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Posts Tagged ‘Ebola outbreak

Ebola vs People

Ricken Patel –

10:58 PM (14 hours ago)

 
Ebola could threaten us all, and the most urgent need to stop it is for volunteers.

If just 120 doctors among us volunteer, it will *double* the number of doctors in Sierra Leone. Other volunteers – in health, sanitation, logistics – can help too. This is a call to serve humanity in the deepest possible way, to accept serious risk for our fellow human beings.

Click to learn more, and show our gratitude to those making this powerful choice:

TAKE ACTION NOW

Three weeks ago, hundreds of thousands of us went offline to fight climate change. This week, we’re going offline to help stop Ebola.

The Ebola virus is spiraling out of control. Cases in West Africa are doubling every 2-3 weeks and the latest estimate says that up to 1.4 million people could be infected by mid-January.

Talking about exponential growth is frightening

At that scale, this monster threatens the entire world.

I just read that the UN has only $100,000 in its fund for the Ebola outbreak

Mind you that AIDS harvest over 1.5 million each year (as much as Malaria and Dysentery combined).

Though, malaria is the number one disease followed by dysentery that put heavy burden on the States in Africa and Equatorial countries.

Ricken Patel – Avaaz posted this Oct 18, 2014

Previous Ebola outbreaks have been repeatedly contained at small numbers. But the scale of this epidemic has swamped the region’s weak health systems.

Liberia has less than 1 doctor for every 100,000 people. Governments are providing funds, but there just aren’t enough medical staff to stem the epidemic.

That’s where we come in.

39 million people are receiving this email. Our polling shows that 6% of us are health workers – doctors or nurses – that’s nearly 2 million of us.

If just 120 doctors among us volunteer, it will *double* the number of doctors in Sierra Leone.

Other volunteers can help too — lab technicians, logisticians, water and sanitation workers, and transport workers. Volunteering means more than time. It means risk.

Health professionals have already died fighting Ebola. But if there’s any group of people that would consider taking this risk for their fellow human beings, it’s our community. I and others on the Avaaz team are ready to take that risk with you, traveling to the front lines of this crisis.

Great things come from listening to the deepest voices within us.

If you’re a health professional, or have other skills that can help, I ask you to take a moment, listen to the part of you that you most trust, and follow it.

Click below to volunteer, see messages from volunteers about why they’ve made this choice, and leave your own message of appreciation and encouragement for them:

https://secure.avaaz.org/en/ebola_volunteers_thank_you_3/?bFAfecb&v=47569

Raising your hand to volunteer is the first step. You’ll need to get, and provide, a lot of information to ensure you’re well matched to an available position. You will likely need to discuss this decision with your loved ones, and you can withdraw from the process later if you choose to. For this effort, Avaaz is working with Partners In Health, Save the Children, and International Medical Corps, three of the leading organisations fighting this deadly disease. We are also consulting with the governments of Liberia, Sierra Leone, and Guinea, and the World Health Organization.

While there is substantial risk, there are also clear ways to contain that risk. 

Ebola is spread through bodily fluids, so with extreme care, the risk of contracting it can be minimized.

So far, 94 health care workers have died of Ebola in Liberia, but almost all of them have been national health workers, who sadly are far less well equipped than international volunteers. 

With treatment, the chances of surviving the virus are better than 50%.

Many of us, from police to activists to soldiers, have jobs that involve risking our lives for our country. It’s the most powerful statement we can make about what’s worth living for. Taking this risk to fight Ebola, makes a statement that our fellow human beings, wherever they are, are worth living for:

https://secure.avaaz.org/en/ebola_volunteers_thank_you_3/?bFAfecb&v=47569

If Ebola spirals further out of control, it could soon threaten us all. The fact that a weak health care system in a small country can let this monster grow to a size that threatens the world is a powerful statement of just how interdependent we are. But this interdependence is far more than just interests.

We are connected, all of us, in a community of human beings.

All the lies that have divided us – about nation and religion and sexuality – are being torn down, and we are realizing that we really are one people, one tribe. 

