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Ebola (1 Viewer)

New checks introduced at Australian airports in August have identified 946 people whose journeys originated in Ebola-affected countries. To date 24 travellers, including health care workers have undergone the full screening process, including being referred to human quarantine officers. No travellers referred to human quarantine officers have needed to be referred to hospital, a spokeswoman for the federal health department said, but each had been released with information and advice on what to do should they begin to feel ill. Since April the 11 people tested for Ebola in Australia have returned negative results.
 
Officials from the Department of Foreign Affairs and Trade revealed last week the US and UK had asked Australia to deploy personnel to West Africa three weeks ago.

Health Minister Peter Dutton insisted on Monday the government had not reached any decision on sending health workers to west Africa
 
From what I can tell from CNN, no one is disputing the temperature reading taken at the time.. She states it was a misreading or some such. So they took her temperature, found it was high and quarantined her. What did NJ do wrong here based on the information they had at the time?
Hey, we are suppose to be upset. Her toilet did not flush! We need tents with working sewer hookups!
It doesn't seem like it's asking too much to provide people with some kind of modern quality of life.
She would never make it on Naked and Afraid......That's for damn sure.

 
Gotta appreciate iTuff guy talking like this about somebody who goes halfway around the world to battle a disease in a very sketchy environment.

Hint: She's not whining, she's making the argument for all doctors and nurses to come who would prefer their very real efforts in the big bad world not be ####ed with by some ###### politician who might as well be in show business.
Oh poor me I have rights.....I'm being totally inconvenienced....I should be allowed to put others at risk...F**k the general public it's all about me and how I feel...

 
Oh poor me I have rights.....I'm being totally inconvenienced....I should be allowed to put others at risk...F**k the general public it's all about me and how I feel.
But she wouldn't have. And that fact could and should have been discovered much faster than 9 hours in.

Even Craig Spencer going bowling wasn't putting anyone at any kind of risk at all. None. Zero.

 
Oh poor me I have rights.....I'm being totally inconvenienced....I should be allowed to put others at risk...F**k the general public it's all about me and how I feel.
But she wouldn't have. And that fact could and should have been discovered much faster than 9 hours in.

Even Craig Spencer going bowling wasn't putting anyone at any kind of risk at all. None. Zero.
Zero is a bit of an exageration. Very low would be more appropriate, IMHO. He could have exposed people in several ways. Kissing someone. Drinking from the same glass. Maybe he spits when he talks. He could have directly sneezed on someone. All highly unlikily, but still not zero. But even if it is 1,000 to 1 or even 10,000 to one, it is still an unacceptable risk to put other people at.

 
Oh poor me I have rights.....I'm being totally inconvenienced....I should be allowed to put others at risk...F**k the general public it's all about me and how I feel.
But she wouldn't have. And that fact could and should have been discovered much faster than 9 hours in.

Even Craig Spencer going bowling wasn't putting anyone at any kind of risk at all. None. Zero.
Zero is a bit of an exageration. Very low would be more appropriate, IMHO. He could have exposed people in several ways. Kissing someone. Drinking from the same glass. Maybe he spits when he talks. He could have directly sneezed on someone. All highly unlikily, but still not zero. But even if it is 1,000 to 1 or even 10,000 to one, it is still an unacceptable risk to put other people at.
Link to where he was contagious when bowling?

 
He went bowling Wednesday night, and then it is known he had a 103 fever and nausea the next night. How can anyone say when exactly his symptons started and the exact point he became contageous? The symptons might have started Wednesday and just became much worse Thursday. There is not enough info to conclude he was not contageous Wednesday night.

