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re: Ebola Nurse in Maine Takes a Bike Ride - Cops Follow

Posted on 10/31/14 at 8:52 am to
Posted by NC_Tigah
Carolinas
Member since Sep 2003
124650 posts
Posted on 10/31/14 at 8:52 am to
quote:

You're not reading. What we've learned is that in the early stages of symptoms
No I am reading every word. "Early stages of symptoms" is a nonspecific qualifier under these circumstances.

So, assuming we both understand transmission is not d/t fever but rather body fluids, let's try again.

Have you actually learned at your facility that nausea, vomiting, and or diarrhea is a rare temporally associated symptom as pertains to Ebola infection and >101.5°F fever? Has your institution established that emesis, when it occurs early in presentation, does not present infective risk?

This is not really hypothetical.
We are talking here about specific risks of a potential ebola carrier being cleared to fly in a passenger jet when she's registered a 101° temp.

Based on what you've learned regarding transmissibility, is it your contention such a person should be boarding public transport?
Posted by BamaAtl
South of North
Member since Dec 2009
22072 posts
Posted on 10/31/14 at 9:01 am to
We have learned that in individuals that were asymptomatic in the recent past (say 12-36 hours), but are now symptomatic, onset of the symptoms you describe - nausea, vomiting, diarrhea, fever - are not AT THAT TIME indicative of an ability to infect other individuals.

That is, even though they are displaying symptoms, their infectivity toward other potential patients is very low.

To take your scenario specifically into account, since you seem stuck on it: A healthcare worker who initially registered a temp of 98, then a surface temp of 101 after a period of stress, who wasn't checked again with an oral thermometer with confirmation, and is not displaying any gastrointestinal symptoms, would be perfectly fine to fly from a standpoint of risk to other passengers. Especially since FEVER ALONE cannot transmit the virus, that requires direct contact with direct bodily fluids. Which I think even you will agree were not a risk in this instance.


And for everyone on this thread proclaiming how easy a 21-day vacation would be, try doing it when it's not your choice, when you may lose your job, and after doing critical volunteer work in a part of the world most people couldn't point to on a map. Not quite the same as what you're describing.
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