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Ebola Megathread

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What would you do about the Ebola epidemic in and around Sierra Leone?

1. Demand the government declare a state of emergency.
58
19%
2. Appeal to international agencies like the WHO.
65
21%
3. Seek aid from other African states.
14
5%
4. Quarantine.
99
32%
5. Physical removal of all victims.
13
4%
6. Turn operations over to the MSF.
13
4%
7. Publish video of the suffering.
6
2%
8. Suspend commerce and traffic.
34
11%
9. Other
7
2%
 
Total votes : 309

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Vamtrl
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Postby Vamtrl » Fri Aug 01, 2014 1:47 pm

The Serbian Empire wrote:
Pope Joan wrote:I hear that the two infected workers coming back to the US were with the Peace Corps. They will go to Emory Hospital in Georgia, while remaining completely physically isolated.

That must be a terrifying experience, awaiting probable death while completely cut off from everything.

Even if both survive, it will only prove that poor sanitation is what makes Ebola so deadly in Africa.


With a healthy dose of ignorance.

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Benuty
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Postby Benuty » Fri Aug 01, 2014 1:47 pm

The Serbian Empire wrote:
Pope Joan wrote:I hear that the two infected workers coming back to the US were with the Peace Corps. They will go to Emory Hospital in Georgia, while remaining completely physically isolated.

That must be a terrifying experience, awaiting probable death while completely cut off from everything.

Even if both survive, it will only prove that poor sanitation is what makes Ebola so deadly in Africa.

Not to mention superstitious belief about the infected, and the spread of contaminated bush meat.
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The Serbian Empire
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Postby The Serbian Empire » Fri Aug 01, 2014 1:49 pm

Benuty wrote:
The Serbian Empire wrote:Even if both survive, it will only prove that poor sanitation is what makes Ebola so deadly in Africa.

Not to mention superstitious belief about the infected, and the spread of contaminated bush meat.

The bush meat is deadly.
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California Prime
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Postby California Prime » Fri Aug 01, 2014 5:48 pm

The Serbian Empire wrote:
Pope Joan wrote:I hear that the two infected workers coming back to the US were with the Peace Corps. They will go to Emory Hospital in Georgia, while remaining completely physically isolated.

That must be a terrifying experience, awaiting probable death while completely cut off from everything.

Even if both survive, it will only prove that poor sanitation is what makes Ebola so deadly in Africa.

It has been long theorized that if treated in a modern western setting, the fatality rate should be much lower, maybe 30-50% instead of 90%. I also wonder if the choice of a Georgia hospital is so that they are in close proximity to the Atlanta CDC BSL-4 labratory, I wouldn't be surprised if quite a few personnel from that facility end up observing and obtaining samples for study.

Since Fever related organ failure is what actually kills Ebola victims (not bleeding to death, the blood plasma loss is actually quite minor, though it can impede the function of certain organs to an extent if built up in certain areas of the body), the ability of modern western hospitals to control fever conditions better may make a difference.
Last edited by California Prime on Fri Aug 01, 2014 5:50 pm, edited 1 time in total.

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The Serbian Empire
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Postby The Serbian Empire » Fri Aug 01, 2014 5:53 pm

California Prime wrote:
The Serbian Empire wrote:Even if both survive, it will only prove that poor sanitation is what makes Ebola so deadly in Africa.

It has been long theorized that if treated in a modern western setting, the fatality rate should be much lower, maybe 30-50% instead of 90%. I also wonder if the choice of a Georgia hospital is so that they are in close proximity to the Atlanta CDC BSL-4 labratory, I wouldn't be surprised if quite a few personnel from that facility end up observing and obtaining samples for study.

Given the information about the related Marburgvirus, the mortality rate will be around 20 to 25% in a developed country like the US or Germany. In Angola, it was comparable to Ebola in mortality.
Last edited by The Serbian Empire on Fri Aug 01, 2014 5:57 pm, edited 1 time in total.
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Korouse
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Postby Korouse » Fri Aug 01, 2014 5:55 pm

Inspect all people traveling to the U.S. from Africa.
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Quintium
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Postby Quintium » Fri Aug 01, 2014 7:58 pm

It's the one exception to my general rule that foreign aid is always destructive. This disease threatens all mankind, so it should be dealt with quickly and thoroughly, and considering the unstable nature of the countries this outbreak is taking place in and the very low rate of doctors per hundred thousand inhabitants in those countries, an international effort might be the right choice if it gets worse.
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Ximea
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Postby Ximea » Fri Aug 01, 2014 9:51 pm

California Prime wrote:
The Serbian Empire wrote:Even if both survive, it will only prove that poor sanitation is what makes Ebola so deadly in Africa.

It has been long theorized that if treated in a modern western setting, the fatality rate should be much lower, maybe 30-50% instead of 90%. I also wonder if the choice of a Georgia hospital is so that they are in close proximity to the Atlanta CDC BSL-4 labratory, I wouldn't be surprised if quite a few personnel from that facility end up observing and obtaining samples for study.

