score: 0

      You're right, hundreds of doctors and nurses have escaped. So the conclusion is, you're really only asking perhaps one medical worker in four to sacrifice their lives.

    14. Re:Protocols by tlhIngan · · Score: 1

      There isn't anything special about Ebola containment that one needs vast amount of experience to master. Any competent healthcare professional would've learned it long ago. It's just a matter of being scared enough to do it religiously.

      Here's a question - why does PPE require training to use?

      The answer? Anyone can put on PPE - suit, gloves, mask, goggles, etc. The challenge is that removing PPE requires special skills to ensure you didn't just render it ineffective.

      This applies to whether you have it on because of ebola, or because you're working in an infectious or biohazard environment (e.g., cleanup). You can put it on, and while it's effective while you're in the contaminated environment, doffing it is a major trouble area.

      FIrst, what do you remove? If you remove your gloves, then your hands can't touch any outside surface of your PPE (makes taking the rest of it off interesting because you'll just contaminate your hands, and now you're contaminated. Geez, you might as well not put on gloves!

      If you remove your goggles, fine. But now you have to be extremely careful when you take off your mask that none of it hits your eyes.

      It doesn't matter if you have someone else helping you, because now the other person needs to take off their PPE as well, turtles all the way down.

      That's the hard part - it takes just a second of "oops" and you're contaminated.

      It applies to anyone working in biohazard or haz-mat situations - your fancy suit and gear protects you while it's on, but taking it off requires plenty of handling and skill on everyone's part or you could've just nullified the entire reason for having the gear in the first place if you get yourself contaminated.

    15. Re:Protocols by Anonymous Coward · · Score: 0

      As anyone who has been to a hospital in the last few years, I can attest to the fact that simple protocols like handwashing and how to put on and take off sterile equipment is a bit of a lost art. This is one of the major reasons we have such a problem with hospital acquired infections when almost all of them can be prevented by these simple measures.

      Now we are asking these same people, nurses and doctors who don't wash their hands correctly or don gown and gloves correctly, to follow VERY STRICT complete isolation requirements, where even a simple break in protocol can be deadly!

      And it isn't like Ebola patients are neat and tidy. In case you have forgotten, the primary problem these patients have in UNCONTROLLABLE diarrhea and vomiting! They are covered in emesis and stool, their bedding is covered in emesis and stool. And someone has to go clean that up, in addition to all the other things a nurse has to do, like IV lines and catheters and monitors and endotracheal tubes.

      So, yes Ebola is serious, and it is very infectious. But there is nothing mysterious about it that should make us hide and stick our heads in the sand. The best way we can protect ourselves is to fight this at the source in Africa and stop the epidemic there. Banning travel and flights will only make the problem worse as people hide their illness.

      So educate yourself and use common sense, and dont touch emesis, stool or go near people who are very sick unless you are properly attired!

    16. Re:Protocols by Anonymous Coward · · Score: 0

      I think a lot of what is going on is that healthcare workers in rich western countries have very little actual experience with an 80% fatal infectious disease.

      The one in Texas is a registered nurse, and you do not get to be a registered nurse unless you fully comprehend the Germ Theory of Disease.

      You are greatly overestimating the training of most nurses. There are intelligent, well trained nurses, but in most states you can become a nurse out of a nursing program, which is a 1 or 2 year program. That's right, some people become a nurse in less time than it takes to earn an Associate Transfer degree at a junior college. I have heard some insanely unscientific crap come out of the mouths of many nurses, specifically relating to health matters about which one would assume they would know better.

      There is a nursing shortage and that usually means a low barrier to entry (as they can't simply H1-B the problem away in this case). At best these people got a 4 month course on how to care for someone with something infectious like tuburcelosis and were re-drilled in an hour "reminder" session at the hospital when someone came down with something nasty. These people are not doctors and trust me, the average undergrad at a halfway decent university is significantly more clever than most of them.

  12. Quarantine when Death is likely Prognosis by Anonymous Coward · · Score: 0

    Its easy to understand why people who know that they have either contracted this virus or know that they are at high risk due to contact would lie about this. Who wants to spend the rest of their probable short life quarantined? That puts the responsibility squarely on travel checkpoints such as customs and the governments to police the freedom that potential hosts for ebola will ultimately chose to protect for their own selve's sake because it is also easy to understand that once a person has contracted this deadly virus, that person will be less likely to be concerned for the general safety of everyone else..

  13. Re:For those who said by Anonymous Coward · · Score: 0

    Because panic is always a good rational response.

  14. Wonder if health care workers will give pause by JoeyRox · · Score: 2

    We now have two cases of Ebola being contracted by health care workers in developed nations (Spain, USA), plus the many workers who have contracted it while working with patients in the affected African nations. One wonders if the pool of health care workers willing to work with these patients will start to dwindle and whether the CDC call for calm is more direct at those workers than the general public.

    1. Re:Wonder if health care workers will give pause by Anonymous Coward · · Score: 0

      Local press (Denmark) had stories about numerous health care workers in Spain calling in sick / refusing to work with ebola patients / quitting.
      Can't tell how accurate those stories were, and if true they probably indicate local worker / hospital / authority probelems.
      But the "er have lots of doctors and nurses" line may not hold in the real world...

  15. Why are we so certain of the transmission routes by Anonymous Coward · · Score: 0

    I never understood why the CDC scientists are drawing such a hard line on how the disease is transmitted. For example if at an early stage in lets say disease X does not get into the lungs much and then maybe even then at low concentrations, then maybe the transmission rate by air would be 1 in 200 for early stages of the disease. In looking at the data you would just have a very hard time finding this because it would show so infrequently and when it did show up you might have the situation of oh this person was living with them or treated them when they were sick so you might find an alternative explanation that was wrong.

  16. Texas and Spain by Anonymous Coward · · Score: 0

    To date, Ebola transmission has occurred only in Texas and Spain, well outside of the West African nations. If you read the news originating from the hospitals in Texas and Spain, then you'd know they were pretty seriously skull fucked. It's incompetence due to poor funding for healthcare that spreads Ebola from patient to healthcare staff.

    In fact, even those West African nations have only 8000 cases after a 10 month Ebola outbreak, really not so hard to hold back the infection.

    We'd an article just the other day about how we've too many postdocs in STEM fields, like chemistry and biology. Just cut a couple unimportant military projects to fund sending a few billion dollars to the ZMapp and ebola vaccine makers, so they can hire all the postdoc to make the stuff, problem solved.

    1. Re:Texas and Spain by plover · · Score: 2

      The problem in these African nations is that the virus' main victims have been predominantly among the few trained health care workers they had.

      If you live in the developed world, you don't even think about the doctor:patient ratio, which is probably somewhere around 1:400 in your country. In Liberia, the ratio was about 1:100,000 (back in 2008). That means in this entire country of 4 million people, they had about 40 doctors - about the same as one typical urban American hospital. These are the only people capable of "holding back the infection", as you so glibly put it.

      This year alone, Ebola has already killed about 10% of their doctors.

      As far as money goes, Liberia already spends more of their money on health care than any other country in the world. As they are one of the poorest nations, they have very little money for anything at all, so this has them completely tapped out.

      What good is even a hundred liters of zMapp if there aren't enough doctors to identify and treat the infected?

      --
      John
  17. Re:For those who said by Elminster+Aumar · · Score: 0

    War of words. Stop acting like you don't know what they're meaning, literal moron.

  18. No worse than AIDS, are you kidding? by PeterM+from+Berkeley · · Score: 5, Informative

    AIDS doesn't cause contagious blood, spit, diarrhea, and vomit to go everywhere. Ebola does.

    AIDS doesn't infect health care workers who are treating patients unless there's a needlestick or sexual contact. Ebola does, with alarming frequency. Even if you DO have sex with someone with AIDS, it's not 100% that you'll get AIDS.

    AIDS can't be spread by sneezing or coughing. It's possible Ebola *is*.

    In terms of contagiousness, Ebola seems 10x worse. It's like saying "smallpox is no worse than chickenpox". Maybe if you put them both on a logarithmic plot and back up 50 feet!

    --PM

    1. Re:No worse than AIDS, are you kidding? by Znork · · Score: 0

      If you do have sex with someone with HIV it's about 99.9% that you won't get it. Ebola is more like 1000x worse.

