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A MUST READ! --Ebola--A Nurses Perspective

 
troitcity
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A MUST READ! --Ebola--A Nurses Perspective
By far the best explanation of the Ebola Virus Infection I have read!

Hope this helps even ONE person understand what we are up against!

---------------------------------------------------------

So a few months ago the country was enthralled with the idea of a few patients, infected with the Ebola virus, coming to the United States. Up until this point, we had been safe from Ebola due to the fact that bats can’t fly over the Atlantic. Some people were completely indifferent, while others had seen Outbreak one too many times. Most were a healthy mix, somewhere in between, but what bothered me the most was both the lack of education and the poor information that was spreading more virulently than the virus could ever hope to.

First, I want to stress that I am a nurse, not a virologist, and hopefully throughout my post you will see that I am not pretending to be one. I have a Bachelor’s in Nursing and am currently a graduate student. I have worked extensively with Infectious Disease Specialists. I have been exposed to almost every infectious disease known to the modern world. I have taken courses in Biology, Microbiology, Anatomy, Physiology, Pathophysiology, Advanced Pathophysiology, Pharmacology, and an assortment of others. However, I am not and will not pretend to be an expert, just an experienced professional. When it comes to an epidemic of any sort, my first focus is on the patient, protecting and healing them, my second focus is on protecting the community. I don’t care about which strain does what, or what we can do with in lab. As a nurse, I concern myself with the current patient and future possible patients. I feel the first thing we should examine is Ebola itself. It is foreign to the US, both literally and figuratively. What it does to people and how it harmonizes with nature are both things that most westerners have little concept of. It is a virus, not a bacteria. This means that it is not its own organism. It is actually much smaller and basic than you can imagine. It is nothing more than a few pieces of DNA and some proteins. No cell wall, no cytoplasm, no metabolic functions. This is both their advantage and their downfall. Viruses require a host. For this example I will use the HIV virus. HIV gets into the human body and invades the host’s white blood cells, T4 cells to be exact but I won’t get that involved. The proteins help get the virus into the cell and those few small sequences of DNA write themselves into the host DNA. Now instead of the white blood cell attacking invaders, it is nothing more than an HIV factory. All of its metabolic functions are redirected at producing more of the virus, which pours out of the white blood cell like a sieve until eventually the host cell dies. This is why HIV infected patients have poor immune systems. The virus re-writes the DNA of the host cells. This is not something we can stop. New viruses are pouring out of the white blood cells at a rate of millions a day. We cannot filter them out. We cannot “kill” a little chunk of DNA and we don’t know enough about the human genome to correct the DNA sequences. This is why a lot of viral infections like HIV, Herpes, and Hepatitis are life long infections. HIV invades the white blood cells, Herpes invade the nerve roots, and Hepatitis invades the liver.

Less than 50%

[link to dtolar.wordpress.com]

Last Edited by troitcity - In Memoriam on 10/10/2014 08:58 PM
troitcity
Chugiakian

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Re: A MUST READ! --Ebola--A Nurses Perspective
NotTodayEBOLA

bump
Chugiakian
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Re: A MUST READ! --Ebola--A Nurses Perspective
By far the best explanation of the Ebola Virus Infection I have read!

Hope this helps even ONE person understand what we are up against!

---------------------------------------------------------

So a few months ago the country was enthralled with the idea of a few patients, infected with the Ebola virus, coming to the United States. Up until this point, we had been safe from Ebola due to the fact that bats can’t fly over the Atlantic. Some people were completely indifferent, while others had seen Outbreak one too many times. Most were a healthy mix, somewhere in between, but what bothered me the most was both the lack of education and the poor information that was spreading more virulently than the virus could ever hope to.

