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So this 2nd nurse was told not to fly and uh well she flew anyway (Original Post) npk Oct 2014 OP
People do a lot of things they are told not to do. LisaL Oct 2014 #1
True but unlike Duncan she is a nurse and American and has health insurance. snagglepuss Oct 2014 #116
That's not what she said. She said she called the CDC and they said it was ok to fly? WTF? nt kelliekat44 Oct 2014 #124
She might be lying. But even so, she knew her situation and, as a nurse, as a human being, should WinkyDink Oct 2014 #140
People commit actual crimes, too. But this defiant action was particularly unconscionable. WinkyDink Oct 2014 #139
with a fever per new cdc info elehhhhna Oct 2014 #2
And her mom will now get on a plane to Atlanta B2G Oct 2014 #4
Where are you hearing this? Did Amber already have direct contact with her mom? nt ecstatic Oct 2014 #14
Yes, she was visiting her family in Ohio. nt B2G Oct 2014 #16
I presume she was in contact with mother while visiting her family in OH. LisaL Oct 2014 #18
This is crazy! I'm picturing how my family would have handled things ecstatic Oct 2014 #30
Why is mother even flying to Dallas, when this nurse is being transferred to Emory? LisaL Oct 2014 #7
From what I read, she was on a plane B2G Oct 2014 #15
Why hasn't she been put in quarantine? LisaL Oct 2014 #20
Because that would make too much sense. B2G Oct 2014 #21
Of course. LisaL Oct 2014 #23
Where the hell is that mother now? LisaL Oct 2014 #86
I remember people saying that about HIV victims. upaloopa Oct 2014 #78
Ebola is easier to transmit than HIV. Ms. Toad Oct 2014 #80
If you are including Ebola in Africa that is different than ebola upaloopa Oct 2014 #81
Really? Ms. Toad Oct 2014 #88
Well in a village with Ebola people don't take the upaloopa Oct 2014 #90
That's kind of my point. Ms. Toad Oct 2014 #93
Maybe go to Madow blog she explained it better than I ever can upaloopa Oct 2014 #95
None of that contradicts anything I've said. Ms. Toad Oct 2014 #108
Fine. We have nothing to fear from Ebola upaloopa Oct 2014 #111
What makes it virulent is the massive amount of virus in an infected person and needs only to land snagglepuss Oct 2014 #117
which means she was contagious. boomer55 Oct 2014 #37
With a fever B2G Oct 2014 #3
The only medical experience I have is taking care of my RiffRandell Oct 2014 #63
if she survives, she should be charged with a crime notadmblnd Oct 2014 #73
The passenger who flew into Nigeria sick with it Warpy Oct 2014 #5
She is a medical professional. LisaL Oct 2014 #9
You really don't get it Warpy Oct 2014 #25
She already has symptoms when she flew back to Dallas. LisaL Oct 2014 #29
Actually, sneezing carries droplets which do qualify as bodily fluids. Baitball Blogger Oct 2014 #38
Ebola is not.an.upper.respiratory.virus Warpy Oct 2014 #56
Edited to get WHO's exact comments. Baitball Blogger Oct 2014 #58
globalresearch... SidDithers Oct 2014 #62
Is it bad? Baitball Blogger Oct 2014 #94
It ain't good... SidDithers Oct 2014 #101
I went directly to WHO. Baitball Blogger Oct 2014 #103
I found the original WHO statements and linked to their website. Baitball Blogger Oct 2014 #102
Thanks... SidDithers Oct 2014 #105
Oh! Double thank you. n/t Baitball Blogger Oct 2014 #106
Still, no documented transmission Warpy Oct 2014 #68
No argument here. Baitball Blogger Oct 2014 #136
I'm looking at the HIV model Warpy Oct 2014 #137
The unease will be erased over time. Baitball Blogger Oct 2014 #138
CDC info states that saliva may or may not have a sufficient viral load Drahthaardogs Oct 2014 #99
I found the direct info from WHO. Baitball Blogger Oct 2014 #100
There is no documented case of transmission through upper respiratory fluids Warpy Oct 2014 #135
That's not entirely true. Researchers "do not know" if asymptomatic ecstatic Oct 2014 #50
And she was symptomatic already. LisaL Oct 2014 #54
another mistake the CDC made TorchTheWitch Oct 2014 #133
Duncan wasn't symptomatic B2G Oct 2014 #10
Liberian-American Patrick Sawyer, which is who Warpy is referring to... countryjake Oct 2014 #91
He sure as hell was in that apartment Warpy Oct 2014 #134
explain the nbc cameraman and how he got it? boomer55 Oct 2014 #39
He wasn't suited up and was taping a decontamination area. Warpy Oct 2014 #60
The person that flew into Nigeria while ill was a diplomat in his own plane TorchTheWitch Oct 2014 #132
According to WHO, Sawyer flew on commercial flights countryjake Oct 2014 #142
I don't know his name TorchTheWitch Oct 2014 #143
The US ebola cases are stretching many assumptions about believibility HereSince1628 Oct 2014 #6
Will staff get on the plane and fly, while having a fever? LisaL Oct 2014 #17
Question...would that be worse than travelling on a train? HereSince1628 Oct 2014 #26
in a way d_r Oct 2014 #32
In a city of millions, a bus or train rider can also expose myriads. HereSince1628 Oct 2014 #46
I understand d_r Oct 2014 #130
What about a crowded subway at rush hour? bklyncowgirl Oct 2014 #40
