No worries USA. Only healthcare workers will be exposed to ebola.

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Last night I read that the CDC is planning to transport at least one American Citizen with the ebola virus to Atlanta for treatment. Driving around today my car radio kept assaulting me with experts soothingly asserting that there is no reason for the American population to fear exposure to the virus. To a man they all went on to say that only healthcare workers were likely to be exposed.

If you're a healthcare worker raise your hand. Are you angry? Do you feel like you're being considered expendable? Less than fully human? Are you worried?

I don't favor deliberately bringing ANY known infected person across the ocean to this continent. OK, Ebola is not all that easy to contract. It's a lot harder to contract if it is thousands of miles away.

The virus is spread by contact with infected body fluids. So lets say a nurses aid in a hospital comes in contact with those body fluids (diarrhea, emesis, blood, whatever. Accidents happen even if you take precautions.) What is to stop her from spreading the virus to her husband or child? What is to stop a child infected in this way from spreading it within his classroom?

I have always been able to deal with the concept of ebola by reminding myself that it exists on another continent. Perhaps I'm being selfish, but I believe that anyone sickened in Africa should be treated in Africa. We don't need to help diseases spread around the globe any more than we already do.

NIMBY. In this case, NIMBY. I'm not a NIMBY kind of girl, but this terrifies me.

What do you think? What would you do if you were assigned a patient know to be infected with Ebola?

For those who would refuse to treat an ebola patient, if your child were to become infected and no one would agree to care for her, would that fly?

I am on the fence about it. I would like to believe I would step up, but I would probably be just as afraid as the next guy. My boss recently got back from "Africa," and apparently has been very ill recently. I have no idea what part of Africa she visited, or what kind of illness she is experiencing, and I have not been at work for several weeks. I had a dream last night that she has ebola, and my reaction to that was not one of bravery, so I make no claims to being sure how I would react if asked to care for such a patient.

Specializes in ER.

New website formed 8/3 solely for Ebola .... just reading into it right now, but any information is worth reviewing.

PreventEbola.com - News

Specializes in ER.
Specializes in ER.

to prevent flaming, read the links posted at preventebola.com, not the agenda of the person that created that site. I found the links interesting, if you click to the actual stories.

Watch, plague city: sars in toronto on Netflix!

Good news :) Several media outlets are now reporting that both Dr Kent Brantly and Nancy Writebol have recovered from their infection and have left Emory Hospital.

Ebola patients Kent Brantly and Nancy Writebol discharged from hospital - CBS News

BBC News - Ebola patients Kent Brantly and Nancy Writebol discharged

This is a link that sheds some light on the difficulties faced in West Africa in the ongoing struggle to contain the Ebola virus outbreak.

In my opinion, fear is a formidable opponent.

Are myths making the Ebola outbreak worse? - CNN.com

Specializes in Emergency/Trauma/Critical Care Nursing.

I was so happy to see that they survived, great ending to a scary story!

Specializes in ICU.

The story hasn't ended, by any means.

The story hasn't ended, by any means.

No, it hasn't. The outbreak is still actively going on in West Africa and it will take at least several months (likely longer) to control and stop. The trend is still in the wrong direction.

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I watched an almost hour long press conference from Emory Hospital on PBS Newshour, it was very interesting. It seems like twenty-one nurses and five physicians plus a number of consultants (MD’s) have been involved in the care of the two patients.

One thing that was said in the press conference really got me thinking. Close to the end Dr. Bruce Ribner, Medical Director of Emory Hospitals Infectious Disease Unit, was asked what if anything they (Emory physicians) had learned about the disease from treating these two patients. He answered that what we did learn was that when patients have a lot of diarrhea they lose a lot of fluid and electrolytes like potassium, calcium and magnesium. (Being a doctor I’m pretty sure he already knew this, this was probably for the benefit of the journalists). The surprising part (at least to me) was what he said next.

Dr. Ribner said that the team at Emory in collaboration with the CDC (as I understand it) will pass on what they have learned and one of the pieces of guidance they will be passing on to their physician counterparts in West Africa is that even though they (the physicians in Africa) can’t measure them (electrolytes), they need to pay attention to the replacement of them. (!)

Ok, so I assume that many of the places where Ebola victims are cared for probably lack laboratory capabilities. But are we to understand that the standard of care so far hasn’t generally included electrolyte replacements? Is the reality that these unfortunate Ebola victims face really that grim? I know that the standard of healthcare and infrastructure in this part of the world is light years from ours, but still :(

This really makes me wonder what the mortality rate would be in a first world country. We know that in all likelihood the disease wouldn’t spread the same way here, as it does in West Africa. We would be able to locate, isolate, treat patients and also trace people who had been in contact with a symptomatic person much more efficiently. Not only would we be able to control it better, but I have a strong hunch (yes, a feeling, not a fact) that the mortality rate would be significantly lower.

