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<<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>

 
Anonymous Coward
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10/14/2014 07:20 PM
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[link to haraethiopiadotcom.wordpress.com]

it just exploded Health officials at Kenya’s Jomo Kenyatta International Airport (JKIA) told Xinhua on Sunday that the female passenger on board Kenya Airways flight alighted at 6:45 p.m. with high fever and bleeding from the openings of her body.
“We have not established what exactly caused the death but medical officials including director of medical services are carrying out tests to establish the cause,” an official who sought anonymity told Xinhua by telephone.
The official said the female passenger who had arrived from Juba was later rushed to the hospital but died in the evening. The health ministry is expected to issue a formal statement concerning the incident later on Sunday to confirm whether the patient had Ebola. The incident caused panic at the busy airport which was immediately deserted for hours after the death of the passenger. However, the fate of the other passengers on the flight is still unknown.

In other developments
&#61607; Ethiopia’s Ministry of Health on Sunday disclosed establishing a modern laboratory center in a bid to control deadly Ebola virus after four reported cases of ebola in Addis Ababa. The facility will start operating on Monday for tasting of four suspected cases of Ebola. A disease that medical doctors believe is Ebola appears to be suspected in the Ethiopian capital. One western African origin diplomat has been admitted for flu like symptoms in Saint Yared General Hospital. Three more people have been also admitted to the black lion hospital, with a reported cases of bleeding and fever. Doctors in black lion hospital, speaking anonymously because of the sensitivity of the issue and afraid of reprisal action from government officials, are saying it is Ebola.
&#61607; The World Health Organization (WHO) has classified Ethiopia and Kenya as a “high-risk” countries for the spread of the deadly Ebola virus. Ethiopia and Kenya were vulnerable because it were a major transport hub, with many flights from West Africa, a WHO official said. This is the most serious warning to date by the WHO that Ebola could spread to East Africa. The WHO’s country director for Kenya, Custodia Mandlhate, said the East African states were “classified in group two; at high risk of transmission”.
&#61607; The Ethiopian and Kenyan governments said that it would not ban flights from the four countries hit by Ebola. Ethiopia’s and Kenya national carriers are a major airlines connecting countries across Africa and have on its part been pursuing the usual flights into West Africa. Bole international airport and Jomo Kenyatta International Airport (JKIA) so far haven’t any infrared thermometers or non-contact thermometers to measure body temperature of in-bound and out- bound passengers for possible Ebola symptoms.
Anonymous Coward
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10/14/2014 07:22 PM
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Health officials at Kenya’s Jomo Kenyatta International Airport (JKIA) told Xinhua on Sunday that the female passenger on board Kenya Airways flight alighted at 6:45 p.m. with high fever and bleeding from the openings of her body.

tell me now she was not infectious sfannuke
Anonymous Coward
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10/14/2014 07:28 PM
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Ebola Outbreak Spreads in Ethiopia, Kenya and South Sudan as passenger dies at Kenya’s Jomo Kenyatta International Airport (Hara Ethiopia)

so the women was transported from kenyas airport to ethiopia?? or is theairport in ethiopia ?
arkay  (OP)

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10/14/2014 07:59 PM
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[link to haraethiopiadotcom.wordpress.com]

it just exploded Health officials at Kenya’s Jomo Kenyatta International Airport (JKIA) told Xinhua on Sunday that the female passenger on board Kenya Airways flight alighted at 6:45 p.m. with high fever and bleeding from the openings of her body.
“We have not established what exactly caused the death but medical officials including director of medical services are carrying out tests to establish the cause,” an official who sought anonymity told Xinhua by telephone.
The official said the female passenger who had arrived from Juba was later rushed to the hospital but died in the evening. The health ministry is expected to issue a formal statement concerning the incident later on Sunday to confirm whether the patient had Ebola. The incident caused panic at the busy airport which was immediately deserted for hours after the death of the passenger. However, the fate of the other passengers on the flight is still unknown.