 
Zero is a bit of an exageration. Very low would be more appropriate, IMHO. He could have exposed people in several ways. Kissing someone. Drinking from the same glass. Maybe he spits when he talks. He could have directly sneezed on someone. All highly unlikily, but still not zero. But even if it is 1,000 to 1 or even 10,000 to one, it is still an unacceptable risk to put other people at.
Personal belief that I expect to eventually be accepted by much of the public:

None of the bolded can spread Ebola, even from someone known to be infected with the Ebola virus, if the patient can get out of bed and be out and about without discomfort. No feelings of fever, nauseousness, loose bowels, joint pain, etc.

I no longer have any concern about the gray-area Ebola patients ... the ones that within several hours (or maybe even as much as a full 24) on either side of their fever onset. The eventual dispositions of Duncan's girlfriend's family, plus the intimates & contacts of Pham and Vinson, make me think this.

 
He went bowling Wednesday night, and then it is known he had a 103 fever and nausea the next night. How can anyone say when exactly his symptons started and the exact point he became contageous?
It's looking to me more and more iron-clad that Ebola cannot be spread socially, even by gray-area patients. Medical professionals, advisedly, won't publicly express absolutes -- but I feel free to do so.

 
Oh poor me I have rights.....I'm being totally inconvenienced....I should be allowed to put others at risk...F**k the general public it's all about me and how I feel.
But she wouldn't have. And that fact could and should have been discovered much faster than 9 hours in.

Even Craig Spencer going bowling wasn't putting anyone at any kind of risk at all. None. Zero.
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...

 
Zero is a bit of an exageration. Very low would be more appropriate, IMHO. He could have exposed people in several ways. Kissing someone. Drinking from the same glass. Maybe he spits when he talks. He could have directly sneezed on someone. All highly unlikily, but still not zero. But even if it is 1,000 to 1 or even 10,000 to one, it is still an unacceptable risk to put other people at.
Personal belief that I expect to eventually be accepted by much of the public:

None of the bolded can spread Ebola, even from someone known to be infected with the Ebola virus, if the patient can get out of bed and be out and about without discomfort. No feelings of fever, nauseousness, loose bowels, joint pain, etc.

I no longer have any concern about the gray-area Ebola patients ... the ones that within several hours (or maybe even as much as a full 24) on either side of their fever onset. The eventual dispositions of Duncan's girlfriend's family, plus the intimates & contacts of Pham and Vinson, make me think this.
Three points of reference provide an indication that may be true, but it is far from conclusive. I would guess the levels of ebola in the bodily fluids are much less prior to when symptons set it. It may be harder to catch 12 hours before symptons. But I don't see this as a step function where at 12:00am he is not contageous and at 12:01am he is. The virus builds up in the body, so it would be a level of degree, not an safe/non-safe situation.

 
Oh poor me I have rights.....I'm being totally inconvenienced....I should be allowed to put others at risk...F**k the general public it's all about me and how I feel.
But she wouldn't have. And that fact could and should have been discovered much faster than 9 hours in.

Even Craig Spencer going bowling wasn't putting anyone at any kind of risk at all. None. Zero.
Zero is a bit of an exageration. Very low would be more appropriate, IMHO. He could have exposed people in several ways. Kissing someone. Drinking from the same glass. Maybe he spits when he talks. He could have directly sneezed on someone. All highly unlikily, but still not zero. But even if it is 1,000 to 1 or even 10,000 to one, it is still an unacceptable risk to put other people at.
Plus, he might have gone swimming in the river (the Hudson?) in that case...
 
Oh poor me I have rights.....I'm being totally inconvenienced....I should be allowed to put others at risk...F**k the general public it's all about me and how I feel.
But she wouldn't have. And that fact could and should have been discovered much faster than 9 hours in.

Even Craig Spencer going bowling wasn't putting anyone at any kind of risk at all. None. Zero.
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
 
Oh poor me I have rights.....I'm being totally inconvenienced....I should be allowed to put others at risk...F**k the general public it's all about me and how I feel.
But she wouldn't have. And that fact could and should have been discovered much faster than 9 hours in.

