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re: Ebola vs. Enterovirus D68: H2H toll on Americans

Posted on 10/16/14 at 12:50 am to
Posted by Hopeful Doc
Member since Sep 2010
14958 posts
Posted on 10/16/14 at 12:50 am to
quote:

this strain is around 60%-70% deadly*




*when left largely untreated in a third-world country
Posted by buckeye_vol
Member since Jul 2014
35236 posts
Posted on 10/16/14 at 12:51 am to
quote:

Much, much more of the lower mortality rate you are going to see with the people in the US (which will very likely be more than 3, but it will also be far, far less than in Africa) will be because of clean rooms, good nutrition, generally healthy people, and a host of drugs and fluids that have been in use for decades


Great points. In addition, we will be far less likely to have people saying it's a hoax and refusing treatment and/or breaking into hospitals to get sick patients out. So with the poor conditions and infrastructure combined with their detrimental behaviors, their mortality rate has to be the exteme upper bound.
This post was edited on 10/16/14 at 12:54 am
Posted by NATidefan
Two hours North of Birmingham
Member since Dec 2008
36018 posts
Posted on 10/16/14 at 12:57 am to
quote:

*when left largely untreated in a third-world country


do you read anything else I post, or just the parts you want to disagree with.

From one sentence BEFORE that quote in the same post...

quote:

Plus our known death percentage for ebola mostly comes from 3rd world countries, not from first world.
Posted by KindaRaw
Member since Jun 2014
3963 posts
Posted on 10/16/14 at 12:58 am to
And this all could have prevented if we kept the mfer quarantined... It's hilarious how many idiots work in the CDC.
Posted by Hopeful Doc
Member since Sep 2010
14958 posts
Posted on 10/16/14 at 1:00 am to
quote:

do you read anything else I post, or just the parts you want to disagree with.



Admittedly, I skimmed that post and missed that line.
Posted by buckeye_vol
Member since Jul 2014
35236 posts
Posted on 10/16/14 at 1:02 am to
quote:

is the first time a deadly ebola strain has really gotten outside of more rural parts of Africa and into more populated areas


Nigeria has handled this pretty well. Given that it is has a large population (about 5 times more densely populated than the US), and limited resources compared the US, and that is pretty promising.
Posted by Hopeful Doc
Member since Sep 2010
14958 posts
Posted on 10/16/14 at 1:03 am to
quote:

And this all could have prevented if we kept the mfer quarantined... It's hilarious how many idiots work in the CDC.



Please explain what you mean by this. The patient was in quarantine. One or both nurses broke protocol while caring for him and were exposed.

The number of cases of Ebola in the US that have stemmed from the CDC OK'ing the transport of quarantined US Citizens back into the US for treatment is currently zero.
Posted by NATidefan
Two hours North of Birmingham
Member since Dec 2008
36018 posts
Posted on 10/16/14 at 1:05 am to
quote:

And this all could have prevented if we kept the mfer quarantined... It's hilarious how many idiots work in the CDC.



Well to this point, the only people that for sure got it from him were the ones treating him. And they supposedly got it before he was diagnosed. The CDC can't prevent everything. But I do agree that telling the nurse with a fever she could get on a plane was a bad idea if true, and her traveling in general was a bad idea. Mostly (if true) letting like 70 people be around and treat the dude was dumb.
This post was edited on 10/16/14 at 2:33 am
Posted by NATidefan
Two hours North of Birmingham
Member since Dec 2008
36018 posts
Posted on 10/16/14 at 1:12 am to
quote:

Nigeria has handled this pretty well. Given that it is has a large population (about 5 times more densely populated than the US), and limited resources compared the US, and that is pretty promising.



I think that's the biggest thing most American's don't get. I watched about three docs on ebola earlier tonight in liberia and the way they dealt with patients, their facilities, etc was all pretty unsanitary... yet, they and others are doing a decent job given what they have. It's obviously not that hard to contain with the right resources, but you have to be diligent.

So far we haven't been and that's why one person has managed to give it to two people... but it was early on and the threat wasn't in our face. Now that it is, I expect it to be dealt with appropriately and the threat die pretty soon.
This post was edited on 10/16/14 at 1:14 am
Posted by KindaRaw
Member since Jun 2014
3963 posts
Posted on 10/16/14 at 1:16 am to
Correct me if I am wrong, but did they not bring the guy to the ER just to tell him that he could go back home?

quote:

But I do agree that telling the nurse with a fever she could get on a plane was a bad idea if true, and her traveling in general was a bad idea. Mostly (if true) letting like 70 people be around and treat the dude was dumb.