In other developments
&#61607; Ethiopia’s Ministry of Health on Sunday disclosed establishing a modern laboratory center in a bid to control deadly Ebola virus after four reported cases of ebola in Addis Ababa. The facility will start operating on Monday for tasting of four suspected cases of Ebola. A disease that medical doctors believe is Ebola appears to be suspected in the Ethiopian capital. One western African origin diplomat has been admitted for flu like symptoms in Saint Yared General Hospital. Three more people have been also admitted to the black lion hospital, with a reported cases of bleeding and fever. Doctors in black lion hospital, speaking anonymously because of the sensitivity of the issue and afraid of reprisal action from government officials, are saying it is Ebola.
&#61607; The World Health Organization (WHO) has classified Ethiopia and Kenya as a “high-risk” countries for the spread of the deadly Ebola virus. Ethiopia and Kenya were vulnerable because it were a major transport hub, with many flights from West Africa, a WHO official said. This is the most serious warning to date by the WHO that Ebola could spread to East Africa. The WHO’s country director for Kenya, Custodia Mandlhate, said the East African states were “classified in group two; at high risk of transmission”.
&#61607; The Ethiopian and Kenyan governments said that it would not ban flights from the four countries hit by Ebola. Ethiopia’s and Kenya national carriers are a major airlines connecting countries across Africa and have on its part been pursuing the usual flights into West Africa. Bole international airport and Jomo Kenyatta International Airport (JKIA) so far haven’t any infrared thermometers or non-contact thermometers to measure body temperature of in-bound and out- bound passengers for possible Ebola symptoms.
 Quoting: Anonymous Coward 64056438


Sadly, this is what is more or less normal progress for an ongoing epidemic.

The containment lines are being breached, and now this disease will establish itself in new communities from where it will "add" its spread to the existing centers of its establishment.

With each new community that it establishes itself in, it increases the opportunity it has to spread to newer communities.

Its a simple numbers, odds and percentages formula.

This is the multiplying effect of a typical epidemic as it establishes its spread around the globe.

I have never heard of any strategy that bodies like the WHO have in place to even centralize and logically define the world into geographic grids and centralize reporting so that an international spread can be assessed in an ongoing nature and where critical decisions can be made in order to deploy resources in response to need as it happens.

The situation we have at present to my knowledge is totally reactive and likely with a lag time of several days.

This is one reason why this epidemic will continue to stay well ahead of efforts to contain or at least slow its spread.

The need for a single reporting point with daily reports and compared to a complete international grid, combined with ready teams that can be dispatched to any place on the planet is already an essential but currently lacking tool in an epidemic or pandemic situation.

Yet just another glaring lack of planning and insight that a body like the WHO should have in place as international contingency plans.

Regrettably, as I have said on numerous times, the occupants of senior positions in the WHO have been living on the fat of their positions and have done nothing of consequence that might and should have been put in place in preparation for an event such as this.

They are just fat cats and again have been caught asleep on their watch.

Its is my strong opinion that these people need to be held to account for the dereliction to their duties.

They are the ones who have insisted that this is their job and responsibility, frustrating others from undertaking these functions, but not undertaking them themselves.

Reckless, egotistical bureaucrats with a lust for "position" and egos to match.

But hopelessly incompetent buffoons at best.

And, you bet I place my name to those comments.

arkay
arkay  (OP)

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10/14/2014 08:11 PM
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Health officials at Kenya’s Jomo Kenyatta International Airport (JKIA) told Xinhua on Sunday that the female passenger on board Kenya Airways flight alighted at 6:45 p.m. with high fever and bleeding from the openings of her body.

tell me now she was not infectious sfannuke
 Quoting: Anonymous Coward 64056438


In spite of what has been said in the media, to the effect that Ebola isn't contagious until a person displays symptoms.

This is a complete misnomer, and displays either an intent to downgrade concerns, or comes from complete ignorance.

It is absolutely wrong, and totally incorrect of the facts.

Ebola, if its incubation period is 21 days, and there is growing concern that it could be longer, becomes infectious much earlier than before its symptoms become apparent.

Once infected, a person with be hosting this virus as it grows and spreads throughout that persons body, well before they become sick, they will be capable of shedding live virus which can transfer and infect more people.

This is EXACTLY why this current epidemic has been able to spread and infect so many people.

Do those who have made those outlandish comments really believe that we are going to just sit around and accept that the numbers of infections have resulted from each and every case being ones where new infections have only been the result of coming into contact with obviously ill patients.

That would be an impossibility.

It shows either contempt for their audiences, or a complete lack of understanding, or both.
arkay  (OP)

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10/14/2014 08:32 PM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
Folks, if you haven't done it yet..

It is time that you think about going out and buying yourselves a good supply of the following...you have plenty of time to do this, if you act soon...( you should have them anyway)

1) Disposable vinyl gloves.

2) Alcohol hand solutions.

3) Disposable face masks.

Also top up your groceries so that you can be in a position to isolate yourselves for some time if this disease does become a serious menace in your community.

Having said that, this is NOT a call to panic or over-react.