I.T. W.I.L.L. H.A.P.P.E.N. in New York city or some other major city. HereSince1628 Oct 2014 #43
You're not supposed to take public transportation at all. amandabeech Oct 2014 #49
I would think not. HereSince1628 Oct 2014 #51
Do hospitals provide the equipment and facilities to keep nurses safe? Warpy Oct 2014 #36
We do know. Wedding planning. LisaL Oct 2014 #44
Why she didn't call the CDC from her folks home, and have herself driven amandabeech Oct 2014 #53
Oh, FFS. That could have been handled via Skype Warpy Oct 2014 #61
She's "getting married" and traveled to Cleveland to plan her wedding and visit her mom and fiance. kestrel91316 Oct 2014 #64
Yeah, her license is going to be pulled, or should be Warpy Oct 2014 #70
I doubt that will stick. Niceguy1 Oct 2014 #129
This reminds me of Katrina's aftermath. snagglepuss Oct 2014 #119
Totally believable. Iggo Oct 2014 #8
Of course npk Oct 2014 #22
since people are not following what they should in terms of movement/travel JI7 Oct 2014 #11
We have a no-fly list for a reason. B2G Oct 2014 #19
Was she told not to fly? ecstatic Oct 2014 #12
The departing flight back to Dallas was after diagnosis, and she already had a fever when she flew. LisaL Oct 2014 #13
She shouldn't have exposed others. Perhaps her mistaken choice was due to being sick. In_The_Wind Oct 2014 #27
I don't follow. LisaL Oct 2014 #33
I agree she shouldn't have flown the first time. In_The_Wind Oct 2014 #48
It was a low grade fever. LisaL Oct 2014 #55
Maybe her wedding planning was more important than the fear of spreading a deadly disease. Autumn Oct 2014 #35
it's clear that health care workers are not that informed or getting the training they need JI7 Oct 2014 #24
Yes CDC ordered all staff at the Texas medial center to avoid flying and public transprtation. npk Oct 2014 #28
Where did you see that? LisaL Oct 2014 #31
Here is one link, but it's been all over the news for weeks npk Oct 2014 #47
Looks to me like she complied... HereSince1628 Oct 2014 #67
It also says it's unclear if woman even knew of these requirements. LisaL Oct 2014 #69
The protocol is in every hospital in the US npk Oct 2014 #75
I am not arguing that she wasn't carelles. LisaL Oct 2014 #84
Yes CDC told them not to fly npk Oct 2014 #89
That link again says they were supposed to not have been traveling. LisaL Oct 2014 #97
Protocols should be known Tweedy Oct 2014 #96
They should have, but they weren't necessarily. LisaL Oct 2014 #98
Hospital's job Tweedy Oct 2014 #118
Judge Jenkins is now saying that the hospital was not instructed by the CDC ecstatic Oct 2014 #115
Thanks. So hanging around small crowds is OK? nt ecstatic Oct 2014 #34
She was suposed to be controlling her movements and avoiding people. npk Oct 2014 #52
How could that nurse have been that stupid? She must have thought being told not to fly didn't Louisiana1976 Oct 2014 #41
She's getting married and had to plan her wedding with MOM. kestrel91316 Oct 2014 #66
That mom reportedly flew to Dallas. LisaL Oct 2014 #74
Anything I have seen says that she "should not have" flown Ms. Toad Oct 2014 #82
They were told not fly according to link npk Oct 2014 #87
No it doesn't. Ms. Toad Oct 2014 #92
This message was self-deleted by its author closeupready Oct 2014 #42
there are things beyond my comprehension Kalidurga Oct 2014 #45
How long will it be until Kevin Bacon is exposed? tularetom Oct 2014 #57
DUzy!! KamaAina Oct 2014 #109
But nurses are perfect in all they do and are incapable of doing anything so FUCKING STUPID. kestrel91316 Oct 2014 #59
On the other hand, CDC is perfect. LisaL Oct 2014 #65
Not sure, but she did fly back with a fever, so...... Darb Oct 2014 #79
She should have called 911 in Cleveland. LisaL Oct 2014 #85
I think the same number of DUers believe the corollary... LanternWaste Oct 2014 #131
"Told not to fly"? liberalhistorian Oct 2014 #71
EbolaBridezilla AngryAmish Oct 2014 #104
What liberalhistorian Oct 2014 #125
Perhaps airlines could help by refunding tickets for people who shouldn't fly? hedgehog Oct 2014 #72
If a sum of $305 is all it takes to cause for her to risk the health... LostInAnomie Oct 2014 #83
I am at a loss how a health care professional (BSN, ADN ????) .... etherealtruth Oct 2014 #76
What a disappointment Catherine Vincent Oct 2014 #77
This message was self-deleted by its author valerief Oct 2014 #107
You are a little late to the party. LisaL Oct 2014 #110
I AM late. Thanks for the update. valerief Oct 2014 #112
So selfish. Just disgusting. MoonRiver Oct 2014 #113
CBS is reporting that she called the CDC before flying. Ilsa Oct 2014 #114
This is effing unbelievable. I am utterly shocked of CDCs carefree attitude snagglepuss Oct 2014 #120
Here's the thread with link info: Ilsa Oct 2014 #121
If that is true, that's mind boggling. LisaL Oct 2014 #122
thread: Ilsa Oct 2014 #123
This message was self-deleted by its author ann--- Oct 2014 #126
It's being covered on CBS and now CNN. Ilsa Oct 2014 #127
She wasn't told not to fly. LisaL Oct 2014 #128
That is my understanding as well. nt arthritisR_US Oct 2014 #141