Very true. Definitely not a very bright idea. I guess it is a pretty tough situation since Ebola isn't curable and you can contract it just by someone coughing up spit/other bodily fluids on you. If I recall, the guy in Dallas threw up and the nurse touched it, correct?
Posted by Hopeful Doc
Member since Sep 2010
14958 posts
Posted on 10/16/14 at 1:30 am to
quote:

Correct me if I am wrong, but did they not bring the guy to the ER just to tell him that he could go back home?



You are correct, mostly. He brought himself in and was told he did not meet criteria for admission. I am curious as to how you are linking the ED Physicians and Hospitalists at the hospital he went to with the CDC.
Posted by lsu480
Downtown Scottsdale
Member since Oct 2007
92876 posts
Posted on 10/16/14 at 1:31 am to
quote:

I think the biggest thing is that no one had REALLY put money into finding a cure until recently


Why would we throw $ away for no reason?
Posted by NATidefan
Two hours North of Birmingham
Member since Dec 2008
36018 posts
Posted on 10/16/14 at 1:33 am to
quote:

Correct me if I am wrong, but did they not bring the guy to the ER just to tell him that he could go back home?


I think he went in, and they missed diagnosed and released him. Then he came back later worse off.. but I'm not positive.

quote:

If I recall, the guy in Dallas threw up and the nurse touched it, correct?


Not really sure how they got it, but did read both nurses that have it were exposed to him before he was positively diagnosed with it.

Honestly if everyone that is working in the health care field would start wearing masks, gloves, and using hand sanitizer all the time it would definitely slow this type of thing WAY down.

Hell, why not make everyone put on a mask and wash their hands with sanitizer as soon as they walk into any health care facility? Those things are cheap compared to treating diseases, illness, and infections.

I'd feel better going in for a regular check up if I didn't have to sit in a waiting room full of people sniffling and coughing without covering their face during flu season.
Posted by NATidefan
Two hours North of Birmingham
Member since Dec 2008
36018 posts
Posted on 10/16/14 at 1:37 am to
quote:

Why would we throw $ away for no reason?


I wasn't saying we should have, just saying that is probably why there isn't a cure. Supply and Demand... until there is a real demand (that will make you money) for a cure no one is gonna pump any money into a supply of one.
Posted by lsu480
Downtown Scottsdale
Member since Oct 2007
92876 posts
Posted on 10/16/14 at 1:38 am to
quote:

I wasn't saying we should have, just saying that is probably why there isn't a cure.


What other viruses have we cured? Maybe a vaccine wouldn't be a waste but spending $ on a cure would be.
Posted by NATidefan
Two hours North of Birmingham
Member since Dec 2008
36018 posts
Posted on 10/16/14 at 1:42 am to
quote:

What other viruses have we cured? Maybe a vaccine wouldn't be a waste but spending $ on a cure would be.



I was using cure loosely... I meant something that either prevents it or makes it very much more easily detected, treated, and prevented like most other viruses and diseases. whether it be vaccines, awareness, medicines, or prevention tactics.
Posted by buckeye_vol
Member since Jul 2014
35236 posts
Posted on 10/16/14 at 1:42 am to
quote:

So far we haven't been and that's why one person has managed to give it to two people... but it was early on and the threat wasn't in our face. Now that it is, I expect it to be dealt with appropriately and the threat die pretty soon.


Agreed. People will probably become overly cautious. Nurses from the Cleveland Clinic and Metrohealth that were on the flight with the new patient are now on paid leave. They probably weren't anywhere close to the woman. I don't think it's a bad idea for the hospitals to do that, but you would probably never see that in West Africa (although it might be because they need for the nurses outweighs the risk there).
Posted by lsu480
Downtown Scottsdale
Member since Oct 2007
92876 posts
Posted on 10/16/14 at 1:44 am to
Well the good news is that Ebola is no biggie here, if anything people should worry about a real contagious disease in the US like this D68 or other flus.
Posted by NATidefan
Two hours North of Birmingham
Member since Dec 2008
36018 posts
Posted on 10/16/14 at 1:50 am to
quote:

Well the good news is that Ebola is no biggie here, if anything people should worry about a real contagious disease in the US like this D68 or other flus.


Would you rather have sex with a girl with D68 or Ebola?

How bout Aids or D68?

Just cause there aren't as many cases and it isn't as easily spread doesn't mean you shouldn't treat it seriously.

I'm pretty sure the flu, car accidents, lightning, etc killed more people than Aids during its high epidemic years... should we have just kept acting like it was no big deal too?

This post was edited on 10/16/14 at 1:58 am
Posted by CtotheVrzrbck
WeWaCo
Member since Dec 2007
37538 posts
Posted on 10/24/14 at 2:50 am to
updated for the new Ebola case
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