That a young mother and her daughter in Liberia fear the same things and love the same things as a young mother and her daughter in Brazil, or the Netherlands. And in this unfolding understanding, a new world is being born. Out of the darkest places come our brightest lights. Out of the depths of the Ebola nightmare, let’s bring the hope of a new world of one people, willing to give, and sacrifice, for each other.

With hope and determination,

Ricken, John, Alice, Danny, and the whole Avaaz team.

More information:

Up to 1.4m people could be infected with Ebola by January, CDC warns (The Guardian)
http://www.theguardian.com/society/2014/sep/23/ebola-cdc-millions-infected-quarantine-africa-epidemi…

Known Cases and Outbreaks of Ebola Virus Disease, in Chronological Order (Centers for Disease Control and Prevention)
http://www.cdc.gov/vhf/ebola/outbreaks/history/chronology.html

Ebola ‘devouring everything in its path’ (Al Jazeera)
http://www.aljazeera.com/news/africa/2014/09/ebola-devouring-everything-path-201499161646914388.html

Ebola death rates 70% – WHO study (BBC)
http://www.bbc.com/news/world-africa-29327741

Unprecedented number of medical staff infected with Ebola (WHO)
http://www.who.int/mediacentre/news/ebola/25-august-2014/en/

Looks bad and genetically modified virus? This Ebola plaguing western Africa

And manufactured by Western Pharmaceuticals, and US DoD?

Ebola virus destroys peoples’ internal organs and the body deteriorates rapidly after death.
The organ softens and the tissues turn into jelly, even if it is refrigerated to keep it cold. Spontaneous liquefaction is what happens to the body of people killed by the Ebola virus!
I have read a number of articles from your Internet outreach as well as articles from other sources about the casualties in Liberia and other West African countries about the human devastation caused by the Ebola virus.
About a week ago, I read an article published in the Internet news summary publication of the Friends of Liberia that said that there was an agreement that the initiation of the Ebola outbreak in West Africa was due to the contact of a two-year old child with bats that had flown in from the Congo.
That report made me disconcerted with the reporting about Ebola, and it stimulated a response to the “Friends of Liberia,” saying that African people are not ignorant and gullible, as is being implicated.
A response from Dr. Verlon Stone said that the article was not theirs, and that “Friends of Liberia” was simply providing a service.
He then asked if he could publish my letter in their Internet forum. I gave my permission, but I have not seen it published.
Because of the widespread loss of life, fear, physiological trauma, and despair among Liberians and other West African citizens, it is incumbent that I make a contribution to the resolution of this devastating situation, which may continue to recur, if it is not properly and adequately confronted. I will address the situation in five (5) points:
Dr. Cyril Broderick, Professor of Plant Pathology published this 09/09/2014 –