LisaL

(44,973 posts)
1. People do a lot of things they are told not to do.
Wed Oct 15, 2014, 04:06 PM
Oct 2014

As we all have seen.
Mr. Duncan claimed he wasn't in contact with anyone sick.
People put in voluntary quarantine were seen out and about.
And the nurse flew to another state, then flew back (already with a fever).

snagglepuss

(12,704 posts)
116. True but unlike Duncan she is a nurse and American and has health insurance.
Wed Oct 15, 2014, 07:17 PM
Oct 2014

If she was told not to fly but did anway she should be charged.

 

WinkyDink

(51,311 posts)
140. She might be lying. But even so, she knew her situation and, as a nurse, as a human being, should
Thu Oct 16, 2014, 06:28 PM
Oct 2014

not have tried to use the CDC like a kid getting permission from Dad, when Dad doesn't really know the whole story.

 

elehhhhna

(32,076 posts)
2. with a fever per new cdc info
Wed Oct 15, 2014, 04:07 PM
Oct 2014

true aashole, she is. And now her mom is flying commerciaL to Dallas. Stupid
Fycking idiots.

LisaL

(44,973 posts)
18. I presume she was in contact with mother while visiting her family in OH.
Wed Oct 15, 2014, 04:18 PM
Oct 2014

Now her mother is apparently flying all over the place.
Shouldn't mother be in quarantine somewhere?

ecstatic

(32,704 posts)
30. This is crazy! I'm picturing how my family would have handled things
Wed Oct 15, 2014, 04:25 PM
Oct 2014

if, while I was visiting from out of town, we learned that there was a protocol breach and one of my coworkers was officially diagnosed with ebola. They would have insisted that I stay my ass there and they would have called the CDC the second my temperature started to spike. Sending me on my way via plane wouldn't have happened. What were they thinking?!

LisaL

(44,973 posts)
7. Why is mother even flying to Dallas, when this nurse is being transferred to Emory?
Wed Oct 15, 2014, 04:10 PM
Oct 2014

We can't do voluntary quarantines, clearly people don't listen.
They should be put under mandatory quarantines, and arrested if they break them.
Then put in a isolated jail cell.

 

B2G

(9,766 posts)
15. From what I read, she was on a plane
Wed Oct 15, 2014, 04:16 PM
Oct 2014

before they announced she was being transferred to Emory. So that's now 2 filghts.

LisaL

(44,973 posts)
86. Where the hell is that mother now?
Wed Oct 15, 2014, 05:49 PM
Oct 2014

Should we contact someone and tell them to look for her?
Mother is a direct contact.
A person who was in contact with the first nurse is in isolation in the hospital.
On the other hand, mother is reportedly flying somewhere.
That makes me very nervous.

upaloopa

(11,417 posts)
78. I remember people saying that about HIV victims.
Wed Oct 15, 2014, 05:20 PM
Oct 2014

Let's build camps and put all the aids patients in them.

Body fluids remember. It is not an air born disease.

Ms. Toad

(34,072 posts)
80. Ebola is easier to transmit than HIV.
Wed Oct 15, 2014, 05:36 PM
Oct 2014

In the very short lifespan one has ebola, each individual is expected to transmit it (on average) to 2 individuals. HIV - with a far longer lifespan with the disease, each individual is expected to transmit it (on average) to 4 individuals.

Because the average lifespan of an individual with HIV/AIDS is well more than double the average lifespan of an individual with ebola, that tells you that it is far easier to transmit ebola than it is to transmit HIV/AIDS, even though both have similar means of transmission.

Ms. Toad

(34,072 posts)
88. Really?
Wed Oct 15, 2014, 05:50 PM
Oct 2014

Seems Mr. Duncan already hit his average of 2.

And I have no idea why you would suggest ebola in Africa is different than here, since we now have the first case here that may rapidly create a new, higher, reproduction rate for here .... Once we have experience, we may well find it is different - and I would not be surprised to find it is worse because people in Africa are far less likely to hop on planes and spread it rapidly about the country. Not to mention that most facilities here have zero experience dealing with Ebola here - whereas in Africa they at least have experience (at least in disease recognition, if not effective transmission precautions).

Only time will tell - but for now what we have to go on is a reproduction rate (R2) based on the experience in Africa, and patient 0 in the US with his own personal reproduction rate of at least R2.

upaloopa

(11,417 posts)
90. Well in a village with Ebola people don't take the
Wed Oct 15, 2014, 05:53 PM
Oct 2014

proper precautions and they handle the dead body thus more are infected by one patient which ups the average.
And an average needs more than Duncan to calculate.

Ms. Toad

(34,072 posts)
93. That's kind of my point.
Wed Oct 15, 2014, 06:02 PM
Oct 2014

Your contention was that it is different here. ALL we have to go on is what it is where ebola is prevalent. And that is R2.

There are factors which make it likely to be lower (handling dead bodies more carefully, for one)
There are factors which make it likely to be higher (non-recognition of a disease virtually no one has seen, scores more care providers coming into contact with each patient (I can't imagine 70 care providers in Africa), prevalence of travel to far flung places), and the superiority complex of those providing care - which breeds carelessness (that we're not Africa; of course we can contain it) to name four.

Only time will tell. But for now, what we have is R2 over a very short period of time (ebola) v. R4 (over decades). Not only a theoretical R2, but patient 0 who has already infected 2, and may well be established to have infected more than 2 in his very short illness. That makes ebola much more contagious, so the quarantine concerns regarding HIV/AIDS are quite different - based on what we currently know - than concerns about what is needed to contain ebola, even though the mechanism of transmission is similar.

upaloopa

(11,417 posts)
95. Maybe go to Madow blog she explained it better than I ever can
Wed Oct 15, 2014, 06:06 PM
Oct 2014
http://www.msnbc.com/msnbc/dr-daniel-bausch-answers-8-ebola-questions

“I don’t foresee the worst-case scenario – you know, having tens or hundreds of thousands of cases of Ebola in the United States – that’s extremely unlikely.”Dr. Daniel Bausch, Ebola expert

Ms. Toad

(34,072 posts)
108. None of that contradicts anything I've said.
Wed Oct 15, 2014, 06:42 PM
Oct 2014

(Aside from which it was written when we were still smugly self-satisfied that we were too sophisticated for transmission to take place here).

My point is that the HIV/AIDS situation, in which each patient transmitted the disease to an average of 4 contacts over a couple of decades of living with the disease is not comparable to this situation, because ebola is much more easily transmitted - as evidenced by the fact than in a space of 2 weeks or so each patient infects 2 new individuals (on average).

