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Ebola Does Not Require an "Ebola Czar," Nor Calling Up the National Guard

Lasrick writes: David Ropeik explores risk-perception psychology and Ebola in the U.S. "[O]fficials are up against the inherently emotional and instinctive nature of risk-perception psychology. Pioneering research on this subject by Paul Slovic, Baruch Fischhoff, and others, vast research on human cognition by Daniel Kahneman and colleagues, and research on the brain's fear response by neuroscientists Joseph LeDoux, Elizabeth Phelps, and others, all make abundantly clear that the perception of risk is not simply a matter of the facts, but more a matter of how those facts feel. ... People worry more about risks that are new and unfamiliar. People worry more about risks that cause greater pain and suffering. People worry more about threats against which we feel powerless, like a disease for which there is no vaccine and which has a high fatality rate if you get it. And people worry more about threats the more available they are to their consciousness—that is, the more aware people are of them."

32 of 384 comments (clear)

  1. Politics by pubwvj · · Score: 4, Insightful

    If having a Czar will concentrate more power in their hands then a Czar is what they'll create. We already have the CDC. If this were about solving disease problems then the President would give the CDC more funding if they needed it. This is not about solving problems but about power.

    1. Re:Politics by Sowelu · · Score: 4, Insightful

      Er, that's basically what they've been saying this whole time. Lots of reactionaries in the media are screaming that those very statements are lies and cover-ups.

    2. Re:Politics by sl3xd · · Score: 5, Informative

      If they had just stated the truth, that Ebola is hard to spread with proper controls, and can be contained...

      For the public, notions of safety went out the window after the clusterfsck in Texas.

      - A patient went to the ER with symptoms, and was sent home
      - People in government-mandated quarantine didn't honor the quarantine, and went to public places. It took armed guards to enforce the quarantine.
      - Two nurses, wearing the recommended protective equipment became infected, and are being treated now.
      - One of the nurses went on an airline flight after treating the Ebola patient, in violation of a number of CDC policies
      - Personnel treating the first ebola patient were in constant contact with hundreds of others, including other hospital patients

      Restated facts (or "truth") about how difficult it is to transmit can no longer combat the fear that has brewed up.

      A pattern of mistake after mistake has emerged - things that should have never happened did. People who knew better didn't do the right thing, over and over.

      It's a PR disaster, pure and simple. Any goodwill or trust the public had was burned up in Texas.

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    3. Re:Politics by peragrin · · Score: 3, Interesting

      The problem is the CDC plan didn't work and the CDC and the hospital completely broke proper isolation procedures.

      You never give the care takers permission to leave the town until after they have been isolated long enough to be clean. Let alone when one of them ask for permission to fly when she has a slight fever you say no.

      I always figured the CDC could handle a major outbreak. now I don't think they could.

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      i thought once I was found, but it was only a dream.
    4. Re:Politics by ShanghaiBill · · Score: 4, Insightful

      This is not about solving problems but about power.

      You just summed up the Democratic party.

      He also just summed up the Republican Party.

    5. Re:Politics by tsotha · · Score: 4, Informative

      First of all, we already have a "Czar" for this sort of thing. Her name is Dr. Nicole Lurie. That's the real reason we don't need a "Czar" - we already have one.

      Secondly, the president can't give the CDC more funding. That's Congress's job.

      Thirdly, in the last fifteen years the CDC budget has doubled, so they already have plenty of money. In fact, they have too much money, which has allowed them to ignore their primary mission and go off and do things like stump for gun control, study why lesbians get fat and gay men don't, and determine most monkeys are right handed.

    6. Re:Politics by riverat1 · · Score: 4, Interesting

      It should be said that most of the mistakes here were by the hospital in Texas, not the CDC. If the CDC had descended on the hospital like a ton of bricks and the first inkling of Ebola they might have prevented most of that from happening then people would be complaining about Federal overreach. Instead they're complaining they didn't do enough. Regardless of what it does there's a certain sector of the American public that will always find a way to fault the government.

