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Old 09-25-2014, 11:31 AM   #51
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American missionary doctor released from hospital after surviving Ebola

American doctor Richard Sacra, who contracted Ebola when delivering babies at a hospital in Liberia, has survived his illness and is being released from an Omaha hospital.

Dr. Sacra, 51, was flown to the Nebraska Medical Center earlier this month because it has a special biocontainment unit designed to care for patients with dangerous infectious diseases. Sacra was in Liberia working as a medical missionary for SIM USA.

Dr. Sacra is one of a handful of Ebola patients to receive an experimental drug, called TKM-Ebola, based on small interfering RNAs, made by Canada's Tekmira Pharmaceuticals.

In May 2010, a series of studies demonstrating the ability of an siRNA therapeutic utilizing Tekmira’s LNP technology to protect non-human primates from the Ebola virus were published in The Lancet.

While in the hospital, Sacra also received two blood plasma transfusions from Dr. Kent Brantly, another American physician who survived Ebola on the hope that Brantly's antibodies would help Sacra's immune system fight off the lethal virus. Brantly himself also had received a whole blood transfusion from a teenage Ebola survivor.

Now that Sacra has recovered, he is immune to the strain of Ebola that infected him. There are five strains of Ebola, but only one is responsible for the outbreak in West Africa, which has now affected 6,263 people in Guinea, Sierra Leone, Liberia, Senegal and Nigeria.

His recovery is a bright spot amid otherwise sobering news about Ebola's continued march through West Africa.
....
http://www.usatoday.com/story/news/nation/2014/09/25/ebola-patient-discharged/16199571/

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Old 09-25-2014, 09:15 PM   #52
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... and our run of luck continues...
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Old 09-26-2014, 09:34 AM   #53
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I think we are learning. Can you imagine the number of people pouring over the limited amount of data trying to improve the outcomes?
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Old 09-28-2014, 02:10 PM   #54
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Reading between the lines, I'm thinking that this doctor was exposed, but isn't testing positive, yet. And, that he/she will probably be part of a vaccine trial. Maybe.

Maryland hospital to care for U.S. doctor exposed to Ebola in West Africa
Quote:
The U.S. National Institutes of Health plans to admit to one of its special observation wards an American physician exposed to the Ebola virus while volunteering in Sierra Leone, it said on Saturday.

The patient, who has not been identified, was expected to be admitted on Sunday to the NIH Clinical Center in Bethesda, Maryland, for observation and to enroll in a clinical study, the institute said.

"Out of an abundance of caution, the patient will be admitted to the NIH Clinical Center's special clinical studies unit that is specifically designed to provide high-level isolation capabilities and is staffed by infectious diseases and critical care specialists," it said...
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Old 09-29-2014, 09:01 AM   #55
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I have a question. Why do we keep sending these folks to different hospitals/centers? I thought Emory was the "best".

I get the sense that they are using these cases to build expertise in multiple locations throughout the US.
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Old 09-29-2014, 09:14 AM   #56
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I agree. The US has 4-6, (forget the exact number) of centers who can handle BSL4 patients. Until the Ebola epidemic, most were untested. Theory is nice but 'practice' is better. They can work out wrinkles in current procedures & possibly simplify a lot of current practices so as to help other hospitals who may see cases later. They also build a pool of all manner of health care staff with Ebola experience.
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Old 09-29-2014, 09:48 PM   #57
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And we roll the dice again.

Presbyterian Hospital in Dallas confirms it has a patient in 'strict isolation' to be evaluated for potential Ebola virus - @CBSDFW
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Old 09-30-2014, 12:24 AM   #58
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Just read an Ebola case walked into a Dallas hospital today. He was a health care worker in Africa. Read it on freerepublic.com and am not smart enough to move the article here.

He was put into isolation immediately but may have infected a lot of people on the way there.
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Old 09-30-2014, 07:06 AM   #59
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Originally Posted by oldasrocks View Post
Just read an Ebola case walked into a Dallas hospital today. He was a health care worker in Africa. Read it on freerepublic.com and am not smart enough to move the article here.

He was put into isolation immediately but may have infected a lot of people on the way there.
I've got a link from US Today.
http://www.usatoday.com/story/news/n...ient/16461507/
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Old 09-30-2014, 07:44 AM   #60
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Just to be clear, this is not a confirmed case at this point. Preliminary results from CDC expected today (Tuesday).
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Old 09-30-2014, 11:13 AM   #61
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They have a pretty tight lid on this story. Been looking all morning for some additional detail - I'll take FOAF at this point. I'd like to here more about where/when/ this person was in Africa, when they got back to the US, how many stops at airports, when they became symptomatic, how they were transported to the hospital...for starters.

Even if its a negative result, I'd love to know the details, because we are told that they will squash a case pretty quick in the west. I'd be very curious to know how far back in time they would have to go to do that.
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Old 09-30-2014, 12:06 PM   #62
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A team from the Centers for Disease Controls is coming to Dallas in case a patient at Texas Health Presbyterian Hospital tests positive for Ebola, media partner WFAA reported from the Dallas County Commission meeting Tuesday.

