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Medicine

Texas Ebola Patient Dies 487

BarbaraHudson writes Thomas Duncan, the ebola patient being treated in Texas, has died. "It is with profound sadness and heartfelt disappointment that we must inform you of the death of Thomas Eric Duncan this morning at 7:51 am," hospital spokesman Wendell Watson said in an emailed statement. If he had survived, he could have faced criminal charges in both the US and Liberia for saying on an airport screening questionnaire that he had had no contact with an Ebola patient. UPDATE: Reports of a possible second Ebola victim in Texas are coming in. From the article: "The patient was identified as Sgt. Michael Monning, a deputy who accompanied county health officials Zachary Thompson and Christopher Perkins into the apartment where Thomas Eric Duncan stayed in Dallas. The deputy was ordered to go inside the unit with officials to get a quarantine order signed. No one who went inside the unit that day wore protective gear."
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Texas Ebola Patient Dies

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  • by daveschroeder ( 516195 ) * on Wednesday October 08, 2014 @04:04PM (#48096127)

    Whether he lied or not, some accounts say that he believed the woman he aided had malaria, not Ebola [latimes.com]. And the woman's family themselves may have lied to the people aiding them.

    Ultimately, the biggest breakdown occured with the hospital, which was told twice that he had just traveled from Liberia on the first visit, and has since admitted this information was available to all providers. This has caused the tilt to the other extreme, with even the most innocuous cases of fever, adominal distress, and similar, with no travel or other history that would point to Ebola, being handled as such "out of an abundance of caution".

    Keep in mind that viral hemorrhagic fevers (VHFs) are nothing new in the US. what happens in the United States with other fatal VHFs, that, like Ebola, are only spread via direct contact with bodily fluids and can be easily addressed in first world nations:

    Hanta: http://www.cdc.gov/hantavirus/... [cdc.gov]

    Marburg: http://www.cdc.gov/mmwr/previe... [cdc.gov]

    Lassa: http://www.cdc.gov/media/relea... [cdc.gov]

    Hanta is especially on point, as the US typically has dozens of cases -- and dozens of deaths -- each year, all of which are rapidly contained. The cases of "imported" VHFs, like has occurred with Marburg and Lassa, result in identification, isolation, and either the recovery or death of that person -- and that's the end of it.

    Also, Ebola is NOT airborne. Ebola researchers will AT MOST say things like:

    Peters, whose CDC team studied cases from 27 households that emerged during a 1995 Ebola outbreak in Democratic Republic of Congo, said that while most could be attributed to contact with infected late-stage patients or their bodily fluids, "some" infections may have occurred via "aerosol transmission."

    "Those monkeys were dying in a pattern that was certainly suggestive of coughing and sneezing â" some sort of aerosol movement."

    "May". "Suggestive". "Some sort".

    Even if we change all of these statements to absolute certainty, it still does not translate to, "Ebola is airborne," in the meaning of "airborne" in the context of disease transmission.

    Airborne transmission occurs when a droplet nuclei containing a virus (or bacteria) is small enough (10 μm) occurs when droplets of saliva or mucous (or even blood) containing the virus are projected during a sneeze or cough and and projected directly onto someone's eyes, mouth, or mucous membranes. This kind of transmission is usually within 3', and is NOT considered "airborne" transmission.

    "Droplet" transmission can certainly occur with Ebola -- or any disease that spreads via bodily fluids and is present in saliva or mucous. VHFs are not airborne diseases, and a study of one strain where monkeys in adjacent cages sneezed on each other and passed the disease does not make it "airborne".

    Being able to get something from having someone sneeze or cough droplets onto you and airborne transmission are very different things.

    The quickest way to have a threat of possible airborne transmission of Ebola via mutation would be to not aid Africa in this fight, and let Africa fend for itself, creating an environment where the cases could skyrocket into the millions (due to Africa's infrastructure and inability to deal with the onslaught), thereby increasing the statistical likelihood of the feared airborne mutation -- which, if a foothold were to be gotten in the West as an airborne disease, would truly be a catastrophe worthy of fear and panic.

    In reading much of the news coverage, online commentary, and this thread, this article struck me as very relevant:

    http://www.nationaljournal [nationaljournal.com]

    • by jedidiah ( 1196 )

      The first case of anything is bound to be a surprise. Everyone has their "someone else's problem" fields turned on to full. Something that is a very real possibility seems more like a distant fiction.

    • by daveschroeder ( 516195 ) * on Wednesday October 08, 2014 @04:10PM (#48096227)

      ...when trying to use the carat symbol. Fix here:

      Airborne transmission occurs when an droplet nuclei containing a virus (or bacteria) is small enough (under 5 um) to travel on dust particles, and can invisibly hang in the air or travel on air currents in large spaces long after someone has sneezed or coughed, and travel great distances, and can infect when breathed in.

      There is NO EVIDENCE that Ebola is, or has been, spread in this way. In fact, the evidence is that Ebola is almost exclusively spread via direct contact with bodily fluids.

      Droplet transmission (over 10 um) occurs when droplets of saliva or mucous (or even blood) containing the virus are projected during a sneeze or cough and and projected directly onto someone's eyes, mouth, or mucous membranes. This kind of transmission is usually within 3', and is NOT considered "airborne" transmission.

      "Droplet" transmission can certainly occur with Ebola -- or any disease that spreads via bodily fluids and is present in saliva or mucous. VHFs are not airborne diseases, and a study of one strain where monkeys in adjacent cages sneezed on each other and passed the disease does not make it "airborne".