    2. Re:No worse than AIDS, are you kidding? by Anonymous Coward · · Score: 0

      HIV doesn't make much sense.
      A) It is nearly impossible to transmit it
      B) They detect hundreds of different variants (mutants) of HIV in people infected for a long time but new infections are always one single variant, suggesting only a single virus gets transmitted or the vast majority of HIV is inactive.

      It sounds like an entire cell needs to be transferred.

    3. Re: No worse than AIDS, are you kidding? by Anonymous Coward · · Score: 1

      If I have sex with someone who has AIDS there is a 100% probability that I get Ebola?

    4. Re:No worse than AIDS, are you kidding? by ericloewe · · Score: 1

      Yeah, you shouldn't pull statistics out of your ass.

    5. Re:No worse than AIDS, are you kidding? by Anonymous Coward · · Score: 0

      Yeah, stats from that source might transmit HIV!

    6. Re:No worse than AIDS, are you kidding? by Anonymous Coward · · Score: 0

      AIDS doesn't cause contagious blood, spit, diarrhea, and vomit to go everywhere. Ebola does.

      Which is why HIV has been far more difficult to control - asymptomatic people are often carrying it and transmitting it for years before they even realize they have it. With Ebola, within about 3 weeks of infection, it's brutally obvious that you're *debilitatingly* sick, and usually either dead or healing within about 10 days from the onset of symptoms.

      Most people have an innate aversion to allowing other people to fling their bodily fluids all over them (Ebola), whereas most people have an innate desire to enjoy sexual contact (HIV). If you see somebody who's bleeding from multiple orifices, running a temperature, sweating, puking, and stinks of diarrhea - are you going to cozy up to that person? Nobody in their right mind would.

      AIDS doesn't infect health care workers who are treating patients unless there's a needlestick or sexual contact.

      HIV will infect a health care worker if there's sufficient contact with contaminated fluids - you don't need a needle stick... say you're treating someone with HIV in the emergency room, conducting emergency surgery to save their life after a car accident - if you get their blood on a cut or abrasion on your skin, you could certainly contract HIV that way, too.

      Ebola does, with alarming frequency. Even if you DO have sex with someone with AIDS, it's not 100% that you'll get AIDS.

      And even if you do have contact with someone with Ebola, it's not 100% that you'll get Ebola. What's your point? If you take proper precautions, and avoid contact with the body fluids of Ebola victims, you will not contract Ebola. Standard quarantine and isolation protocols are ALL that is required to rein in an Ebola outbreak. Of course, doctors like to actually *treat* people suffering from disease in the hopes of alleviating their suffering or even curing them... even if every doctor in the world died of Ebola today, people could eliminate the possibility of further Ebola spread by simply *staying home* for a couple weeks and avoiding contact with anybody. Infected body fluids aren't just floating around in the air for miles and miles and miles, friend.

    7. Re:No worse than AIDS, are you kidding? by Anonymous Coward · · Score: 0

      Taking this space to point out that near all of the sexual contact transmissions are the result of ether anal sex, or some other type of rough sexual contact causing invisible tearing of thin lining.

    8. Re:No worse than AIDS, are you kidding? by Chris+Mattern · · Score: 1

      There's one big one going the other way, though: Ebola isn't infectious when who don't have any easily observed symptoms. AIDS is.

    9. Re:No worse than AIDS, are you kidding? by Anonymous Coward · · Score: 0

      He's actually correct, having sex one time with someone who's HIV+ is quite unlikely to infect you.

      The problem, of course, is that the people who go around having unprotected sex generally don't just do it once, or with a single person. There's a reason that the majority of AIDS cases are gay manwhores - Even having raw buttsex once is unlikely to do it, but bare anal with a new person (or group) every weekend, or every few days, makes those 1% chances add up pretty quick. If you don't have underlying emotional or self-control problems that prevent you from forming close, monogamous relationships you're very unlikely to get HIV.

    10. Re:No worse than AIDS, are you kidding? by gman003 · · Score: 1

      Ebola is weird.

      It doesn't spread easily. The virus is basically content to sit in a corpse and multiply. It doesn't spread through air, or aerosol, or even a lot of fluids. Just blood and bile - which, granted, it does like to make you spew out, but it's not too hard to avoid unless you're trying to treat infected people or lugging corpses around.

      On the other hand, just a small initial infection can be lethal. Most diseases don't spread from one particle of the virus or bacterium entering your body - most need quite a lot, otherwise they get smashed by your immune system before you even show symptoms. Ebola doesn't need much of an initial infection to turn into a full-blown case.

      Given those two things, there's no surprise that Ebola so often infects the doctors who are treating it. But that's on outlier on its infectiousness - it's still not going to be a massive plague, because outside medical and funeral services, it just doesn't spread well.

    11. Re:No worse than AIDS, are you kidding? by thegarbz · · Score: 1

      I was with you till you said "alarming frequency".

      Please go look up the frequency of health workers getting infected by ebola and then tell me why we should be "alarmed".

    12. Re:No worse than AIDS, are you kidding? by Anonymous Coward · · Score: 0

      WARNING: Don't read the grandparent's post. You might get infected. It came from his/her ass.

    13. Re:No worse than AIDS, are you kidding? by Xyrus · · Score: 2

      AIDS doesn't cause contagious blood, spit, diarrhea, and vomit to go everywhere. Ebola does.

      AIDS doesn't infect health care workers who are treating patients unless there's a needlestick or sexual contact. Ebola does, with alarming frequency. Even if you DO have sex with someone with AIDS, it's not 100% that you'll get AIDS.

      AIDS can't be spread by sneezing or coughing. It's possible Ebola *is*.

      In terms of contagiousness, Ebola seems 10x worse. It's like saying "smallpox is no worse than chickenpox". Maybe if you put them both on a logarithmic plot and back up 50 feet!

      --PM

      The 1918 influenza outbreak killed an estimated 25 million people in it's first 25 weeks, and killed an estimated 50 million in the course of the year. It infected over 500 million people in total.

      The regular yearly flu kills anywhere from about 4,000 to 40,000 people a year in the US and infects many many more.

      And yet, you don't seem to be panicking about that.

      Heart disease kills a million a year. Cancer kills about half that. Car crashes kill about 40,000 a year.

      And yet you don't seem to be losing your mind over it.

      In fact, there's a whole list of things that are more likely to kill you on a day to day basis and Ebola is right down there around lightning strike, terrorist attack, and getting hit with a meteor.

      Perspective. It helps.

      --
      ~X~
    14. Re:No worse than AIDS, are you kidding? by Znork · · Score: 1
    15. Re:No worse than AIDS, are you kidding? by Anonymous Coward · · Score: 0

      2 people get ebola, on average, at least 1 dies. 2 people get the flu. On average, neither dies. Perhaps I'd be more concerned about ebola?

    16. Re:No worse than AIDS, are you kidding? by PeterM+from+Berkeley · · Score: 1

      OK, in Texas, we have 1 health care worker infected per 1 patient, so far, and the sick health care worker was aware of the ebola and trying hard not to get it.

      In Spain, we have 1 health care worker infected per 1 patient, also aware of ebola and trying hard not to get it.

      On the postive side, the West has managed to treat 3 others without any more health care workers getting sick.

      So in the West, the score is maybe 5 patients and 2 health care workers sick so far.

      I would call that alarming. But wait, it gets worse.

      In Africa, health care workers are 5% of the cases overall.
      http://time.com/3502002/ebola-...

      Presumably they are doing their best not to get infected too.

      We need to do better, far better, in protecting health care workers both in the West (where we are doing poorly) and in Africa, where we are doing VERY poorly.

      --PM

    17. Re:No worse than AIDS, are you kidding? by Anonymous Coward · · Score: 0

      When pulling statistics out of your ass, wear gloves and follow protocols.

      Don't put yourself at risk!

  19. Hospitals by Dereck1701 · · Score: 1

    Hospitals..... One of the most contagious places in an area. Being in an environment with the highest concentration of infected people is bad enough, but hospital employees have been known to have less than stellar hygiene. I think an entire technology product sector has had to be created just to encourage employees to wash their hands regularly.
    http://www.usatoday.com/story/...

    1. Re:Hospitals by Anonymous Coward · · Score: 0

      Don't forget when you sit next to someone on bus or subway who is commuting back home in their hospital scrubs?

      I don't remember how many years ago when they 'Accepted' this downright lazy and dangerous practice...but that surely will not help matters here in the US of things get worse.