Scientists allege deadly diseases such as Ebola and AIDS are bio weapons being tested on Africans.
Other reports have linked the Ebola virus outbreak to an attempt to reduce Africa’s population. Liberia happens to be the continent’s fastest growing population.
1.    EBOLA IS A GENETICALLY MODIFIED ORGANISM (GMO)
Horowitz (1998) was deliberate and unambiguous when he explained the threat of new diseases in his text, Emerging Viruses: AIDS and Ebola – Nature, Accident or Intentional.
In his interview with Dr. Robert Strecker in Chapter 7, the discussion, in the early 1970s, made it obvious that the war was between countries that hosted the KGB and the CIA, and the ‘manufacture’ of ‘AIDS-Like Viruses’ was clearly directed at the other.
In passing during the Interview, mention was made of Fort Detrick, “the Ebola Building,” and ‘a lot of problems with strange illnesses’ in “Frederick [Maryland].
By Chapter 12 in his text, he had confirmed the existence of an American Military-Medical-Industry that conducts biological weapons tests under the guise of administering vaccinations to control diseases and improve the health of “black Africans overseas.”
The book is an excellent text, and all leaders plus anyone who has interest in science, health, people, and intrigue should study it.
I am amazed that African leaders are making no acknowledgements or reference to these documents.
2.  EBOLA HAS A TERRIBLE HISTORY, AND TESTING HAS BEEN SECRETLY TAKING PLACE IN AFRICA
I am now reading The Hot Zone, a novel, by Richard Preston (copyrighted 1989 and 1994); it is heart-rending.
The prolific and prominent writer, Steven King, is quoted as saying that the book is “One of the most horrifying things I have ever read. What a remarkable piece of work.
As a New York Times bestseller, The Hot Zone is presented as “A terrifying true story.” Terrifying, yes, because the pathological description of what was found in animals killed by the Ebola virus is what the virus has been doing to citizens of Guinea, Sierra Leone and Liberia in its most recent outbreak: Ebola virus destroys peoples’ internal organs and the body deteriorates rapidly after death.
The organ softens and the tissues turn into jelly, even if it is refrigerated to keep it cold. Spontaneous liquefaction is what happens to the body of people killed by the Ebola virus!
The author noted in Point 1, Dr. Horowitz, chides The Hot Zone for writing to be politically correct; I understand because his book makes every effort to be very factual.
The 1976 Ebola incident in Zaire, during President Mobutu Sese Seko, was the introduction of the GMO Ebola to Africa.
3.    SITES AROUND AFRICA, AND IN WEST AFRICA, HAVE OVER THE YEARS BEEN SET UP FOR TESTING EMERGING DISEASES, ESPECIALLY EBOLA
The World Health Organization (WHO) and several other UN Agencies have been implicated in selecting and enticing African countries to participate in the testing events, promoting vaccinations, but pursuing various testing regiments. The August 2, 2014 article, West Africa: What are US Biological Warfare Researchers Doing in the Ebola Zone? by Jon Rappoport of Global Research pinpoints the problem that is facing African governments.
Obvious in this and other reports are, among others:
(a) The US Army Medical Research Institute of Infectious Diseases (USAMRIID), a well-known centre for bio-war research, located at Fort Detrick, Maryland;
(b) Tulane University, in New Orleans, USA, winner of research grants, including a grant of more than $7 million the National Institute of Health (NIH) to fund research with the Lassa viral hemorrhagic fever;
(c) the US Center for Disease Control (CDC);
(d) Doctors Without Borders (also known by its French name, Medicins Sans Frontiers);
(e) Tekmira, a Canadian pharmaceutical company;
(f) The UK’s GlaxoSmithKline; and
(g) the Kenema Government Hospital in Kenema, Sierra Leone.
Reports narrate stories of the US Department of Defense (DoD) funding Ebola trials on humans, trials which started just weeks before the Ebola outbreak in Guinea and Sierra Leone.
The reports continue and state that the DoD gave a contract worth $140 million dollars to Tekmira, a Canadian pharmaceutical company, to conduct Ebola research. This research work involved injecting and infusing healthy humans with the deadly Ebola virus.
Hence, the DoD is listed as a collaborator in a “First in Human” Ebola clinical trial (NCT02041715, which started in January 2014 shortly before an Ebola epidemic was declared in West Africa in March. Disturbingly, many reports also conclude that the US government has a viral fever bioterrorism research laboratory in Kenema, a town at the epicentre of the Ebola outbreak in West Africa.
The only relevant positive and ethical olive-branch seen in all of my reading is that Theguardian.com reported, “The US government funding of Ebola trials on healthy humans comes amid warnings by top scientists in Harvard and Yale that such virus experiments risk triggering a worldwide pandemic.” That threat still persists.
4.    THE NEED FOR LEGAL ACTION TO OBTAIN REDRESS FOR DAMAGES INCURRED DUE TO THE PERPETUATION OF INJUSTICE IN THE DEATH, INJURY AND TRAUMA IMPOSED ON LIBERIANS AND OTHER AFRICANS BY THE EBOLA AND OTHER DISEASE AGENTS. 
The U. S., Canada, France, and the U. K. are all implicated in the detestable and devilish deeds that these Ebola tests are. There is the need to pursue criminal and civil redress for damages, and African countries and people should secure legal representation to seek damages from these countries, some corporations, and the United Nations. Evidence seems abundant against Tulane University, and suits should start there. Yoichi Shimatsu’s article, The Ebola Breakout Coincided with UN Vaccine Campaigns, as published on August 18, 2014, in the Liberty Beacon.
5.   AFRICAN LEADERS AND AFRICAN COUNTRIES NEED TO TAKE THE LEAD IN DEFENDING BABIES, CHILDREN, AFRICAN WOMEN, AFRICAN MEN, AND THE ELDERLY. THESE CITIZENS DO NOT DESERVE TO BE USED AS GUINEA PIGS! 
Africa must not relegate the Continent to become the locality for disposal and the deposition of hazardous chemicals, dangerous drugs, and chemical or biological agents of emerging diseases.
There is urgent need for affirmative action in protecting the less affluent of poorer countries, especially African citizens, whose countries are not as scientifically and industrially endowed as the United States and most Western countries, sources of most viral or bacterial GMOs that are strategically designed as biological weapons. It is most disturbing that the U. S. Government has been operating a viral hemorrhagic fever bioterrorism research laboratory in Sierra Leone. Are there others?
Wherever they exist, it is time to terminate them. If any other sites exist, it is advisable to follow the delayed but essential step: Sierra Leone closed the US bioweapons lab and stopped Tulane University for further testing.
The world must be alarmed. All Africans, Americans, Europeans, Middle Easterners, Asians, and people from every conclave on Earth should be astonished. African people, notably citizens more particularly of Liberia, Guinea and Sierra Leone are victimized and are dying every day.
Listen to the people who distrust the hospitals, who cannot shake hands, hug their relatives and friends. Innocent people are dying, and they need our help.
The countries are poor and cannot afford the whole lot of personal protection equipment (PPE) that the situation requires.
The threat is real, and it is larger than a few African countries. The challenge is global, and we request assistance from everywhere, including China, Japan, Australia, India, Germany, Italy, and even kind-hearted people in the U.S., France, the U.K., Russia, Korea, Saudi Arabia, and anywhere else whose desire is to help. The situation is bleaker than we on the outside can imagine, and we must provide assistance however we can.
To ensure a future that has less of this kind of drama, it is important that we now demand that our leaders and governments be honest, transparent, fair, and productively engaged. They must answer to the people. Please stand up to stop Ebola testing and the spread of this dastardly disease.
About the Author:
Dr. Broderick is a former professor of Plant Pathology at the University of Liberia’s College of Agriculture and Forestry.  He is also the former Observer Farmer in the 1980s.
It was from this column in our newspaper, the Daily Observer, that Firestone spotted him and offered him the position of Director of Research in the late 1980s.
He is a scientist, who has taught for many years at the Agricultural College of the University of Delaware.
Note: Why Obama is sending 3,000 US troops to Liberia? To contain a civil unrest and protect the US bioterrorism research centers?