Even Craig Spencer going bowling wasn't putting anyone at any kind of risk at all. None. Zero.
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
If ever there was a pot and kettle situation,

 
Oh poor me I have rights.....I'm being totally inconvenienced....I should be allowed to put others at risk...F**k the general public it's all about me and how I feel.
But she wouldn't have. And that fact could and should have been discovered much faster than 9 hours in.

Even Craig Spencer going bowling wasn't putting anyone at any kind of risk at all. None. Zero.
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
You have to be schtick.

 
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks.
I am not a doctor, no.

None of my impressions are based on government sources. They're mainly based on the known vectors of transmission of patients both in the U.S. and in West Africa. Empirically, no one anywhere is getting Ebola socially**. It's pretty much exclusively through patient care and handling corpses (and a small number directly from infected animals).

Thomas Duncan and Nigeria's Patient Zero both both flew on planes with full-bown symptoms -- no one else on those planes contracted Ebola. Duncan's girlfriend's household. Pham's and Vinson's. Spencer's girlfriend ... I'm calling mu shot now that she'll clear quarantine. And so on.

** Nigeria's Patient Zero vomited on the plane and collapsed after he got off the plane in Lagos. Some time after some "greeted" him in the airport and contracted Ebola. Not sure if "greeting" was a nod hello, a kiss on both cheeks, or something in between.

 
timschochet said:
Ditka Butkus said:
Doug B said:
Ditka Butkus said:
Oh poor me I have rights.....I'm being totally inconvenienced....I should be allowed to put others at risk...F**k the general public it's all about me and how I feel.
But she wouldn't have. And that fact could and should have been discovered much faster than 9 hours in.

Even Craig Spencer going bowling wasn't putting anyone at any kind of risk at all. None. Zero.
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
Being a sucker/feeble must be so convenient at times....Whenever something bad happens, you can always say you were taken advantage of.

 
jon_mx said:
Three points of reference provide an indication that may be true, but it is far from conclusive.
Agreed that it's not conclusive -- that's why I take care to couch it as personal belief. At least regarding gray-area patients.

I don't agree that it's "far" from conclusive, though.

I would guess the levels of ebola in the bodily fluids are much less prior to when symptons set it. It may be harder to catch 12 hours before symptons. But I don't see this as a step function where at 12:00am he is not contageous and at 12:01am he is. The virus builds up in the body, so it would be a level of degree, not an safe/non-safe situation.
Agree with the bolded. I just don't think a patient is contagious until the viral load is enough that the virus begins to "push" its way out of the body via vomit/diarrhea. I don't think contagiousness is coincident with the fever, but instead with the more severe symptoms.

 
timschochet said:
Ditka Butkus said:
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
His questions to me were fair.

 
timschochet said:
Ditka Butkus said:
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
His questions to me were fair.
i was referring to his comments about the CDC, not his questions.
 
Doug B said:
Ditka Butkus said:
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks.
I am not a doctor, no.

None of my impressions are based on government sources. They're mainly based on the known vectors of transmission of patients both in the U.S. and in West Africa. Empirically, no one anywhere is getting Ebola socially**. It's pretty much exclusively through patient care and handling corpses (and a small number directly from infected animals).

Thomas Duncan and Nigeria's Patient Zero both both flew on planes with full-bown symptoms -- no one else on those planes contracted Ebola. Duncan's girlfriend's household. Pham's and Vinson's. Spencer's girlfriend ... I'm calling mu shot now that she'll clear quarantine. And so on.

