| I don't think its wise to say the cases are receding. Sierra Leone has seen a sharp rise. |
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PANIC!!! There is no ebola in America.
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Hilarious. |
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Ebola is on the select agent list which means it is not processed or evaluated by 4 major labs and might require destruction of lab equipment. Equipment vendors do not service the products. Select agents are
http://www.selectagents.gov/SelectAgentsandToxinsList.html Go to the section in this link on select agents: http://www.cdc.gov/vhf/ebola/hcp/safe-specimen-management.html This says ebola test samples are not select agents until the test is positive: "Are specimens collected from a patient suspected to have Ebola infection covered by the select agent regulations? No, specimens would not be subject to the Federal select agent regulation until identified as containing Ebola virus by viral isolation." http://www.app.com/story/news/nation/2014/11/06/latest-ebola-fear-safety-lab-equipment/18619333/ |
| This new patient coming to the US is in bad shape. I hope he lives. I don't have a good feeling about this one. |
He didn't have an organization to pay for his evacuation so he's paying for it himself. He could work here in the U.S, but he chose to work in his native Sierra Leone. I wish him all the best. http://www.csmonitor.com/USA/Latest-News-Wires/2014/1115/Surgeon-working-in-Sierra-Leone-will-be-treated-for-Ebola-in-Nebraska |
He died. Not sure about the ethics of him paying for his own evacuation. Let's hope we apply the same rules for every stranded US resident who needs to come home. Including all of those who get into trouble like the Syrian hikers and the fool in N Korea. |
Did he receive any of the experimental treatment that the other Ebola patients got in the US? |
Yes, but I don't think he got plasma from a survivor. That seems to be the key. |
Wait, I was wrong, he did get serum. Scary. |
| It sounds like he was much, much more ill than the other patients by the time he made it to Nebraska. It seems that getting the treatments and staying hydrated from from the earliest onset of symptoms is key. |
| He couldn't even communicate by the time he got to Nebraska and his organs had begun to shut down. Nothing scary about it for the wider population. |
I wonder of he needed to be intubated on the plane. |
The scary part is the implications of his infection and testing. Salia was not an Ebola clinic doc, he was a hospital surgeon. Somewhere along the line, he treated an Ebola patient but didn't wear PPE. It is possible that Salia didn't know that his patient had the virus. Although the United Methodist hospital where Salia and Smith work doesn’t treat Ebola, both doctors knew that their patients could be infectious. A woman giving birth, a man complaining of abdominal pain — any of them could be carrying the disease. Salia wore gloves but never the full protective gear used in the country’s Ebola wards. His first test was negative but his colleagues seem to be unaware about false negatives. He was symptomatic. But his viral load was not high enough to test positive the first time. It is just bizarre that Sierra Leone physicians did not understand that a negative test does not mean that Ebola cannot be present in low levels but multiplying in the body. Something is very wrong regarding this lack of awareness. The doctors who tended to him in Freetown appeared to be unaware that an early Ebola test — taken within the first three days of the illness — is often inconclusive. In a country where information about the disease continues to move slowly, it was another potentially tragic mistake. He was symptomatic for a long time, but didn't take the second test for many days. Then NIH and Emory couldn't take him for whatever reason, so he ended up spending 3 extra hours en route to Nebraska. The little delays in treatment add up and by then it was too late. http://www.washingtonpost.com/world/a-doctors-mistaken-ebola-test-we-were-celebrating--then-everything-fell-apart/2014/11/16/946a84da-6dd5-11e4-a2c2-478179fd0489_story.html?postshare=6481416230666854 |