Reporter Sebastian Robertson reported that the patient has not yet tested positive, but that a CDC team is mobilizing.

The patient, who came to the hospital on his or her own, according to Dallas County Health Director Zachary Thomas, is being kept in strict isolation at the hospital, according to a statement released Monday by the hospital. Thomas said in an interview with WFAA that the patient had traveled to Africa.

Dallas-Fort Worth Airport has no direct flights to and from Africa, so if the patient were flying, he or she would have had to make a connection elsewhere.

Ebola more than 3,000 people across West Africa and infected a handful of Americans who have traveled to that region.

Presbyterian Hospital released a statement Monday saying officials there were following CDC recommendations to keep doctors, staff and patients safe.

The National Institutes of Health recently admitted an American doctor exposed to the virus while volunteering in Sierra Leone. Four other patients have been treated at hospitals in Georgia and Nebraska.
Star-Telegram reporters Monica Nagy and Andrea Ahles contributed to this report.

http://www.star-telegram.com/2014/09...o-come-to.html
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Old 09-30-2014, 12:24 PM   #63
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I think it might be time to consider this as "probable" instead of just "possible".


Dallas County health officials: CDC team headed to Dallas

Quote:
Dallas County health officials on Tuesday told Dallas County commissioners that the Centers for Disease Control and Prevention is dispatching a team to Dallas in case a patient at a local hospital tests positive for Ebola.

The report was delivered to commissioners after Health and Human Services officials cut short a presentation on the threat of an Ebola outbreak for a conference call with the CDC. Officials said the CDC team would lead the response if test results expected today come back positive for a patient at Texas Health Presbyterian Hospital of Dallas.

In their presentation prior to the CDC call, health department officials sought to downplay the threat of a local outbreak. Health officials told commissioners that they had already begun an investigation to reach out to people who had been in contact with the patient. Officials said the patient had recently visited West Africa and didn't exhibit symptoms until soon after "arriving home."

Christopher Perkins, medical director for the health department, reminded commissioners that Ebola isn't transmitted through the air -- it is passed through contact with blood or other bodily fluids. Officials also assured residents that the local situation is nowhere near as dire as in West Africa.

"In general, the threat is minimal to the citizens of Dallas County," Perkins said.

All hospitals in Dallas County are prepared to halt the spread of infectious disease, health officials said. And there are no shortages of supplies, such as gloves, to protect people working with patients.

"Dallas County Health and Human Services has been planning for disease emergence for years," said the department's director, Zachary Thompson.

Thompson later added: "This is not Africa. We have a great public health infrastructure to deal with this type of disease."
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Old 09-30-2014, 12:44 PM   #64
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Couple that with this article, and we have a team on the way and the risk communication effort in high gear. This is a pretty detailed and thought out piece about why we shouldn't panic. Just whipped this out this morning Nicole??

Quote:
So, Ebola may be in North Texas? Don’t panic

By Nicole Stockdale [email protected]
11:20 am on September 30, 2014


snip

But that is not the case in Dallas County. The patient who may have Ebola (test results are due today) is in isolation. Health officials are already investigating everyone he or she has been in contact with. Hospitals are trained in how to respond to such diseases and have the necessary supplies.

“This is not Africa,” Dallas County Health and Human Services director Zachary Thompson told The Morning News. “We have a great public health infrastructure to deal with this type of disease.”
http://dallasmorningviewsblog.dallas...t-panic.html/?
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Old 09-30-2014, 01:02 PM   #65
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Interesting, the headline for the article above was changed in the last 30 mins or so to:

Quote:
Why a positive Ebola test in Dallas would be no cause for panic
ETA: Did someone in an official capacity take unkindly to "Ebola may be in North Texas" ?? My chips are on Yes.
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Last edited by Exodia; 09-30-2014 at 01:10 PM.
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Old 09-30-2014, 01:24 PM   #66
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Anyone know an easy way to find what stops a flight from Liberia to Dallas might make?

A quick look online brought up Mexico City, Toronto, El Salvador, Costa Rico, Columbia, Panama City. A whole list of places that I don't want patient zero to be traipsing through.
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Old 09-30-2014, 01:32 PM   #67
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Anyone know an easy way to find what stops a flight from Liberia to Dallas might make?
Typically through Brussels
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Old 09-30-2014, 02:53 PM   #68
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Quote:
CDC Headed to Dallas in Advance of Ebola Results

By Stephen Young Tue., Sep. 30 2014 at 11:32 AM

Dallas County Health and Human Services gave an update Tuesday morning on the status of a patient potentially infected with Ebola currently being cared for in isolation at Dallas' Texas Health Presbyterian Hospital and the county's' preparation in the event an Ebola case is confirmed. No details have been given about the patient, other than that he or she is being kept in "strict isolation" and was admitted based on symptoms and "travel history."

"This is not Africa," DCHHS Director Zach Thompson said. "We have a great public health infrastructure to deal with this type of disease."

