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Re: [Health] The Infectious Diseases Thread

Posted: Thu Sep 04, 2014 1:03 pm
by LawBeefaroni
Never fear, pop-phylaxis is here!

Go on, I dare you to listen and not dance.

Courtesy of NPR:
Spoiler:
Something happen
Something in town

Oh yeah the news

I said something in town
Ebola
Ebola in town
Don't touch your friend!
No touching

No eating something

It's dangerous!
Ebola
Ebola in town

Don't touch your friend!
No kissing!
No eating something
It's dangerous!

I woke up in the morning

I started hearing people dem yelling


"Da what thing happen? What thing happen? Ma peekin' what thing?"
They sit down grab me

They say something in town
Frisky!

That thing that in town it quick to kill

That me scary-o

E-B-O-L-A
Ebola. Ebola in town.
I started yelling.

I started running.

What place I will go?
I go to Guinea.

I went everywhere.

Ebola. Ebola there.
I'm not going anywhere.
I'm right here.
I'm not going nowhere-o.
I'm right here.
I know the medicine.

That distant hugging
I said distant shaking
Distant kissing

Don't touch me!

Something in town-oh

Something in town-eh


Ebola.
Ebola in town.
It's dangerous-o.
Ebola is very wicked.
It can kill you quick quick.
Be careful how you shaking hands-o.
Be careful who you touch.

Ebola is more than HIV/AIDS.

It can kill you quick quick.

It can kill you fast fast.

Don't touch your friend.
Don't touch your friend.
I say it will kill you-o.

My pa Jehovah
Please save us from Ebola

Nowhere to go

Nowhere to hide

And I ain't come in town
My people, ya'll please take time

Take time before you get that disease
Don't overlook it

That thing it quick to kill

Na na na na. Ebola - o.
It's dangerous.
Don't take it for joke
My people, I saw it before
It coming too fast

Be on the safe side, you hear me?
Ebola.

If you like the monkey

Don't eat the meat
If you like the baboon
I said don't eat the meat
If you like the bat-o
Don't eat the meat
Ebola in town.
Apparently it's actually been very effective in educating people.

Re: [Health] The Infectious Diseases Thread

Posted: Thu Sep 04, 2014 1:15 pm
by Kraken
There is a special circle in hell for people who implement music players without volume controls.

Re: [Health] The Infectious Diseases Thread

Posted: Mon Sep 08, 2014 10:45 pm
by xwraith
This isn't good news about the Ebola outbreak, it's accelerating.
The Article wrote:Christian Althaus of the University of Bern in Switzerland just released a grim new calculation of the RO for this epidemic that finds that when the outbreak began in Guinea, it was RO = 1.5, so each person infected one and a half other people, for a moderate rate of epidemic growth. But by early July, the RO in Sierra Leone was a hideous 2.53, so the epidemic was more than doubling in size with each round of transmission. Today in Liberia, the virus is spreading so rapidly that no RO has been computed.

Re: [Health] The Infectious Diseases Thread

Posted: Thu Sep 11, 2014 11:13 pm
by Kraken
Hell in the Hot Zone is a good Vanity Fair play-by-play of this outbreak's origin and spread.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 16, 2014 4:44 pm
by Rip
So are we at War with Ebola or not?

:ninja:

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 16, 2014 10:11 pm
by Smoove_B
If we are, we losing. People I respect are throwing out estimates suggesting that by Xmas, we could be looking at quarter of a million people infected in Africa. That is...mind blowing.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 16, 2014 10:40 pm
by Kraken
I read some official prediction somewhere of 77,000 deaths by the end of the year. If the virus evolves a more transmissible form -- which becomes ever more likely as it colonizes more and more humans -- this could become The Big One.

I think Rip's "war" question referred to sending 3,000 US troops.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 4:51 pm
by Isgrimnur
Please join me in welcoming Ebola to US soil:
A patient in a Dallas hospital has been confirmed to have the Ebola virus, News 8 has learned.

That person has been held in "strict isolation" as he or she was evaluated for possible exposure to the deadly Ebola virus.

This is the first case of Ebola confirmed in the United States.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 5:25 pm
by Rip
Isgrimnur wrote:Please join me in welcoming Ebola to US soil:
A patient in a Dallas hospital has been confirmed to have the Ebola virus, News 8 has learned.

That person has been held in "strict isolation" as he or she was evaluated for possible exposure to the deadly Ebola virus.

This is the first case of Ebola confirmed in the United States.
Should be interesting to hear where the person contracted it. It should be entertaining if it was an illegal immigrant who came across the border.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 5:47 pm
by Smoove_B
Rip wrote:Should be interesting to hear where the person contracted it. It should be entertaining if it was an illegal immigrant who came across the border.
Don't you go changing - stay just the way you are. I would have awarded you extra points if you worked the Affordable Care Act in there somehow.

