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  #381  
Old 19.10.2014, 08:17
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Re: Recent Ebola outbreak

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However a more serious piece of news was the person throwing up on the flight from Nigeria to the USA and dying before the flight landed.
Maybe it was the American tieffliegerische cuisine on the airplane!!
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  #382  
Old 19.10.2014, 10:52
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Re: Recent Ebola outbreak

http://www.tagesanzeiger.ch/ausland/europa/Was-bringen-Reiseverbote-im-Kampf-gegen-Ebola/story/22391718 As a precaution against Ebola: why aren't all airline passengers screened using infrared cameras ?


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  #383  
Old 19.10.2014, 11:09
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Re: Recent Ebola outbreak

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http://www.tagesanzeiger.ch/ausland/europa/Was-bringen-Reiseverbote-im-Kampf-gegen-Ebola/story/22391718 As a precaution against Ebola: why aren't all airline passengers screened using infrared cameras ?

As a precaution against the hassle some 'naughty' passengers might get the idea of taking a couple of aspirins about half an hour before they land (or take off, depending on where the check is done) to get their temp. down.
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  #384  
Old 19.10.2014, 11:15
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Re: Recent Ebola outbreak


http://israelmatzav.blogspot.ch/ Dr Lobel says that most of the world understands the need to screen passengers in airports - US is still waiting to decide ..




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  #385  
Old 20.10.2014, 13:56
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Re: Recent Ebola outbreak

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Countries are apparently not donating to the UN's ebola trust fund. Kofi Annan seems to think it's because the victims are black.

Ebola crisis: UN launches urgent appeal for donations
Maybe since donated monies seem to end up in presidential pockets?
For uses like building themselves a new mansion, or renovating the old ones with gold fittings, etc.
Or sending their mulitiple wives on shopping sprees?

They never seem to think about their own country`s infrastructure, or the health of the people they govern?

That is lobbed off as the responsibility of other countries citizens to come to their rescue when the **** hits their fans.
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  #386  
Old 20.10.2014, 15:05
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Re: Recent Ebola outbreak

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Maybe since donated monies seem to end up in presidential pockets?
For uses like building themselves a new mansion, or renovating the old ones with gold fittings, etc.
Or sending their mulitiple wives on shopping sprees?

They never seem to think about their own country`s infrastructure, or the health of the people they govern?

That is lobbed off as the responsibility of other countries citizens to come to their rescue when the **** hits their fans.
Exactly.. same goes for all the "charities" save the children oxfam etc where directors are on 6 figure salaries. Their media person got caught out after posting pictures from the plane after a trip to RSA.. people worked out from the photos she was in first class.
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  #387  
Old 20.10.2014, 15:12
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Re: Recent Ebola outbreak

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Exactly.. same goes for all the "charities" save the children oxfam etc where directors are on 6 figure salaries. Their media person got caught out after posting pictures from the plane after a trip to RSA.. people worked out from the photos she was in first class.
Although the other side of the argument is that if you want top people to run these charities, then you need to pay them top-whack pay, perks and bonuses.
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  #388  
Old 20.10.2014, 16:09
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Re: Recent Ebola outbreak

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http://www.tagesanzeiger.ch/ausland/europa/Was-bringen-Reiseverbote-im-Kampf-gegen-Ebola/story/22391718 As a precaution against Ebola: why aren't all airline passengers screened using infrared cameras ?
Because it's expensive to install them everywhere and not a guarantee of anything. I've occasionally run a fever when traveling and I imagine thousands of people around the world have a fever at any given time when they travel too. Doesn't mean I am exposing people to Ebola. And as has been stated before, anyone can pop a few pills to reduce fever before or during travel. Using infrared cameras would simply give a false sense of security, imo.
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  #389  
Old 20.10.2014, 17:23
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Re: Recent Ebola outbreak

An IR camera is 50000 chf cost vs risk
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  #390  
Old 20.10.2014, 17:27
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Re: Recent Ebola outbreak

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Although the other side of the argument is that if you want top people to run these charities, then you need to pay them top-whack pay, perks and bonuses.
True however people get pissed off with adverts seeing jonny with flies round his eyes (on the jam thats just been smeared there yo attract them) ssking for a few £ and then charity staff running round in 70k gbp cars and with huge houses
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  #391  
Old 20.10.2014, 18:54
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Re: Recent Ebola outbreak