    7. Re:Politics by Anonymous Coward · · Score: 4, Informative

      This being an airborne strain is absolute bullshit. There is NO evidence whatsoever to point to it being an airborne pathogen, and there is only a single strain of ebola in the past that has gone airborne and it doesn;t even effect humans. Furthermore that airborne strain of ebola is not the strain of ebola that our current ourbreak has evolved from. This current outbreak is from an older 1980's strain also from africa. Believe me, if this were airborne you would know. People are looking to african nations that are battling the ebola virus right now and they think "Oh shit thousands upon thousands infected in only a few months, HAS TO BE AIRBORNE". That might be true if that was happening here in America where extremely tight quarantine measures are (SUPPOSED) to be observed properly but Africa is a completely different ballgame. Quarantine measures were NOT observed by the majority of the africans infected (only quarantine measures taken were pitiful and only existed in certain places where the people where afraid to go) and to make it even worse education in african nations about the ebola virus was met with suspicion and doubt. The current infection rate in africa, while it may match that of an airborne pathogen, is only due to these horrible conditions. When the majority of people in africa start observing proper safety protocol, when education of the people has actually worked and people arent touching their dead and shit anymore, and when proper medical equipment and staff can get there you will see the infection rate come down to levels appropriate of a virus that spreads only through bodily fluids.

      tl;dr This isnt an airborne strain, there is absolutely no evidence of that. The currently high infection rate in Africa is from many other reasons all working together to cause a horrible situation thats almost unmanageable for the people currently in charge.

      If this whole outbreak had been in america instead of africa the dead would be less than a thousand easily.

    8. Re:Politics by swb · · Score: 4, Interesting

      It should be said that most of the mistakes here were by the hospital in Texas, not the CDC.

      That's just endless buck-passing. The reality is that the kind of fuck ups that could happen, did happen, like a storyline from some cheap zombie/biothriller novel.

      The CDC protocols were flawed and the CDC wasn't there to advise and observe and if they did they screwed that up. Worse, I think the CDC invited complacency with its don't-panic focus. The whole mess in Texas might have been avoided if they had taken a slightly more danger-focused mindset,

    9. Re: Politics by budgenator · · Score: 3, Funny

      American Hospitals are almost always Non-profits.

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    10. Re:Politics by NicBenjamin · · Score: 4, Insightful

      That why, even as an 'infectious disease response coordinator,' it's a lawyer and politician who got the call.
      If they had just stated the truth, that Ebola is hard to spread with proper controls, and can be contained, there would be no panic, there would be little media attention, and there would be no need for a czar. But as you said, there would be no need to concentrate power, so no dice.

      Dude,

      I see what you're saying, but you're missing something: Nina Pham is pretty. She's 26. She's got a college degree. She reminds everyone who makes decisions in the media of their daughter/girlfriend/best friend/etc. And she's got a very high risk of death because she caught a deadly disease on her job. Then her boss tried to blame her for it by saying she fucked up the protocol.

      The media could be convinced to ignore thousands of poor Liberians dying. It could be convinced to treat the missionaries and Doctors airlifted back to the US. That shit is supposed to happen in Africa. But Nina Pham has a really interesting story, great visuals, and a compelling main character.

      Appointing a political hack as "Ebola Czar" to shut the GOP up is the real world version of telling everyone to calm the fuck down and go the fuck home.

    11. Re:Politics by cjanota · · Score: 4, Informative
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      You can fix anything with duct tape and sticks.
    12. Re:Politics by rtb61 · · Score: 3, Interesting

      Quite simple, what happens reflects the nature of a privatised for profit system. They do lip service to government regulations but if it is more profitable to ignore the rules then the cost of the penalties, regardless of the outcome, then private for profit entities will ignore the rules. When it comes to high risk medical services putting it in the hands of private for profit capitalists based upon the reality of the last century of private for profit entities, is just plain nuts, especially where those private for profit entities would actually generate more profits by failure than by success ie the spread of an infectious disease for them to treat.

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      Chaos - everything, everywhere, everywhen
    13. Re:Politics by gumbi+west · · Score: 4, Insightful

      Dude, fucking Nigeria was able to contain an outbreak with... let's just say less resources than US hospitals and CDC. The real problem is that our "best health system" is actually an otherwise shitty health system with many very good doctors and nurses in it.

    14. Re: Politics by silentcoder · · Score: 3, Informative

      Africa is not a country. Its a continent you can fit the USA, China, India and the entire EU into with room to spare. Generalization like yours is just as inaccurate. I live in an African country and our infection rates are actually lower than the US (3 there 1 here and he was a traveler who got it in Liberia who died in quarantine here). Hell our quarantine protocols are probably stricter than yours because we don't have many libertarians so nobody thinks personal liberties extends to risking public safety.

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      Unicode killed the ASCII-art *
    15. Re:Politics by DamnOregonian · · Score: 4, Interesting

      Rhinovirus is actually "airborne", in that a pathologically significant amount of virus can in fact exist in aerosolized droplets, unlike ebola, which is almost 10x larger, on average, and much worse at replicating.

    16. Re:Politics by ray-auch · · Score: 3, Interesting

      Nigeria overall has less resources than US, sure, but compare the what they actually did and the resources they actually _used_.

