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CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED

 
TruthNow88
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CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
With the current CDC safety protocols for hospital workers dealing with possible & confirmed Ebola cases, I can safely say that the US healthcare system is soon-to-be fucked...

Hospitals in the U.S. Get Ready for Ebola
The C.D.C. says that health care workers treating Ebola patients need only wear gloves, a fluid-resistant gown, eye protection and a face mask to prevent becoming infected with the virus. That is a far cry from the head-to-toe “moon suits” doctors, nurses and aides have been seeing on television reports about the outbreak.
Some hospital officials are skeptical of the new advice. “It’s not going to be enough for my health care workers to feel comfortable going into an isolation room,” said Peggy Thompson, the director of infection prevention at Tampa General Hospital.

[link to www.nytimes.com]
[link to www.cdc.gov]

Facemasks huh? What a joke...

USAMRIID’s MEDICAL MANAGEMENT OF BIOLOGICAL CASUALTIES HANDBOOK - Sixth Edition - April 2005
VIRAL HEMORRHAGIC FEVER
Isolation and Decontamination:

All VHF patients should be cared for using strict contact precautions, including hand hygiene double gloves, gowns, shoe and leg coverings, and faceshield or goggles. Airborne precautions should be instituted to the maximum extent possible. At a minimum, a fit-tested, HEPA filter-equipped respirator(such as an N-95 mask), a battery-powered, air-purifying respirator, or a positive pressure supplied air respirator should be worn by personnel sharing an enclosed space with or coming within six feet of a VHF patient. Multiple patients should be cohorted to a separate building or a ward with an isolated air-handling system. Ideally, VHF patients should be isolated in a negative pressure isolation room with 6-12 air exchanges per hour. Environmental decontamination is accomplished with hypochlorite or phenolic disinfectants.
[link to www.dhhr.wv.gov]

What don't you understand about that CDC... Respirators, isolated air-handling systems , negative pressure isolation rooms with scheduled air exchanges... your bullshit facemasks aren't going to do shit...

Center for Infectious Disease Research and Policy - University of Minnesota
Health workers need optimal respiratory protection for Ebola
We believe there is scientific and epidemiologic evidence that Ebola virus has the potential to be transmitted via infectious aerosol particles both near and at a distance from infected patients, which means that healthcare workers should be wearing respirators, not facemasks.
The minimum level of protection in high-risk settings should be a respirator with an assigned protection factor greater than 10. A powered air-purifying respirator (PAPR) with a hood or helmet offers many advantages over an N95 filtering facepiece or similar respirator, being more protective, comfortable, and cost-effective in the long run.

[link to www.cidrap.umn.edu]

The irony of it all is that the CDC knows all this, and even states in their own writing that Ebola is transmittable via droplet form without the need of direct contact with an infected person, and has the capability of infecting anyone in the same room or care area if left for a prolonged period of time (which is where the scheduled air exchanges and isolated air-handling systems come into play).

CDC defines transmission for Ebola as follows.
1 Casual contact is defined as a) being within approximately 3 feet (1 meter) or within the room or care area for a prolonged period of time (e.g., healthcare personnel, household members) while not wearing recommended personal protective equipment (i.e., droplet and contact precautions–see Infection Prevention and Control Recommendations); or b) having direct brief contact (e.g., shaking hands) with an EVD case while not wearing recommended personal protective equipment (i.e., droplet and contact precautions–see Infection Prevention and Control Recommendations). At this time, brief interactions, such as walking by a person or moving through a hospital, do not constitute casual contact.
* Outbreak affected countries include Guinea, Liberia, Sierra Leone, and Lagos, Nigeria, as of 4-August-2014

[link to www.cdc.gov]
Note: This was just recently updated by the CDC to include this footnote.
Thread: CDC, Australian DoD & Nigerian Federal Ministry of Health & USAMRIID State That Ebola is an Aerosol Virus & Transmittable via Inhalation

This means respirators are REQUIRED to safely be around an infected person, especially when in a hospital type environment. Facemasks and home quarantines huh? It's almost like the CDC wants this to spread...

Just my 2 cents...
1dunno1
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Ag47

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10/06/2014 11:51 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
5*s bump and pine it!
Anonymous Coward
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10/07/2014 03:26 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
This is what they mean, im sure..


