Tag Archive: pandemic

ebola10Okay, we all know that the CDC doesn’t have a handle on Ebola. No one is properly trained, improper equipment to handle Ebola cases, the system doesn’t communicate and the CDC is behind the curve ball playing catch up to the point that the World Health Organization issued a report yesterday about Ebola. The full report can be found here.

In short summary this is what WHO has to say:

That evidence shows that the incubation period can be as long as 42 days. Not the 21 days that the CDC has stated repeatedly.

95% of confirmed cases have an incubation period in the range of 1 to 21 days; 98% have an incubation period that falls within the 1 to 42 day interval.

WHO is alarmed by media reports of suspected Ebola cases imported into new countries that are said, by government officials or ministries of health, to be discarded as “negative” within hours after the suspected case enters the country.
Such rapid determination of infection status is impossible, casting grave doubts on some of the official information that is being communicated to the public and the media.
• For early detection of Ebola virus in suspected or probable cases, detection of viral ribonucleic acid (RNA) or viral antigen are the recommended tests.
• Laboratory-confirmed cases must test positive for the presence of the Ebola virus, either by detection of viral RNA by RT-PCR, and/or by detection of Ebola antigen by a specific Antigen detection test, and/or by detection of immunoglobulin M (IgM) antibodies directed against Ebola.
• Two negative RT-PCR test results, at least 48 hours apart, are required for a clinically asymptomatic patient to be discharged from hospital, or for a suspected Ebola case to be discarded as testing negative for the virus. (this is my statement, asymptomatic means NO SYMPTOMS!!)
• Laboratory results should be communicated to WHO as quickly as possible, in addition to reporting under the requirements and within the timelines set out in the International Health Regulations, which are administered by WHO.


WHO recommends that the first 25 positive cases and 50 negative specimens detected by a country without a recognized national reference viral haemorrhagic fever laboratory should be sent for secondary confirmatory testing to a WHO collaborating centre, designed as specialized in the safe detection (at biosafety level IV) of viral haemorrhagic fevers.
Similarly, for countries with a national reference laboratory for viral haemorrhagic fevers, the initial positive cases should also be sent to a WHO collaborating centre for confirmation.
If results are concordant, laboratory results reported from the national reference laboratory would be accepted by WHO.

The CDC is NOT doing this. Hospitals are not up to speed on this either.

AND according the CDC’s own website:
When Specimens Should Be Collected for Ebola Testing at CDC:

Ebola virus is detected in blood only after the onset of symptoms, usually fever. It may take up to 3 days after symptoms appear for the virus to reach detectable levels. Virus is generally detectable by real-time RT-PCR from 3-10 days after symptoms appear.
Specimens ideally should be taken when a symptomatic patient reports to a healthcare facility and is suspected of having an Ebola exposure. However, if the onset of symptoms is ❤ days, a later specimen may be needed to completely rule-out Ebola virus, if the first specimen tests negative.

So…in plain English, if someone has only a fever then they can’t be cleared for AT LEAST 3 days if not up to 10 days since the early testing can take up to 10 days for the Ebola virus to show up in the recommended RNA/RT-PCR test.

So let’s see…we have had several people test back ‘negative’ and released shortly there after before conclusive testing is has back from the CDC and I am sure the CDC is sending onto WHO for verification of the negative as they have requested. Where is the harm in waiting the full 10 days IF someone has knowingly been exposed to Ebola (such as the Deputy in Frisco) or the healthcare workers and their contacts? OR if someone who has within the past 8 weeks has been in a country where Ebola is pandemic? What is wrong with our government? On the outside 42 days enforced quarantine should be warranted for those who were directly exposed to Ebola. And by ENFORCED I mean legally quarantined in their homes with restricted movement…

We now have a case of 2nd nurse who traveled from Cleveland to Dallas knowing she had been directly exposed to Ebola and the day after the flight reported to the hospital with a low fever and in fact has tested positive for Ebola. 132 people on the plane now have to be watched. And what about those she had contact with in Cleveland?

Applause go out to the hospital in Richmond, VA (VCU Medical) for keeping the woman in isolation who has so far tested negative for Ebola but has recently traveled from Liberia and has a fever (all that the public is being told). Guess they are paying attention and understand the potential ramifications.

I truly believe that our government and healthcare system needs to get WHO here in this country. These people KNOW their stuff and how to stop it. It is becoming increasing obvious that the CDC and our healthcare system doesn’t. Let’s get the people here who KNOW how to deal with Ebola and lets get real America, this could get serious fast if we don’t clamp down NOW.