  20. I realize we're not supposed to panic.. by swb · · Score: 2

    I know, if "you only follow procedure" this isn't supposed to be a big deal.

    But what's scary is that with a very small number of patients (one) and likely a lot of attention to procedure, a healthcare worker got infected. Sure, we can blame sloppy procedure, but it happened anyway.

    What would it look like though if we had a dozen patients or a hundred or a thousand? It's real easy to blame bad procedure, but what makes us think a wider outbreak would have *better* procedures and more attention to detail? We might get better at it (lack of practice may be an issue) and we might make incremental improvements to the kinds of procedures we follow but we might also get worse, lack facilities or the inevitible stress of a larger outbreak might impede vigilance, not improve it.

    What scares me about Ebola is how apparently difficult it can be to contain even under ideal conditions.

    1. Re:I realize we're not supposed to panic.. by Euler · · Score: 1

      Exactly this. For some reason I don't understand, this has become political.

      So far we've been told:
          - "Don't worry, you have to have prolonged contact with an infected person."
          - "Don't worry it won't happen in the USA."
          - "Uh, ok, it looks like you can get this pretty easily - but only because healthcare workers made careless mistakes..."
          - "Don't worry, the CDC knows how to stop this."

      But now: "It's pretty much impossible to follow infection control protocols correctly, nurse infected while treating patient in the USA."

      Average person: "This is scary now, what we have been told keeps turning out false. If more infected people keep arriving we could expose more of our doctors, nurses, and orderlies. Those are my family and friends, I don't want them to get sick and die. We could get overwhelmed and it would be difficult to control and follow procedures. Maybe we should restrict travel into the USA until we get a handle on how bad this really is."

      Apparent Democrat: "You are so stubborn, and darned alarmist conservative aren't you, don't you know it is more dangerous to stop travel than to allow it... "

      Average person: "wha?!?"

    2. Re:I realize we're not supposed to panic.. by swb · · Score: 1

      I think there's a big push from somewhere to "stay calm" and focus on how "hard" it is to get infected. Plus the CDC has a lot invested in their own credibility over procedures and safeguards they probably designed and recommended. Admitting it's easier to spread damages their credibility, and hubris and ego are dangerous in this situation.

      I think it would probably make sense to have some kind of special facility with segmented, on-site housing for medical personnel with mandatory isolated quarantines before being able to leave. Basically anyone who goes in has to stay in until a quarantine period and testing clean.

      Of course more intensive procedures won't scale if the outbreak does, which is the crux of what worries me. If we can't do it right with one patient, how could we possibly do it with thousands? This could very easily spiral out of control like a movie.

  21. hubris by Tom · · Score: 0, Flamebait

    Who thought that bringing Ebola patients into countries not yet infected was a smart idea? Apparently, the thought of an american dying in Africa like all those niggers was too much for someone to stand, yes? Newsflash: The virus isn't racist, it doesn't give a fuck if you're a rich american or a starving african.

    We have the same in Europe. At least one health care worker here has been infected and will probably die because someone thought it's smart to bring people infected with a 90% lethality virus home for treatment. Good job.

    We cannot contain these viruses, and our assumption that we in the west are better than those primitives in Africa and we will certain contain it to the hospital wards has been smashed. Like basically anyone who's not an idiot could have guessed.

    (and for the mentally challenged readers: Of course my use of "niggers" and "primitives" is to outline the very hubris I criticise. If you think I'm a racist, you're projecting too much of yourself into my words...)

    --
    Assorted stuff I do sometimes: Lemuria.org
    1. Re:hubris by duck_rifted · · Score: 1

      Would you choose different words were this an on-the-air interview instead of an anonymous Internet post?

      If not, then rock on. You speak as you choose, damn the consequences. But if so, then you shouldn't have used those words here either. Whichever way, what's the point in defending it if you really think there's nothing wrong with it?

      If you just reply making this about me, I'll just figure you were trolling.

    2. Re:hubris by TubeSteak · · Score: 1

      We have the same in Europe. At least one health care worker here has been infected and will probably die because someone thought it's smart to bring people infected with a 90% lethality virus home for treatment. Good job.

      From March till now, the mortality rate for ebola infected Government and NGO workers has been around 55%.

      It's higher for the the rest of the infected, as they usually have preexisting medical problems which renders them less able to fight the virus.

      --
      [Fuck Beta]
      o0t!
    3. Re:hubris by ericloewe · · Score: 3, Informative

      Don't let facts get in the way of your rant.

      This latest case arose because of a man who arrived in the US like any normal person would. He was not flown under quarantine for treatment, he developed the disease already in the US.

      Considering the record so far, it's far safer to fly people back to the US for treatment than to let them arrive on their own even if they show no signs of the disease. This allows us to reach a single conclusion and no other: that Dallas hospital has some explainin' to do.

      If your advice had been followed, that man would still have died in the US, infecting this other person, and those who were successfully treated in the US may have died due to not having access to the same level of care.

    4. Re:hubris by Anonymous Coward · · Score: 0

      I keep seeing these "mortality rate" numbers thrown around but am doubting their reliability. The problem is that some people are asymptomatic when they get ebola, so it seems unless purposeful effort is put forward to test non-symptomatic people, there is a pool of healthy people with ebola who will simply never be tested. So that 55% number is more like an upper bound.

    5. Re:hubris by Anonymous Coward · · Score: 1

      The thing is, if you dont bring infected international aid workers home for treatment, you have no international aid there. Who in their sane mind would go knowing they will be left for dogs if they get infected? Nobody thats who. You eighter evacuate the infected aid workers or you leave Africa to solve it on their own - which they wont and the epidemic will blow up in everyones faces anyway.

    6. Re:hubris by n3r0.m4dski11z · · Score: 0

      Wow, you either forgot to post as AC, or are from somewhere so racist that your racism seems casual enough to drop the N bomb into regular speech.

      I wouldn't be surprised, but for the fact that you have a 3 digit UID.
      I would assume that the badly behaving low UID's would have been weeded out a decade ago.

      Not too much shocks me on the internet these days, but a slashdot "elder" being racist is like wow. I was given pause.
      I dont really care what stupid point you were trying to make about different cultures. It's lost when you use derogatory language.

      --
      -
    7. Re:hubris by Anonymous Coward · · Score: 0

      actually the 55% number is wrong the other way, from my understanding.

      They've worked out the number based on reported cases / reported deaths, but the reported cases includes cases where the patient is still sick and could die.

      the correct number should be reported cases with known outcome / cases where outcome is death, and the number i've heard for that is 70%. I heard a guy, either MSF or WHO, pointing this out to the reported and it stuck with me.

    8. Re:hubris by Tom · · Score: 1

      Wow, you either forgot to post as AC, or are from somewhere so racist that your racism seems casual enough to drop the N bomb into regular speech.

      You didn't read until the end of my statement before your rage exploded out of you.

      --
      Assorted stuff I do sometimes: Lemuria.org
    9. Re:hubris by Tom · · Score: 1

      That is actually correct and the only reasonable explanation I could find so far. Parent deserves being modded up.

      --
      Assorted stuff I do sometimes: Lemuria.org
    10. Re:hubris by Tom · · Score: 1

      Would you choose different words were this an on-the-air interview instead of an anonymous Internet post?

      No, I wouldn't. I post with my real name here as well, and finding my physical address is a matter of following some links and knowing how whois works, or for my business address, not even that.

      You speak as you choose, damn the consequences.

      Sometimes I choose the words that others only have in their minds, in order to expose their thinking to themselves. Also, sometimes a bit of provocation is helpful. See the first troll reply, who clearly stopped reading after "niggers".

      --
      Assorted stuff I do sometimes: Lemuria.org
    11. Re:hubris by duck_rifted · · Score: 1

      Using words that you assume others have in their mind as if you're telepathic when you know those words are offensive does not do people a service. You're not a luminary shining light on the true inner workings of human minds, saving the world one racial slur at a time. You're just a narcissistic racist. And what you describe is trolling, so calling those who call you on it "trolls" is laughable.

      I don't care enough to try and dox you, but thanks for giving public permission to anybody who might. If what you say is true and you ever decide to run for public office, you're accused of a serious crime, you go through family court litigation, or you face any other circumstance whereby others have incentive to put your character under scrutiny, then God help you.