Another thing that has piqued my curiosity is the mortality rate of this outbreak. This current outbreak is caused by the subtype Zaire, which is the subtype that has had the highest mortality rate in previous outbreaks, up to 90 percent.

As of August 18, the mortality rate is 54.6% (n=2473). Looking at the four countries stricken the numbers vary quite a lot though.

Guinea 68.4% (n=579)

Liberia 59.3% (n=972)

Sierra Leone 41.2% (n=907)

Nigeria 26.7% (n=15)

WHO | Ebola virus disease update - west Africa

What are the differences between the countries? There are so many unknown factors here. First of all, how reliable are the numbers themselves. I don’t know if healthcare workers and the authorities have access to all remote areas. Is there a difference between number of cases in rural areas and larger towns/cities? Are deceased patients being buried by family without ever having received care or been included in the statistics?

Do any of the countries have a better “supply” of medically trained professionals who can treat patients? Do they have more medical equipment/labs /medications etc.? How many of the infected individuals actually seek/receive medical attention? Do they receive treatment on the first symptomatic day or later when the disease has caused more damage?

A billion unknown factors but still, I find the difference in mortality rate intriguing.

I’m very glad that the two patients being cared for at Emory Hospital have recovered :)

Well done , nurses and docs!

It is my hope that the world manages to pool its’ resources and help stop the outbreak in West Africa and that whatever knowledge gleaned from caring for two patients with Ebola Virus Disease in a first world university hospital, will help in that battle.

Specializes in L&D, Women's Health.

First, I'm so very happy Dr. Bradly and Mrs. Writebol were returned to the US, received optimal supportive treatment and now have been discharged. That's great news.

Quote from macawake: "This really makes me wonder what the mortality rate would be in a first world country. We know that in all likelihood the disease wouldn’t spread the same way here, as it does in West Africa. We would be able to locate, isolate, treat patients and also trace people who had been in contact with a symptomatic person much more efficiently. Not only would we be able to control it better, but I have a strong hunch (yes, a feeling, not a fact) that the mortality rate would be significantly lower."

Nigeria is managing to contain the virus rather impressively so far and they are far from being a first-world country, which is encouraging. Currently, they still have 213 under surveillance, 15 suspect cases of which 12 have been confirmed, 5 of whom have died and 1 survived. One of the nurses who cared for the index pt went to another part of the country where she died. There are 6 people under surveillance there. Keep in mind, too, that the index pt was not isolated for at least an hour during after his plane landed. He was vomiting and had diarrhea while on the plane so he was rather contagious as he hung around the airport, transferred to a clinic, and then finally isolated. "The city’s 12 confirmed cases are all part of a single chain of transmission, explaining that those infected by the initial case include medical staff involved in his treatment, a patient in the same hospital, and a protocol officer in very close contact with the patient." (Ebola Situation in Nigeria and Guinea Encouraging - WHO)

First Nigerian Ebola virus patient discharged from hospital - Vanguard News

Hopefully, the news from Nigeria will continue to be good news! If Nigeria can do this, I'm pretty sure a first-world country will manage Ebola.

Specializes in Nurse Scientist-Research.
are we to understand that the standard of care so far hasn't generally included electrolyte replacements? Is the reality that these unfortunate Ebola victims face really that grim? I know that the standard of healthcare and infrastructure in this part of the world is light years from ours, but still :(

This really makes me wonder what the mortality rate would be in a first world country. We know that in all likelihood the disease wouldn't spread the same way here, as it does in West Africa.

Yes, this!! Those who have never been in a developing nation, much less a full-blown third world country have no idea how basic and minimal the care is that is available to all but the richest tiny percentage of the country (and then probably from non-native providers).

When I was growing up in a developing nation the #1 cause of child death was dirty water causing gastroenteritis (pretty much N/V/D). They would broadcast PSAs instructing parents on how to make homemade Pedialyte (with sanitized water naturally). How can a nation fight an aggressive viral disease if they haven't conquered clean water yet?

This is why I wasn't worried about these two Americans being brought back to the US. That and I knew the thing we needed to worry about was not those highly controlled evacuations but the countless people that will be flying back from the "hot zone" that have been exposed and won't get sick until days after they expose countless people here in the US. Just a matter of time. But, I believe we will be able to quickly/effectively treat all who do sicken with simple interventions such as IV fluids, and electrolyte replacement. Miracle drug or not.

Specializes in Emergency/Trauma/Critical Care Nursing.
The story hasn't ended, by any means.

I'm sorry, I was referring to the story of those two individuals.

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