      First, in Nigeria patient zero hit a good observant doctor with a clue, and instead of being sent home with antibiotics, was kept in hospital and restrained to prevent him leaving - all (I believe) before any official quarantine order or similar. The doctor that did that paid with her life. That action probably prevented an epidemic across Lagos, nothing to do with amount of resources and everything to do with one doctor being on the ball and prepared to fight the system to do the right thing.

      The official response included tracing close to 1000 primary and secondary contacts, 18,500 personal visits and 100s in isolation / quarantine. They had emergency presidential decrees, overriding the rights people would normally have (probably a lot less than in the US to start with) and extensive use of law enforcement agencies. Widespread advertising campaigns, banning shaking hands, kissing etc., Changing holy communion practices in churches. Closure of _all_ schools.

      The US doesn't appear to have done anything like that, despite its greater resources. Maybe Nigeria over-reacted, maybe US under-reacted and got lucky.

  2. Until we upgrade the dumb bunnies by Overzeetop · · Score: 4, Interesting

    Look, every idiot out there wants to see a "response". Take anyone below the 90th percentile a they won't have the intellectual ability to process any probability less than 1 in 4. It's like the entire airline screening process - people feel safer if they see someone doing something. In reality it does little or no good, but until you figure out how to instantly make people smarter and less gullible you will get irrational panic and calls to "do something."

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    Is it just my observation, or are there way too many stupid people in the world?
    1. Re:Until we upgrade the dumb bunnies by Overzeetop · · Score: 4, Interesting

      No, that's not leadership, it's damage control and/or preemptive excuses.

      Do you remember the last time Obama declared that we "don't have a plan" because the conditions in Syria were complex and required addition time to evaluate the various options? Yeah, that honesty in leadership went over well, despite the fact that he made it clear that evaluating what was an exceptionally complex set of conditions could go horribly wrong if played incorrectly.

      Ebola is just another disease without a (nearly guaranteed) cure. There are others out there, right now, which we know even less about (enterovirus, for example). This one is headline grabbing because you bleed out of your asshole. It's like "Ow, My Balls" but grosser for daytime shock newscasts. I mean, really - a facility takes on a patient with inadequate resources to do so, and fails. We're all somehow surprised.

      Instead of stating that hospitals are, generally, bad places to isolate transmitted diseases and recommending facilities and transport set up for such work, we go into shit storm finger pointing mode and massive over-reaction. That's not leadership. That's damage control.

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      Is it just my observation, or are there way too many stupid people in the world?
    2. Re:Until we upgrade the dumb bunnies by Minupla · · Score: 3, Insightful

      There must be an optimal level of security

      If we wanted to actually make people safer we'd take very dollar we spend on airport security and Ebola beyond contact tracking, containment and isolation/care for the infected and spend it on:

      1) Traffic safety
      2) Finding better ways to fight the flu

      Those two things would be way more impactful in terms of lives saved then the money being spent to keep air travel safe from terrorists and mobilizing the national guard to fight Ebola (not sure how they're going to do that, absent a shrink machine, Fantastic Voyage style).

      Min

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  3. As some one recently pointed out to me by peragrin · · Score: 5, Funny

    More americans have married Kim Kardashian than have died from Ebola.

    And what is the land of the free creating more czar's for? a czar answers to no one. Instead how about we make the people in charge responsible for their actions. oh wait congress can never take responsibility for their failures.

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    i thought once I was found, but it was only a dream.
  4. "Fear" by Loopy · · Score: 4, Interesting

    Fear is relatively easy to manage if you actually have, you know, the peoples' trust. Imagine that. Why, if the public was actually used to the government telling the truth (including telling them when something was actually potentially detrimental to national security, rather than using that as an excuse to obscure _everything_) I'll bet you could just be honest with them and people would be rather rational about the whole thing. Lie through your teeth and then blame it on your predecessors or people you have appointed and you get the current situation.

    Then again, who among us today has any experience in an environment where people were actually being honest, even a majority of the time, and especially in any governmental context? The closest you'd get to that today would be certain military units and small teams at companies.

  5. Having a Surgeon General would help by chromaexcursion · · Score: 4, Insightful

    The fools are yelling for an Ebola Czar.
    Perhaps filling the position of Surgeon General would be simpler. Controlling the spread of disease is one of the functions of that office.
    But, approving the the candidate for the office would require the Senate to actually do something.

    1. Re:Having a Surgeon General would help by Attila+Dimedici · · Score: 3, Informative

      The only qualifications the man whom Obama has nominated for the post has for the post is that he has unwaveringly supported Obama. In doing so, he has advocated for politicizing a position which has traditionally been as non-political as possible (there have been Surgeon-Generals in the past who took political stances on public health issues, but everyone agreed that they were public health issues, this guy appears to want to use "public health" to advance his political agenda). As a result, the Democrats in the Senate are unwilling to support his nomination (the Republicans positions are irrelevant since they cannot stop the Democrats from confirming him no matter what they do).

