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Ebola Comes To USA

If the disease cannot be gotten under control in the African countries experiencing outbreaks, then all bets are off and eventually it will spread. This is not up for dispute.

Treating it in those countries is hard because they are having trouble attracting enough people to help- not just medical staff but those who can handle logistics and planning schedules for the workers, who must do shifts. There is an enormous amount of work to be done treating each patient, disinfecting premises, disposing of bodies, etc.

A lot of training has to accounted for as well, and all these things take time and money.

If everyone in contact with the ill had to undergo full quarantines there will soon be no one to help, people simply can't afford to not have income for that long, and as much as it's nice to to say this will have to be taken care of, the money is not there, and people aren't donating a lot either. The seemingly large amounts pledged by countries is really a pittance compared to what we spend on the military every day, there just isn't enough.

There have been some really interesting discussions here recently but many of them simply don't take into account the political, economic, and most importantly practical aspects of dealing with this situation. We have come to be so mistrustful and critical of governments, of various authorities, and of, well, everything, that we have in a large way lost a fundamental trip on reality. From the panic to the political point scoring, the wildly impractical 'solutions' it's a fascinating saga to watch unfold. We have also come to believe that everything has an easy answer and that by 'just doing' one thing or another than the problem will go away. It's two directly opposing ideas that we seem to be able to entertain as a population at the same time, it's just the way we seem to be made.

Personally I'm amazed at how quickly most countries have adapted and made intelligent efforts at containment, dealing with patients, responsible communications, and just generally dealing with a situation that is as challenging as any faced by mankind before.

I just wish here was a bit more humility, a lot less armchair quarterbacking, and NO political high jacking of an issue that requires international, bipartisan, and selfless cooperation. It's the only way to deal with it, and in spite of how easy it is to find screwed up things about how humans act, in the main I'm amazed at how resilient and responsible humans can be, not to speak of the ingenuity and intelligence, and the selflessness of many people.

In many ways the speed at which information travels is a curse and a blessing. We can educate ourselves quicker than ever and overcome the most difficult situations, hopefully we can also contain the suspicion and fear that results from ignorance, lies, manipulation, and that have no doubt accompanied epidemics since the dawn of modern man.

I'm no more worried than I ever was, but as before I don't expect this to go away in an instant either.
 
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It makes no sense.
Indeed, there are a lot of events related to ebola that don't make sense.

At the top of my list is why so many health care workers are getting it, despite their consistent assertions that they followed protocols. When Frieden said that there was a breach in protocol at Presbyterian hospital, but they were still looking into what could have gone wrong, it certainly made no sense. IMHO, a successful response to this disease REQUIRES that health care workers who treat ebola patients can do so with very high confidence that they can do so without getting it.
 
Also, just heard over the air that anyone returning from aiding the affected countries will be required to quarantine for 21 days as of today in New York and New Jersey.
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The governors of New York and New Jersey announced Friday afternoon that they were ordering all people entering the country through two area airports who had direct contact with Ebola patients in Sierra Leone, Liberia and Guinea to be quarantined.
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The two airports in question are Kennedy International Airport and Newark Liberty International Airport.
 
The governors of New York and New Jersey announced Friday afternoon that they were ordering all people entering the country through two area airports who had direct contact with Ebola patients in Sierra Leone, Liberia and Guinea to be quarantined.
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The two airports in question are Kennedy International Airport and Newark Liberty International Airport.

That does nothing about the "Mr. Duncans" coming in.
 
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I still salute the brave individuals who willingly put themselves in harm's way to help the West African people overcome this horrific epidemic. Dr. Spencer included. He's got bigger stones that I could ever hope to have. Again, I think it was a temporary lapse in judgement; after all, we're all human. Sometimes, we make mistakes.

A clear, no-nonsense set of guidelines needs to be put in place regarding the homecoming of the health care workers returning from the 'hot zone'. New York and New Jersey have stepped up to the plate. I expect others will follow.

Certainly, it will be inconvenient for those who would be directly affected. I hope that we can make the necessary adjustments to minimize this inconvenience to the good folks who chose to help with the containment of the disease.

edit: sp
 
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The 'Mr. Duncans' can be rationalized. Doctors who throw caution to the wind,,, that's a little bit harder to stomach.

The doctors at least know what information to tell the healthcare system and that they have been exposed. The other 'Mr Duncans' won't know they were exposed any more than the original did and therein lies the real problem. I think if you are going to quarantine anyone it should be those that may have been exposed but, don't know it.
 
