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CDC confirms first Ebola case diagnosed in US

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Re: CDC confirms first Ebola case diagnosed in US

#91
post #75

Am I one of the minorities who believe that this hype about Ebola is more sensationalism and news than an actual pandemic we should be fearful for? Let's take a lot at what we can agree on: * The number of cases of infected patients is fairly small. * The vector of transmission is fluid exchange, so that reduces its ability to spread. * The virus doesn't appear to lie dormant, and is only contagious when the patient…

Is the current media frenzy "sensationalism"? Yes.

Is there a risk here? Yes, a small one.

I understand, but am frustrated by, the number of people who keep repeating "it's not airborne", as if this is some kind of definitive argument that a virus cannot spread here.

Something like 80% of cold/flu infections happen via "bodily fluids" -- people snot on a surface, someone else touches the surface, then touch their face, etc. This is an effective means of virus transmission. A virus doesn't need to be airborne for a pandemic to occur.

That said, we have a number of advantages over rural Africa in dealing with illnesses -- we have high standards of sanitation, good electricity, clean water, and our population is generally not afraid of physicians (with notable exceptions in some minority communities). But our biggest advantage, by far, is that Ebola isn't endemic here. Our best and most effective screen is "have you been to Africa recently?"

If that screen loses its effectiveness, you start to have to worry about every patient presenting with a fever and diarrhea, and the epidemiology becomes quite difficult. We're not really prepared for everyone with a fever and vomiting showing up at the emergency room...and it won't take many patients (a few thousand, say) for things to get tense.

Re: CDC confirms first Ebola case diagnosed in US

#92
post #75

Am I one of the minorities who believe that this hype about Ebola is more sensationalism and news than an actual pandemic we should be fearful for? Let's take a lot at what we can agree on: * The number of cases of infected patients is fairly small. * The vector of transmission is fluid exchange, so that reduces its ability to spread. * The virus doesn't appear to lie dormant, and is only contagious when the patient…

The likelihood of any kind of pandemic is extremely low, sure. However, your dismissal of this epidemic and its impact is arrogant and disgusting.

It’s still a disaster in the affected countries, with many knock-on effects. Also, it would have been better to spend more money earlier to prevent unnecessary deaths.

This Ebola epidemic is actually something people hardly care about. Hardly anyone is donating, for example.

Help is needed. Actually. For real. And with better support and a better reaction this could have turned out better.

Re: CDC confirms first Ebola case diagnosed in US

#94

Earlier quoted context omitted.

If it mutates and becomes airborne, it might be. That's why containment is so important, even if it doesn't seem so threatening in its current form. Viruses constantly mutate, and every extra person they infect gives them a million more opportunities to do so. All it takes is one of those mutations to make the virus airborne, and we're in big trouble.

> All it takes is one of those mutations to make the virus airborne, and we're in big trouble. Except that the mutation to go from a fluid to airborne virus isn't one mutation it's lots of mutations and that is simple not what we see happening in general. The common cold could mutate into a super deadly virus but it doesn't, Flu usually doesn't either but rarely does (you want to see a genuinely terrifying virus at w…

>Except that the mutation to go from a fluid to airborne...is not what we see happening in general

I've written a bit about infectious diseases but defer to virologists or other folks who are better informed. I do remember reading these two articles about airborne transmission of Ebola, which might be what the previous poster was thinking about:

http://www.nature.com/srep/2012/121115/srep00811/full/srep00... EBOV infection in swine affects mainly respiratory tract, implicating a potential for airborne transmission of ZEBOV2, 6. Contact exposure is considered to be the most important route of infection with EBOV in primates7, although there are reports suggesting or suspecting aerosol transmission of EBOV from NHP to NHP8, 9, 10, or in humans based on epidemiological observations11

http://www.nytimes.com/2014/09/12/opinion/what-were-afraid-t... If certain mutations occurred, it would mean that just breathing would put one at risk of contracting Ebola. Infections could spread quickly to every part of the globe, as the H1N1 influenza virus did in 2009, after its birth in Mexico. --Michael T. Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota

Re: CDC confirms first Ebola case diagnosed in US

#95
I'm having a hard time accepting the "everyone should stop being stupid and stop panicking about Ebola" argument. To me, an uneducated observer, the problem only appears to be getting worse. And it has gotten significantly worse in spite of all the reassurances that it would not get worse.

i think a lot of the vitriol aimed at people who are worried and a little freaked out by Ebola is unfair. People have lost their minds over much easier to understand and less worrying issues before and those peoples concerns have been met with respectful, educated correction. Now it seems to have descended into name calling and ridicule.