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I've occasionally run a fever when traveling and I imagine thousands of people around the world have a fever at any given time when they travel too.
I had a really high fever once when on a plane (I went straight to hospital when I arrived at my destination) but whilst on the plane, the cabin crew just thought I was very drunk and ignored me.
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  #392  
Old 20.10.2014, 19:37
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Re: Recent Ebola outbreak

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Exactly.. same goes for all the "charities" save the children oxfam etc where directors are on 6 figure salaries. Their media person got caught out after posting pictures from the plane after a trip to RSA.. people worked out from the photos she was in first class.
It is true, I actually used to know a few of them. They are like working for a normal corporation, nothing less, nothing more. Lots of snobs and blasé type amongst them. It is the volunteers that these organizations manage to gather who you can say from afar they really care.
On the other hand, it should not deter people from donating to these charities because those money could also help. I make small donations quite frequently to Save the children (maybe I am biased because I was a volunteer years ago) and Unicef.
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  #393  
Old 20.10.2014, 21:23
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Re: Recent Ebola outbreak

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So what if that fly goes from an Ebola patient's mouth to someone else's mouth? Are they really sure insects aren't a transmission vector? Doesn't that constitute airborne? I haven't seen any refutation of it.
See here for definitions of types of transmission of diseases. Flying insects don't count as airborne, apparently.

http://microbiology.mtsinai.on.ca/fa...ion.shtml#five
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  #394  
Old 21.10.2014, 10:54
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Re: Recent Ebola outbreak

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  #395  
Old 21.10.2014, 11:32
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Re: Recent Ebola outbreak

Nigeria's been Ebola free for forty-three days.

It's clear that it is possible, with fewer resources than those in a first-world country, to contain the disease and prevent it spreading.
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  #396  
Old 21.10.2014, 11:48
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Re: Recent Ebola outbreak

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Nigeria's been Ebola free for forty-three days.

It's clear that it is possible, with fewer resources than those in a first-world country, to contain the disease and prevent it spreading.
Or the media hasn't caught wind of any possible cases.
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  #397  
Old 21.10.2014, 16:52
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Re: Recent Ebola outbreak

Statement by RN’s at Texas Health Presbyterian Hospital as provided to National Nurses United

National Nurses United, 10/15/14

This is an inside story from some registered nurses at Texas Health Presbyterian Hospital in Dallas who have familiarity with what occurred at the hospital following the positive Ebola infection of first the late Thomas Eric Duncan and then a registered nurse who cared for him Nina Pham.

The RNs contacted National Nurses United out of frustration with a lack of training and preparation. They are choosing to remain anonymous out of fear of retaliation.

The RNs who have spoken to us from Texas Health Presbyterian are listening in on this call and this is their report based on their experiences and what other nurses are sharing with them. When we have finished with our statement, we will have time for several questions. The nurses will have the opportunity to respond to your questions via email that they will send to us, that we will read to you.

We are not identifying the nurses for their protection, but they work at Texas Health Presbyterian and have knowledge of what occurred at the hospital.

They feel a duty to speak out about the concerns that they say are shared by many in the hospital who are concerned about the protocols that were followed and what they view were confusion and frequently changing policies and protocols that are of concern to them, and to our organization as well.

When Thomas Eric Duncan first came into the hospital, he arrived with an elevated temperature, but was sent home.

On his return visit to the hospital, he was brought in by ambulance under the suspicion from him and family members that he may have Ebola.

Mr. Duncan was left for several hours, not in isolation, in an area where other patients were present.

No one knew what the protocols were or were able to verify what kind of personal protective equipment should be worn and there was no training.

Subsequently a nurse supervisor arrived and demanded that he be moved to an isolation unit– yet faced resistance from other hospital authorities.

Lab specimens from Mr. Duncan were sent through the hospital tube system without being specially sealed and hand delivered. The result is that the entire tube system by which all lab specimens are sent was potentially contaminated.

There was no advance preparedness on what to do with the patient, there was no protocol, there was no system. The nurses were asked to call the Infectious Disease Department. The Infectious Disease Department did not have clear policies to provide either.

Initial nurses who interacted with Mr. Duncan nurses wore a non-impermeable gown front and back, three pairs of gloves, with no taping around wrists, surgical masks, with the option of N-95s, and face shields. Some supervisors said that even the N-95 masks were not necessary.