While I am deeply sympathetic to the nurses and doctors who risked their lives in helping Duncan, totally ill prepared, uniformed and ill equipped, we are facing a pandemic if we don’t quarantine people for the full 42 days. This is the ONLY way to stop Ebola in its tracks. And we need to do it NOW before it gets out of hand.


busy citydeserted city
There is no cure for ebola. There is no treatment besides supportive care for ebola. But there is one sure fire way to avoid contracting ebola. Isolation.

With growing concerns over the ‘first’ case of diagnosed ebola in the US many are now very scared. At this point in time, an entire apartment complex is on lockdown (quarantine) voluntarily. Family members and friends (including children who went to school after coming into contact with the sick man) are in isolation. Some hospital workers, ambulance workers and now some people who were in the ER when patient zero first sought medical help, are now voluntarily in quarantine. The schools where the children attended are being treated as a biohazard as is the ambulance that the man who knowingly brought ebola to the US was taken to the hospital in. The CDC is actively looking for people he may have come into contact with right now, and the latest number of people that are of high concern is 100 (as of 10 am on October 2nd, 2014). Currently, there is someone in Hawaii that is in isolation suspected of having ebola.

While at this moment in time cases and potential cases are isolated (that are known), ebola, as we have seen in Africa, this has the potential to turn into a pandemic. Right now, the CDC says it has a contagion rate of 2. That means for everyone person who has ebola, that they will infect 2 other people. Do the math, those 2 people infect 4, 4 turns into 8 and it grows from there.

There is research out of Canada that ebola maybe airborne or very well has the great potential to become airborne. They are saying that only direct contact with someone who is infected (showing symptoms) may cause infection. However, what they are NOT saying is this: Droplets from sneezing and coughing may cause infection. How? Through what I call the ‘sneeze cloud’. We all understand how the flu is transmitted, well, same goes for ebola in this sense, except with ebola, chances are about 50/50 of living through it.

Given that the flu spreads rapidly through populations (most quickly through highly concentrated populations such as schools, work places, malls, buses etc. any place where there is a high number of people) we have the potential for ebola following the same path ways. Door knobs and handles, table surfaces, cell phones and your very own hand. Any place that sneeze/cough droplets land gives rise to the possibility of infection. And just as with the flu, someone coughing or sneezing near you (towards your direction) that sneeze cloud contains the virus. And that can be quite a distance and can linger in the air. Once your hand comes into contact with the virus you can then become infected through a cut, touching your eyes, nose or mouth. And while it has yet to be scientifically proven, it wouldn’t be too hard to see how people could become infected due to the sneeze cloud.

If one thing becomes clear, it is that our very way of life (living closely together, handshakes, riding buses, constant touching of surfaces and then our faces) sets up a potentially dangerous scenario in which the ONLY real prevention becomes ISOLATION from others. There is a reason why those who may have been exposed are being quarantined (voluntarily, though I would place bets that some due to financial concerns will break it) it is because those in charge KNOW that the only way to stop a full blown pandemic from occurring is isolation. That means not going to work, no school, no shopping, no getting together at the local bar or playground. It goes even further. But the fact remains that social isolation is the ONLY sure fire way to avoid contracting Ebola. Period, end of subject.

Think about what this means…there is a reason why the schools where the children who were potentially exposed to Ebola by patient zero were closed (and cleaned up as a biohazard area) and why those children are in quarantine. Because officials know that isolation is the only sure fire preventative.

Are you personally ready to socially isolate you and yours? There is at this time no real reason to panic. And the best cure against panic and fear is to be prepared to stay home for an extended length of time. At the very least, be prepared to stay home (quarantine) for at least one month, if not longer. But start with one month and do it now. Waiting until official word of a epidemic or pandemic is not the time to begin. Now, before it happens, when the potential threat is present is when you prepare. Do it BEFORE officials make you stay home.

Basics of preparation for a potential pandemic is not that much different from preparing for a hurricane, except you are looking at a month, if not longer.

Get your emergency supplies together.
Food, water, medical supplies, sanitation needs, personal security. You want to get as much together as possible so that you do not have to go out. Remember, the only true prevention is limiting contact with others. If you question this measure you only need to look at what is happening in Sierra Leone right now. They started with a 3 DAY lockdown and now have an indefinite ‘quarantine’ in place in areas where Ebola has hit hard in an effort to stop the spread of Ebola. People are having a hard time getting food, water and medicine. The streets are empty, business are closed. These people were not prepared for a lockdown.

The ball was dropped many times in this last week by many people who are our first line of defense against infectious diseases. This means that while ‘systems’ are in place to protect us. WE the public become the last line of defense, for ourselves, our families and our communities. Now is the time to prepare for what could quickly become a dangerous situation.

For more information on Pandemic Preparedness please visit Tess Pennington’s website, Ready Nutrition

Be safe and be prepared.