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Ebola | is California facing an outbreak?

OWoN: This will be a disaster if it unfolds. Is it a Lab strain? If not, why California? It smells of Agency Population tests. Targeting Airheads first.

Southern California Hospitals Prep for Ebola. CDC Issues Guidance for all US EMS Personnel. Over 100,000 Cases Expected in Next Few Months

Investment Watch
1 September 2014

Hospitals throughout Southern California are preparing for potential Ebola cases, even as they seek to reassure patients and health care workers that the risk is very low.

Earlier this month, the Centers for Disease Control and Prevention issued infection control recommendations for hospitals to implement in case the Ebola virus were to reach American soil. Two American missionaries who became infected in West Africa were successfully treated and released in Atlanta last week.

Interim Guidance for Emergency Medical Services (EMS) Systems and 9-1-1 Public Safety Answering Points (PSAPs) for Management of Patients with Known or Suspected Ebola Virus Disease in the United States

Who this is for: Managers of 9-1-1 Public Safety Answering Points (PSAPs), EMS Agencies, EMS systems, law enforcement agencies and fire service agencies as well as individual emergency medical services providers (including emergency medical technicians (EMTs), paramedics, and medical first responders, such as law enforcement and fire service personnel).

What this is for: Guidance for handling inquiries and responding to patients with suspected Ebola symptoms, and for keeping workers safe.

How to use: Managers should use this information to understand and explain to staff how to respond and stay safe. Individual providers can use this information to respond to suspected Ebola patients and to stay safe.

Ebola victim who received experimental ZMapp drug dies of Ebola

Ebola In Rivers State, Nigeria: 200 People Placed Under Surveillance

If spread continues at the current rate, a model by Alessandro Vespignani and colleagues projects close to 10,000 Ebola infections by 24 September 2014.

Disease modelers project a rapidly rising toll from Ebola

Kai is a contributing correspondent for Science magazine based in Berlin, Germany.

By Kai Kupferschmidt
31 August 2014

Alessandro Vespignani hopes that his latest work will turn out to be wrong. In July, the physicist from Northeastern University in Boston started modeling how the deadly Ebola virus may spread in West Africa. Extrapolating existing trends, the number of the sick and dying mounts rapidly from the current toll—more than 3000 cases and 1500 deaths—to around 10,000 cases by September 24, and hundreds of thousands in the months after that. “The numbers are really scary,” he says—although he stresses that the model assumes control efforts aren’t stepped up. “We all hope to see this NOT happening,” Vespigani writes in an e-mail.

Vespignani is not the only one trying to predict how the unprecedented outbreak will progress. Last week, the World Health Organization (WHO) estimated that the number of cases could ultimately exceed 20,000. And scientists across the world are scrambling to create computer models that accurately describe the spread of the deadly virus. Not all of them look quite as bleak as Vespignani’s. But the modelers all agree that current efforts to control the epidemic are not enough to stop the deadly pathogen in its tracks.

Computer models “are incredibly helpful” in curbing an outbreak, says infectious disease researcher Jeremy Farrar, who heads the Wellcome Trust research charity in London. They can help agencies such as WHO predict the medical supplies and personnel they will need—and can indicate which interventions will best stem the outbreak. Mathematical epidemiologist Christian Althaus of the University of Bern, who is also building Ebola models, says both WHO and Samaritan’s Purse, a relief organization fighting Ebola, have contacted him to learn about his projections.

But the modelers are hampered by the paucity of data on the current outbreak and lack of knowledge about how Ebola spreads. Funerals of Ebola victims are known to spread the virus, for example—but how many people are infected that way is not known. “Before this we have never had that much Ebola, so the epidemiology was never well developed,” says Ira Longini, a biostatistician at the University of Florida in Gainesville. “We are caught with our pants down.”

“And then there were none.”

Interim Guidance for Specimen Collection, Transport, Testing, and Submission for Persons Under Investigation for Ebola Virus Disease in the United States

Updated: 26 August 2014

Who this is for: Laboratorians and other healthcare personnel handling specimens for Ebola testing

What: CDC provides updated guidance for collecting specimens correctly, transporting and testing specimens from persons under investigation for Ebola virus disease.

CDC – Guidance for Safe Handling of Human Remains of Ebola Patients in U. S. Hospitals and Mortuaries

25 August 2014

Guidance for Safe Handling of Human Remains of Ebola Patients in U. S. Hospitals and Mortuaries

These recommendations give guidance on the safe handling of human remains that may contain Ebola virus and are for use by personnel who perform postmortem care in U.S. hospitals and mortuaries.

In patients who die of Ebola virus infection, virus can be detected throughout the body.

Ebola virus can be transmitted in postmortem care settings by laceration and puncture with contaminated instruments used during postmortem care, through direct handling of human remains without appropriate personal protective equipment, and through splashes of blood or other body fluids (e.g. urine, saliva, feces) to unprotected mucosa (e.g., eyes, nose, or mouth) which occur during postmortem care.

Only personnel trained in handling infected human remains, and wearing PPE, should touch, or move, any Ebola-infected remains.

Handling of human remains should be kept to a minimum.

Autopsies on patients who die of Ebola should be avoided.

If an autopsy is necessary, the state health department and CDC should be consulted regarding additional precautions.

Disease modelers project a rapidly rising cases of Ebola, By December Hundred thousand plus

How the Ebola Virus Jams Immune System Signals and Kills


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