News item: An airplane in Birmingham is detained because a passenger threw up (into a vomit bag, I hope) and, not being clearly Caucasian, concern was raised among the crew about EEEEE BBBBB OOOO LLLL AAAA. Two hours later, the fellow passengers were allowed to deplane and the poor, sick Jordanian (home to no Ebola) who had a layover in Turkey (also straddling two continents without Ebola) was allowed to go to his destination. I hope to take his Zofran and suffer in peace.
News item: A woman in Mobile, Alabama who has lived in this country for seven years BUT who had visitors from the Congo ( in east Africa, where no Ebola is but sure sounds like Ebola should be there) was transported via ambulance (with roads blocked off in case the Ebola jumped out, I suppose) to a local hospital where, upon taking an effective history, the patient’s lack of Ebola was confirmed. Who paid for the ambulance ride was not discussed.
It has been a long time since we have had a good pandemic scare in this country. A pandemic, typically caused by an infectious agent, is notable for its ability to cross over country boundaries and in general wreak havoc.America tends to be protected because of our size, limited number of international boundaries, and public health infrastructure. The last really good pandemic we had was the “Spanish” flu which was blamed for almost 700,000 deaths in the US. The stories from that era consistently identify the randomness of being stricken as a dominant feature (person gets on the streetcar healthy and at the end of the line is found dead). It is the randomness of being afflicted that seems to create havoc as much as anything else. When a pandemic comes, there are often voices prematurely calling for closing the borders and the schools. Way back in 2009-2010, the public health officials were able to resist such calls when swine flu came. They were able to vaccinate the population and keep public concern to a minimum through creative use of media. They were also fortunate in that the case mortality rate was 1:2000 (as compared to 1:40 for the Spanish Flu and an apparent 1:2 for Ebola).
American reaction to pandemic risk can be constructive. For example, it was a measles epidemic in 1989 to 1991 that led Congress to change the way vaccines were distributed, creating the Vaccines for Children program. Maybe some day we’ll look back and see improved infection control in our hospitals in response. For now, my current hope is that the media, medical establishment, and all branches of government will act responsibly.
Some facts about Ebola:
- As of today, there are 0 deaths of American citizens from this virus.
- It is only transmitted through blood and body fluids of a person with a significant infection. People who are contagious are REALLY SICK. Don’t be afraid of the not so sick ones. Casual contact with a person will not infect you if there is no blood or body fluid transmission. If someone looks sick and you happen to touch their skin, hand sanitizer is likely sufficient protection
- It is found in the semen of people who have recovered for 3 months. It is wise to avoid sexual contact with men who have a questionable illness history (likely always wise).
- Avoid eating bats and monkeys (especially ones found already dead)
- Avoid hospitals in West Africa. They don’t have enough gloves. In fact, get a flu shot so you can potentially avoid health care workers completely
Interestingly, Shep Smith on Fox News makes the same points…go figure.