In other words - it takes an HIV/AIDS patient half of the couple of decades (or more) s/he lives with HIV/AIDS, on average, to infect the same number of individuals which the ebola patient 0 has infected in 2 weeks. That is because despite the similarity in transmission modes, ebola is easier to catch than HIV/AIDS.

Granted, it is nowhere near as easily transmitted as chicken pox, or SARS, or any number of other diseases (which the blog uses to make the point of the low risk of catching ebola). But those diseases are not the one you chose to compare it to - and it is easier to transmit than HIV/AIDS.

upaloopa

(11,417 posts)
111. Fine. We have nothing to fear from Ebola
Wed Oct 15, 2014, 06:44 PM
Oct 2014

That is my story and I stick to it.
Now we have MSNBC and Shep Smith on Fox saying so.
This is all media hype.

snagglepuss

(12,704 posts)
117. What makes it virulent is the massive amount of virus in an infected person and needs only to land
Wed Oct 15, 2014, 07:20 PM
Oct 2014

on a tiny cut or someone with it on theri hands to rub their eye.

 

B2G

(9,766 posts)
3. With a fever
Wed Oct 15, 2014, 04:08 PM
Oct 2014

She knowingly flew with a fever.

After having cared for an ebola patient who died.

What the holy fuck was she thinking.

And aren't all of those HCWs who are self monitoring on a no-fly list?

RiffRandell

(5,909 posts)
63. The only medical experience I have is taking care of my
Wed Oct 15, 2014, 04:57 PM
Oct 2014

kids when they are sick and being a caregiver to my husband during his battle with cancer.

I just told him it seems I have more knowledge/common sense than some of the staff at THP with degrees in the medical field.

I mean, I think the fact that Duncan recently returned from Liberia would have been an important piece of information that should have been passed on during his first visit to the hospital.

After being exposed, having a fever and flying anyway is downright stupid and/or selfish. I don't care if it was 99.5.

If I were her it would have crossed my mind that I might be infected and called the people that were supposed to be monitoring me and expressed my concerns, not gotten on a commercial flight.







notadmblnd

(23,720 posts)
73. if she survives, she should be charged with a crime
Wed Oct 15, 2014, 05:07 PM
Oct 2014

this is a health care worker who damn well knows better.

Warpy

(111,261 posts)
5. The passenger who flew into Nigeria sick with it
Wed Oct 15, 2014, 04:10 PM
Oct 2014

didn't infect his seat mates.

He did infect the person who helped him off the plane.

Nigeria acted very aggressively to contain the infection.

Ebola requires close, physical contact. That is why it's deadly to nurses who work at hospitals where cost cutting is king and suits know nothing about the job nurses do.

LisaL

(44,973 posts)
9. She is a medical professional.
Wed Oct 15, 2014, 04:12 PM
Oct 2014

Doesn't she supposed to know better?
Furthermore, if one person with Ebola didn't infect other people on the plane, we can not assume that nobody with Ebola would infect other people on the plane.

Warpy

(111,261 posts)
25. You really don't get it
Wed Oct 15, 2014, 04:24 PM
Oct 2014

She needed to stay home. If there wasn't a compelling reason for her to travel like a family member in intensive care or a funeral, she's likely to face charges of one description or another and possibly the loss of her license.

She wasn't sick when she flew. People who aren't sick don't spread the infection, which lives in vomit and diarrhea and blood. It doesn't live on surfaces and sunlight kills it. Sneezing and coughing don't spread it. Close physical contact is required.

Remember, Mr. Duncan's family has so far been negative and they occupied the same living space when he was very sick with it. It's not an easy virus to catch unless one is in close physical contact with a person who is sick, not simply exposed and not yet sick.

LisaL

(44,973 posts)
29. She already has symptoms when she flew back to Dallas.
Wed Oct 15, 2014, 04:25 PM
Oct 2014

She had a fever, which is a first symptom of Ebola.
So it's a lie that she was not symptomatic.

Baitball Blogger

(46,709 posts)
38. Actually, sneezing carries droplets which do qualify as bodily fluids.
Wed Oct 15, 2014, 04:31 PM
Oct 2014

I believe there was an update that pointed out that sneezing was a concern.

Warpy

(111,261 posts)
56. Ebola is not.an.upper.respiratory.virus
Wed Oct 15, 2014, 04:41 PM
Oct 2014

Contaminated body fluids are blood, vomit and diarrhea. While the virus is present in sweat and saliva, no transmission from either sweat or saliva has been documented. Transmission has occurred from semen up to 3 months after recovery from the disease, and from breast milk for several weeks after recovery.

The problem is that when it hits, it hits very quickly. People go from a slight headache to deathly ill in hours, which is why people with known exposure should not fly.

She probably believed that her coworker had broken (inadequate) protocol. She probably believed that (inadequate) protocol protected her and the headache was unconnected.



Baitball Blogger

(46,709 posts)
58. Edited to get WHO's exact comments.
Wed Oct 15, 2014, 04:44 PM
Oct 2014

Last edited Wed Oct 15, 2014, 06:14 PM - Edit history (1)


Common sense and observation tell us that spread of the virus via coughing or sneezing is rare, if it happens at all. Epidemiological data emerging from the outbreak are not consistent with the pattern of spread seen with airborne viruses, like those that cause measles and chickenpox, or the airborne bacterium that causes tuberculosis.

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.

http://www.who.int/mediacentre/news/ebola/06-october-2014/en/

Baitball Blogger

(46,709 posts)
94. Is it bad?
Wed Oct 15, 2014, 06:04 PM
Oct 2014

I'll delete it if you think it's an unreliable source. I thought they were seeking information that the mainstream media were censoring.

Baitball Blogger

(46,709 posts)
102. I found the original WHO statements and linked to their website.
Wed Oct 15, 2014, 06:15 PM
Oct 2014

Let me know if this is still problematic.