    12. Re:hubris by Tom · · Score: 1

      You're not a luminary shining light on the true inner workings of human minds,

      I'm not? Now you confuse me. :-)

      Maybe I'm influenced by being a European, so I don't have this history of living-memory slavery of black people and so the word is not such a trigger. But that's not the point. I didn't intend or claim to read peoples minds, but let's be honest here: If the Ebola outbreak were in Italy, the worlds reaction would be quite different. There is a definite element of racism involved in how we treat the matter, including the often made "let's just stop all travel" argument.

      I don't care enough to try and dox you, but thanks for giving public permission to anybody who might. If what you say is true and you ever decide to run for public office, you're accused of a serious crime, you go through family court litigation, or you face any other circumstance whereby others have incentive to put your character under scrutiny, then God help you.

      You're a bit strange. If you run for office, your private address will be public record almost immediately. Your family can be assumed to know where you live. If you're accused of a serious crime, you're going to be in jail, so it doesn't matter. So whatever point you were trying to make, I'm afraid your rage blurred your rationality.

      --
      Assorted stuff I do sometimes: Lemuria.org
    13. Re:hubris by duck_rifted · · Score: 0

      In this country, we don't publish the home addresses of politicians. We have too many people of such diversity that some are inevitably cray cray. Your family knowing where you live is beside the point, and your address being public has nothing to do with whether you use a racial slur.

      But the fact that you used that slur will be used against you by your competition in the campaign. Duh.

      If you're accused of a serious crime, you may be in jail, but unless you live in one of the few countries on the Earth who just execute people or throw them in a pit on an accusation alone, you will have a trial. And your apparent deviant character as demonstrated by your racist bigotry online will be used to help convict you.

      I'm sorry, troll, but you're not good enough at trolling to make me feel any rage. But there you go again assuming yourself to have magical telepathy powers that work over the Internet. My rationality wasn't blurred. If you are not trolling then if I were you, I would see a doctor because something is apparently restricting the blood supply to your brain.

    14. Re:hubris by Tom · · Score: 1

      But the fact that you used that slur will be used against you by your competition in the campaign. Duh.

      I'm not afraid of that. Media and opponents will find something to use against you anyways, and if they don't, they will make it up.

      And your apparent deviant character as demonstrated by your racist bigotry online will be used to help convict you.

      I pity you for the country you live in. Or maybe I'm just idealistic and believe that whether or not I committed the crime I'm accused of will be used to judge me.

      Since you're on the level of ad-hominem attacks now, with no discernable actual content, I'll leave it at that.

      --
      Assorted stuff I do sometimes: Lemuria.org
    15. Re:hubris by duck_rifted · · Score: 1

      Labeling your racist slurs as racism and answering your assumptions about my state of mind with assumptions about yours aren't ad hominems. You're wrong because the things you have said fall into the categories of hateful, delusional, and pure bullshit and not because you are you. But just make whatever excuse you need to in order to continue your racist tirades and delusional attempts at online telepathy. If people with your ideas were capable of admitting when they're wrong, then people with your ideas wouldn't exist.

  22. Re:For those who said by Anonymous Coward · · Score: 1

    He took the idiots words very accurately...

    You seems upset with a idiot being called on being a idiot though....

  23. Texas, go ahead with that secede thing by kencurry · · Score: 5, Funny

    Dear Texas,

    After careful consideration, we do actually think that your secession plans make sense after all!

    With Best Regards,
    The Other 49 States

    --
    sigs are for losers (except to point out that sigs are for losers)
  24. Re:Thanks niggers! by Anonymous Coward · · Score: 0

    First aids and now this. Time to send you all back to africa.

    Oh my, and when WASPs start getting Ebola are you going to send them all to Europe ? We don't want them.
    What a divine irony it would be for native americans to be immune to this virus and everybody else no.

  25. Re:Thanks niggers! by BrianPRabbit · · Score: 0

    Do You wear that klan hood in public or just masturbate with it?

  26. Re:Preventable by duck_rifted · · Score: 3, Insightful

    Last I saw, that debate wasn't split on party lines. Some of each party said both. Oh, but no, let's just treat every single event that ever happens like one US political party is always right and the other wrong. Because when you get elected in one party you become a god. They're not at all just people with their own opinions and ideas who make mistakes. And when you get elected to the other party, you sit around wringing your hands trying to think about how to screw up. Because they too aren't just people trying to stumble through awesome responsibilities.

    Behold the brilliance of American politics. Nothing in the world is more important than choosing which group you'll worship.

  27. The Taylor Swift metric by liquidweaver · · Score: 1

    When Taylor Swift has been dumped more times than X, X is laughable in an argument.

    --
    mov ah, 4ch
    int 21h
    1. Re:The Taylor Swift metric by ericloewe · · Score: 1

      Cleverbot, is that you?

    2. Re:The Taylor Swift metric by liquidweaver · · Score: 1

      No.

      --
      mov ah, 4ch
      int 21h
  28. There is no need to panic by sjbe · · Score: 4, Insightful

    You know, I've heard that many times now, yet Ebola continues spreading.

    And it is still correct. There is no need to panic. Ebola gets WAY more press than the severity of the actual risk justifies.

    Basically stop freaking the hell out. The people that can and will deal with this outbreak are dealing with it. Panic will accomplish nothing productive. Quite the opposite in fact.

    So perhaps it would be better to panic and spend some serious dough to crush the outbreak while it's still possible, rather than wait for it to turn into the doomsday scenario a deadly and highly contagious disease has every potential to become?

    First off, ebola is NOT "highly contagious". It's actually rather hard to get. Unless you have been in direct contact with the sweat, blood, tears, feces or other bodily fluids of a symptomatic ebola patient then you have nothing to worry about. Medical personnel who are treating such patients directly are at highest risk for obvious reasons. This is nothing shocking though it probably means someone made a mistake.

    It is incorrect that "every" pathogen has to potential to become a "deadly and highly contagious disease". Go talk to an infectious disease doctor and they will tell you that the biology of most viruses and bacteria prevents them from ever becoming a threat to humans. It's actually quite hard for that to happen even in a rapidly mutating virus which ebola is not. What you are suggesting is almost as unlikely as all the air in the room suddenly deciding to be on just one side of the room because, hey, it's theoretically possible. The real world probability of most viruses and bacteria mutating into something harmful to humans is actually vanishingly small if not actually zero.

    1. Re:There is no need to panic by ultranova · · Score: 1

      And it is still correct. There is no need to panic. Ebola gets WAY more press than the severity of the actual risk justifies.

      Reiterating a claim is no evidence for it.

      First off, ebola is NOT "highly contagious". It's actually rather hard to get. Unless you have been in direct contact with the sweat, blood, tears, feces or other bodily fluids of a symptomatic ebola patient then you have nothing to worry about.

      You do realize this puts it one step beneath airborne pathogens like the flu, right?

      It is incorrect that "every" pathogen has to potential to become a "deadly and highly contagious disease". Go talk to an infectious disease doctor and they will tell you that the biology of most viruses and bacteria prevents them from ever becoming a threat to humans. It's actually quite hard for that to happen even in a rapidly mutating virus which ebola is not.

      Ebola is, however, already past that hurdle. It has crossed the species boundary and is adapted enough to its new human hosts to overcome the immune system in most cases. All that remains is slight tweaking of the exact parameters of symptoms to optimize spreading.

      What you are suggesting is almost as unlikely as all the air in the room suddenly deciding to be on just one side of the room because, hey, it's theoretically possible.

      Either you have no idea of the magnitudes of probabilities involved or are lying for rethorical reasons. Either way, your absurd exaggeration accomplishes nothing.

      --

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

    2. Re:There is no need to panic by MooseMiester · · Score: 1

      The point that this poster, and others are alluding to is that a very large of Americans no longer believe a word the Administration says, because time and time again they have demonstrated their absolute belief that "The end justifies the means" which translates to "Lying about everything is perfectly acceptable because the cause is just". Please no flame I am not making a political statement just telling it like it is. All politicians lie, but some lie more than others, and some believe that lying is acceptable.

      So like it or not, we now have a situation where telling people the TRUTH, the FACTS, the REALITY is really, really important.

      But this is not happening. With the midterms looming everything has been turned political. First it was "This will never come here". It did. Then it was "Nobody in the U.S. is at risk". What we need now is the kind of straight talk that never happens before an election...

      --
      Murphy was an optimist
  29. Extrapolation by sjbe · · Score: 2

    The evidence is continued exponential growth of Ebola to recent past.