We are constantly getting people coming back from places where people have been in contact with ebola patients, but they are left to go out and about like nothing. Now, this NYC doctor went out on the town for a couple of days in NYC and is now checked in. That's the way to create an outbreak. But, I guess he didn't know.
 
The doctor was monitoring his temperature closely so you would hope he didn't go drinking madly and forget or drunkenly ignore symptoms. You'd have to be pretty shickered not to have a "oh #@%!" moment when the lurg was felt. Even at that stage I don't know that they think it's very contagious.

Cross fingers no outbreak occurs and that will confirm the general thesis of it being hard to catch until the victim is in a bad way.
 
I think so much of the core of this comes down to the human condition so prevalent in our society that fosters a "it won't happen to me, I'm fine" attitude. I think it's human nature and the norm to go about day to day activities as a coping mechanism to deal with life's average stresses. Discussion pertaining to the "why" of how people go about in their decision making in such instances of the most recent patients case is healthy and enhances dialogue that can only be beneficial in humanities fight to overcome such an epidemic. It is with this is mind that I think it is crucial to maintain perspective that the people in West Africa are more than just the numbers we see scrolling across the bottom of a news network broadcast.
 
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The doctors at least know what information to tell the healthcare system and that they have been exposed. The other 'Mr Duncans' won't know they were exposed any more than the original did and therein lies the real problem. I think if you are going to quarantine anyone it should be those that may have been exposed but, don't know it.

No arguments there!

I think if we can just keep our heads screwed on straight, logic and reason will prevail, and some 'real-world', common-sense solutions will become widely accepted regarding the Ebola epidemic in West Africa.

I truly believe, at some point in time, this Ebola situation will be wrangled, good and proper. The main (global) objective at this time is to contain and neutralize the threat. This entails a few sacrifices from the brave individuals who make it happen. The 21-day 'cooling-down' phase is just part of it.

That's three weeks of virtual confinement. A HUGE pill to swallow, for sure. But it needs to be done. And everyone knows it.

Let's not let our emotions stand in in the way of better judgement.
 
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Editorial, from one of the returning health care workers who just came back from Sierra Leone, into Newark Liberty International Airport

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I can understand being concerned about the lack of organization in the process for the returning aid workers, but why does their commitment (for which they are rightly being held up as heroes for) end at the US border? They just did god knows how long in West Africa surrounded by a deadly disease and they can't be willing to commit a little extra time for the cause they signed up for? If the circumstances weren't so unprecedented and extraordinary, I could understand this argument, but I have a feeling it has much more to do with the hit the complaining parties are taking on their wallets. I think the government should subsidize any earnings lost by quarantine for aid workers (and only aid workers) returning from stricken zones. I'll bet my house that would assuage their fears and we wouldn't be hearing about the "slowing of aid" in a blink.

Extenuating circumstances call for heavier measures and if the US govt is truly committed, they will implement real incentives for those aid workers who not only face quarantine upon return, but death.

Are you listening, govt???
 
I can understand being concerned about the lack of organization in the process for the returning aid workers, but why does their commitment (for which they are rightly being held up as heroes for) end at the US border? They just did god knows how long in West Africa surrounded by a deadly disease and they can't be willing to commit a little extra time for the cause they signed up for? If the circumstances weren't so unprecedented and extraordinary, I could understand this argument, but I have a feeling it has much more to do with the hit the complaining parties are taking on their wallets. I think the government should subsidize any earnings lost by quarantine for aid workers (and only aid workers) returning from stricken zones. I'll bet my house that would assuage their fears and we wouldn't be hearing about the "slowing of aid" in a blink.

Extenuating circumstances call for heavier measures and if the US govt is truly committed, they will implement real incentives for those aid workers who not only face quarantine upon return, but death.

Are you listening, govt???


As it turns out, Doctors Without Borders recommends that returning personnel don't work until after they are out of the incubation period. So no monetary compensation should be necessary.
 
I just donated a small sum to Avaaz as they are reaching out due to a lack of funds to buy basic protective gear for the volunteers who are going the the stricken countries to help. As I am not that heroic nor selfless enough to sacrifice the time I figure it's the very least I can do.

I also think it's a bit much to criticize aid workers or volunteers who are coming back from these areas for not wanting to give up more of their time than is generally deemed necessary, as long as they follow guidelines.

The NY situation blew up the news again with lots of silliness and panic and finger pointing. Tragic and irresponsible.