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Ebola concerns

86 replies

noideawottoget · 06/10/2014 17:30

i read this earlier and it worries me
www.mirror.co.uk/news/uk-news/ebola-outbreak-britain-50-chance-4385728

is it really that likely? i dont generally keep up with newspapers and such so i dont know if the mirror is reliable or not

OP posts:
OhYouBadBadKitten · 06/10/2014 20:05

mumonashoestring - sadly not true, the nurse was displaying symptoms and the tests only show up as positive when the viral load is high enough to show symptoms.

I feel very sorry for the nurse and her colleagues. It may be that they need to up their ppe (protective gear). Healthcare workers do seem to be infected disproportionately probably because they are with patients right at the end when they are at their most infectious.

Lessons will be learned from this I'm sure.

NCIS · 06/10/2014 20:07

I work in emergency services and am back at work tomorrow but am not especially worried. I guess if I go out to someone with flu like symptoms who has recently come back from an affected area I will be a bit more stringent about hand washing but that isn't always possible between jobs unless we go to hospital.

You never know, our bosses might give us some eye protection and aprons if we're really lucky.

Stratter5 · 06/10/2014 20:09

Ahhh, OYBBK youre here. Are you concerned?

formerbabe · 06/10/2014 20:09

I'm finding this completely terrifying... IMO it is just a matter of time before it arrives in the UK. I can't believe air travel has not been suspended from affected countries. I do not believe politicians are taking this seriously.

DirtyBlonde · 06/10/2014 20:14

FormerBabe

Air travel has been reduced a lot.

The government have prioritised the aid budget to those places, have encouraged NHS staff to volunteer to work there, and have sent a chunk of the defence medical services to build/run a hospital in Sierra Leone.

What else should they be doing?

DirtyBlonde · 06/10/2014 20:17

Sorry, I realised that will almost certainly come across as rather arsey, and I didn't mean it like that. It's a genuine question about what else can be done.

OhYouBadBadKitten · 06/10/2014 20:18

honestly? I'm slightly concerned. Not at the prospect of a widespread outbreak in the west, but I am a little concerned about the effect fear will have on people, especially as the flu season was a relatively hard one in Australia, which means it may well be so here too. Throw in the odd very isolated case of Ebola and I think we could have a lot of unnecessary anxiety and rumour flying about before long.

I think that encouraging people to have flu jabs is a fairly sensible idea, as it could ease stress later on this winter.

formerbabe - there has work showing that shutting down airlines will actually force it to spread further. I'm unsure why, other than it is easier to keep an eye on borders if they are transparent and it helps the countries who are really really struggling with this to stay economically afloat - vital if they are to fight it.

OhYouBadBadKitten · 06/10/2014 20:20

I really wish I could help somehow - other than donating, which I have been and will do so again. It sounds ridiculous, but I wish I had some useful skills.

formerbabe · 06/10/2014 20:21

No it doesn't sound arsey! I don't know what else can be done but then again I am not a politician. I don't feel like they are keeping us safe. All it takes is one infected person on one flight. I am amazed cabin crew are not striking over this.

Stratter5 · 06/10/2014 20:22

Me too, but I have nothing to offer. Although, I think being sensible and not scaremongering is very helpful.

awfulomission · 06/10/2014 20:26

I heard the interview today on the radio about the high flu prediction for this winter. That worries me far more tbh.

OhYouBadBadKitten · 06/10/2014 20:26

That is true Stratters.

scaevola · 06/10/2014 20:29

Recent Guardian article on suspension, and partial restoration of flight between UK and Sierra Leone

I hope they have the heat sensor thingies at the departure airports from affected areas, and deny boarding to anyone running a fever (one of the first symptoms). That would reduce spread of many illnesses as well as ebola.

honeycrest · 06/10/2014 20:43

There is a possible second case in Spain, also a health care worker who treated the Spanish missionary. It is unconfirmed as yet though

link in Spanish

OhYouBadBadKitten · 06/10/2014 20:45

Lets see if that verifies before people hop up and down in agitation. I suppose it could be logical that some sort of failure in the system might affect more than one person.

honeycrest · 06/10/2014 20:51

There was press conference a while ago and they said that the woman who has been confirmed to be infected only entered Fr. Viejos room twice, once to assist him and once after he had died. She was wearing full protection at these times and no accidents or breaches were reported. That seems very low risk. Pure speculation but if this other case in her colleague is confirmed perhaps that's how she got infected?