      Being able to get something from having someone sneeze or cough droplets onto you and airborne transmission are very different things.

    • The family THOUGHT she had Malaria, but they were then sent to Ebola treatment centers

      From the clinic, where she was given an intravenous drip but deteriorated sharply, they were sent to an Ebola treatment unit and then another, at a time when there were no Ebola beds available in the city

      If you show up for one thing, and they send you off for treatment of Ebola, it would definitely seem you should be concerned it may be the issue when she died the next day (not complications from the pregnancy)

      http: [latimes.com]

    • He had a hell of a plan.
    • by lxw56 ( 827351 )
      Aerosol from a sneeze could travel up to eight feet, according to reports on a recent study [scientificamerican.com].
  • Did he turn into a zombie?
  • by Anonymous Coward

    I'm not going to touch this one.

  • Capt Tripps (Score:3, Funny)

    by Anonymous Coward on Wednesday October 08, 2014 @04:11PM (#48096237)

    M-O-O-N ... That spells Ebola!

  • . . . what about the patient with Ebola, who came to the US from Africa . . . and didn't go to the hospital . . . ?

  • by Scot Seese ( 137975 ) on Wednesday October 08, 2014 @04:50PM (#48096771)

    Probably the biggest concern is the possibility of a mutation occurring that would allow the virus to go airborne.

    Were that to happen, you are then looking at every SciFi/Fantasy end-of-days horror movie fan's highlight reel. The Stand meets Outbreak with a dash of The Walking Dead minus the zombies. The government bombing population centers in a vain attempt to contain th...

    No, wait that's what CNN wants you to believe to drive click traffic and Geico commercial video pre-rolls.

    Disinfectant hand washing and passenger screening will stop this. But that doesn't boost web traffic CPM, so let's sell the worst case scenarios. It's crucially important for everyone in the sound of my voice to believe we're all going to die from a horrible wasting hemorrhagic fever, melting like the wax nazis at the end of Raiders of the Lost Ark.

    Give us dirty laundry.

  • Cost of treatment? (Score:3, Interesting)

    by bhlowe ( 1803290 ) on Wednesday October 08, 2014 @05:18PM (#48097019)
    Someone should do a FOIA request on the amount of money that was spent at the hospital and for cleanup... I assume the public taxpayer is footing the bill, we should be able to know how much one patient costs. Then we can compare that to the cost of keeping our borders open to vs. restricting some "tourist" visas.
  • at least its clear now what the FEMA black coffins are for.
  • Barney (Score:5, Interesting)

    by PopeRatzo ( 965947 ) on Wednesday October 08, 2014 @06:00PM (#48097345) Journal

    Wait, the best part of this sad and frightening story of Ebola in Texas is that the second Ebola patient was one of the sheriff's deputies who was the first to enter the house of the first patient. When offered protective gear, he declined, and entered the man's apartment without gloves, or even a facemask. Being Texas, he probably had his gun drawn, figuring that if he saw any Ebola he'd just shoot that sumbitch.

    The over/under on when Texas goes full Walking Dead is now Thanksgiving. If there's one place that's not going to do will in an Ebola outbreak, it's a state where no goddamn government scientist is gonna tell me I gotta wear a facemask. Plus, post-Darwin biology is not really their strong suit, so it's doubtful they even believe there's such a thing as a "virus". I'm betting the churches and gun shops are gonna be doing big business in the coming weeks. Well, they're already doing big business, but you know what I mean.

    I understand that (and I'm not joking) that in the past days Alex Jones has been talking about home remedies for Ebola that the government doesn't want you to know about.

    • You know, I was halfway joking, but here we go...

      "Is The Government Orchestrating The Ebola Crisis To Confiscate Guns?"

      http://mediamatters.org/blog/2... [mediamatters.org]

    • by dwpro ( 520418 )
      I know you're a highfalutin yank and all, but I wonder what you'd think if I'd made the same ignorant assumptions about hippie communes with holistic remedies and chakra massage to cure Ebola if the outbreak had started in New York.
  • by bugs2squash ( 1132591 ) on Wednesday October 08, 2014 @09:00PM (#48098655)

    Dallas is a major, cosmopolitan, city with one of the world's busiest international airports. It is inevitable that at some point someone with a life-threatening and contagious disease will come to such a city. I'm sure it has happened before and that it will again.

    I'm not a medical professional, but to my untutored eye the preparedness of Dallas' medical professionals is tragically lacking. It seems the original patient's first contact with the medical system was mishandled, the family were reportedly treated badly and now a sheriff's deputy has contracted the disease.

    It's not enough to just offer the guy gloves, he needed good advice and someone to ensure he followed it (I'll bet he got neither).

    If Dallas' medical profession is going to conduct itself in this way, then maybe African airports should consider closing to mitigate the risk of contagion from Dallas

  • Bullshit. (Score:3, Insightful)

    by Seumas ( 6865 ) on Wednesday October 08, 2014 @09:05PM (#48098695)

    All the internet Einsteins said, as with the government's statement, Ebola simply couldn't reach America. Then, that even when it reached America, we had the means to keep it spreading to anyone, because the only way to get it is to basically give a victim a blowjob and swallow at the end, because it's very difficult to contract and those filthy heathens that aren't in America only spread the disease, because they liked to drink and bathe in the bathwater of dead Ebola victims and that every precaution anyone might suggest in this country was just the result of ignorant fear-mongering. Are you telling me all of these junior-college keyboard-geniuses are *gasp* possibly wrong?

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