First, I want to stress that I am a nurse, not a virologist, and hopefully throughout my post you will see that I am not pretending to be one. I have a Bachelor’s in Nursing and am currently a graduate student. I have worked extensively with Infectious Disease Specialists. I have been exposed to almost every infectious disease known to the modern world. I have taken courses in Biology, Microbiology, Anatomy, Physiology, Pathophysiology, Advanced Pathophysiology, Pharmacology, and an assortment of others. However, I am not and will not pretend to be an expert, just an experienced professional. When it comes to an epidemic of any sort, my first focus is on the patient, protecting and healing them, my second focus is on protecting the community. I don’t care about which strain does what, or what we can do with in lab. As a nurse, I concern myself with the current patient and future possible patients. I feel the first thing we should examine is Ebola itself. It is foreign to the US, both literally and figuratively. What it does to people and how it harmonizes with nature are both things that most westerners have little concept of. It is a virus, not a bacteria. This means that it is not its own organism. It is actually much smaller and basic than you can imagine. It is nothing more than a few pieces of DNA and some proteins. No cell wall, no cytoplasm, no metabolic functions. This is both their advantage and their downfall. Viruses require a host. For this example I will use the HIV virus. HIV gets into the human body and invades the host’s white blood cells, T4 cells to be exact but I won’t get that involved. The proteins help get the virus into the cell and those few small sequences of DNA write themselves into the host DNA. Now instead of the white blood cell attacking invaders, it is nothing more than an HIV factory. All of its metabolic functions are redirected at producing more of the virus, which pours out of the white blood cell like a sieve until eventually the host cell dies. This is why HIV infected patients have poor immune systems. The virus re-writes the DNA of the host cells. This is not something we can stop. New viruses are pouring out of the white blood cells at a rate of millions a day. We cannot filter them out. We cannot “kill” a little chunk of DNA and we don’t know enough about the human genome to correct the DNA sequences. This is why a lot of viral infections like HIV, Herpes, and Hepatitis are life long infections. HIV invades the white blood cells, Herpes invade the nerve roots, and Hepatitis invades the liver.

Less than 50%

[link to dtolar.wordpress.com]
 Quoting: troitcity


Wow.

We're potentially fucked.

I strongly encourage you guys to read the entire article.

Fucking scary shit.
beeches

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Re: A MUST READ! --Ebola--A Nurses Perspective
that is an amazing link. Simply amazing.
we only have each other. And that makes us rich.. . .

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Re: A MUST READ! --Ebola--A Nurses Perspective
Great post! Thanks!
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Anonymous Coward
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10/10/2014 09:13 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
Un-fucking-real, OP.

I don't even know what to say, other than that's some shit.
troitcity  (OP)

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Re: A MUST READ! --Ebola--A Nurses Perspective
Thanks for the "green" all, here is more info worth checking out!


troitcity
troitcity  (OP)

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Re: A MUST READ! --Ebola--A Nurses Perspective
Un-fucking-real, OP.

I don't even know what to say, other than that's some shit.
 Quoting: Anonymous Coward 42891527


Putting the puzzle pieces together, GLP can when no one else will!
troitcity
troitcity  (OP)

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Re: A MUST READ! --Ebola--A Nurses Perspective
Great post! Thanks!
 Quoting: StormeyGoddess


You are very welcome!hf
troitcity
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10/10/2014 09:18 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
Un-fucking-real, OP.

I don't even know what to say, other than that's some shit.
 Quoting: Anonymous Coward 42891527


The term "Shit Typhoon" is appropriate I would think!
troitcity
troitcity  (OP)

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10/10/2014 09:21 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
that is an amazing link. Simply amazing.
 Quoting: beeches


Lets make this info VIRAL!peace
troitcity
Eagle1967

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10/10/2014 09:24 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
Thanks for posting, very good read
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10/10/2014 09:25 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
If patient A is infectious/contagious, they sneeze on patient B, but then patient B goes home and picks up their sisters 1 6 month old, who rubs his face, and licks all over your shoulder, he could very well have just orally consumed large quantities of the virus, therefore become patient C.

Patient B never got sick, the virus never entered their system, yet they are responsible for spreading the virus to someone else. This is why the 5 exposed kids are so important, there may only be a 2% chance or whatever that they’ll get sick, but if they went to school, and each rubbed up against 500 kids in the hallways, you now have 2500 exposed kids, 50 of which will statistically become infected, 25 of which will probably die.

No, I do not have a source for the 2%, that is just an example number used to represent the relatively low likelihood of contracting the virus if exposed. Remember, heal the patient, PROTECT the community.
troitcity  (OP)

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10/10/2014 09:27 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
Thanks for posting, very good read
 Quoting: Eagle1967


Thanks for reading it, let all your friends see it so they understand the ramifications of the gooberments actions!
troitcity
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10/10/2014 09:32 PM

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Re: A MUST READ! --Ebola--A Nurses Perspective
Melatonin enhances DNA repair capacity possibly by affecting genes involved in DNA damage responsive pathways

[link to www.ncbi.nlm.nih.gov]

Thread: Ebola Melatonin And The Pineal
“If we are peaceful, if we are happy, we can smile and blossom like a flower, and everyone in our family, our entire society, will benefit from our peace.”
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Re: A MUST READ! --Ebola--A Nurses Perspective
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IM YOUR HUCKLEBERRY