SidDithers

(44,228 posts)
105. Thanks...
Wed Oct 15, 2014, 06:17 PM
Oct 2014

I hate directing any traffic towards the rense / Alex Jones / globalresearch / whale.to / type conspiracy sites.

Cheers,
Sid

Warpy

(111,261 posts)
68. Still, no documented transmission
Wed Oct 15, 2014, 05:00 PM
Oct 2014

It's not an upper respiratory virus, although virus is present in saliva. Virus is present in saliva with HIV, too, but it's an incredibly inefficient way to transmit the virus.

The virus is fragile and has a very limited lifespan outside the human body. Sunlight kills it, as does UV-D. A contaminated surface would have to be freshly contaminated with blood, vomit, or diarrhea. You wouldn't want to touch it in any case.

Warpy

(111,261 posts)
137. I'm looking at the HIV model
Thu Oct 16, 2014, 06:21 PM
Oct 2014

It was theoretically possible there, too, but it has yet to happen. It scared the hell out of non medical people until they got tired of being scared.

Oral transmission occurred when both people had bleeding gums or other dental problems.

Baitball Blogger

(46,709 posts)
138. The unease will be erased over time.
Thu Oct 16, 2014, 06:24 PM
Oct 2014

At least with Ebola we have forty years of information to work with, so we'll accept this fact sooner.

Drahthaardogs

(6,843 posts)
99. CDC info states that saliva may or may not have a sufficient viral load
Wed Oct 15, 2014, 06:11 PM
Oct 2014

in the late stages of infection to infect other people.

It is, as of yet, not proven one way or another.

Baitball Blogger

(46,709 posts)
100. I found the direct info from WHO.
Wed Oct 15, 2014, 06:13 PM
Oct 2014


Common sense and observation tell us that spread of the virus via coughing or sneezing is rare, if it happens at all. Epidemiological data emerging from the outbreak are not consistent with the pattern of spread seen with airborne viruses, like those that cause measles and chickenpox, or the airborne bacterium that causes tuberculosis.

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.

http://www.who.int/mediacentre/news/ebola/06-october-2014/en/

Warpy

(111,261 posts)
135. There is no documented case of transmission through upper respiratory fluids
Thu Oct 16, 2014, 05:26 PM
Oct 2014

Transmission has come from emesis, feces, blood, semen, breast milk, and one case of spray during the decontamination procedure. The nurse/doctor and the man using the hose were protected. The camera man was not.

As yet, sneezing is a "well, maybe, but not yet."

ecstatic

(32,704 posts)
50. That's not entirely true. Researchers "do not know" if asymptomatic
Wed Oct 15, 2014, 04:37 PM
Oct 2014

ebola carriers are contagious. They say it's unlikely based on decades old research that covered isolated, small outbreaks. But this outbreak is obviously not small or isolated. It's unprecedented. Also, ebola is now in a new environment--the United States.

TorchTheWitch

(11,065 posts)
133. another mistake the CDC made
Thu Oct 16, 2014, 03:15 PM
Oct 2014

They did not offer any quarantine protocols for any of the hospital workers that were in direct contact with Mr. Duncan though they have with other people with far less contact. The CDC erroneously believed that their inadequate protocol was so perfect that none of the workers would possibly become infected.

The CDC is THE authority on infectious disease, preparedness and containment. Since the CDC did not offer ANY quarantine measures for those workers that cared for Mr. Duncan there is no reason for those people to believe that they needed to take them. Though I personally wouldn't have believed that I'd been sufficiently protected while caring for Mr. Duncan and would not have traveled personally putting myself in a voluntary quarantine, I'm not the one being schooled by the CDC or accustomed to doing so.

The average health care professional is NOT schooled in BSL-4 infection since so very few in the country are. The average health care professional never comes into contact with such patients or their samples. This is the CDC's job... to provide correct information, protocols, guidelines, etc. for any infectious disease. The entire health care system including all it's workers are accustomed and directed that the CDC is THE authority and for anything they don't know to get their direction from them. That's what she did, and that's what she was SUPPOSED to do.

countryjake

(8,554 posts)
91. Liberian-American Patrick Sawyer, which is who Warpy is referring to...
Wed Oct 15, 2014, 05:54 PM
Oct 2014

was so sick on July 20 during his flight from Monrovia to Lagos, that he needed to be helped off that plane. He passed out right there in the Nigerian airport and died from Ebola on July 24. His traveling companion, who helped him while he was vomiting during the flight and continued to assist him off the plane into the concourse where he collapsed, came down with the disease in August, and subsequently infected several Nigerian healthcare workers, but he, himself, recovered.

No one else on the flights he took to get from Liberia to Nigeria caught Ebola.

Patrick Sawyer's sister had died of Ebola in Liberia two weeks before he died in Nigeria.

Warpy

(111,261 posts)
134. He sure as hell was in that apartment
Thu Oct 16, 2014, 05:24 PM
Oct 2014

after the hospital turned him away with some antibiotics and a pat on the head!

Yet none of his relatives has become ill and they're at the upper limit of the incubation period.

Warpy

(111,261 posts)
60. He wasn't suited up and was taping a decontamination area.
Wed Oct 15, 2014, 04:54 PM
Oct 2014

The decontamination area was outdoors and consisted of a garden hose spraying a water and Clorox combination onto a full barrier suit. The person with the hose was also in a full barrier suit. He most likely got it from fine spray.

Moral of the story: use a telephoto lens, guys.

TorchTheWitch

(11,065 posts)
132. The person that flew into Nigeria while ill was a diplomat in his own plane
Thu Oct 16, 2014, 02:50 PM
Oct 2014

The entire infection in Nigeria was caused by him. Because he was a wealthy diplomat he went in his personal private plane to his big spread in Nigeria where the space alone helped to contain the outbreak caused by him. Something like nine people became infected by him or it was nine or so that died.