** Nigeria's Patient Zero vomited on the plane and collapsed after he got off the plane in Lagos. Some time after some "greeted" him in the airport and contracted Ebola. Not sure if "greeting" was a nod hello, a kiss on both cheeks, or something in between.
Not true. Duncan was tested prior to his flights and was at 97.3 degrees. He knew he was exposed several days prior to his leaving, but it was too soon to be symptomatic. It was a few days after he arrived when he felt sick enough to go to the hospital knowing he was at risk.

 
jon_mx said:
Fennis said:
He went bowling Wednesday night, and then it is known he had a 103 fever and nausea the next night. How can anyone say when exactly his symptons started and the exact point he became contageous? The symptons might have started Wednesday and just became much worse Thursday. There is not enough info to conclude he was not contageous Wednesday night.
his temp was 100.3 the next night. The 103 was a misreport by the media

 
timschochet said:
Ditka Butkus said:
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
His questions to me were fair.
i was referring to his comments about the CDC, not his questions.
So Tim, you don't think the CDC could be influenced by the White House to tone down the fear factor?...Not even remotely possible....The same CDC who have changed their protocols almost weekly.

 
Is it safe to come out of my bunker to start to rebuild humanity, yet?

 
Last edited by a moderator:
timschochet said:
Ditka Butkus said:
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
His questions to me were fair.
i was referring to his comments about the CDC, not his questions.
So Tim, you don't think the CDC could be influenced by the White House to tone down the fear factor?...Not even remotely possible....The same CDC who have changed their protocols almost weekly.
You're seriously asking me if the CDC could be pressured by the White House to issue statements that would increase the public health risk?
 
Doug B said:
Ditka Butkus said:
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks.
I am not a doctor, no.

None of my impressions are based on government sources. They're mainly based on the known vectors of transmission of patients both in the U.S. and in West Africa. Empirically, no one anywhere is getting Ebola socially**. It's pretty much exclusively through patient care and handling corpses (and a small number directly from infected animals).

Thomas Duncan and Nigeria's Patient Zero both both flew on planes with full-bown symptoms -- no one else on those planes contracted Ebola. Duncan's girlfriend's household. Pham's and Vinson's. Spencer's girlfriend ... I'm calling mu shot now that she'll clear quarantine. And so on.

** Nigeria's Patient Zero vomited on the plane and collapsed after he got off the plane in Lagos. Some time after some "greeted" him in the airport and contracted Ebola. Not sure if "greeting" was a nod hello, a kiss on both cheeks, or something in between.
I agree with what you are saying, but Duncan was not symptomatic when he was on the airplane. His symptoms started 4 days after landing in the US. It was another four days until he was admitted to the hospital.

 
timschochet said:
Ditka Butkus said:
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
His questions to me were fair.
i was referring to his comments about the CDC, not his questions.
So Tim, you don't think the CDC could be influenced by the White House to tone down the fear factor?...Not even remotely possible....The same CDC who have changed their protocols almost weekly.
I honestly think the CDC goes overboard on the fear factor - they should tone it down.

 
Not true. Duncan was tested prior to his flights and was at 97.3 degrees. He knew he was exposed several days prior to his leaving, but it was too soon to be symptomatic. It was a few days after he arrived when he felt sick enough to go to the hospital knowing he was at risk.
You're right about Duncan -- I was hasty. He flew while infected, but not yet symptomatic. My apologies.

 
timschochet said:
Ditka Butkus said:
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
His questions to me were fair.
i was referring to his comments about the CDC, not his questions.
So Tim, you don't think the CDC could be influenced by the White House to tone down the fear factor?...Not even remotely possible....The same CDC who have changed their protocols almost weekly.
You're seriously asking me if the CDC could be pressured by the White House to issue statements that would increase the public health risk?
I'm asking you if you think it is possible for the CDC to downplay the event as to not cause a panic...IMO they have already done things to increase public health risk....Like the fact that they had an Ebola patient isolated in a hospital that wasn't equipped to handle the disease....Duncan should have been moved to one of the other hospitals that had already successfully handled an Ebola patient.

 
timschochet said:
Ditka Butkus said:
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
His questions to me were fair.
i was referring to his comments about the CDC, not his questions.
So Tim, you don't think the CDC could be influenced by the White House to tone down the fear factor?...Not even remotely possible....The same CDC who have changed their protocols almost weekly.
You're seriously asking me if the CDC could be pressured by the White House to issue statements that would increase the public health risk?
I'm asking you if you think it is possible for the CDC to downplay the event as to not cause a panic...IMO they have already done things to increase public health risk....Like the fact that they had an Ebola patient isolated in a hospital that wasn't equipped to handle the disease....Duncan should have been moved to one of the other hospitals that had already successfully handled an Ebola patient.
my answer is no. The facts should downplay a panic for most people, though there are always some who can't be reasoned with.
 