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Re: A MUST READ! --Ebola--A Nurses Perspective
OUTSTANDING INFORMATION!!
troitcity  (OP)

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10/10/2014 09:41 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
OUTSTANDING INFORMATION!!
 Quoting: IM YOUR HUCKLEBERRY


In words the "masses" can understand. Thanks
troitcity
troitcity  (OP)

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Re: A MUST READ! --Ebola--A Nurses Perspective
Melatonin enhances DNA repair capacity possibly by affecting genes involved in DNA damage responsive pathways

[link to www.ncbi.nlm.nih.gov]

Thread: Ebola Melatonin And The Pineal
 Quoting: Rev Woo-Woo


Thanks for the heads up!
troitcity
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Re: A MUST READ! --Ebola--A Nurses Perspective
NotTodayEBOLA

bump
 Quoting: Chugiakian


lmao
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10/10/2014 09:43 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
At first it’s not bad, little nausea, some sweating, diarrhea, much like a stomach bug. But then the virus really starts to build up in your liver and adrenal glands, after it has saturated your blood cells, the lining of your vessel, your skin, and bones. Hepatocellular necrosis occurs, which is fancy term for your liver starts to decompose.Your liver is what regulates blood clotting. This causes your blood either clot up and turn to jelly in your veins, stay liquid and bleed profusely, or a combo of both. The adrenal glands then do the same, causing your blood pressure to drop. This requires lots of IV fluids to keep your circulating volume up. At the same time inflammatory cytokines are released which causes vascular leakage. Cells don’t do a good job of holding things together so it all becomes a bloody goop. Anywhere in your body that blood vessels are shallow, like your nose, ears, gums, throat, GI tract, urethra, vagina, rectum, all start oozing fluids and bleeding because the tissues that normally keep it contained are disintegrating. So now you bleed from every orifice, including your eyeballs. Every time someone or something touches you, your tissue gets damaged which further the cycle, so a shot in the arm turn into a massive blood blister. Those who survive are left with massive scarring. Since the adrenals cannot keep your blood pressure up, and you are losing blood and fluids, we have to put IV fluids in to keep you out of hypovolemic shock. This in turn reduces your blood concentration, lowering your oxygen carrying capacity, which causes your heart to race. So you lay in bed, oozing fluids from everywhere, all while feeling like you just ran a marathon, with bloody diarrhea, oh and did I mention pain? Lots and lots of pain, but you can’t have any pain medicine because your liver and kidneys have failed. This why it pains me when I see this outbreak ONLY has a 50% death rate, when in Africa it is up to 90%…ONLY 50%. That is literally worse than cancer, and people are blowing it off. Imagine if cancer was infectious, and you lived in a country with zero cancer, and someone thought it would be a good idea to fly a few people in. I think there would be a different attitude.
 Quoting: [link to dtolar.wordpress.com]




Strange how we don't see pictorial evidence of any of these symptoms in the media coming out of Africa.
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10/10/2014 09:44 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
one of the best I've read anywhere, well
thought out. was written in layman's terms
so anyone could understand.
Commanderkewl

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10/10/2014 09:44 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
Excellent troit. I have been telling this one at work about the simple things about this virus. He wont buy it. Says its not as bad as the flu or Tb. I keep telling him it only takes 30or 40 in a city during flu season and its on, as the healthcare system wont be able tocope during a hard flu season.
Healthcaresystem will break down and medical personnel will get sick from thisand then the numbers will jump.

Honestly I ts like talking to a wall.

I guess in the end" we can all hope" and that wont stop it when the snow ball from hell starts rolling.

Thanks again
troitcity  (OP)