Because he used his private plane Nigeria didn't get a massive outbreak because of him as his direct contacts were extraordinarily minimal.

He was in an Ebola ward either already showing symptoms or in the quarantine area for those people that may be infected but not yet showing symptoms. He broke out of the clinic like many others have done and left the country back to Nigeria in his private plane.

I'm going off the top of my head here from what a learned about him a day or so ago. This is discussed in this video about the outbreak in Liberia. I can't remember at what point in the video that this is discussed...



In any case, the whole video is very good.



countryjake

(8,554 posts)
142. According to WHO, Sawyer flew on commercial flights
Thu Oct 16, 2014, 08:37 PM
Oct 2014

from Monrovia, Liberia, to Lomé, Togo, to Lagos, Nigeria. The government of Nigeria and the Togo-based carrier, ASKY Airline, tracked and monitored almost 200 passengers and the flight crews from those flights throughout the month of August.

Could you please provide a link to the info which states that Patrick Sawyer used a private plane?

TorchTheWitch

(11,065 posts)
143. I don't know his name
Thu Oct 16, 2014, 09:23 PM
Oct 2014

Apparently, you know more than I about this. I had watched a documentary in which there was a part about some guy that was a diplomat flew on his own plane from Liberia to Nigeria and had infected others. Is Sawyer a diplomat? I don't know if we're talking about the same person or different persons. All I know is what I learned from the video and I don't recall they ever gave his name. I'll have to watch it again and find out more than I recall off the top of my head.

I did provide the link to the video, did it not show up? If not, here it is again...



HereSince1628

(36,063 posts)
6. The US ebola cases are stretching many assumptions about believibility
Wed Oct 15, 2014, 04:10 PM
Oct 2014

Will staff under voluntary monitoring comply with travel restrictions? Apparently not.

Is the chance of further infection in a US hospital virtually NIL? Apparently not.

Do nurses have the experience with PPE they need to remain safe? Apparently not.

Collectively? It's a huge WTF!!!!!!!!!! of unbelievability.


LisaL

(44,973 posts)
17. Will staff get on the plane and fly, while having a fever?
Wed Oct 15, 2014, 04:17 PM
Oct 2014

Yes.
She had a fever and yet she got on commercial flight and flew.

HereSince1628

(36,063 posts)
46. In a city of millions, a bus or train rider can also expose myriads.
Wed Oct 15, 2014, 04:36 PM
Oct 2014

and because of the physical contact common in subways, buses it may be more likely than on an airplane.

bklyncowgirl

(7,960 posts)
40. What about a crowded subway at rush hour?
Wed Oct 15, 2014, 04:32 PM
Oct 2014

Good thing this didn't happen in New York. I've had close physical contact with more strangers over the years than I care to think about.

No public transportation, no way, no how should be the rule.

 

amandabeech

(9,893 posts)
49. You're not supposed to take public transportation at all.
Wed Oct 15, 2014, 04:37 PM
Oct 2014

No planes, trans, buses, subways, ferries or anything else you can think of.

Warpy

(111,261 posts)
36. Do hospitals provide the equipment and facilities to keep nurses safe?
Wed Oct 15, 2014, 04:31 PM
Oct 2014

That would be a no. We haven't had to deal with any other bug as infectious as this one and hospital suits have not paid attention to what is going on in west Africa, although doctors and nurses have.

I sincerely hope they will now get the gear and provide an isolation area where decontamination showers can be had. The gear that protected us against HIV and MRSA is woefully inadequate for Ebola. The hospital cost cutters are going to have to cave on this one.

We don't know why this nurse felt the need to break quarantine and travel. My guess is that it wasn't for shits and giggles. She'll probably lose her license over it even if charges aren't filed.

 

amandabeech

(9,893 posts)
53. Why she didn't call the CDC from her folks home, and have herself driven
Wed Oct 15, 2014, 04:39 PM
Oct 2014

to the hospital in the Akron/Cleveland area recommended by the CDC is also odd.

The Cleveland Clinic must have some infectious disease unit, for heaven's sake.

 

kestrel91316

(51,666 posts)
64. She's "getting married" and traveled to Cleveland to plan her wedding and visit her mom and fiance.
Wed Oct 15, 2014, 04:58 PM
Oct 2014

It was obviously imperative that she do so in spite of the risk to all involved.

Warpy

(111,261 posts)
70. Yeah, her license is going to be pulled, or should be
Wed Oct 15, 2014, 05:01 PM
Oct 2014

Then again, it's Texas. They might let her keep it.

npk

(3,660 posts)
22. Of course
Wed Oct 15, 2014, 04:21 PM
Oct 2014

But one might have a little more faith that a nurse who has just been treating a man for Ebola, a Man who incidentally recently died of the disease, would use slightly better judgement than the average person. This is why police offices have to lock people n the homes for mandatory quarantined. Why the national guard has to restrict peoples movements. So the next time people complain about their rights being taken away, they might have a little better understanding of why it's happening.

JI7

(89,249 posts)
11. since people are not following what they should in terms of movement/travel
Wed Oct 15, 2014, 04:14 PM
Oct 2014

what should be done ?

the same thing happened with that doctor working for nbc or some other news. didn't duncan's family not follow it either. and now this.

 

B2G

(9,766 posts)
19. We have a no-fly list for a reason.
Wed Oct 15, 2014, 04:19 PM
Oct 2014

Put them on it until the quarantine period is over.

It's not that hard to do.

ecstatic

(32,704 posts)
12. Was she told not to fly?
Wed Oct 15, 2014, 04:14 PM
Oct 2014

Has that been confirmed. I just heard Friedman say that she should not have flown, not that she was specifically told not to.

That being said, if her departing flight was after Pham's diagnosis, she shouldn't have flown, regardless of what they told her. At the same time, the CDC shouldn't assume that potential infected will act responsibly. What a mess!