Just simply be prepared and be aware that once and if it emerges in a significant way near you, then you don't have to panic, you are prepared and wont be competing for these items along with large numbers of other people and in a probable situation where supplies will be quickly exhausted by panic buying.

Far better to do it now, so that supplies can be replenished and everyone is appropriately prepared.

Communities that prepare well, wont witness panic mob behavior, those that don't are more likely to see panic buying of all sorts of consumables, not to mention suppliers abilities to meet orders in a manageable sense being compromised, and that can be anticipated.

It isn't necessary to over-react, merely be sensible and be prepared.

Hopefully you will never need to use the things you buy, but you'll have them if needed.
humbird

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10/14/2014 08:46 PM
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I totally freaked out over bird flu in 2005 and prepped for five years.Now I wonder why I am not worried about Ebola.Maybe bird flu fear was a mental vaccination. or maybe it was intuition. hmmmm
"Aside from the small band of Forteans scattered around the world, nobody seems to notice all aspects of this phantasmagoria."
John Keel
Anonymous Coward
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10/15/2014 04:57 PM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
[link to www.who.int]

both of these virus are now in Africa at the same time
Anonymous Coward
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10/15/2014 06:07 PM
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[link to www.naturalnews.com]
Anonymous Coward
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10/15/2014 06:10 PM
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 Quoting: Anonymous Coward 64107024


just in cae article is removed NaturalNews) A jaw-dropping report released by the World Health Organization on October 14, 2014 reveals that 1 in 20 Ebola infections has an incubation period longer than the 21 days which has been repeatedly claimed by the U.S. Centers for Disease Control.

This may be the single most important -- and blatantly honest -- research report released by any official body since the beginning of the Ebola outbreak. The WHO's "Ebola situation assessment" report, found here, explains that only 95% of Ebola infections experience incubation within the widely-reported 21-day period. Here's the actual language from the report:

95% of confirmed cases have an incubation period in the range of 1 to 21 days; 98% have an incubation period that falls within the 1 to 42 day interval. [1]

Unless the sentence structure is somehow misleading, this passage appears to indicate the following:

• 95% of Ebola incubations occur from 1 - 21 days
• 3% of Ebola incubations occur from 21 - 42 days
• 2% of Ebola incubations are not explained (why?)

If this interpretation of the WHO's statistics are correct, it would mean that:

• 1 in 20 Ebola infections may result in incubations lasting significantly longer than 21 days

• The 21-day quarantine currently being enforced by the CDC is entirely insufficient to halt an outbreak

• People who are released from observation or self-quarantine after 21 days may still become full-blown Ebola patients in the subsequent three weeks, even if they have shown no symptoms of infection during the first 21 days. (Yes, read that again...)

Any declaration that an outbreak is over requires 42 days with no new infections

Underscoring the importance of the 42-day rule, the WHO document openly states that a 42-day observation period with no new outbreaks is required before declaring the outbreak is under control. In the WHO's own words:

WHO is therefore confident that detection of no new cases, with active surveillance in place, throughout this 42-day period means that an Ebola outbreak is indeed over. [1]

W.H.O. "alarmed" over false pronouncements of negative Ebola tests

Just as disturbing is the WHO's open warning that government health officials who are announcing negative Ebola findings in patients mere hours after them being tested are grossly misleading the public and essentially practicing quack medicine.

As explained by the WHO:

WHO is alarmed by media reports of suspected Ebola cases imported into new countries that are said, by government officials or ministries of health, to be discarded as "negative" within hours after the suspected case enters the country. Such rapid determination of infection status is impossible, casting grave doubts on some of the official information that is being communicated to the public and the media. [1]

In other words, WHO is telling us that all those public pronouncements by government health authorities are meaningless. An Ebola infection determination cannot be made in mere hours, it turns out. In fact, as WHO explains, a suspected case of Ebola must be observed and tested for 48 hours before any degree of certainty can be reached about the Ebola infection status:

Two negative RT-PCR test results, at least 48 hours apart, are required for a clinically asymptomatic patient to be discharged from hospital, or for a suspected Ebola case to be discarded as testing negative for the virus. [1]

"No signs" that outbreaks are under control

Finally, this WHO report goes on to conclude that the Ebola outbreaks of Guinea, Liberia and Sierra Leone are multiplying out of control. The report even cites the curious phenomenon of unexpected outbreak surges taking place in areas once thought to be eradicated:

In Guinea, Liberia, and Sierra Leone, new cases continue to explode in areas that looked like they were coming under control. An unusual characteristic of this epidemic is a persistent cyclical pattern of gradual dips in the number of new cases, followed by sudden flare-ups. WHO epidemiologists see no signs that the outbreaks in any of these 3 countries are coming under control. [1]

Is it possible that these resurging outbreaks are being caused by governments failing to monitor potentially infected Ebola victims for a full 42 days? If they only observe them for 21 days, then 1 out of 20 infected victims may be cleared as "clean" and allowed back into the population where they soon become symptomatic and spread the disease even further.