They were traveling from Liberia and returned here a week ago - no signs or symptoms until they were admitted to the ER last night. Now watch as we unfurl our tendrils and begin the investigation....

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 8:13 pm
by J.D.
As a germaphobe I'm kinda terrified about this news.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 8:16 pm
by Isgrimnur
Now imagine that you live in the same metro area as the case.

Now imagine that you were on the ambulance crew that transported him.
The Dallas Fire-Rescue ambulance crew who transported the man infected with Ebola to the hospital has been quarantined according to the City of Dallas.

The City of Dallas said Tuesday that the crew took all safety precautions and has been quarantined according to Centers for Disease Control and Dallas County Health guidelines.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 8:20 pm
by $iljanus
Wow an unchecked epidemic, (except in Nigeria from an article I've read so that's good news) a long asymptomatic period and access to planes that can travel across oceans. Who would have thought such a thing could happen? I'm shocked...

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 8:29 pm
by Brian
Isgrimnur wrote:Now imagine that you live in the same metro area as the case.
The doctors that contracted ebola are here in Omaha. Of course, they came here under much more controlled circumstances.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 8:30 pm
by Smoove_B
$iljanus wrote:Wow an unchecked epidemic, (except in Nigeria from an article I've read so that's good news) a long asymptomatic period and access to planes that can travel across oceans. Who would have thought such a thing could happen? I'm shocked...
To be fair, even the experts are surprised. All of our understanding about Ebola is pretty much based on outbreaks from 40 years ago. No one truly believed the incubation period would stretch out long enough to allow people the ability to travel via cab or bus (or now plane) without being spotted. Historically, they assumed illness followed shortly after exposure and that a person would be too debilitated to travel. Now that we know that's not the case, everything changes. It could be that we're dealing with a different subtype of Ebola or that overall the health of people in Africa (or the urban areas) is much better -- so that instead of that 2 day incubation period, we're now on the other end (14+ days).

Quarantine and Isolation are the best tools we have. When used properly, there's nothing to worry about.

Go ahead. Ask me about semen.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 8:47 pm
by $iljanus
That's an interesting theory about the improved health being a factor. Makes sense in retrospect. I should do a article search on the ebola sequence differences too.

Your knowledge of semen sounds scientifically intriguing.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 9:06 pm
by Fretmute
Smoove_B wrote:Go ahead. Ask me about semen.
Image

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 9:20 pm
by Octavious
:lol: I was thinking the same thing. Oh hell I'm sure we all were, who am I kidding? On a more serious note. Wouldn't it be a good idea to ban travel from that area for now? I mean holy hell, what if the guy didn't go to the hospital and just wandered around? :shock:

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 9:39 pm
by Smoove_B
$iljanus wrote:Your knowledge of semen sounds scientifically intriguing.
I live to serve. People surviving a hemorrhagic viral infection up until now has been quite rare. However, one of the last times it happened was a researcher that accidentally injected himself with Marburg in the lab waaaaaay back in 1971. Now, Marburg is a close relative of Ebola (not nearly as deadly), so it's not necessarily the same - but the Marburg virus was still found in his semen 61 days after he recovered. In theory this means people *could* be spreading it via semen after being cured and healthy, but we don't know because survival rates for Ebola historically speaking are terrible (< 10%). But I'm willing to bet for those that have been treated here in the United States, they'll be collecting fluid samples for the next year to see if they're still harboring the virus in any capacity.

Here's another one totally unrelated to viruses, but still semen-tastic: Ciguatera poisoning acquired from eating fish. There have been a few cases where men that have been poisoned passed the poison on to their female partners via sexual intercourse. For reasons unknown, the toxin can apparently accumulate in semen. The men came down with the illness, and then a day or so later, so did the women - and they ate completely different meals. Science is awesome!

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 9:44 pm
by Kraken
Smoove_B wrote: acquired from eating fish. There have been a few cases where men that have been poisoned passed the poison on to their female partners via sexual intercourse.
"Eating fish" is kind of crude, but the point is well taken: dental dams FTW!

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:00 pm
by FishPants
I do also question why we (Canada, USA, everyone really) continues to allow air travel in/out of Liberia and other affected nations. I don't believe it will harm the GDP enough to warrant a full ass outbreak.

I'm super stoked about being in Florida next week with tens of thousands of sweaty people at a conference from around the world.. I'm sure it will be fine.

:obscene-tolietpush:

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:07 pm
by Octavious
I HATE meetings in Florida. That's usually the place of choice for pharma companies. It's even worse when I'm staying in a Disney resort and have to work while families are running around having fun. :evil:

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:13 pm
by Ralph-Wiggum
Smoove_B wrote:
$iljanus wrote:Your knowledge of semen sounds scientifically intriguing.
Here's another one totally unrelated to viruses, but still semen-tastic: Ciguatera poisoning acquired from eating fish. There have been a few cases where men that have been poisoned passed the poison on to their female partners via sexual intercourse. For reasons unknown, the toxin can apparently accumulate in semen. The men came down with the illness, and then a day or so later, so did the women - and they ate completely different meals. Science is awesome!
I was just reading about that not too long ago. Sexually transmitted food poisoning!