LisaL

(44,973 posts)
13. The departing flight back to Dallas was after diagnosis, and she already had a fever when she flew.
Wed Oct 15, 2014, 04:16 PM
Oct 2014

Which is absolutely ridiculous.
How could she not know better?

LisaL

(44,973 posts)
33. I don't follow.
Wed Oct 15, 2014, 04:28 PM
Oct 2014

Her mistaken choice was due to being sick?
She shouldn't have been flying to begin with, let alone with a fever.

In_The_Wind

(72,300 posts)
48. I agree she shouldn't have flown the first time.
Wed Oct 15, 2014, 04:36 PM
Oct 2014

Clearly she wasn't thinking correctly when she took the return flight. I'm suggesting that having a fever might have prevented her from thinking things through.

Autumn

(45,084 posts)
35. Maybe her wedding planning was more important than the fear of spreading a deadly disease.
Wed Oct 15, 2014, 04:30 PM
Oct 2014

Of course she had to have known better.

JI7

(89,249 posts)
24. it's clear that health care workers are not that informed or getting the training they need
Wed Oct 15, 2014, 04:23 PM
Oct 2014

i'm not a health care worker but if someone who had been to a country with ebola came to the hospital i would suspect ebola could be possible right away.

and i don't think i would need training to know that i should not fly and limit my contact until a certain period of time after treating someone with ebola.

npk

(3,660 posts)
28. Yes CDC ordered all staff at the Texas medial center to avoid flying and public transprtation.
Wed Oct 15, 2014, 04:25 PM
Oct 2014

All of the nurses and personnel who treated Duncan were told specifically not to fly, regardless of whether they were symptomatic. They were to be self-monitoring for 21 days and avoid large crowds of people.

npk

(3,660 posts)
47. Here is one link, but it's been all over the news for weeks
Wed Oct 15, 2014, 04:36 PM
Oct 2014
http://www.cleveland.com/healthfit/index.ssf/2014/10/dallas_ebola_patient_should_no.html

CDC has said time and again that these people should not be getting on airplanes or using public transportation and that their movements should be "controlled" and private charters should be used instead of commercial flights.

HereSince1628

(36,063 posts)
67. Looks to me like she complied...
Wed Oct 15, 2014, 05:00 PM
Oct 2014

The cdc knew within 21 days that she had used public transportation.

What?

LisaL

(44,973 posts)
69. It also says it's unclear if woman even knew of these requirements.
Wed Oct 15, 2014, 05:00 PM
Oct 2014

Did anybody tell these nurses they shouldn't be flying all over the country?

npk

(3,660 posts)
75. The protocol is in every hospital in the US
Wed Oct 15, 2014, 05:12 PM
Oct 2014

Any person exposed to an infectious disease is not supposed to fly. This was only enhanced protocol after the first case of Ebola here in US was confirmed. She along with all the other nurse were, again according to the info that the CDC has given, were to be adhering to self voluntary quarantine and they were given proper guidelines for travel.

Now the people that have possibly been exposed is much larger and it may lead to involuntary quarantine should these cases continue to spread.

Regardless she knew she had a fever and flew back to Dallas anyway. She was very careless in her actions and considering how deadly this disease is and her first hand knowledge of its mortality, she should have known better

LisaL

(44,973 posts)
84. I am not arguing that she wasn't carelles.
Wed Oct 15, 2014, 05:45 PM
Oct 2014

But did anybody actually tell them to not fly?
Because expecting people should have known something and people knowing something is not one and the same.
What were they told of what they should be doing while self-monitoring?

LisaL

(44,973 posts)
97. That link again says they were supposed to not have been traveling.
Wed Oct 15, 2014, 06:08 PM
Oct 2014

Doesn't say they were instructed on it.
Because they certainly complained they didn't know the protocols, etc.

Tweedy

(628 posts)
96. Protocols should be known
Wed Oct 15, 2014, 06:06 PM
Oct 2014

When there is a protocol, health care workers must follow it. Otherwise, we must reinvent the wheel each and every time. This hospital is a mess. If we had an epidemic, hospitals must follow protocol, because there are not enough people working for the cdc to tell everyone their jobs.

LisaL

(44,973 posts)
98. They should have, but they weren't necessarily.
Wed Oct 15, 2014, 06:09 PM
Oct 2014

I am very curious as to what they were instructed to do and not to do.

Tweedy

(628 posts)
118. Hospital's job
Wed Oct 15, 2014, 07:21 PM
Oct 2014

I agree with you. Yet, we need our hospitals to actually read protocols and inform their employees.

ecstatic

(32,704 posts)
115. Judge Jenkins is now saying that the hospital was not instructed by the CDC
Wed Oct 15, 2014, 07:10 PM
Oct 2014

to tell the workers not to fly. Again, it's something you'd think the hospital, as well as affected staff, would already know.

npk

(3,660 posts)
52. She was suposed to be controlling her movements and avoiding people.
Wed Oct 15, 2014, 04:38 PM
Oct 2014

She was told to use "voluntary quarantine", much like the NBC reporter was. But again people can't follow instructions.

Louisiana1976

(3,962 posts)
41. How could that nurse have been that stupid? She must have thought being told not to fly didn't
Wed Oct 15, 2014, 04:32 PM
Oct 2014

apply to her.

LisaL

(44,973 posts)
74. That mom reportedly flew to Dallas.
Wed Oct 15, 2014, 05:09 PM
Oct 2014

Where is mom now?
Is she flying to Atlanta?
Why is mom flying all over the place?

Ms. Toad

(34,072 posts)
82. Anything I have seen says that she "should not have" flown
Wed Oct 15, 2014, 05:44 PM
Oct 2014

not that she was told she should not have flown.

npk

(3,660 posts)
87. They were told not fly according to link
Wed Oct 15, 2014, 05:49 PM
Oct 2014
http://www.ajc.com/news/news/breaking-news/texas-ebola-patient-headed-to-emory/nhjsK/

Now if you distrust the CDC that is another issue, but according to everything I have read and heard they were told not to fly.