Learn more: [link to www.naturalnews.com]
Anonymous Coward
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10/15/2014 06:15 PM
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at this point there is little to say just hope and pray
Anonymous Coward
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10/15/2014 06:41 PM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
It is extremely disturbing to realize that, to our best knowledge, every single person in the United States who has been suspected of harboring Ebola has been instructed to monitor symptoms for only 21 days, not the necessary 42 days.

This means that Ebola-infected U.S. citizens who are "cleared" of Ebola may still erupt with the deadly virus for a period of three more weeks.

Why hasn't anyone reported this until now? How is this not one of the single most important pieces of information in the world at this moment when all human life on our planet is now legitimately threatened by an uncontrolled viral outbreak with a 70 percent fatality rate and no recognized treatments or cures?
arkay  (OP)

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10/15/2014 07:32 PM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
 Quoting: Anonymous Coward 64107024


just in cae article is removed NaturalNews) A jaw-dropping report released by the World Health Organization on October 14, 2014 reveals that 1 in 20 Ebola infections has an incubation period longer than the 21 days which has been repeatedly claimed by the U.S. Centers for Disease Control.

This may be the single most important -- and blatantly honest -- research report released by any official body since the beginning of the Ebola outbreak. The WHO's "Ebola situation assessment" report, found here, explains that only 95% of Ebola infections experience incubation within the widely-reported 21-day period. Here's the actual language from the report:

95% of confirmed cases have an incubation period in the range of 1 to 21 days; 98% have an incubation period that falls within the 1 to 42 day interval. [1]

Unless the sentence structure is somehow misleading, this passage appears to indicate the following:

• 95% of Ebola incubations occur from 1 - 21 days
• 3% of Ebola incubations occur from 21 - 42 days
• 2% of Ebola incubations are not explained (why?)

If this interpretation of the WHO's statistics are correct, it would mean that:

• 1 in 20 Ebola infections may result in incubations lasting significantly longer than 21 days

• The 21-day quarantine currently being enforced by the CDC is entirely insufficient to halt an outbreak

• People who are released from observation or self-quarantine after 21 days may still become full-blown Ebola patients in the subsequent three weeks, even if they have shown no symptoms of infection during the first 21 days. (Yes, read that again...)

Any declaration that an outbreak is over requires 42 days with no new infections

Underscoring the importance of the 42-day rule, the WHO document openly states that a 42-day observation period with no new outbreaks is required before declaring the outbreak is under control. In the WHO's own words:

WHO is therefore confident that detection of no new cases, with active surveillance in place, throughout this 42-day period means that an Ebola outbreak is indeed over. [1]

W.H.O. "alarmed" over false pronouncements of negative Ebola tests

Just as disturbing is the WHO's open warning that government health officials who are announcing negative Ebola findings in patients mere hours after them being tested are grossly misleading the public and essentially practicing quack medicine.

As explained by the WHO:

WHO is alarmed by media reports of suspected Ebola cases imported into new countries that are said, by government officials or ministries of health, to be discarded as "negative" within hours after the suspected case enters the country. Such rapid determination of infection status is impossible, casting grave doubts on some of the official information that is being communicated to the public and the media. [1]

In other words, WHO is telling us that all those public pronouncements by government health authorities are meaningless. An Ebola infection determination cannot be made in mere hours, it turns out. In fact, as WHO explains, a suspected case of Ebola must be observed and tested for 48 hours before any degree of certainty can be reached about the Ebola infection status:

Two negative RT-PCR test results, at least 48 hours apart, are required for a clinically asymptomatic patient to be discharged from hospital, or for a suspected Ebola case to be discarded as testing negative for the virus. [1]

"No signs" that outbreaks are under control

Finally, this WHO report goes on to conclude that the Ebola outbreaks of Guinea, Liberia and Sierra Leone are multiplying out of control. The report even cites the curious phenomenon of unexpected outbreak surges taking place in areas once thought to be eradicated:

In Guinea, Liberia, and Sierra Leone, new cases continue to explode in areas that looked like they were coming under control. An unusual characteristic of this epidemic is a persistent cyclical pattern of gradual dips in the number of new cases, followed by sudden flare-ups. WHO epidemiologists see no signs that the outbreaks in any of these 3 countries are coming under control. [1]

Is it possible that these resurging outbreaks are being caused by governments failing to monitor potentially infected Ebola victims for a full 42 days? If they only observe them for 21 days, then 1 out of 20 infected victims may be cleared as "clean" and allowed back into the population where they soon become symptomatic and spread the disease even further.