 Ebola outbreak in West Africa harvest over 1,000 lives: Epidemiologist Perspective

The current case in point is Ebola viral disease that is spreading wildly in Liberia, Sierra Leon, Guinea, Nigeria and a few cases in Saudi Arabia

There has been much ranting and raving about closing our borders to people with Ebola infection (as if that were possible), even some misinformed speculation that the virus has been intentionally released.

Much Ado About a Fist Bump Study

h1

Ebola: A Nurse Epidemiologist Puts the Outbreak in Perspective

August 6, 2014 (Selected as one of best posts for the day)

By Betsy Todd, MPH, RN, CIC, AJN clinical editor

We have a knack for taking any newly reported issue of legitimate concern entirely out of context, foregoing all common sense as we transform it into a danger of galactic proportions.

To me as a nurse epidemiologist, though, the central questions in this tragic outbreak are the same for Ebola as for any other disease:

  • How is the organism transmitted?
  • What is the risk of protected or unprotected exposure to the infected person?

Ebola is a blood-borne pathogen.

It’s spread in the same way as HIV, hepatitis B, or hepatitis C: when blood or other body fluids contaminate another person’s non-intact skin or mucous membranes.

None of these diseases is spread by casual contact.

And unlike HIV or hep B or C, Ebola is not a chronic condition; transmission occurs during acute infection, after the fever begins and the disease progresses. It is virtually impossible to contract the virus by walking past an infected person in the airport, or sharing a bus ride, or shopping in the same grocery store. (When you have high fever you don’t travel)

Preventing transmission.

Unlike for HIV or hep B or C infection, isolation precautions are implemented to prevent transmission of Ebola.