Ms. Toad

(34,072 posts)
92. No it doesn't.
Wed Oct 15, 2014, 05:55 PM
Oct 2014
The latest Texas nurse infected with the virus had a temperature of 99.5 degrees before she boarded a plane headed from Cleveland to Dallas, the CDC reported. All health care workers who came into contact with the Liberian patient, Thomas Eric Duncan, in Dallas were supposed to be self-monitoring themselves for signs of the disease, including fever. Ebola is only contagious after an infected person begins showing symptoms.

None of the workers were supposed to take any form of public transportation, including airplanes, while being monitored. It can take up to 21 days for someone infected with Ebola to begin showing symptoms. The first symptoms include sudden onset of fever, fatigue, muscle pain, headache and sore throat, according to the World Health Organization.


That expresses the theory - what it doesn't say, and what none of the quotes I have heard or read say, is that she was actually told she was not supposed to take any form of public transportion. Theoretical protocols - and being told what those theoretical protocols are are two different things. I've written enough weaselly public statements, designed to convince listeners that what should have happened, did happen, to recognize what they are not saying - no one has yet confirmed that she was actually informed she was not to take public transportation.

Response to npk (Original post)

Kalidurga

(14,177 posts)
45. there are things beyond my comprehension
Wed Oct 15, 2014, 04:35 PM
Oct 2014

this is one of them. I have a really long list. It's full of things on this level of I don't get it.

 

kestrel91316

(51,666 posts)
59. But nurses are perfect in all they do and are incapable of doing anything so FUCKING STUPID.
Wed Oct 15, 2014, 04:53 PM
Oct 2014

So say a number of DUers.

 

Darb

(2,807 posts)
79. Not sure, but she did fly back with a fever, so......
Wed Oct 15, 2014, 05:34 PM
Oct 2014

not such a good idea. I would expect her to call her superiors and say she had a fever and ask what exactly to do next. Then wait for the cavalry. Go to the airport and fly home? She should have known better I would say.

LisaL

(44,973 posts)
85. She should have called 911 in Cleveland.
Wed Oct 15, 2014, 05:47 PM
Oct 2014

Told them she was in direct contact with an Ebola patient and had a fever.
Cleveland has very good medical system.
They could have held her in isolation until she was transported to Emory on a private plane.
Instead she got on commercial airliner.
I find that disgusting.

 

LanternWaste

(37,748 posts)
131. I think the same number of DUers believe the corollary...
Thu Oct 16, 2014, 02:28 PM
Oct 2014

I think the same number of DUers believe the corollary, also...




Six of one, half a dozen of the other.

liberalhistorian

(20,818 posts)
71. "Told not to fly"?
Wed Oct 15, 2014, 05:05 PM
Oct 2014

Why wasn't she quarantined and refused permission to fly in the first damned place? People like her infuriate me. Selfish, self-absorbed, thoughtless, thinking they know better, thinking only of themselves first and to hell with their affect on others as long as they get what they want. Kinda reminds me of anti-vaxxers, frankly. And she was a NURSE, for Christ's sake, she should damn well have known better.

If she survives, she should be criminally prosecuted, frankly.

hedgehog

(36,286 posts)
72. Perhaps airlines could help by refunding tickets for people who shouldn't fly?
Wed Oct 15, 2014, 05:07 PM
Oct 2014

The lowest price I found on Kayak was $305 round trip. Figure the nurse's take home is about $25 an hour

http://www.glassdoor.com/Salaries/dallas-registered-nurse-salary-SRCH_IL.0,6_IM218_KO7,23.htm

that's a day and a half's pay.

By the way, prayers and hopes go out for her full recovery.

LostInAnomie

(14,428 posts)
83. If a sum of $305 is all it takes to cause for her to risk the health...
Wed Oct 15, 2014, 05:44 PM
Oct 2014

... of others after being exposed to a highly infectious and highly deadly disease, she is a total sack of shit.

etherealtruth

(22,165 posts)
76. I am at a loss how a health care professional (BSN, ADN ????) ....
Wed Oct 15, 2014, 05:16 PM
Oct 2014

.... could think this was a "good idea" .... t doesn't matter if she was told NOT to do this ... this is something her knowledge (through her education) would have told her ....?

Response to npk (Original post)

Ilsa

(61,695 posts)
114. CBS is reporting that she called the CDC before flying.
Wed Oct 15, 2014, 06:56 PM
Oct 2014

Keep in mind that "99.5" isn't considered to be a full-blown fever. CBS reports that the CDC told her that she was okay to fly because she didn't have a full blown fever (usually considered over 100°). They said she called the CDC more than once.

snagglepuss

(12,704 posts)
120. This is effing unbelievable. I am utterly shocked of CDCs carefree attitude
Wed Oct 15, 2014, 07:27 PM
Oct 2014

I don't know if carefree is the word I'm looking for but I am rendered speechless. Have they never effing heard of erring on the side of caution?

LisaL

(44,973 posts)
122. If that is true, that's mind boggling.
Wed Oct 15, 2014, 07:29 PM
Oct 2014

CDC director claimed she shouldn't have been flying at all.
Let alone with the fever.

Response to Ilsa (Reply #114)

Ilsa

(61,695 posts)
127. It's being covered on CBS and now CNN.
Wed Oct 15, 2014, 08:09 PM
Oct 2014

Friedman didn't deny she called; he just said she shouldn't have flown.

Sanjay Gupta says on cnn right now that her calls to the CDC have been verified through "government officials". She was given no guidance. (But she should have known better.)
She would not have been allowed to fly in Liberia.

LisaL

(44,973 posts)
128. She wasn't told not to fly.
Wed Oct 15, 2014, 08:11 PM
Oct 2014

It's the opposite. CDC confirmed they allowed her to go on her trip and then to fly back when she developed a fever.

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