new Ebola patient

[Mulan]

http://edition.cnn.com/2014/11/13/health/nebraska-ebola-patient/index.html?eref=edition

"(CNN) -- A surgeon infected with Ebola will be transported from Sierra Leone to The Nebraska Medical Center for treatment, a U.S. government official familiar with the situation said."

"The doctor, a Sierra Leone national and legal permanent resident of the United States, is expected to arrive this weekend, most likely Saturday, the official said."

"The official said it's not known whether the doctor was working in an Ebola treatment unit or some other type of hospital. The surgeon is married to a U.S. citizen and has children, the official said."

http://apnews.myway.com/article/20141114/us--ebola-omaha_patient-ca9ee14176.html

"Salia is a general surgeon who had been working at Kissy United Methodist Hospital in the Sierra Leone capital of Freetown. Patients, including mothers who hours earlier had given birth, fled from the 60-bed hospital after news of the Ebola case emerged, United Methodist News reported."

"The hospital was closed on Tuesday after Salia tested positive and he was taken to the Hastings Ebola Treatment Center near Freetown, the church news service said. Kissy hospital staffers will be quarantined for 21 days."

[Bengalcat]

Even the authors admit:

"Available data do not indicate that aerosol transmission at a distance from an infected person is an important route of Ebola virus transmission."

Sent from my iPhone.

And who, here, is proposing that Ebola is "airborne"? The authors' main purpose is to address risks to HCWs in close proximity to the patient from aerosolized particles and the implications for optimal respiratory protection.

To quote more fully:

"Airborne transmission is defined by HICPAC as resulting from the inhalation of small respirable particles that 'remain infective over time and distance' and 'can be dispersed over long distances by air currents' . . .

"Aerosol transmission [as defined, herein] recognizes that the spraying of body fluids containing Ebola virus directly onto mucous membranes is unlikely to occur in the absence of inhalation of infectious aerosols. Available data do not indicate that aerosol transmission at a distance from an infected person is an important route of Ebola virus transmission. In this we agree with statements from the CDC that the "airborne" (old paradigm) route of transmission (inhalation of infectious particles at a distance from the source) has not been documented in previous EVD outbreaks.

"There are at least two explanations for why Ebola virus transmission has not been shown to occur at a distance from the source, even though data suggest that Ebola virus can remain viable in the air for some time (up to 90 minutes at room temperature and humidity).²⁹ One explanation is that Ebola virus is not viable by the time it gets to point C (ie, inhalation of non-viable virus will not produce an infection). A second possibility is that the infectivity of Ebola virus upon inhalation of small particles is very low, so the probability of infection is too small to observe."

[wtbcrna, MSN, DNP, CRNA]

And who, here, is proposing that Ebola is “airborne”? The authors’ main purpose is to address risks to HCWs in close proximity to the patient from aerosolized particles and the implications for optimal respiratory protection.

To quote more fully:

“Airborne transmission is defined by HICPAC as resulting from the inhalation of small respirable particles that ‘remain infective over time and distance’ and ‘can be dispersed over long distances by air currents’ . . .

“Aerosol transmission [as defined, herein] recognizes that the spraying of body fluids containing Ebola virus directly onto mucous membranes is unlikely to occur in the absence of inhalation of infectious aerosols. Available data do not indicate that aerosol transmission at a distance from an infected person is an important route of Ebola virus transmission. In this we agree with statements from the CDC that the "airborne" (old paradigm) route of transmission (inhalation of infectious particles at a distance from the source) has not been documented in previous EVD outbreaks.

“There are at least two explanations for why Ebola virus transmission has not been shown to occur at a distance from the source, even though data suggest that Ebola virus can remain viable in the air for some time (up to 90 minutes at room temperature and humidity).²⁹ One explanation is that Ebola virus is not viable by the time it gets to point C (ie, inhalation of non-viable virus will not produce an infection). A second possibility is that the infectivity of Ebola virus upon inhalation of small particles is very low, so the probability of infection is too small to observe.”

The whole thing is still just speculation. Airborne transmission of EBV has not been able to be replicated under experimental conditions or shown to be airborne in clinical studies either.

[Horseshoe, BSN, RN]

Nina Pham: 'I thought it was a death sentence'

Nurse Nina Pham has given an interview.

[CarryThatWeight, BSN]

So she didn't go back to her job? Did the hospital have to pay her and Amber a huge sum of money so she doesn't have to work? I'm curious if anyone knows what she's doing now.

[Horseshoe, BSN, RN]

So she didn't go back to her job? Did the hospital have to pay her and Amber a huge sum of money so she doesn't have to work? I'm curious if anyone knows what she's doing now.

I haven't read anything that would answer those questions. From what I have read, both Nina and Amber continue to mention chronic fatigue. They may not be physically ready to go back to work and pull 12s in the ICU. As we all know, nursing is a very physical job.

As to money, they may be getting worker's comp. They would certainly be entitled.