ChaffinchOfMegalolz · 06/10/2014 21:12

but what can fail? how are these HCPs getting it? could there be another way? these eminent doctors in Africa...now nurses, they're not all making the same error?

ChaffinchOfMegalolz · 06/10/2014 21:44

In a 2007 article in The Journal of Infectious Disease, scientists who studied an Ebola outbreak in Uganda concluded that, "the risk of casual contacts with the skin, such as shaking hands, is likely to be low."

Doctors and nurses can catch Ebola from patients if they're not wearing gloves, because the virus can enter the body through small cuts on their hands. People also can infect themselves if they touch the blood of someone with Ebola, then touch their eyes, nose or mouth.

so...... non medical folks are ok to shake hands yet medical folks are not. That clears that up then.... c&p from USA Today ''Ebola does not spread like a cold''

ChaffinchOfMegalolz · 06/10/2014 21:47

In order for there to be "airborne spread," people would have to be able to inhale an infectious dose — not just a few viruses, but enough to make them actually sick — from a "suspended cloud of small, dried droplets," the WHO says. This can happen with measles, which can infect a susceptible person — someone who has not been vaccinated or had the disease — even two hours after an infected person has left the room.

Infectious disease experts haven't seen airborne spread of Ebola, in spite of "extensive studies of the Ebola virus over several decades."

The WHO adds: "Common sense and observation tell us that spread of the virus via coughing or sneezing is rare, if it happens at all."

While it's theoretically possible for someone to become infected through coughing, the WHO's new statement explains why this is highly unlikely.

"Theoretically, wet and bigger droplets from a heavily infected individual, who has respiratory symptoms caused by other conditions or who vomits violently, could transmit the virus – over a short distance – to another nearby person. This could happen when virus-laden heavy droplets are directly propelled by coughing or sneezing (which does not mean airborne transmission) onto the mucus membranes or skin with cuts or abrasions of another person."

further from the same article

honeycrest · 06/10/2014 23:14

Well according to the CDC, shaking hands with an infected person without wearing gloves is a risk and merits monitoring for 21 days.

"Close contact is defined as

being within approximately 3 feet (1 meter) of an EVD patient or within the patient’s room or care area for a prolonged period of time (e.g., health care personnel, household members) while not wearing recommended personal protective equipment (i.e., standard, droplet, and contact precautions; see Infection Prevention and Control Recommendations); or

having direct brief contact (e.g., shaking hands) with an EVD patient while not wearing recommended personal protective equipment.

Brief interactions, such as walking by a person or moving through a hospital, do not constitute close contact."

scaevola · 06/10/2014 23:32

You have to be very close to an Ebola patient or their bodily fluids to be at risk. But the infectious dose is put at 1-10 organisms, which is very low (compare norovirus at 18+).

scaevola · 07/10/2014 06:49

Here's this morning's BBC article

honeycrest it describes one case of secondary transmission, after two cases in returning personnel. I don't read Spanish, but is it possible that the article has somehow garbled the numbers?

OhYouBadBadKitten · 07/10/2014 07:30

If anyone is still feeling wiggy about things this morning, remember that in Nigeria an outbreak of 20 was successfully stamped out despite the difficulties of contact tracing and the living conditions of some of the contacts there.

Ebola has also been stamped out on many other occasions. It's liking putting out embers - we can do that very successfully. Unfortunately it's much harder to put out the main fire, we let that get too big for it to be an easy job. The focus really needs to grow on that.

ChaffinchOfMegalolz · 07/10/2014 13:17

good analogy

OhYouBadBadKitten · 07/10/2014 14:22

I was awake much of the night with a really stuffy cold, so I had time to ponder Grin

Might be worth people reassuring their children about this, because even if you think they don't know about it I can pretty much guarantee that older junior school kids and secondary kids are talking about it in the playground and frightening themselves. I've heard some hair raising theories over the past two weeks. Better to arm them with facts to help fight fear I think.