Learn more: [link to www.naturalnews.com]
 Quoting: Anonymous Coward 64107024


With regard to this from the World Health Organization.

I am compelled to say that I am totally stunned by this document.

Since commencing this thread, this is THE FIRST TIME that the who has actually shown balls and leadership and reported to the public in a completely transparent manner and its about 'bloody" time.

To any, even mildly medically educated person, it has been excruciatingly painful to have to sit back knowing what the real implications have been in relation to any of the potential pandemic organisms that have been floating about at any one time, and feel the hopeless frustration at the spin, inaction and utter crap that has been fed to the community at large by organizations such as the WHO and the CDC.

It is certain that had we been "privileged" with this type of transparency, openness and honesty at earlier stages then those BS spinning public health officials might, and I say might have acted differently, with significant effect all leading to stronger responses, education programs and even perhaps earlier development of therapies all of which could have helped to limit and defeat an impending disastrous situation.

I wholly commend the WHO for at last recognizing what their true position and role is as the worlds leading keeper of this planets best health interests, and add that I hope to see far more of this straight forward approach to matters as serious as we are facing today.

Unfortunately, for this current situation, it is a case of too little and far far to late, but at least they do appear to finally be getting a better handle on their role.

What we all now desperately need to be being told are all the protocols that are or might be put into place in the event of this disease breaking loose on say American soil.

It is far better to have the community at large fore warned of what they might be faced with in such an event, and executed correctly will go a very long way in instigating containment protocols that at least have some chance at success when the time comes.

The vast range of awareness or rather the lack there of, exhibited by the spectrum of people who make up a community desperately needs to be addressed in order to get a whole community on to the same page in terms of both understanding and importantly what expectations will be, if there is to be any hope of calm compliance in a worst case scenario.

In the current environment all the we can expect to see are rioting mobs facing off against military enforcement brigades desperately hoping to contain them.

And it is definitely not a given that even the enforcers will remain reliable and compliant in the face of social collapse with a suspected and highly probable component of infected and contagious people interspersed amongst those numbers.

If educated and trained medical doctors and personnel are prepared to desert their posts as has already been witnessed, then woe be told the fool, who, for an instant thinks that orders no matter how stringent and forceful, will be complied with.

And, just to make matters worse, picture the scenario where force is being deployed to contain a panicking and infected community.

You simply cant fire or use any type of brute force because of the risks of further spreading infection from those actions.

About all that could be used might be capsicum spray, even water cannon is useless as it again spreads the infection.

Management options in this type of situation is a very difficult matter to effect.

Education, no matter how tough, is by far the best management option.

Even with good education, the challenges will be immense.

arkay
arkay  (OP)

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10/15/2014 07:48 PM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
It is extremely disturbing to realize that, to our best knowledge, every single person in the United States who has been suspected of harboring Ebola has been instructed to monitor symptoms for only 21 days, not the necessary 42 days.

This means that Ebola-infected U.S. citizens who are "cleared" of Ebola may still erupt with the deadly virus for a period of three more weeks.

Why hasn't anyone reported this until now? How is this not one of the single most important pieces of information in the world at this moment when all human life on our planet is now legitimately threatened by an uncontrolled viral outbreak with a 70 percent fatality rate and no recognized treatments or cures?
 Quoting: Anonymous Coward 64107024


I think that the answer to your assertions is sadly simple.

We are all aware that our responsible representatives have over time lost sight of what their role and functions towards those that they are supposed to providing responsible oversight for has evolved.

They have come to perceive themselves as powerful and with that, somewhat infallible.

When this has occurred they have adopted behaviors of "I know best", and "you'll do as I say and that's it".

The concept of working with, communication with, the larger picture has become so remote that even these same authorities have come to assume that they know everything, when in fact their true knowledge has been grossly incomplete even in their area of responsibility, but because they have adopted their own individual GOD complex, they render themselves incapable of sourcing and learning what it is they really need to know to effectively occupy their positions.

Even President Obama displayed those traits recently in some of his speeches.

There are many lessons of the like that should eventuate in a postmortem of systems and protocols that lead to this event becoming what it has become and is yet to be seen.