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10/10/2014 09:49 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
At first it’s not bad, little nausea, some sweating, diarrhea, much like a stomach bug. But then the virus really starts to build up in your liver and adrenal glands, after it has saturated your blood cells, the lining of your vessel, your skin, and bones. Hepatocellular necrosis occurs, which is fancy term for your liver starts to decompose.Your liver is what regulates blood clotting. This causes your blood either clot up and turn to jelly in your veins, stay liquid and bleed profusely, or a combo of both. The adrenal glands then do the same, causing your blood pressure to drop. This requires lots of IV fluids to keep your circulating volume up. At the same time inflammatory cytokines are released which causes vascular leakage. Cells don’t do a good job of holding things together so it all becomes a bloody goop. Anywhere in your body that blood vessels are shallow, like your nose, ears, gums, throat, GI tract, urethra, vagina, rectum, all start oozing fluids and bleeding because the tissues that normally keep it contained are disintegrating. So now you bleed from every orifice, including your eyeballs. Every time someone or something touches you, your tissue gets damaged which further the cycle, so a shot in the arm turn into a massive blood blister. Those who survive are left with massive scarring. Since the adrenals cannot keep your blood pressure up, and you are losing blood and fluids, we have to put IV fluids in to keep you out of hypovolemic shock. This in turn reduces your blood concentration, lowering your oxygen carrying capacity, which causes your heart to race. So you lay in bed, oozing fluids from everywhere, all while feeling like you just ran a marathon, with bloody diarrhea, oh and did I mention pain? Lots and lots of pain, but you can’t have any pain medicine because your liver and kidneys have failed. This why it pains me when I see this outbreak ONLY has a 50% death rate, when in Africa it is up to 90%…ONLY 50%. That is literally worse than cancer, and people are blowing it off. Imagine if cancer was infectious, and you lived in a country with zero cancer, and someone thought it would be a good idea to fly a few people in. I think there would be a different attitude.
 Quoting: [link to dtolar.wordpress.com]




Strange how we don't see pictorial evidence of any of these symptoms in the media coming out of Africa.
 Quoting: Mister Obvious


My guess,... tptb are trying to keep the panic to a minimum until they have everything in place. Two weeks I think.

And Liberia has put a choke hold around journalists.
troitcity
Alpacalips

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10/10/2014 09:49 PM

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Re: A MUST READ! --Ebola--A Nurses Perspective
At first it’s not bad, little nausea, some sweating, diarrhea, much like a stomach bug. But then the virus really starts to build up in your liver and adrenal glands, after it has saturated your blood cells, the lining of your vessel, your skin, and bones. Hepatocellular necrosis occurs, which is fancy term for your liver starts to decompose.Your liver is what regulates blood clotting. This causes your blood either clot up and turn to jelly in your veins, stay liquid and bleed profusely, or a combo of both. The adrenal glands then do the same, causing your blood pressure to drop. This requires lots of IV fluids to keep your circulating volume up. At the same time inflammatory cytokines are released which causes vascular leakage. Cells don’t do a good job of holding things together so it all becomes a bloody goop. Anywhere in your body that blood vessels are shallow, like your nose, ears, gums, throat, GI tract, urethra, vagina, rectum, all start oozing fluids and bleeding because the tissues that normally keep it contained are disintegrating. So now you bleed from every orifice, including your eyeballs. Every time someone or something touches you, your tissue gets damaged which further the cycle, so a shot in the arm turn into a massive blood blister. Those who survive are left with massive scarring. Since the adrenals cannot keep your blood pressure up, and you are losing blood and fluids, we have to put IV fluids in to keep you out of hypovolemic shock. This in turn reduces your blood concentration, lowering your oxygen carrying capacity, which causes your heart to race. So you lay in bed, oozing fluids from everywhere, all while feeling like you just ran a marathon, with bloody diarrhea, oh and did I mention pain? Lots and lots of pain, but you can’t have any pain medicine because your liver and kidneys have failed. This why it pains me when I see this outbreak ONLY has a 50% death rate, when in Africa it is up to 90%…ONLY 50%. That is literally worse than cancer, and people are blowing it off. Imagine if cancer was infectious, and you lived in a country with zero cancer, and someone thought it would be a good idea to fly a few people in. I think there would be a different attitude.
 Quoting: [link to dtolar.wordpress.com]




Strange how we don't see pictorial evidence of any of these symptoms in the media coming out of Africa.
 Quoting: Mister Obvious


Wow and Dr. Kent Brantly is already healed and on tour!

PRAISE and GLORY, it's a miracle!

Thread: Dr. Kent Brantly who had Ebola two weeks ago now on tour!


If people can't see this is a hoax they are blind.
troitcity  (OP)

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10/10/2014 09:51 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
Excellent troit. I have been telling this one at work about the simple things about this virus. He wont buy it. Says its not as bad as the flu or Tb. I keep telling him it only takes 30or 40 in a city during flu season and its on, as the healthcare system wont be able tocope during a hard flu season.
Healthcaresystem will break down and medical personnel will get sick from thisand then the numbers will jump.

Honestly I ts like talking to a wall.

I guess in the end" we can all hope" and that wont stop it when the snow ball from hell starts rolling.