    Be careful of extrapolation.

    1. Re:Extrapolation by Herkum01 · · Score: 1

      As Disco Stu points out, Disco's growth in the 70's was tremendous and if these trends continue... HHEEYY!!!

    2. Re:Extrapolation by khallow · · Score: 1

      It's evidence backed by well known disease dynamics (the worst case being in the absence of treatment or behavior changes of vulnerable populations, the logistics curve with exponential growth in the beginning saturating as everyone eventually gets the disease and survivors acquire immunity to it). And the extrapolation is based on up to nine months of data not two data points.

      Continued growth opens up two near future unpleasant possibilities. First, that there are just a lot more cases than present. And second, that the disease becomes endemic in Africa among human populations, that is, the disease can't be eradicated without large scale and costly efforts similar to say those for eradicating polio or smallpox.

      Either possibility increases the likelihood that the disease mutates to become airborne which is a far more dangerous transmission mode of infection than via skin contact.

    3. Re:Extrapolation by hrvatska · · Score: 1

      Either possibility increases the likelihood that the disease mutates to become airborne which is a far more dangerous transmission mode of infection than via skin contact.

      I have read that viruses don't change their mode of transmission. AIDS, for instance, despite hundreds of thousands of cases, never changed its mode of transmission. Perhaps what I read is wrong, so I'm wondering, how many viral diseases can you cite where the mode of transmission changed?

    4. Re:Extrapolation by khallow · · Score: 0

      For example, Ebola has made this transition to airborne transmission before. Influenza has been transmitted by diarrhea before. Bubonic Plague is another disease that has managed the transition to airborne transmission.

      And of course, AIDS was readily transmitted by blood transfusion and shared needle use even though that's not its original mode of transmission.

      So there's four examples right there, including Ebola itself.

    5. Re:Extrapolation by hrvatska · · Score: 3, Interesting

      For example, Ebola has made this transition to airborne transmission before. Influenza has been transmitted by diarrhea before. Bubonic Plague is another disease that has managed the transition to airborne transmission. And of course, AIDS was readily transmitted by blood transfusion and shared needle use even though that's not its original mode of transmission. So there's four examples right there, including Ebola itself.

      The variety of Ebola that is suspected of being transmittable via small particle dispersal is the Reston variant. It has not been proven that the Reston variant is transmittable by small particle aerosol dispersion, just suspected. It's worth noting that the Reston variant is not pathological in humans. No humans who have acquired it have become ill. The presence of influenza virus in children's diarrhea is not necessarily a new mode of transmission. It may have always been present but no one looked for it until very recently. Just as influenza has shown up in bird shit since forever, it doesn't seem unreasonable that it might be present in the diarrhea of children. From what I've been able to find out it does not appear that influenza has mutated and is being transmitted through a new mode. Pneumonic plague is not a new mode of transmission, and the bacterium that causes it is the same as the one that is transmittable by insect bites. Besides, plague is not a virus. AIDS has always transmitted via bodily fluids. Blood transfusions and shared needles are still transfer by bodily fluid.Every virus that can survive in the blood is transmittable by these means by default. None of the examples that you provided qualify as an example of a virus changing its mode of transmission.

    6. Re:Extrapolation by Anonymous Coward · · Score: 0

      The numbers from the cdc were 1.2 million by December, now I doubt that would happen at this point, but y'all keep talkin like it's some big ole joke and its not. That big of an outbreak wouldn't just close the airways to those countries it might be enough to close all the airways.

    7. Re:Extrapolation by khallow · · Score: 1
      So do you have a point to this post? I gave four counterexamples and you seem to have something irrelevant to say about each one.

      None of the examples that you provided qualify as an example of a virus changing its mode of transmission.

      My counterexamples show this claim is false. I admit that some of them are bacterial diseases rather than viruses, I missed that bit of your original post. But aside from that, I have yet to see a reason why you should continue to disagree with me.

    8. Re:Extrapolation by hrvatska · · Score: 1

      The point was that none of your examples represent a virus mutation causing a new mode of transmission. The Ebola one doesn't. The influenza one doesn't. The AIDS one doesn't.

    9. Re:Extrapolation by khallow · · Score: 1

      And what do you base that claim on? I note that none of these organisms are native to humanity and have come since the advent of civilization, a relatively recent period for humanity. They've mutated just to jump from their normal animal reservoir to humans.

    10. Re:Extrapolation by hrvatska · · Score: 1
      I stated my reasons in my post. You've yet to present a case where a virus mutates and expands the ways in which it is transmitted. None of your examples accomplished that. Can you cite one example where it has been proven that a virus mutated and went from being transmitted by bodily fluids to airborne transmission via small particle dispersal? Viruses jumping from one species to another is well established. Viruses don't even need to mutate to do that. The point of all this is how likely is the variant of Ebola that we're dealing with to mutate and become transmissible in a way that would make it much more contagious. From what I've read that sort of mutation seems to be exceedingly rare and there doesn't seem to be any reason to think that the current Ebola epidemic will lead to such an occurrence. The final sentence in your post that I was replying to said,

      Either possibility increases the likelihood that the disease mutates to become airborne which is a far more dangerous transmission mode of infection than via skin contact.

      This whole thread from there down is what is the likelihood of that occurring. What is the likelihood that the current strain of Ebola that is being transmitted person to person will mutate in such a way that it becomes airborne. And by airborne we're talking about it becoming flu like, not being transmitted via large droplets in spit or mucous when a person sneezes. We're talking about small particle aerosol dispersion, like the flu or measles. While viruses undergo frequent mutation, some types of changes are more likely to occur than others. AIDS never became an airborne disease. Measles never became a mosquito borne disease. Yellow fever never became an airborne disease. Small pox didn't change its mode of transmission. If none of these ever changed their mode of transmission, despite millions and millions of more cases than we're likely to see from Ebola, why would the current strain of Ebola do so? What makes this current strain of Ebola an exception to what seems a general rule?

    11. Re:Extrapolation by khallow · · Score: 1

      You've yet to present a case where a virus mutates and expands the ways in which it is transmitted. None of your examples accomplished that

      Notice how you morphed the discussion from viruses changing modes of transmission to being about showing explicitly that there was a mutation causing the change in mode. I merely showed the former and consider the counterexample satisfied. I don't know nor have a capability to show how often these diseases have mutated or when those mutations have caused changes in transmission.

    12. Re:Extrapolation by hrvatska · · Score: 1

      Since the comment I was replying to specifically stated, "Either possibility increases the likelihood that the disease mutates to become airborne which is a far more dangerous transmission mode of infection", I thought it was implicit that we were discussing mutations modifying a virus' mode of transmission.

    13. Re:Extrapolation by khallow · · Score: 1

      Well, sure. But I won't be able to show that the changes in transmission already mentioned are due to mutation or some other cause. But they did happen. And it's worth noting that viruses mutate often (and mutations happen more frequently when there are a lot of infections) and that Ebola has transitioned to an airborne mode before (the Reston virus case and a later experiment in 2012).

  30. Unjustified extrapolation by sjbe · · Score: 2

    So, 3 sick patients leads to 1 sick healthcare worker. That isn't a particularly good ratio. If we had 100 people with Ebola then you'd expect 33 sick healthcare workers, and then you'd expect those to go on an infect another 11, then another 4, and then one more for good measure. If you're keeping count that is 50 healthcare workers in total, from treating 100 sick people.

    Extrapolation from small numbers is rarely a sensible idea.

    1. Re:Unjustified extrapolation by Rich0 · · Score: 1

      So, 3 sick patients leads to 1 sick healthcare worker. That isn't a particularly good ratio. If we had 100 people with Ebola then you'd expect 33 sick healthcare workers, and then you'd expect those to go on an infect another 11, then another 4, and then one more for good measure. If you're keeping count that is 50 healthcare workers in total, from treating 100 sick people.

      Extrapolation from small numbers is rarely a sensible idea.

      Sure, it is a silly extrapolation. My point is just that we aren't taking this seriously enough.

  31. Spanish nurse by mveloso · · Score: 1

    She thinks she may have touched her face with a glove. Nobody is really sure. However, if she did that would show that Ebola is way more contagious than the CDC thinks. That implies transdermal transmission.

    1. Re:Spanish nurse by tibit · · Score: 1

      We know well enough that the transmission is transdermal and requires merely contact with body fluids. DUH.