Re: CDC confirms first Ebola case diagnosed in US

#96

Earlier quoted context omitted.

Yes, but was this person intercepted at a point of entry into the United States, or did they go to a healthcare facility voluntarily once they started noticing symptoms, after they were already in the country? The former implies that there may be sufficient mechanisms in place to prevent a repeat incident. The latter does not.

The person left Liberia on 19 Sept and arrived here on 20 and had no symptoms when entering the country. On the 24th he developed symptoms, on the 26th he sought care and the 28th was admitted to the hospital. This is from the CDC briefing happening now.

So everyone he came in contact with for four days between the 24th and 28th is potentially infected. Hopefully a small set of people.

Re: CDC confirms first Ebola case diagnosed in US

#97
post #57

How are you all of you supposedly smart people (you're on hackernews - does that not mean anything anymore?) making such baseless and ignorant comments? If you don't have a degree in a related field or haven't spent any amount of time studying disease (and no, Pandemic the game does not count) you have NO BUSINESS making comments on the preparedness of the US healthcare system - or on how the disease may affect anyth…

Don't you think its a little pretentious to imply those that browse Hacker News are somehow smarter than others in a comment on Hacker News? If you have a legitimate criticism of any of these posts feel free to reply. Better yet, post the type of well-researched article you yearn for on here (you commented on this thread so I assume you have experience in studying disease).

> Don't you think its a little pretentious to imply those that browse Hacker News are somehow smarter than others in a comment on Hacker News?

No. Some people are smarter than others - that's a fact. Hacker news consists of technical discussions on complex topics. Those kind of discussions tend to draw in more intelligent people. Therefore, I have no problem concluding that hn readers are likely to be more intelligent than average.

Re: CDC confirms first Ebola case diagnosed in US

#98
post #77

Earlier quoted context omitted.

Are you suggesting an ebola sneeze is a rare or harmless thing? That is the primary means of transmission.

I honestly did not know that. I thought that for a pathogen to be communicable by sneezing made it "airborne," and that Ebola was not. I can't immediately find a source for your claim that sneezing is the "primary means" of transmission - can you provide one?

There is a difference between walking through a cloud of sneezed particles, and sitting and sharing an armrest with someone for an extended period of time.

Though apparently this person wasn't infectious at the time as has been pointed out.

Re: CDC confirms first Ebola case diagnosed in US

#99
post #75

Am I one of the minorities who believe that this hype about Ebola is more sensationalism and news than an actual pandemic we should be fearful for? Let's take a lot at what we can agree on: * The number of cases of infected patients is fairly small. * The vector of transmission is fluid exchange, so that reduces its ability to spread. * The virus doesn't appear to lie dormant, and is only contagious when the patient…

I'm +inf more concerned about XDR TB and other airborne diseases.

Re: CDC confirms first Ebola case diagnosed in US

#100
post #55

Earlier quoted context omitted.

"The more time you give a virus to mutate and the more human-to-human transmission you see," she says, "the more opportunities you give it to fall upon some [mutation] that could make it more easily transmissible or more pathogenic." - Pardis Sabeti, computational biologist at Harvard University Source: http://www.npr.org/blogs/goatsandsoda/2014/08/28/343734184/e...

"make it more easily transmissible _or_more_pathogenic_" You probably should be more concerned about the flu or the common cold becoming lethal than about Ebola becoming airborne. Reason? There are way more throws of the mutation dice for the common cold and flu than for Ebola because these are way more common.

Something like the Spanish Flu returning scares the living shit out of me (while I also know it's remote), that fucker does mutate, it is airborne and it has happened and that was in a world with slow transport.

That said I'm still more likely to die from Heart Disease or Cancer, statistics ftw.

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