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:17 pm
by Captain Caveman
Isgrimnur wrote:Now imagine that you live in the same metro area as the case.
He's in the hospital where my son was born. We used to live a mile from there. We have friends who live all around that area.

Lovely.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:19 pm
by Smoove_B
I'm sure you're fine. Totally unrelated question - how much food and water do you have on hand at home? Could you maybe hang out indoors for say...21 days?

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:20 pm
by Captain Caveman
Smoove_B wrote:I'm sure you're fine. Totally unrelated question - how much food and water do you have on hand at home? Could you maybe hang out indoors for say...21 days?
Not helping.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:29 pm
by Smoove_B
Seriously - we have our best men on this. Right now they're tracing contacts and starting to circle the wagons. It's not a causal contact disease so there's nothing to fear. The people that need to be monitored will be discovered and it will be under control soon enough. That being said, based on what's unfolding in Africa unless they dramatically change course it's likely we'll see it happen again. I'm watching to see what (if any) changes are coming to our 20 some-odd quarantine and isolation stations throughout the U.S. as I would expect travel advisories to be updated based on this.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:31 pm
by Captain Caveman
Damn, I was hoping I'd have an excuse to stay in and game for the next three weeks.

But honestly, I know there's nothing to worry about, especially since I only eat the poop of people I know aren't infected.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:33 pm
by Smoove_B
Octavious wrote:I HATE meetings in Florida. That's usually the place of choice for pharma companies. It's even worse when I'm staying in a Disney resort and have to work while families are running around having fun. :evil:
Yeah, they're up to 11 locally acquired cases of Chikungunya in Florida now. Then again, the next update is scheduled for tomorrow so who knows - maybe there are now more?

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:36 pm
by Smoove_B
Captain Caveman wrote:I only eat the poop of people I know aren't infected.
Alvine diseases -- from the Latin, alvus - or "belly". It's never the poop you know that gets you -- always be mindful of errant feces.

Re: [Health] The Infectious Diseases Thread

Posted: Tue Sep 30, 2014 10:36 pm
by Blackhawk
FishPants wrote: I'm super stoked about being in Florida next week with tens of thousands of sweaty people at a conference from around the world.. I'm sure it will be fine.
Try working in a casino in Reno for a few years. Everything that is going around anywhere in the world ends up in Reno, especially when you consider that all those folks are skipping sleep, drinking non-stop, and aren't accustomed to the thin atmosphere, all of which saps their resistance.

That said, I'm not too worried about ebola spreading in the US. That sucker is hard to pass on if you aren't living in each others' filth.

Wait, this was Texas? :shock:

Re: [Health] The Infectious Diseases Thread

Posted: Wed Oct 01, 2014 1:33 am
by Kraken
Blackhawk wrote:
That said, I'm not too worried about ebola spreading in the US. That sucker is hard to pass on if you aren't living in each others' filth.

:
Unless it evolves to go airborne or infect an insect host. Sources tell me that while the virus is merrily mutating away, both of those particular threats are very remote.

Re: [Health] The Infectious Diseases Thread

Posted: Wed Oct 01, 2014 2:09 am
by Rip
Smoove_B wrote:
$iljanus wrote:Your knowledge of semen sounds scientifically intriguing.
I live to serve. People surviving a hemorrhagic viral infection up until now has been quite rare. However, one of the last times it happened was a researcher that accidentally injected himself with Marburg in the lab waaaaaay back in 1971. Now, Marburg is a close relative of Ebola (not nearly as deadly), so it's not necessarily the same - but the Marburg virus was still found in his semen 61 days after he recovered. In theory this means people *could* be spreading it via semen after being cured and healthy, but we don't know because survival rates for Ebola historically speaking are terrible (< 10%). But I'm willing to bet for those that have been treated here in the United States, they'll be collecting fluid samples for the next year to see if they're still harboring the virus in any capacity.

Here's another one totally unrelated to viruses, but still semen-tastic: Ciguatera poisoning acquired from eating fish. There have been a few cases where men that have been poisoned passed the poison on to their female partners via sexual intercourse. For reasons unknown, the toxin can apparently accumulate in semen. The men came down with the illness, and then a day or so later, so did the women - and they ate completely different meals. Science is awesome!
Did one of them eat semen?