      --
      A successful API design takes a mixture of software design and pedagogy.
  32. Re:Thanks niggers! by Anonymous Coward · · Score: 0

    He wears it while blowing the grand dragon.

  33. Re: Preventable by Anonymous Coward · · Score: 0

    You are an order of magnitudes more likely to be killed by a gun than Ebola in the US....

  34. Ignorant arm chair critics + propagandists at Fox by bussdriver · · Score: 2

    The CDC and respective officials around the world train and plan for this stuff. Sure, some political idiocy always exists and sometimes makes problems worse (or blows them out of proportion) but overall the experts are making informed reasonable decisions. Naturally, propagandists twist anything to their own ends and the armchair critics who have way more confidence then competence (which BTW, is a big problem in the USA...go find the studies which prove it.)

    Europe isn't banning relations with whole nations. If there was an easier way to screen for it, don't you think they would be doing that already?

    You can't realistically quarantine whole nations as if that would actually work. It only takes 1 person sneaking bye -- and instead of thinking of that man who brought it to the USA as a massive failure, you should realize the obvious: they identified the man who brought it in rather quickly... he could have gone around spreading it until his death on some sidewalk somewhere.

    It's not highly contagious and we have more deadly diseases in the USA already which don't get this kind of attention; no media reporting on those. Some are born right here as a result of industrial farming... (which is part of the reason it won't be hyped until more than a million die per year... or 1 celebrity.)

  35. Sensationalized risk. by Dzimas · · Score: 1

    In the USA, about 630 people die every week in motor vehicle accidents. An additional 2,250,000 are injured. Nonetheless, the 24 hour news channels are going batshit because a couple of people have contracted a horrible disease.

    Perhaps the smart thing to do is turn off the TV and step away from news sites. Oh, and remember to wear your seatbelt.

    1. Re:Sensationalized risk. by bongey · · Score: 1

      But not 50% of the people driving cars die in 2 weeks.

    2. Re:Sensationalized risk. by Dzimas · · Score: 1

      No, but the lifetime risk of dying in a transportation accident in the United States is about 1:80. That means about 3,750,000 people. By the time the Ebola is contained, we might see dozens or hundreds of deaths.

    3. Re:Sensationalized risk. by Anonymous Coward · · Score: 0

      Correct, and many of those who survive motor vehicle accidents are handicapped for life. I speak from experience.

    4. Re:Sensationalized risk. by bongey · · Score: 1

      Your assumption is that ebola does not spread well and does not mutate. Ebola isn't going to come to the US but they really need to change the decontamination to have bleach water spray down before taking off the gear, shit that is what is being done in Africa, and this is the US.

    5. Re:Sensationalized risk. by jez9999 · · Score: 1

      2.25 million people a week are injured from car accidents?

  36. Re: Preventable by DigiShaman · · Score: 1

    This thing could already be air borne. If so, we're all fucked. It's like watching a train wreck happening in ultra slow motion, and there's nothing that can stop the inevitable. Dear God I hope I'm wrong!

    --
    Life is not for the lazy.
  37. 0% chance! ??? by Anonymous Coward · · Score: 0

    But they said!!! absolutely 0 % chance!

  38. Re: Preventable by duck_rifted · · Score: 2

    Take a deep breath. You are wrong. If you're like me then you really appreciate the times when that's a good thing.

    Ebola is spread via bodily fluids, and it needs an opening to the body to be contracted. There's a nurse who caught it because she touched her face after working with a patient. The face has openings to the body. Getting an infected someone's blood, urine, or saliva on a cut is a surefire way to catch it. So, it's not as communicable as Captain Trips from The Stand, but don't let that inspire complacency either.

    Medical workers responding to the outbreak in Liberia have been photographed burning the belongings of ebola victims, and sanitizing with pure chlorine anything that can't be burned. Think about your sheets and mattress. You sleep on those, so it's inevitable that bodily fluids will come into contract with them. Now think of the number of people who don't wash their hands after using a public bathroom. How many people use a public bathroom and some time later rub their eyes?

    So, there's good news and bad news. The good news is that with careful hygiene and quarantine with appropriate protective equipment used and all procedures properly followed, an outbreak can be prevented. The bad news is that if there is an outbreak, it's almost guaranteed to be an epidemic because people won't do what they have to in order to prevent further infections. They simply won't listen, guaranteed.

    I really wish that hospitals would consult with the US Army regarding proper procedures when dealing with NBC contaminants because from what I've read, the current procedures are lacking in proper rigidity or are otherwise not followed properly. They need to start with replacing their ridiculous protective equipment. That flimsy crap is made on the cheap, sold at a stupid markup, and is simply not good enough.

  39. Time will tell.. by Anonymous Coward · · Score: 0

    ..how many of us are alive, 28 weeks later.

  40. Absurd by Baldrson · · Score: 1

    What's all this about protective gear? Duncan's family wasn't wearing protective gear for crying out loud and they didn't come down with the disease. Something doesn't add up here.

    1. Re:Absurd by jonnythan · · Score: 2

      They also weren't putting IVs in him and taking care of him while he was bleeding out the ass and vomiting during his final few days on earth.

    2. Re:Absurd by Baldrson · · Score: 1

      While plausibly ameliorating the absurdity, your argument is exaggerated. He not only was symptomatic hence shedding virus while at home with his family for days with them totally unprotected and untrained, he was vomiting and probably hemorrhaging when they finally called the ambulance.

  41. We need to take this seriously... by ewhenn · · Score: 1

    Every Ebola virus host (infected individual) is a vector for the virus to evolve. If it becomes airborne we're fucked. The world is so interconnected now that it wouldn't wipe out 50%+ of a continent, but 50%+ of the global population. We need to crush this before this virus has that chance to evolve, even if it is a low chance as the impact would be horrendous.

    IMO is especially troubling as Ebola is an RNA virus. RNA viruses have short generation times and relatively high mutation rates (on the order of one point mutation or more per genome per round of replication for RNA viruses). This elevated mutation rate, when combined with natural selection, allows viruses to quickly adapt to changes in their host environment. Notable human diseases caused by RNA viruses also include SARS, influenza, and polio.

  42. Re:Ignorant arm chair critics + propagandists at F by Rich0 · · Score: 1

    Sneaking from Africa to the US isn't exactly easy to pull off. You have to base your quarantine on geographic borders as a starting point - if you wanted to do a travel ban it would make the most sense to just ban the entire continent. Then by all means narrow it down as you get things under control on the ground. However, the current outbreak is way to big to just put a fence around it.

    Just shut down all air and sea travel to the entire continent, and if other countries don't go along with it include them in the ban. Worst case you just shut down all international travel. Yes, this will cost billions of dollars, but so will an outbreak.

    I think we need to get serious about this...

  43. Re: Preventable by Anonymous Coward · · Score: 0

    Check again in two months.

  44. Re: Preventable by slasher999 · · Score: 1

    Blocking travel from specific countries is useless unless all,countries agree to this or we choose to block travel from any country that does not participate in the ban. Nothing would prevent someone from first flying from an infected country to a third country before flying to the US. Really the flu killed more than 50000 times the number of people this year as Ebola has. Is it really that big of an issue here? This is simply people panicking needlessly.

  45. Re: Thanks niggers! by Anonymous Coward · · Score: 0

    Leave North America to the indians... just be sure to lock the doors to the liquor stores on your way out or Geronimo will have a heap big hangover.

  46. Re: Preventable by Anonymous Coward · · Score: 0

    I'd put money on the guns still in 2 months...

  47. Re: Preventable by Anonymous Coward · · Score: 0

    Or quite easily go to the Internet and check actual history over the last 50 years in America And see just how many Americans have been killed by guns. The figure is staggeringly large.

    And unfortunately, it's mostly people killing each other not morons like you accidentally shooting themselves in the face.

  48. Re:Ignorant arm chair critics + propagandists at F by Anonymous Coward · · Score: 0

    "we have more deadly diseases in the USA already"

    Name one. I challenge you.

  49. Dunning-Kruger by Anonymous Coward · · Score: 0

    Have you never heard of a sneeze? Thought not. Mr. Duncan was shitting and puking rather spectacularly. Only ignorant morons would think that a person can't possibly aerosolize their body fluids.

  50. Re: Preventable by Dutch+Gun · · Score: 1

    Regardless of the merits of that suggestion... you do realize you need a passport to enter this country, and that this passport lists your country of origin and every country you've traveled to, right?