Thanks again
 Quoting: Commanderkewl


Yep, get your preps in order NOW!
troitcity
troitcity  (OP)

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10/10/2014 09:55 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
At first it’s not bad, little nausea, some sweating, diarrhea, much like a stomach bug. But then the virus really starts to build up in your liver and adrenal glands, after it has saturated your blood cells, the lining of your vessel, your skin, and bones. Hepatocellular necrosis occurs, which is fancy term for your liver starts to decompose.Your liver is what regulates blood clotting. This causes your blood either clot up and turn to jelly in your veins, stay liquid and bleed profusely, or a combo of both. The adrenal glands then do the same, causing your blood pressure to drop. This requires lots of IV fluids to keep your circulating volume up. At the same time inflammatory cytokines are released which causes vascular leakage. Cells don’t do a good job of holding things together so it all becomes a bloody goop. Anywhere in your body that blood vessels are shallow, like your nose, ears, gums, throat, GI tract, urethra, vagina, rectum, all start oozing fluids and bleeding because the tissues that normally keep it contained are disintegrating. So now you bleed from every orifice, including your eyeballs. Every time someone or something touches you, your tissue gets damaged which further the cycle, so a shot in the arm turn into a massive blood blister. Those who survive are left with massive scarring. Since the adrenals cannot keep your blood pressure up, and you are losing blood and fluids, we have to put IV fluids in to keep you out of hypovolemic shock. This in turn reduces your blood concentration, lowering your oxygen carrying capacity, which causes your heart to race. So you lay in bed, oozing fluids from everywhere, all while feeling like you just ran a marathon, with bloody diarrhea, oh and did I mention pain? Lots and lots of pain, but you can’t have any pain medicine because your liver and kidneys have failed. This why it pains me when I see this outbreak ONLY has a 50% death rate, when in Africa it is up to 90%…ONLY 50%. That is literally worse than cancer, and people are blowing it off. Imagine if cancer was infectious, and you lived in a country with zero cancer, and someone thought it would be a good idea to fly a few people in. I think there would be a different attitude.
 Quoting: [link to dtolar.wordpress.com]




Strange how we don't see pictorial evidence of any of these symptoms in the media coming out of Africa.
 Quoting: Mister Obvious


Wow and Dr. Kent Brantly is already healed and on tour!

PRAISE and GLORY, it's a miracle!

Thread: Dr. Kent Brantly who had Ebola two weeks ago now on tour!


If people can't see this is a hoax they are blind.
 Quoting: Alpacalips


I think I don't know what to think!
troitcity
Anonymous Coward
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10/10/2014 10:02 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
Best explanation I have read yet.

hf
Anonymous Coward
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10/10/2014 10:03 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
From the comments.

“Makes one also ask the question–could the virus be absorbed through the skin itself?”. Yes, everyone has micro-cracks in the skin on your hands. Shaking hands with someone that is infected is sufficient to transfer the virus.

Is Ebola difficult to contract? You decide.

7. Can Ebola be transmitted by saliva? Yes. The Ebola Virus can be transmitted by saliva and other secretions such as stool, urine, semen, vaginal secretions, runny nose, as well as blood. When these fluids get in contact with broken skin, the eyes, or the mouth of other people, they can get the Ebola virus.

8. Can Ebola be transmitted by sweat? Yes. Any body fluids including sweat have the Ebola virus.

9. Can Ebola be transmitted by shaking hands? Yes, shaking hands with confirmed Ebola patients transmits the disease.
troitcity  (OP)

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Re: A MUST READ! --Ebola--A Nurses Perspective
Best explanation I have read yet.

hf
 Quoting: Anonymous Coward 36426283


Yep, and thank you for reading! Spread the word and get your preps in order.

peace
troitcity
troitcity  (OP)

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10/10/2014 10:07 PM
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Re: A MUST READ! --Ebola--A Nurses Perspective
From the comments.

“Makes one also ask the question–could the virus be absorbed through the skin itself?”. Yes, everyone has micro-cracks in the skin on your hands. Shaking hands with someone that is infected is sufficient to transfer the virus.

Is Ebola difficult to contract? You decide.

7. Can Ebola be transmitted by saliva? Yes. The Ebola Virus can be transmitted by saliva and other secretions such as stool, urine, semen, vaginal secretions, runny nose, as well as blood. When these fluids get in contact with broken skin, the eyes, or the mouth of other people, they can get the Ebola virus.

8. Can Ebola be transmitted by sweat? Yes. Any body fluids including sweat have the Ebola virus.

9. Can Ebola be transmitted by shaking hands? Yes, shaking hands with confirmed Ebola patients transmits the disease.
 Quoting: Anonymous Coward 63850082


Thanks for adding!

peace
troitcity





GLP