:ninja:

Re: [Health] The Infectious Diseases Thread

Posted: Wed Oct 01, 2014 9:59 am
by $iljanus
Smoove_B wrote:
$iljanus wrote:Your knowledge of semen sounds scientifically intriguing.
I live to serve. People surviving a hemorrhagic viral infection up until now has been quite rare. However, one of the last times it happened was a researcher that accidentally injected himself with Marburg in the lab waaaaaay back in 1971. Now, Marburg is a close relative of Ebola (not nearly as deadly), so it's not necessarily the same - but the Marburg virus was still found in his semen 61 days after he recovered. In theory this means people *could* be spreading it via semen after being cured and healthy, but we don't know because survival rates for Ebola historically speaking are terrible (< 10%). But I'm willing to bet for those that have been treated here in the United States, they'll be collecting fluid samples for the next year to see if they're still harboring the virus in any capacity.

Here's another one totally unrelated to viruses, but still semen-tastic: Ciguatera poisoning acquired from eating fish. There have been a few cases where men that have been poisoned passed the poison on to their female partners via sexual intercourse. For reasons unknown, the toxin can apparently accumulate in semen. The men came down with the illness, and then a day or so later, so did the women - and they ate completely different meals. Science is awesome!
Ah, Marburg. That's one of the classic cases referenced in our biosafety training courses on how to play nicely with syringes in the lab. But they didn't cover the semen part of the story.

The ciguatera info was a nice bonus. Thanks!

Re: [Health] The Infectious Diseases Thread

Posted: Wed Oct 01, 2014 10:25 am
by Isgrimnur
Possible patient #2:
Health officials are closely monitoring a possible second Ebola patient who had close contact with the first person to be diagnosed in the U.S., the director of Dallas County's health department said Wednesday.

All who have been in close contact with the man diagnosed are being monitored as a precaution, said Zachary Thompson, director of Dallas County Health and Human Services.

Re: [Health] The Infectious Diseases Thread

Posted: Wed Oct 01, 2014 10:35 am
by J.D.
What a nightmare for those that have been exposed.

Although I guess this was inevitable if flights out of the hot zone are going to continue. It's got a 21 day incubation period so I don't see how you can keep it contained to just Africa if you continue to let people in and out via airplane.

Re: [Health] The Infectious Diseases Thread

Posted: Wed Oct 01, 2014 10:45 am
by KKBlue
Guess I chose to read this thread because I'm not keeping up with local or global news for that matter. Also wanted to be in awe of Smoove's germ knowledge.

Pretty soon I will be giving my brother's kids condoms for gifts instead of money. Covering those things makes a big difference and is so important. Why it does not happen more often I'll never know. Maybe I'll suggest getting some stock in Trojan for the predicted up coming sales. :ninja:

Re: [Health] The Infectious Diseases Thread

Posted: Wed Oct 01, 2014 10:58 am
by Smoove_B
Isgrimnur wrote:Possible patient #2:
Yeah, not surprising at all. I'd actually be amazed if there aren't half a dozen people that end up with it. Really, it depends on what the infamous Patient Zero was doing when they arrived stateside. From the article:
"This is part of routine emergency operations during a health incident in the county. This is same protocol taken during things like flu and tuberculosis cases."
It's true. Thankfully preparedness changed over a decade ago to incorporate a more "all hazards" philosophy. Taking established protocol for things like TB and then expanding it out for other potential problems (like pandemic influezna) was the key. People laughed or told us we were wasting our time, but now those plans are second-nature and part of the training and preparedness activities. Really, the hospital staff deserves special recognition for being on the ball and recognizing the potential early on. So much of our planning and response is focused on front-line hospital staff (1) being aware and (2) actually calling the right people when they see something, I'm impressed it actually worked like it did. At least up here there was significant resistance to that kind of communication when this all started in the late 1990s, but now it's much better. This serves as a perfect example of the system working as designed - at least as far as I can tell from my safe vantage point. :wink:

Re: [Health] The Infectious Diseases Thread

Posted: Wed Oct 01, 2014 11:25 am
by Trent Steel
Smoove_B wrote:Seriously - we have our best men on this.
Image

Re: [Health] The Infectious Diseases Thread

Posted: Wed Oct 01, 2014 11:38 am
by Isgrimnur
Keep slathering them with love, Smoove. But it's looking more and more like they screwed up plenty, too.
A man who had Ebola but didn't know it walked into a Dallas emergency room September 26. Although his symptoms could have indicated Ebola among other things, no one at the hospital asked him if he had recently traveled, a source close to the case told CNN.

The man, who had just flown from Liberia to the States didn't offer the information either, the source said, and the man left the hospital. A spokesman for Texas Health Presbyterian Hospital says it's investigating whether he was questioned.

Regardless, two days passed between the time the man left and then returned to the facility September 28 where it was determined he likely had Ebola and was isolated. He tested positive Tuesday, health officials said.
Even from watching Scrubs, I know that getting a full and complete history is important. They treated and streeted him, and it wasn't until he came back two days later that he was sick enough that they finally caught it.