    --
    Irony: Agile development has too much intertia to be abandoned now.
  51. Re: Preventable by Applehu+Akbar · · Score: 1

    This is Arizona. Lots of people here who came in without a passport. We have absolutely no idea what their medical history is. If we criticize this situation, we are automatically regarded by Washington as racists.

  52. Re: Preventable by Dutch+Gun · · Score: 1

    Well, yeah, that's unfortunately true. I feel for you folks in the southern states - it's a ridiculous situation. Of course, it's a little harder to walk across the border from Africa, and the incubation period fortunately precludes a long, roundabout trip.

    --
    Irony: Agile development has too much intertia to be abandoned now.
  53. Re:Preventable by AK+Marc · · Score: 1

    Because it's impossible. How do you block travel from those countries? What if they all fly to Europe before changing planes and flying to the US? If the US stops letting people in with passport stamps from Africa, then African nations will stop stamping US passports (that was the solution to the Cuban embargo).

    Because it's impossible, it's pointless to aspire to.

  54. MAGNITUDES! O ME GURD! by fyngyrz · · Score: 1

    There are only 3,572 known comets, but there are many millions of asteroids.

    Thus you are orders of magnitude more likely to be killed by an asteroid than a comet.

    Does this mean you should go about cowering and worrying and fulminating about the possibility of your own "death by asteroid"?

    Guns... same thing. If you're at high risk for a firearms injury, you probably not only know that, but you probably know why, and you probably know what you could do to reduce that risk. While "probably" is the modifier at hand, I'll tell you what's probably going to actually kill you:

    Deaths per 100,000 by disease/accident (total is about 600 a year right now)

    Note no comets, no asteroids, and no ebola.

    Deaths per 100,000 by firearms (total averages out to well under 20. Location where the odds are worst? Alaska. Yes, Alaska. :)

    So... 600 out of 100,000 die by disease or accident (and more than 50% of them from heart disease or cancer), and I bet it wouldn't take me more than a few seconds to find some smoker and/or over-eater in a crowd who spends a goodly amount of their time online pearl-clutching about firearms, when that's ~3.2% likely as compared to the other 96.8%, and where that 98.6% is LARGELY UP TO YOU, as is a GOOD BIT of your odds of dying by firearm.

    Ah, but you just can't fix stupidity. Such is life. :)

    --
    I've fallen off your lawn, and I can't get up.
    1. Re:MAGNITUDES! O ME GURD! by fyngyrz · · Score: 1

      as compared to the other 96.8%, and where that 98.6%

      Nope, can't fix stupidity. :) Bloody 2nd-rate neurons. I *told* the Martians I needed my originals back, but nooooo. "These vat-grown ACME neurons will work just fine! Just keep your blood sugar up..."

      --
      I've fallen off your lawn, and I can't get up.
    2. Re:MAGNITUDES! O ME GURD! by Anonymous Coward · · Score: 0

      Ah, but you just can't fix stupidity. Such is life. :)

      Of course you can, but it takes firearms to do so.

  55. LOL by fyngyrz · · Score: 1

    A says: "This thing could already be air borne" in apparent (textual) tones of abject terror.

    B responds: "Take a deep breath" in an attempt to reassure.

    Oh, yeah. THAT's the way to go about it. :)

    --
    I've fallen off your lawn, and I can't get up.
  56. Re: Preventable by Anonymous Coward · · Score: 0

    It's clearly not that simple. We keep getting reports of well trained healthcare staff in full biohazard suits who still contract it, and they seem surprised every time. Either there's something they aren't telling us, or they genuinely don't know enough about Ebola to make such claims on exactly how it can be transmitted.

  57. Re: Preventable by Anonymous Coward · · Score: 0

    And what about the large fraction of people with dual passports?

  58. Or... by fyngyrz · · Score: 1

    It's almost as if the disease evolved itself to adapt to collapsing health care systems in impoverished nations.

    It's almost as if the disease [was designed] to adapt to collapsing health care systems in impoverished nations.

    Just think of all those resources in newly unpopulated areas. I'm sure you won't be the first to do so. I'm not at all sure anyone has acted on it, but we've seen similar things done for no reason we would consider worthy. I saw some lowlife run over a kitten on purpose last Wednesday. Never under-estimate the human potential for scumfuckery.

    --
    I've fallen off your lawn, and I can't get up.
  59. Re: Preventable by Anonymous Coward · · Score: 0

    The difference is the flu only kills a small amount of the people it infects. So it may have killed what sounds like a lot until you look at how many were infected.

    Ebola on the other hand, kills a great majority of those it infects.

  60. I hate niggers. Ebola niggers. Porch monkeys too. by Anonymous Coward · · Score: 0

    Does anything good come out of Africa? Tantalum maybe. But the jiggers? The ignorant monkey brain eating coons. The lazy slope headed porch monkeys. The lying bank scamming liver lipped nigs. Flared nostrils like some kind of porcine barnyard critter.

  61. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  62. Re: Preventable by Anonymous Coward · · Score: 0

    This is Arizona. Lots of people here who came in without a passport. We have absolutely no idea what their medical history is. If we criticize this situation, we are automatically regarded by Washington as racists.

    Get a grip! It's highly unlikely you will have an epidemic of ebola crossing the border with mexican illegals. Your fears are, at best, irrational fear mongering. And I say that as someone who is currently living in New Mexico. (Before that I lived for more than a decade in Tucson.)

  63. For those who said by Anonymous Coward · · Score: 0

    outbreaks?

    Chicken Little, is that you?

    1. Re: For those who said by Anonymous Coward · · Score: 0

      you are a huge idiot

      http://en.wikipedia.org/wiki/1918_flu_pandemic

  64. Re:Why hate Niggers by Anonymous Coward · · Score: 0

    Aside from the cows, it WAS caused by Texans doing something wrong: not having proper infectious procedures, not training staff, not having proper barrier matierials, not actually following the procedures that exist or not enforcing them or not monitoring them, or something.

    It's safe to say that Texans are responsible for the first Ebola infection contracted in the USA. Thank you, smug lone star idiots, for proving that we actually can't do it better in the USA.

  65. Re:They're looking in the wrong place by Anonymous Coward · · Score: 0

    So let me get this straight. You think it's more likely she got it from some random person than it is that she got it from one of the two known cases in the entire fucking country, one of whom she is known to have contact with?

  66. Re: Preventable by thaylin · · Score: 1

    Having worked at a nuclear power plant i know that wearing full biohazard suits will not protect you if you do not know how to take them off properly. There is loads of training at the plants on how to take them off without contaminating yourself for a reason. If the healthcare worker did not take her suit off properly then it has nothing to do with either of your 2 limited options.

    --
    When you cant win, ad hominem.
  67. Perspective? by PeterM+from+Berkeley · · Score: 1

    Yes, right NOW Ebola isn't a common way to die. Only 8k cases.

    WHO projections of an uncontrolled Ebola epidemic have the number of cases up into the millions next year.

    So apparently Ebola can become one of the top ten causes of death worldwide within 1 year. It has already overtaken terrorist attacks. In a month or so, it will have overtaken lightning deaths (60k per year worldwide).

    I just hope that we can do better than 'uncontrolled'. So far it has not been a happy trend.

    --PM

  68. I vote we wall off texas by BenLutgens · · Score: 1

    and let them secede like they've always wanted. Then embargo the shit out of them.

    Texas sucks camel anus.

    --
    "If you love someone, set them free. If they come home, set them on fire." - George Carlin
  69. Re:They're looking in the wrong place by hsthompson69 · · Score: 1

    Damn. I take it back - I had no idea their "protocol" was so weak:

    "that the nurse in question was wearing the recommended personal protective gear for handling an Ebola patient, including a gown, gloves, mask, and eye shield"

    I thought these folks were treating this guy with full body suits, not just eyewear, gloves and a dust mask.

    Whoever told them this protocol was sufficient should have to treat the next ebola patient with the same protocol.

  70. buh by Anonymous Coward · · Score: 0

    *Looks at state flag out of window, doesnt matter what direction surely I'll find one* Yep, still in Texas. At least Dallas is 3 hours away or so from Houston. :-/

  71. people that start their point in the subject... by Anonymous Coward · · Score: 0

    and continue it in the comment are cunts. tia.