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air
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
I hope you folks realize that if even a face mask is suggested they have admitted it is transfered by air.
Anonymous Coward
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10/07/2014 03:58 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
What they are really saying is that full court contamination precautions are expensive and they won't be forthcoming. AND, they're probably not made in the US, but in China which, strangely enough, is not in the mood to give us a few hundred million protection suits when they need them themselves.

Which means any nurse or doc who wants to take care of patients under these limited precautions risks taking it home to their families.

Which means very few people will be showing up for work once the SHTF, which would be any day now, given the public worry, the flu season, school starting, and the total inability to tell a simple flu from something lethal.

And to make it fun, I bet the hypochondriacs are pouring out of the woodwork right about now.
Anonymous Coward
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10/07/2014 04:04 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
The bunch at the CDC really are a bunch of tards. There is no doubt about it now, not that there ever was.
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10/07/2014 04:23 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
COMMENTARY: Health workers need optimal respiratory protection for Ebola


Editor's Note: Today's commentary was submitted to CIDRAP by the authors, who are national experts on respiratory protection and infectious disease transmission. In May they published a similar commentary on MERS-CoV. Dr Brosseau is a Professor and Dr Jones an Assistant Professor in the School of Public Health, Division of Environmental and Occupational Health Sciences, at the University of Illinois at Chicago.

...

We believe there is scientific and epidemiologic evidence that Ebola virus has the potential to be transmitted via infectious aerosol particles both near and at a distance from infected patients, which means that healthcare workers should be wearing respirators, not facemasks.1

The minimum level of protection in high-risk settings should be a respirator with an assigned protection factor greater than 10. A powered air-purifying respirator (PAPR) with a hood or helmet offers many advantages over an N95 filtering facepiece or similar respirator, being more protective, comfortable, and cost-effective in the long run.

We strongly urge the US Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) to seek funds for the purchase and transport of PAPRs to all healthcare workers currently fighting the battle against Ebola throughout Africa—and beyond.

[link to www.cidrap.umn.edu]
ParamedicUK

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10/07/2014 04:24 PM

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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
The ambulance service here thinks a mask and a tyvek suit with hand hub will save the day - think on this is a level 4 virus!
Anonymous Coward
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10/07/2014 04:36 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
OP, you r dead wrong. Of course they recommend respirators

[link to www.cdc.gov]
TruthNow88  (OP)

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10/07/2014 05:02 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
OP, you r dead wrong. Of course they recommend respirators

[link to www.cdc.gov]
 Quoting: Anonymous Coward 52535227


Not true, as they only recommend respirators when dealing with "Aerosol Generating Procedures (AGPs)".

There is no mention of isolated air-handling systems, negative pressure isolation rooms, or scheduled air exchanges when dealing with infected patient placement.

Patient Placement
-Single patient room (containing a private bathroom) with the door closed
-Facilities should maintain a log of all persons entering the patient's room

[link to www.cdc.gov]

There is also no mention of respirators being required when dealing with an infected patient outside of a AGP.

Personal Protective Equipment (PPE)
All persons entering the patient room should wear at least:
-Gloves
-Gown (fluid resistant or impermeable)
-Eye protection (goggles or face shield)
-Facemask
Additional PPE might be required in certain situations (e.g., copious amounts of blood, other body fluids, vomit, or feces present in the environment), including but not limited to:
-Double gloving
-Disposable shoe covers
-Leg coverings

[link to www.cdc.gov]

And they state these added precautions are only needed when performing a Aerosol Generating Procedure on an infected patent, and in most cases say these protrusions are ideal but not necessarily required.

Aerosol Generating Procedures (AGPs)
-Conduct the procedures in a private room and ideally in an Airborne Infection Isolation Room (AIIR) when feasible. Room doors should be kept closed during the procedure except when entering or leaving the room, and entry and exit should be minimized during and shortly after the procedure.
-HCP should wear gloves, a gown, disposable shoe covers, and either a face shield that fully covers the front and sides of the face or goggles, and respiratory protection that is at least as protective as a NIOSH certified fit-tested N95 filtering facepiece respirator or higher (e.g., powered air purifying respiratory or elastomeric respirator) during aerosol generating procedures.
-If re-usable equipment or PPE (e.g. Powered air purifying respirator, elastomeric respirator, etc.) are used, they should be cleaned and disinfected according to manufacturer instructions and hospital policies.