The concept of "Nanny State", probably sums it all up in a single statement.

It is also those same GOD complexes that make it so difficult for others trying to assist, but cant, because they are speaking to "closed minds".

Last Edited by arkay on 10/15/2014 07:51 PM
arkay  (OP)

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10/15/2014 08:24 PM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
In the last couple of days I was reading an article commenting on a patient here in Australia.

An "authority" commented that a particular patient who was being treated in quarantine in an emergency department of a hospital here in Australia.

I have to say that when I read that I was gobsmacked at the commentators complete lack of understanding of exactly what "Quarantine" actually meant and his stupid misguided but totally self assured stance that this idiot showed himself to be.

The thought that a patient could be "quarantined" in an open ward was, to say the least, is grossly lacking of understanding with medical management protocols.

Just for the record, in a medical sense, an isolation unit appropriate to a highly infectious disease like Ebola, would be a negative pressure sealed room where all air is sucked into the room and completely filtered before being exhausted from that room.

This ensures that air-borne particles cannot drift outside the room and contaminate outside areas.

Also, the care of any patient in this type of situation, of absolute necessity, requires everyone who enters that room to be fully protected with appropriate garments.

This means, full body isolation between the practitioner and the surrounding room and patient.

To function in this type of situation requires very specific and intense training and an almost paranoid awareness of every movement and action while in that room.

It often requires an observing "buddy" just to make sure that protocols are not breached.

Then comes the transitioning from the isolation room, out of protective wear, without contact to the outer surfaces of your garments and then their safe disposal.

Barrier nursing an ill patient is a slow and laborious task, add to that the problems you face cleaning up diarrhea, blood, urine etc, and bathing your patient, and very quickly you realize just how intense and laborious this type of medical management really is.

And that is just for one patient, now consider the implications for large numbers of patients all requiring the same care at the same time and you begin to get the picture of just how difficult a situation we are all facing with this current Ebola scenario.

The whole thing very quickly disintegrates into a totally unmanageable situation completely overwhelming medical management and care.

These are just some of the complex challenges that we are facing right now.
Anonymous Coward
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10/15/2014 09:41 PM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
In the last couple of days I was reading an article commenting on a patient here in Australia.

An "authority" commented that a particular patient who was being treated in quarantine in an emergency department of a hospital here in Australia.

I have to say that when I read that I was gobsmacked at the commentators complete lack of understanding of exactly what "Quarantine" actually meant and his stupid misguided but totally self assured stance that this idiot showed himself to be.

The thought that a patient could be "quarantined" in an open ward was, to say the least, is grossly lacking of understanding with medical management protocols.

Just for the record, in a medical sense, an isolation unit appropriate to a highly infectious disease like Ebola, would be a negative pressure sealed room where all air is sucked into the room and completely filtered before being exhausted from that room.

This ensures that air-borne particles cannot drift outside the room and contaminate outside areas.

Also, the care of any patient in this type of situation, of absolute necessity, requires everyone who enters that room to be fully protected with appropriate garments.

This means, full body isolation between the practitioner and the surrounding room and patient.

To function in this type of situation requires very specific and intense training and an almost paranoid awareness of every movement and action while in that room.

It often requires an observing "buddy" just to make sure that protocols are not breached.

Then comes the transitioning from the isolation room, out of protective wear, without contact to the outer surfaces of your garments and then their safe disposal.

Barrier nursing an ill patient is a slow and laborious task, add to that the problems you face cleaning up diarrhea, blood, urine etc, and bathing your patient, and very quickly you realize just how intense and laborious this type of medical management really is.

And that is just for one patient, now consider the implications for large numbers of patients all requiring the same care at the same time and you begin to get the picture of just how difficult a situation we are all facing with this current Ebola scenario.

The whole thing very quickly disintegrates into a totally unmanageable situation completely overwhelming medical management and care.

These are just some of the complex challenges that we are facing right now.
 Quoting: arkay


maybe the first 2000 then after that people will be dying on the streets ,it is an impossability to treat 10s thousands of people ,short of uthanising those deemed to far gone in order to gie others the oppertunity to survive
but that would go against most real doctors ethics
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
different virus but ebola can be spread by droplets could this sars event in china be re-enacted during an ebola pandemic
n Hong Kong’s most devastating cluster of SARS cases, 329 residents of Amoy Gardens, a middle-class high-rise, were infected and more than 40 died. Investigators later found that severe watery diarrhea from infected people carried the virus into other apartments via tiny droplets picked up by exhaust fans that ventilated the building’s sewage system.
arkay  (OP)

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10/16/2014 01:26 AM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
In the last couple of days I was reading an article commenting on a patient here in Australia.