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      The truth is that all men having power ought to be mistrusted. James Madison
    2. Re:Having a Surgeon General would help by Tailhook · · Score: 4, Informative

      Reid has 55 (D) votes and it only needs 51 to confirm, so put the blame where it belongs.

      Why is there no surgeon general?

      Short answer: Obama's nominee is a political disaster; a highly partisan anti-gun obamacare cheerleader that the Dems know better than to expose to the confirmation process in an election year.

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  6. Re:What does require those things? by the+eric+conspiracy · · Score: 4, Funny

    While this is a Fox News topic, the comments are not as bad as what you would get there.

    For example not one reference to Obola yet.

  7. Maybe we need a Surgeon General by Zynder · · Score: 3, Insightful

    Would all of this talk about a Czar be an end run around the current problem of the Repubs blocking all nominations for a Surgeon General? Maybe that's the only way the administration feels they can have a real working department head?

    1. Re:Maybe we need a Surgeon General by riverat1 · · Score: 4, Informative

      The rules were changed so certain judicial nominations couldn't be filibustered but I don't think that applies to appointments like Surgeon General.

  8. American Exceptionalism Strikes Again by onkelonkel · · Score: 4, Interesting

    We assumed we could easily handle Ebola if it came our way, because we are the most powerful and richest country on Earth. What we should have done is asked, "What are our weaknesses? Where is our medical system likely to fail?" Unfortunately we tend to suck at this kind of introspection. If we had asked, the most glaring weakness in our system, "Not everybody has medical coverage", might have been considered. Then when a sick black man recently arrived from West Africa came to the hospital without medical insurance we might have thought "EBOLA" and treated him right away, instead of thinking "poor Nigger, not gonna pay his bills" and sent him home with some Tylenol.

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    None of them can see the clouds; The polished wings don't care.
  9. I wish they'd focus more on things like MRSA by AaronW · · Score: 4, Interesting

    I wish they'd focus more on things like MRSA and KPC which kills far more people in this country and are far more deadly. These diseases are easily spread and there is no cure for them. While not trying to diminish the cause to fight Ebola, frankly there are a lot of things far deadlier in this country that people should be worried about.

    The cases in Texas I think can be squarely blamed on incompetence from the Dallas hospital.

    In the case of KPC, Congress has basically put their head in the sand and handtied the CDC and FDA from effectively studying and fighting it, thanks to the livestock lobbies Frontline has a good episode on this. It doesn't help that congress has cut the budget of the CDC significantly over the last decade and played politics to make it difficult to study and fight the causes.

    As it is, the CDC had to cut back on their research on Ebola due to the budget cuts and the delays in the worldwide community for fighting and funding the fighting of Ebola aren't helping matters either. If the Dallas hospital wasn't so incompetent, there's a good chance Thomas might have survived and nobody else would have become infected.

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    1. Re:I wish they'd focus more on things like MRSA by the+eric+conspiracy · · Score: 3, Informative

      Part of the problem with the recent agency flubs is lack of focus on the part of the agency, something that is the responsibility of Congress.

      For example the Secret Service was once a part of the Treasury Department, and had a relatively narrow set of missions. However with the creation of the monumental cluster fuck known as the DHS, the Secret Service was uprooted and badly placed under the DHS, then saddled with all sorts of diversions.

      Similarly the CDC has been loaded up with all sorts of ridiculous crap like being made responsible for bicycle lane safety and policing of farmers markets. This is a world leading organization that must function at the highest level possible. Loading it up with cruft will destroy it.

      Recently I've seen a lot of yammering about some of the people that are seen on TV including Freidman and Fauci, to the effect that they are incompetent and should be shown the door.

      I'm sorry but this makes me want to throw up. Anthony Fauci is one of the greatest Americans of this age. His work on HIV/AIDS has saved millions of lives. He is one of the most cited scientists in the world. It is disgusting that he should be subjected to the hysterical politics of the moment.

  10. Re:Let's start by closing the front door by MightyYar · · Score: 3, Informative

    I was just arguing that this is pointless. When I traveled to Israel, I requested that my visa be stamped on a removable sheet of paper to be stapled into my passport. I did this because I didn't want evidence of a trip to Israel when one of my next stops was Malaysia. If someone is trying to get from Liberia to the US, they will do so with no evidence of recently having been in Liberia.

    It's not as if there are huge numbers of flights to and from Liberia.

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