[link to www.cdc.gov]

Last Edited by TruthNow88 on 10/07/2014 05:06 PM
"Fuck the American regime change policy... Pardon me... I mean fuck our gift of democracy!"
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Epic Beard Guy

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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
Those fuck heads tell us that shit works, but they are in full level four (positive press) suits. You wont see anyone from CDC wearing that level 2 set up while dealing with a level 4 threat! That's how the nurse got it in Spain. The other nurses there are pitchin' a hissy fit now. I don't blame them, it's a matter of life and death.
Hope for the best, but prepare for the worst.
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10/07/2014 06:20 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
As a nurse for 23 years..I wouldnt go near it without full hazmat suit and repirators
Anonymous Coward
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10/07/2014 06:32 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
As a nurse for 23 years..I wouldnt go near it without full hazmat suit and repirators
 Quoting: Anonymous Coward 21022092


35 years here. I agree! hesrightMe neither!
Anonymous Coward
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
Im sorry but they do this shit all the time. They dont care about the little person at all its about profit.

I was working at a facility took report at one point on a TB pt. They honestly wanted me to walk in that room with a mask that had not been fit tested. I do ventilator work and you break the lines/seals on those and that stuff is sprayed under pressure all over the room. The gal I was going to relieve actually had had one from before they changed the policies and tried to reduce cost by not fit testing at that particular hospital. They cared nothing for any of us at all. Both me and my partner went to walk out and the supervisor panicked on us and tried to downplay. We didn't buy it so he folded made some calls and saw that we did get fit tested. It was a mess and this is exactly what they are trying to do here. Anyone not willing to throw a fit at this point to see that they get the protection level they need will be very easy collateral damage. These levels of masks and contained ventilation are protocols that have been in place for ebola since I first studied infection control 15 years ago. THEY KNOW AND THEY DO IT ANYWAY!rant
Sherrigirl2012

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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
As a nurse for 23 years..I wouldnt go near it without full hazmat suit and repirators
 Quoting: Anonymous Coward 21022092


35 years here. I agree! hesrightMe neither!
 Quoting: Anonymous Coward 14010048


I wouldn't either. Of course ebola is airborn...if it is found in all bodily fluids then it will be found in saliva. When someone coughs or sneezes...droplets are formed from this and thus an aerosol is created in the room. Heavy droplets will fall to the ground...who knows how long the smaller droplets stay in the air....but eventually it all falls to the floor/ground so yes shoe coverings would be necessary as well as respirators in my opinion! I would love to be a little bird to see how the medical team in Dallas Hospital is suiting up and to see their isolation precaution procedures for this ebola patient.

The reason the CDC is saying that respirators are not needed is because of the monetary factor and the fact that I read somewhere on here that most of our PPE supplies are outdated from the Department of Homeland Security. They are trying to cut corners and hoping it works. Part of me thinks that they really are not hoping this works.

Last Edited by Jewlz on 10/07/2014 07:03 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
The whole article is an interesting read, but note this part:


Crystal Johnson, a nurse at Emory University Hospital in Atlanta who has worked with three Ebola patients in the U.S., including Dr. Kent Brantly and Nancy Writebol, both of whom recovered from the disease, describes the gear she has to wear.

“We wear disposable undergarments, scrubs, and socks, and we have a set of shoes that we only use during this time,” she says. “Full Tyvek, with booties, a helmet with a hood, and also an apron. Double gloves. And tape up everything.”

[link to www.theatlantic.com]
Anonymous Coward
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10/07/2014 09:18 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
I hope you folks realize that if even a face mask is suggested they have admitted it is transfered by air.
 Quoting: air 62881262


Racist!
Sun Spot

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10/07/2014 10:35 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
With the current CDC safety protocols for hospital workers dealing with possible & confirmed Ebola cases, I can safely say that the US healthcare system is soon-to-be fucked...

Hospitals in the U.S. Get Ready for Ebola
The C.D.C. says that health care workers treating Ebola patients need only wear gloves, a fluid-resistant gown, eye protection and a face mask to prevent becoming infected with the virus. That is a far cry from the head-to-toe “moon suits” doctors, nurses and aides have been seeing on television reports about the outbreak.
Some hospital officials are skeptical of the new advice. “It’s not going to be enough for my health care workers to feel comfortable going into an isolation room,” said Peggy Thompson, the director of infection prevention at Tampa General Hospital.