An "authority" commented that a particular patient who was being treated in quarantine in an emergency department of a hospital here in Australia.

I have to say that when I read that I was gobsmacked at the commentators complete lack of understanding of exactly what "Quarantine" actually meant and his stupid misguided but totally self assured stance that this idiot showed himself to be.

The thought that a patient could be "quarantined" in an open ward was, to say the least, is grossly lacking of understanding with medical management protocols.

Just for the record, in a medical sense, an isolation unit appropriate to a highly infectious disease like Ebola, would be a negative pressure sealed room where all air is sucked into the room and completely filtered before being exhausted from that room.

This ensures that air-borne particles cannot drift outside the room and contaminate outside areas.

Also, the care of any patient in this type of situation, of absolute necessity, requires everyone who enters that room to be fully protected with appropriate garments.

This means, full body isolation between the practitioner and the surrounding room and patient.

To function in this type of situation requires very specific and intense training and an almost paranoid awareness of every movement and action while in that room.

It often requires an observing "buddy" just to make sure that protocols are not breached.

Then comes the transitioning from the isolation room, out of protective wear, without contact to the outer surfaces of your garments and then their safe disposal.

Barrier nursing an ill patient is a slow and laborious task, add to that the problems you face cleaning up diarrhea, blood, urine etc, and bathing your patient, and very quickly you realize just how intense and laborious this type of medical management really is.

And that is just for one patient, now consider the implications for large numbers of patients all requiring the same care at the same time and you begin to get the picture of just how difficult a situation we are all facing with this current Ebola scenario.

The whole thing very quickly disintegrates into a totally unmanageable situation completely overwhelming medical management and care.

These are just some of the complex challenges that we are facing right now.
 Quoting: arkay


maybe the first 2000 then after that people will be dying on the streets ,it is an impossability to treat 10s thousands of people ,short of uthanising those deemed to far gone in order to gie others the oppertunity to survive
but that would go against most real doctors ethics
 Quoting: Anonymous Coward 47076754


The figure of 2000 even spread over every available dedicated isolation room world wide would still totally overwhelm every hospital in existence.

The world, simply put, is NOT in any way prepared for this event.

There simply aren't that many dedicated rooms in total everywhere.

The concept of euthanasia is an abomination to all medical people.

Their oath is to do NO harm, and there would be no gain from euthanasia.

Isolation camps of the type that FEMA appear to have in place would be a good starting place as segregated areas could be allocated according to varying needs while maintaining in an overall quarantine environment and offering the capacity to deal with large populations of patients all at the same time.

Certainly not an ideal structure, but in the face of the sort of numbers likely to be involved, probably the safest and most effective solution.
arkay  (OP)

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10/16/2014 01:54 AM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
different virus but ebola can be spread by droplets could this sars event in china be re-enacted during an ebola pandemic
n Hong Kong’s most devastating cluster of SARS cases, 329 residents of Amoy Gardens, a middle-class high-rise, were infected and more than 40 died. Investigators later found that severe watery diarrhea from infected people carried the virus into other apartments via tiny droplets picked up by exhaust fans that ventilated the building’s sewage system.
 Quoting: Anonymous Coward 47076754


This scenario is just one of the thousands that will be played out in this disaster.

Just about any situation that permits free movement of air will likely be found to contribute to varying degrees and in various places.

Nothing is exempt.

This type of event is a cruel lottery, some will live and many more will perish.

The current CFR's (case fatality rates)has been revised upwards to 70% from a previously understood figure of around 58%.

To put this into plain words, 70 people out of 100 will die from this disease.

From that, it can be seen that one of the biggest challenges that will need to be dealt with will be the disposal of all of those victims bodies.

Failure to address that situation will result in a raft of other diseases emerging and adding to the overall challenges.

I have said it before, this is a highly complex situation that we have before us and there innumerable variations of matters that will present themselves at different stages with the spread of this approaching pandemic.

Can anyone imagine what the world might look like in the aftermath of such an event?

Seven out of ten people gone, all needing to be carefully disposed of by the remaining and diminishing few left, if they can even be persuaded to make such attempts.

And even then if successful, how will the remaining survive in a post pandemic environment.

Failure of power, water and food production and supply chains would quickly collapse, then its back to the pre-industrial age.

Communication systems would collapse overnight, and complete breakdown in law and order would be inevitable in the absence of the support structures that we all rely on to hold the fabric of society together.