Christopher Perkins, the medical director for county health services, made it clear the risk for outbreak is low because Ebola cannot be spread through the air. Ebola can only be spread through contact with blood or bodily fluids.

Two men who visited West Africa, the epicenter of this year's Ebola outbreak, warned the commissioners about the effects of the disease and urged Dallas County to send whatever help it could in order to stem Ebola where it's most prevalent.

After leaving the commissioner's court meeting to participate in conference call with the Centers for Disease Control, Texas Health Presbyterian and state health officials, Thompson and Perkins returned with an update.

The potential Ebola patient's test results are not in yet, but are expected later Tuesday afternoon or Tuesday evening. CDC personnel are on their way to Dallas in case either of the two samples from the patient being screened are positive for Ebola. If the test was to come back positive, the CDC would lead any actions necessary, with the county providing support, Thompson said.
http://blogs.dallasobserver.com/unfa..._results.p hp
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Old 09-30-2014, 02:55 PM   #69
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First time I've heard of a CDC team mobilizing to any location where a suspect case is in isolation.

Possible reasons why: - is this not the first suspect case who may have been in town, (wherever that is for anyone), a few days before breaking with symptoms? Who was dirfeclt involved in patient care in one of the affected countries? Who brought HIMSELF in after breaking with symptoms?

This, to me, increases the risks to others many times. IF he's positive, CDC & state are going to be - epidemiologically speaking, all over this one like maggots on rotting meat.

Waiting results...

---------- Post added at 02:55 PM ---------- Previous post was at 02:53 PM ----------

Added: Canada's lab in Winnipeg weas able to return a negative result within 6 or so hours not too long ago. I'm wondering if they dfidn't get a weak positive or positive, period, on an initial test & are doing a confirmatory tests that takes longer?
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Old 09-30-2014, 02:59 PM   #70
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They know. They want to make sure all of their machinery is in high gear when they announce, so they can tell everyone there is nothing to worry about.
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Old 09-30-2014, 03:31 PM   #71
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Tweet:
KERA News ‏@keranews 57m57 minutes ago
Dallas patient tested for possible #Ebola. “We want to caution Dallas County residents not to overreact." http://bit.ly/1rDjBEM @keranews
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Old 09-30-2014, 03:53 PM   #72
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They can't NOT know at this stage - tests can take as little as 4 hours & CDC isn't far from Atlanta. Even allowing for tests to be prepared... no, they know.

Apparently, contact tracing or some kind of back checking is already underway & I have no doubt Dallas & Texas Public Health knows their stuff. They have to - illegals can bring in & do; a ton of interesting diseases. Texas is not without their own endemic nasties.

Which makes the CDC deployment rather... interesting.

And from your last few posts, it sounds as if the public is being massaged already.

Look, if this person was working as a volunteer over there, they were well aware of the risks; the things to watch for. I'd LIKE to think they took themselves to hospital ASAP upon developing symptoms. Why bring themselves in? Good question - rush of caca to the brain? Fear overwhelming reason? The safest thing would have been to contact Dallas Public Health - phone from home - advise them of the situation & let them pick him up safely.

So my concerns now are, if he's positive, HOW did he get himself to hospital? Exposures en route? At home? Any time early yesterday or the day before?
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Old 09-30-2014, 03:55 PM   #73
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Exclamation Patient in Dallas TX -- waiting for results on EBOLA





North Texas Patient Tested for Ebola Virus

A patient in a Dallas hospital is showing signs of the Ebola virus and is being kept in strict isolation with test results pending, hospital officials said Monday.

In a statement released Monday evening, a spokesperson for Texas Health Presbyterian Hospital said the patient is undergoing evaluation for Ebola based on the patient's symptoms and recent travel history.

Further details on the patient were not released due to medical confidentiality and personal privacy reasons.

"The hospital is following all Centers for Disease Control and Texas Department of Heath recommendations to ensure the safety of patients, hospital staff, volunteers, physicians and visitors," according to the hospital's statement.

Preliminary test results are expected by the CDC on Tuesday.






http://www.nbcdfw.com/news/health/No...277529961.html
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Old 09-30-2014, 04:01 PM   #74
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Okay, breathe...

So far, judging by the cirsumstances as we know them, (pretty limited knowledge), as well as the reaction of CDC, this one looks like the most likely to test positive. A positive per se doesn't concern me nearly as much as knowing:

\where this person has been, who if anyone he's been in conact with since he broke with symptoms?

IF he's had primary contacts, can they be identified, located, interviewed & if necessary quarantined before they 'disappear'?

Dalls is NOT a third world country - caveat - I've never been there but some of the articles referenced earlier are correect - it's not the third world. One case, ONE - they can handle. One case plus potentially a few transmistted cases can also be dealt with.

It's the rest of the city's population that might prove problematic if we hear of a positive.

We've seen some interesting articles, increasingly stressing the need not to panic - any other signs that ducks are neatly being lined up in orderly rows down there?
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Old 09-30-2014, 04:02 PM   #75
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Ah yes, the devil is in the details, no?

One article did say he/she admitted him/herself.
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