  72. Re: Preventable by RockDoctor · · Score: 1

    you do realize you need a passport to enter this country, and that this passport lists your country of origin and every country you've traveled to, right

    (1) Not relevant to the question of someone getting out of the infected area. And

    (2) My #1 passport contains the Muslim countries I've visited, and some of the others. My #2 passport contains American, Israeli visits and many others. The non-troublesome countries I distribute between the two passports as necessary for getting visas.

    Why do you only have one passport? Don't you travel much?

    --
    Birds are not dinosaur descendants;birds are dinosaurs, for all useful meanings of "birds", "are" and "dinosaurs"
  73. Re:Preventable by RockDoctor · · Score: 1

    then African nations will stop stamping US passports (that was the solution to the Cuban embargo).

    Or do what some countries do to this day - put your visa stamp on a slip of paper loose inside your passport.

    The visa stamp is a proof of your legal visitor status inside the country (typically including paying some sort of entry tax, and not carrying that proof is a crime punishable by a fine - which disappears into a pocket along with the constable's gun disappearing into his holster) ; outside the country, you don't need it.

    --
    Birds are not dinosaur descendants;birds are dinosaurs, for all useful meanings of "birds", "are" and "dinosaurs"
  74. Re:Preventable by AK+Marc · · Score: 1

    The visa stamp is a proof of your legal visitor status inside the country (typically including paying some sort of entry tax, and not carrying that proof is a crime punishable by a fine - which disappears into a pocket along with the constable's gun disappearing into his holster) ; outside the country, you don't need it.

    The stamps are unnecessary these days. The information is stored in the computer system. A phone or radio call and 10 seconds can confirm legal status. And from my experiences with stamps, the answer will be more clear than a smeared stamp in a passport. They are not required. I've gone in/through plenty of places that don't stamp. Even countries that normally do, people coming in "unusual" places don't get stamped. Ports, and such.

    But yes, I've had places where visas are required, and the visa is "invalid" unless properly stamped.

  75. Re:Preventable by RockDoctor · · Score: 1

    The information is stored in the computer system.

    You're missing the point. In some countries (not, I take it, America ; assuming you're American, I think we've had this conversation before) your entry and exit of the country is not recorded. Not on computer, not in stamps in anyone's passport, not in face recognition at non-existant border posts. It's simply not recorded.

    For starters, I did (counts ...) 10 border crossings in my recent vacation. Only the ones into and out of the UK generated a border crossing datum. The rest, at best, recorded the movements of a hired car. And at least two of those crossings were in someone else's car. And that is in high-tech modern Europe. Go to most of Africa and there is still negligible border security if you're a person. (there's a bit more security if you're a 30-tonne truck, due to being rather more conspicuous and needing a reasonable road surface).

    --
    Birds are not dinosaur descendants;birds are dinosaurs, for all useful meanings of "birds", "are" and "dinosaurs"
  76. Re:Preventable by AK+Marc · · Score: 1

    Europe is a single "border". When I went to Europe for a recent trip, my entry into the "country" of Europe was recorded Electronically. As was my exit. Sure, they stamped me with a visa, but anyone who had any question would have been able to get the information from some computer somewhere.

    And I travel some. Hong Kong, Taiwan, Singapore, Australia, and New Zealand scanned my passport on entry and exit. I can only presume that the scans were stored for more than the 3 seconds necessary to compare my name to the list of bad guys. Crossing borders *within* Europe are theoretically uncontrolled, but many (especially the UK) use border crossings as a way of double-checking that the people entering were in Europe legally in the first place, though a person in the EU legally would get no stamp for a visit to England from the mainland.

  77. Re: Preventable by RockDoctor · · Score: 1
    EU to UK is the exception, being an island. The rest of (mainland) Europe sees no reason to monitor the movements of people. Hostile borders (eg EU to south) generate more information. But to assume that all movements generate the same amount of data as an air flight does is false. Dangerously false.

    Consider some-American-one who goes to ... CAR for business (of whatever sort), and in the process crosses many borders, then returns to the US. (I ignore the question of who gets fuck ed on the way) Since CAR is a long way from the at - risk areas, he should not raise any alarms.

    Beyond one degree of separation, border controls are not effective.

    --
    Birds are not dinosaur descendants;birds are dinosaurs, for all useful meanings of "birds", "are" and "dinosaurs"
  78. Re: Preventable by AK+Marc · · Score: 1
    EU, for most definitions, is a single country, as such, it has border controls that approach the controls between states in the USA, Mexico, and Canada. Using that as your example of crossing borders without controls is invalid. That was my point. As you noted, the controls are greater for those coming in from Africa

    Consider some-American-one who goes to ... CAR for business (of whatever sort), and in the process crosses many borders, then returns to the US. (I ignore the question of who gets fuck ed on the way) Since CAR is a long way from the at - risk areas, he should not raise any alarms.

    An American generally has only one passport (About 1% to 5% have more, and most estimates are at the lower of that range). So when he re-enters, they'll see the stamp from Ebola-ville, if they are stamping there. To get US money and visitors, if people returning to the US are turned away for having that stamp, they'll stop stamping.

    That and international law prevents the US from blocking US citizens from re-entering anyway.

    I think you are trying so hard to show off that you travel that you aren't staying on topic. The question was about whether stamps are necessary, and what information, if any, could be determined from a passport (both in-country and after the fact).

  79. Re: Preventable by RockDoctor · · Score: 1

    Well,if you think that will make you impervious, enjoy.

    --
    Birds are not dinosaur descendants;birds are dinosaurs, for all useful meanings of "birds", "are" and "dinosaurs"
  80. Re: Preventable by AK+Marc · · Score: 1

    What are you talking about? I don't think you even read the posts you are replying to.

    I was originally stating that tracking people through passports is impossible, and people who agreed with my premise argued about specific points. And you come in arguing about everything until you don't even know what you were objecting to.

    Great, you proved yourself an asshole. But why did you bother to respond? You obviously don't even understand what my stance was.

  81. Re:Ignorant arm chair critics + propagandists at F by bussdriver · · Score: 1

    OK
    I hinted to antibiotic immune bacteria when I alluded to how we are creating new diseases with industrialized farming we are not allowed to criticize, regulate, etc (it's even against the law to criticize it, remember Oprah? she only got off on a technicality.) If you are unaware of the problem, I suggest you educate yourself about it. There is not just 1 kind of bacteria and as we continue what we are doing there will be new kinds (because evolution is real and it works.) I knew a nurse at a hospital which routinely found such bacteria and as a result they greatly increased their procedures. I myself was almost killed by a common bacterial infection where some new drug was the only thing we had time to try out... obviously it worked, but conventional drugs did not and luckily they knew this beforehand because I'd be dead by the time we ran thru all of those.

    I was infected simply by walking around outside barefoot... not near a factory farm either. No foreigners required.

    I should rant about cancer... but I won't other than to say in the USA you have a 50% chance of getting it and we DO NOT KNOW clear cut causes for it! No sick foreigners; simply owning a Chinese made product where they dumped radioactive waste into the plastic vat... (that has happened, but i can't disclose the details.) Or it could be many things which impact industries bottom lines so they'll keep it under FUD for decades just like easier problems like LEAD poisoning, tobacco, global warming etc. Plus you don't beat cancer-- you mitigate it; the numbers are quite bad when it comes to getting it back again... you "win" if you don't get it back in 5 years but the odds for your lifespan are so much worse than the baselines they commonly refer to that you'll probably get it back and die eventually--- unless you mitigate it until something else kills you 1st. (a friend who died last year got a new kind of terminal cancer as a result of the "safe" treatment of the 1st cancer she "beat." That isn't winning, it is mitigation; at best.)

  82. Re:Ignorant arm chair critics + propagandists at F by bussdriver · · Score: 1

    BTW, since we are talking about a virus from Africa, why not mention the obvious one:
    AIDS. We can delay it for a long long time but we can't cure it yet. 100% death (although it doesn't directly kill you does it??)

    At least with this one you get a fever and it doesn't incubate for many years while you spread around your bodily fluids...

    Swine flu was weaker but more contagious; it probably will kill more people in the USA. How deadly is not just death odds but how many people can be infected. We have plenty of incurable unsurvivable diseases which thankfully are RARE. On the other side we have the common flu kills plenty of older weaker people every year...

    Don't forget about Hepatitis... B has a vaccine but it still kills millions per year... (likely to go up due to anti-vaccination people) C has no cure but is the cause for liver transplants-- it's slow which is why like a quarter billion people have it already.