It sounds like a Sci-Fi/ horror movie doesn't it?

Sadly, it is daily becoming our likely future.

We are on notice, control by the end of the year, or this or something very close to it is what is store for those who survive, it is a very grim picture to contemplate.
arkay  (OP)

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10/16/2014 02:19 AM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
I am loath to have to be the one to say it.

But, if by the end of the year, serious inroads haven't been made to contain this disease, much as it is totally abhorrent to contemplate.

The only real chance humanity will realistically have at surviving this will be to make the impossible decision to cut affected states completely loose and isolate them totally.

A total ban on all air transport and movements everywhere will become the only survival strategy available.

Then it will be a sit and wait situation for several months while this disease burns itself out, before any return to the life we know today could even be considered.

The reality is that it is beyond comprehension that financial and political forces could or would contemplate such a radical action.

Greed and egos simply will not be capable of accepting this type of tough action and will work to inhibit radical survival protocols that will be the only real options available to ensure the survival of the majority of humanity.
Anonymous Coward
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10/16/2014 04:49 AM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
I am loath to have to be the one to say it.

But, if by the end of the year, serious inroads haven't been made to contain this disease, much as it is totally abhorrent to contemplate.

The only real chance humanity will realistically have at surviving this will be to make the impossible decision to cut affected states completely loose and isolate them totally.

A total ban on all air transport and movements everywhere will become the only survival strategy available.

Then it will be a sit and wait situation for several months while this disease burns itself out, before any return to the life we know today could even be considered.

The reality is that it is beyond comprehension that financial and political forces could or would contemplate such a radical action.

Greed and egos simply will not be capable of accepting this type of tough action and will work to inhibit radical survival protocols that will be the only real options available to ensure the survival of the majority of humanity.
 Quoting: arkay


cruel though it may sound , it iis something that should be done now the longer we delay, the more dificult it will be to bring this under control,
The alternatives ......!!! just to awaful to contemplate .
Anonymous Coward
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10/16/2014 04:57 AM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
[link to www.theblaze.com]

what do you make of this ? seems like a serious lack of judgment
Anonymous Coward
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10/16/2014 05:00 AM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
[link to www.theblaze.com]

what do you make of this ? seems like a serious lack of judgment
 Quoting: Anonymous Coward 61483842
[link to www.nbcdfw.com]

some people are having problem with first link
Anonymous Coward
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10/16/2014 04:53 PM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
[link to www.cleveland.com]
Anonymous Coward
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10/16/2014 04:55 PM
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 Quoting: Anonymous Coward 64155436
[link to www.wkyc.com]
arkay  (OP)

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10/16/2014 07:12 PM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
I note that both of the above posts carry stories of Ebola affected patients traveling and relating that these patients may not have been showing symptoms when they traveled.

This type of commentary is indicating a serious lack of understanding regarding Ebola and its ability to infect people.

This lack of understanding relates to it's incubation period.

A victim doesn't just come into contact with the virus, then nothing happens for the up to 45 day incubation period, then wham they get sick.

No, from the instant that virus enters that victims body it begins to reproduce itself and continues to do so.

Rather, as the viral load increases, the victim will be shedding contagious viruses from themselves and this will be happening for many days before that victim has a high enough viral load to actually become ill and show signs of illness.

It must be clearly understood that even if a person is not showing signs of Ebola symptoms and are even unaware that they are incubating the disease, they are still quite infectious and will be shedding virus that can and will infect other people.

Being without symptoms does not mean that they are not contagious, they are.

This is exactly why there has been such a growth in the number of cases.

Because of the extended incubation period that this strain exhibits as characteristic, it has been able to infect quite broadly because people are not aware that they are carrying the virus and are also not sick.

It is completely incorrect to say that unsympathetic people are safe.

They are not.

With just 60 or so days left to get on top of this growing epidemic, its high time that everyone gets their facts right, if they don't then the fight is already lost.
Anonymous Coward
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10/17/2014 04:07 PM
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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
[link to www.wftv.com]

off the subject but equally as important
Anonymous Coward
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10/17/2014 04:14 PM
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[link to m.democracynow.org]
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10/17/2014 04:17 PM
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 Quoting: Anonymous Coward 64199789
LAURIE GARRETT: Well, I know Mike very well, and I was a little surprised by that op-ed. There is documentation of more than 300 mutations have indeed occurred in the current circulating strain. It is unusual for Ebola to circulate through so many humans in one giant incident—this is the largest incident ever.
Anonymous Coward
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10/17/2014 04:20 PM
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[link to www.broadinstitute.org]





GLP