The suits they were given still exposed their necks, the part closest to their face and mouth. They had suits with booties and hoods, three pairs of gloves, no tape.

For their necks, nurses had to use medical tape, that is not impermeable and has permeable seams, to wrap around their necks in order to protect themselves, and had to put on the tape and take it off on their own.

Nurses had to interact with Mr. Duncan with whatever protective equipment was available, at a time when he had copious amounts of diarrhea and vomiting which produces a lot of contagious fluids.

Hospital officials allowed nurses who had interacted with Mr. Duncan to then continue normal patient care duties, taking care of other patients, even though they had not had the proper personal protective equipment while caring for Mr. Duncan.

Patients who may have been exposed were one day kept in strict isolation units. On the next day were ordered to be transferred out of strict isolation into areas where there were other patients, even those with low-grade fevers who could potentially be contagious.

Were protocols breached? The nurses say there were no protocols.

Some hospital personnel were coming in and out of those isolation areas in the Emergency Department without having worn the proper protective equipment.

CDC officials who are in the hospital and Infectious Disease personnel have not kept hallways clean; they were going back and forth between the Isolation Pod and back into the hallways that were not properly cleaned, even after CDC, infectious control personnel, and doctors who exited into those hallways after being in the isolation pods.
Advance preparation

Advance preparation that had been done by the hospital primarily consisted of emailing us about one optional lecture/seminar on Ebola. There was no mandate for nurses to attend trainings, or what nurses had to do in the event of the arrival of a patient with Ebola-like symptoms.

This is a very large hospital. To be effective, any classes would have to offered repeatedly, covering all times when nurses work; instead this was treated like the hundreds of other seminars that are routinely offered to staff.

There was no advance hands-on training on the use of personal protective equipment for Ebola. No training on what symptoms to look for. No training on what questions to ask.

Even when some trainings did occur, after Mr. Duncan had tested positive for Ebola, they were limited, and they did not include having every nurse in the training practicing the proper way to don and doff, put on and take off, the appropriate personal protective equipment to assure that they would not be infected or spread an infection to anyone else.

Guidelines have now been changed, but it is not clear what version Nina Pham had available.

The hospital later said that their guidelines had changed and that the nurses needed to adhere to them. What has caused confusion is that the guidelines were constantly changing. It was later asked which guidelines should we follow? The message to the nurses was it’s up to you.

It is not up to the nurses to be setting the policy, nurses say, in the face of such a virulent disease. They needed to be trained optimally and correctly in how to deal with Ebola and the proper PPE doffing, as well as how to dispose of the waste.

In summary, the nurses state there have been no policies in cleaning or bleaching the premises without housekeeping services. There was no one to pick up hazardous waste as it piled to the ceiling. They did not have access to proper supplies and observed the Infectious Disease Department and CDC themselves violate basic principles of infection control, including cross contaminating between patients. In the end, the nurses strongly feel unsupported, unprepared, lied to, and deserted to handle the situation on their own.

We want our facility to be recognized as a leader in responding to this crisis. We also want to recognize the other nurses as heroes who put their lives on the line for their patients every day when they walk in the door.

_______________

Posted in full in case it gets deleted
Source: http://www.nationalnursesunited.org/...spital-in-dal/
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  #398  
Old 21.10.2014, 16:57
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Re: Recent Ebola outbreak

so they are blaming someone else then

no personal responsibility, worse then a kindergarden, you didn't tell me not to wah wah wah
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  #399  
Old 21.10.2014, 18:04
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Re: Recent Ebola outbreak

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so they are blaming someone else then

no personal responsibility, worse then a kindergarden, you didn't tell me not to wah wah wah
Nurses seem to be very busy people, and without a highly visible interest from management, such as an all-hands meeting per shift, they are going to take things in on the fly and keep moving. Such is my hunch anyhow.

From the moment Duncan's travel to Liberia failed to rise to the top ofthe hospital's intake data system with little flashing cursors all around it, this has been more of a management fubar.

Perhaps it's testament to how hard they tried that only one nurse contracted the disease, instead of each nurse, per each shift.

edit: Not sure if Vinson got it from Pham, or Duncan
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Old 24.10.2014, 15:25
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Re: Recent Ebola outbreak

Dr Craig Spencer, who recently returned home to Harlem NY from Guinea, has tested positive for the deadly disease

Hope that they handle it better than Texas!!
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