[link to www.nytimes.com]
[link to www.cdc.gov]

Facemasks huh? What a joke...

USAMRIID’s MEDICAL MANAGEMENT OF BIOLOGICAL CASUALTIES HANDBOOK - Sixth Edition - April 2005
VIRAL HEMORRHAGIC FEVER
Isolation and Decontamination:

All VHF patients should be cared for using strict contact precautions, including hand hygiene double gloves, gowns, shoe and leg coverings, and faceshield or goggles. Airborne precautions should be instituted to the maximum extent possible. At a minimum, a fit-tested, HEPA filter-equipped respirator(such as an N-95 mask), a battery-powered, air-purifying respirator, or a positive pressure supplied air respirator should be worn by personnel sharing an enclosed space with or coming within six feet of a VHF patient. Multiple patients should be cohorted to a separate building or a ward with an isolated air-handling system. Ideally, VHF patients should be isolated in a negative pressure isolation room with 6-12 air exchanges per hour. Environmental decontamination is accomplished with hypochlorite or phenolic disinfectants.
[link to www.dhhr.wv.gov]

What don't you understand about that CDC... Respirators, isolated air-handling systems , negative pressure isolation rooms with scheduled air exchanges... your bullshit facemasks aren't going to do shit...

Center for Infectious Disease Research and Policy - University of Minnesota
Health workers need optimal respiratory protection for Ebola
We believe there is scientific and epidemiologic evidence that Ebola virus has the potential to be transmitted via infectious aerosol particles both near and at a distance from infected patients, which means that healthcare workers should be wearing respirators, not facemasks.
The minimum level of protection in high-risk settings should be a respirator with an assigned protection factor greater than 10. A powered air-purifying respirator (PAPR) with a hood or helmet offers many advantages over an N95 filtering facepiece or similar respirator, being more protective, comfortable, and cost-effective in the long run.

[link to www.cidrap.umn.edu]

The irony of it all is that the CDC knows all this, and even states in their own writing that Ebola is transmittable via droplet form without the need of direct contact with an infected person, and has the capability of infecting anyone in the same room or care area if left for a prolonged period of time (which is where the scheduled air exchanges and isolated air-handling systems come into play).

CDC defines transmission for Ebola as follows.
1 Casual contact is defined as a) being within approximately 3 feet (1 meter) or within the room or care area for a prolonged period of time (e.g., healthcare personnel, household members) while not wearing recommended personal protective equipment (i.e., droplet and contact precautions–see Infection Prevention and Control Recommendations); or b) having direct brief contact (e.g., shaking hands) with an EVD case while not wearing recommended personal protective equipment (i.e., droplet and contact precautions–see Infection Prevention and Control Recommendations). At this time, brief interactions, such as walking by a person or moving through a hospital, do not constitute casual contact.
* Outbreak affected countries include Guinea, Liberia, Sierra Leone, and Lagos, Nigeria, as of 4-August-2014

[link to www.cdc.gov]
Note: This was just recently updated by the CDC to include this footnote.
Thread: CDC, Australian DoD & Nigerian Federal Ministry of Health & USAMRIID State That Ebola is an Aerosol Virus & Transmittable via Inhalation

This means respirators are REQUIRED to safely be around an infected person, especially when in a hospital type environment. Facemasks and home quarantines huh? It's almost like the CDC wants this to spread...

Just my 2 cents...
1dunno1
 Quoting: TruthNow88


Could be forces of supply and demand.

There are not enough of the best N95 P95 N100 P100 to go around.

So something is better than nothing.

Choose what you want supply is good.

hf

Last Edited by Sun Spot on 10/07/2014 10:36 PM
Anonymous Coward
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10/07/2014 11:59 PM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
Yup.

.
Pony Up

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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
WHO & CDC

Manual - Dated 1998

Infection Control for
Viral Haemorrhagic Fevers

[link to www.cdc.gov]
TruthNow88  (OP)

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10/11/2014 01:41 AM
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Re: CDC Ebola Safety Protocols For Hospitals Recommend Only A Facemask... Yet USAMRIID & University Studies Clearly State Respirators Are REQUIRED
bump
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BUMP
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