Doug, do you have Public Health training?
Only cursory theoretical/academic, but yes. It's not medical training, though, but data analysis and the forensics involved thereof. Nothing hands-on with patients. I will never have to handle a patient except in a ridiculously dire emergency.

 
I'm asking you if you think it is possible for the CDC to downplay the event as to not cause a panic...IMO they have already done things to increase public health risk....Like the fact that they had an Ebola patient isolated in a hospital that wasn't equipped to handle the disease....Duncan should have been moved to one of the other hospitals that had already successfully handled an Ebola patient.
I don't think the CDC did that. I think Duncan was foisted upon that hospital with full-blown symptoms and they were not able get him stable for travel.

That last part is conjecture ... I am not sure why Duncan wasn't transferred. Something to check out.

 
timschochet said:
Ditka Butkus said:
Doug are you a doctor?.....If you are and these are things you learned, I would warm up to your response a little more....If not, I have to say I'm just not blindly accepting what I hear from the CDC and the government....All of these types have reason to want to down play the risks...
Being paranoid must be so convenient at times. Whenever you hear something that doesn't fit your point of view, whoever said it is lying.
His questions to me were fair.
i was referring to his comments about the CDC, not his questions.
So Tim, you don't think the CDC could be influenced by the White House to tone down the fear factor?...Not even remotely possible....The same CDC who have changed their protocols almost weekly.
You're seriously asking me if the CDC could be pressured by the White House to issue statements that would increase the public health risk?
I'm asking you if you think it is possible for the CDC to downplay the event as to not cause a panic...IMO they have already done things to increase public health risk....Like the fact that they had an Ebola patient isolated in a hospital that wasn't equipped to handle the disease....Duncan should have been moved to one of the other hospitals that had already successfully handled an Ebola patient.
my answer is no. The facts should downplay a panic for most people, though there are always some who can't be reasoned with.
Tim is the most trusting person I know when it comes to trusting the government.

 
They came out with guidelines yesterday on how to treat travelers based upon their risk exposure.
OK. I was taking Butkus to mean "They don't know how how to deal with an Ebola patient, and they keep changing the how-tos". It's OK to me for the CDC to come out with additional guidelines like the ones you mention -- else local governments/authorities make up rules on the fly.

 
The same CDC who have changed their protocols almost weekly.
I don't think this is true. Not weekly. I did see a change in PPE recommendations earlier this month, but what else are you thinking of?
Basically they take a best guess and if that doesn't work they adapt.

"At CDC, we base our decisions on science and experience. We base our decisions on what we know and what we learn. And as the science and experience changes, we adopt and adapt our guidelines and recommendations," Frieden said.

Here is how the military deals with it....

The Pentagon move went well beyond previously established military protocols. The U.S. Army has already isolated about a dozen soldiers at part of a U.S. base in Vicenza, Italy, including Major General Darryl Williams, who oversaw the initial response to the Ebola outbreak, the worst on record with nearly 5,000 dead.

Dozens more will be isolated in the coming days as they rotate out of West Africa, where the military has been building infrastructure to help health authorities treat Ebola victims, the Pentagon said.

"We are billeted in a separate area (on the base). There's no contact with the general population or with family. No one will be walking around Vicenza," Williams told Reuters in a telephone interview.

"Nobody is symptomatic. No Army soldier came in contact with Ebola-stricken patients," Williams said, calling the move precautionary.

 

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