This is because bloody secretions, vomit, and diarrhea are typical symptoms as the disease progresses. Because of the resulting probability of exposure to the patient’s blood or bloody secretions/excretions, both contact and droplet precautions are used (i.e., gown, gloves, mask, and eye protection) in order to place a barrier between the infected person’s secretions and the caregivers.

Airborne transmission has not been documented—however, because of the potential for aero-solization of blood or bloody secretions/excretions, most experts recommend airborne isolation precautions as well (negative pressure room, N95 or greater respirators), if possible.

(Here’s a CDC table with recommendations regarding transmission precautions for Ebola in various clinical situations.)

Why the rapid spread in West Africa?

News reports of unchecked spread of the virus in West Africa have fueled global fears. However, a closer look at what’s happening makes it clear that two main groups of people have been at particular risk for Ebola infection:

  • close family members of those who are already infected
  • health care workers

There are risk factors unique to these groups in this region that have contributed to transmission.

It has been reported that many family members have continued to provide close personal care to their infected loved ones, without using any kind of protective gear. (Don’t attribute this to ignorance. If your two-year-old child were gravely ill, would you be likely to gown, glove, and mask? And even if you thought about doing so, do you have a large stash of these items at home?)

The repeated exposure of close family members to blood and body fluids inevitably leads in some cases to the contamination of mucous membranes or non-intact skin.

Postmortem care is traditionally done by families, and this also involves much intimate contact. Added to prolonged, unprotected exposure are health belief systems that can further increase risk.

Reportedly, family members in some of the outbreak regions deny the possibility of Ebola infection. They see their loved one’s illness as a curse, not a virus, and believe it can only be cured by a traditional healer.

For health care workers, risk is increased by the difficulties of maintaining full isolation precautions under these particular circumstances. Have you ever complained about suiting up for isolation because the gown, mask, and gloves make you too warm, even in an air-conditioned workplace? Imagine wearing all of this gear for a prolonged period of time in a high-temperature, high-humidity environment.

Western medical professionals who have worked under these conditions have noted how easy it is to unconsciously wipe their faces with their contaminated hands, as they try to keep the sweat streaming into their eyes from blurring their vision.

It’s not that personal protective equipment doesn’t work, but that difficult conditions and a high-pressure care situation can compromise the use of personal protective equipment (PPE), sometimes unnoticed.

Should we be worried in the U.S.?

In this age of global travel, it is inevitable that we will eventually see cases of Ebola in the U.S. Of course the prospect is sobering; though the virus is not spread casually, the mortality rate from Ebola infection is high. (As of August 1, there had been 1603 confirmed or suspected cases in this outbreak, with 887 deaths.)

However, given the infection-control resources and expertise of hospitals and health care providers, there is very little risk of the spread of Ebola in the U.S. The take-home points for health care workers are these:

  • This is a blood-borne pathogen. It is transmitted through contact of mucous membranes or non-intact skin with blood or body fluids.
  • Transmission is most likely to occur after fever develops and as the disease progresses.
  • If infection is suspected, ALWAYS inquire about the patient’s travel history. Ebola and other diseases don’t appear out of thin air. Look for a link to outbreak areas.
  • INSTITUTE ISOLATION PRECAUTIONS IMMEDIATELY. Policy in all health care organizations should specify that any clinical staff person can initiate isolation; if your policy limits isolation “orders” to physicians, change it.
  • Wear appropriate PPE.
  • Don and remove PPE as though someone’s life depends on it. Often, someone’s does. Unfortunately, we caregivers can be careless about suiting up because in most situations, we are not the people at risk.
  • But the patient down the hall to whom you’ve just carried MRSA (because of poor hand hygiene, messy glove technique, or a sloppily tied gown) can die from MRSA bacteremia or pneumonia.
  • With a disease like Ebola, or any emerging infectious disease that has not yet been fully defined (e.g., MERS), a “gatekeeper” should be stationed outside of the closed door of the patient’s room. The gatekeeper’s role: to ensure that only essential personnel enter the room, and to supervise the meticulous donning and doffing of protective gear.

For details on the pathogenesis, clinical presentation, epidemiology, and treatment of Ebola virus, see this still very relevant AJN article from several years back, free until the end of September.


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