Since Fever related organ failure is what actually kills Ebola victims (not bleeding to death, the blood plasma loss is actually quite minor, though it can impede the function of certain organs to an extent if built up in certain areas of the body), the ability of modern western hospitals to control fever conditions better may make a difference.

Fever is only one aspect of EVD pathology. The virus is highly immunogenic, and this results in vascular permeability throughout the body. That ultimately leads to organ failure, and it is essentially not treatable in an acute timeframe. I fully believe that you can combat an infection if you catch it very early - but that's only going to be possible for people who realize that they've just infected themselves (like a researcher who's had an accidental needle stick) or that they are currently putting themselves at extreme risk of infection (a medical examiner who realized the hallmarks of EVD in a cadaver a little too late). Western medicine would help in those cases, but otherwise it may not make terribly much of a difference.
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Arkaenov
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Ebola Worldwide

Postby Arkaenov » Fri Aug 01, 2014 11:59 pm

Well, I don't usually write(or type, in this case) discussion topics, but this is worth typing about. According to a study conducted in 2012, the Ebola virus can travel through the air. This study didn't make clear exactly how the virus travels, just that it can travel through the air. This is obviously disconcerting, especially since it seems the various outlets of the corporate media and public health officials are participating in some massive display of synchronized incompetence about this. Most articles state that Ebola can only be transmitted through direct contact with infected individuals' bodily fluids; however, this is obviously not the case. This misinformation is likely going to cost lives, and probably already has. For example, the rapid infection of Nigeria: An infected individual took a plane to Lagos(Pop. ~21,000,000). However, since nobody on the plane touched the individual's bodily fluids, they didn't quarantine any of the other passengers, although they may be infected with the the disease.Now, Lagos probably would have been infected either way, but a virus can spread much faster with a plane full of infected people than with just one infected. This is even more alarming when you think about how traveling through the air would make it easy for Ebola to spread beyond the four current infected counties, and even out of Africa entirely; it has a three week incubation period, has already taken an international flight, and can travel through air, so the possibility of infection of countries such as the USA or France is real.

{Sorry for the disorganization of ^that^, I was in a hurry when writing it}

So what are your thoughts? And hypothetically, if Ebola were 100% certain to infect your country in the next few days, how would you prepare?
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Cu Math
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Postby Cu Math » Sat Aug 02, 2014 12:08 am

Yeah, unnecessary fear mongering
That study is on Ebola Reston, a non human form of the virus first found in 1989.
The current outbreak is Ebola Zaire which IS only transmissable through fluid contact.
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The Serbian Empire
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Postby The Serbian Empire » Sat Aug 02, 2014 12:10 am

Ximea wrote:
California Prime wrote:It has been long theorized that if treated in a modern western setting, the fatality rate should be much lower, maybe 30-50% instead of 90%. I also wonder if the choice of a Georgia hospital is so that they are in close proximity to the Atlanta CDC BSL-4 labratory, I wouldn't be surprised if quite a few personnel from that facility end up observing and obtaining samples for study.

Since Fever related organ failure is what actually kills Ebola victims (not bleeding to death, the blood plasma loss is actually quite minor, though it can impede the function of certain organs to an extent if built up in certain areas of the body), the ability of modern western hospitals to control fever conditions better may make a difference.

Fever is only one aspect of EVD pathology. The virus is highly immunogenic, and this results in vascular permeability throughout the body. That ultimately leads to organ failure, and it is essentially not treatable in an acute timeframe. I fully believe that you can combat an infection if you catch it very early - but that's only going to be possible for people who realize that they've just infected themselves (like a researcher who's had an accidental needle stick) or that they are currently putting themselves at extreme risk of infection (a medical examiner who realized the hallmarks of EVD in a cadaver a little too late). Western medicine would help in those cases, but otherwise it may not make terribly much of a difference.

I believe the nature of the virus is also more dependent on the sanitation. There are drugs in the US that aren't readily available in Africa that may benefit the patients, but it might not make much of a difference nonetheless for most of the infected who don't seek treatment or don't realize they've been in contact with either a cadaver or a patient with EVD.
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California Prime
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Postby California Prime » Sat Aug 02, 2014 11:17 am

The Serbian Empire wrote:
Ximea wrote:Fever is only one aspect of EVD pathology. The virus is highly immunogenic, and this results in vascular permeability throughout the body. That ultimately leads to organ failure, and it is essentially not treatable in an acute timeframe. I fully believe that you can combat an infection if you catch it very early - but that's only going to be possible for people who realize that they've just infected themselves (like a researcher who's had an accidental needle stick) or that they are currently putting themselves at extreme risk of infection (a medical examiner who realized the hallmarks of EVD in a cadaver a little too late). Western medicine would help in those cases, but otherwise it may not make terribly much of a difference.

I believe the nature of the virus is also more dependent on the sanitation. There are drugs in the US that aren't readily available in Africa that may benefit the patients, but it might not make much of a difference nonetheless for most of the infected who don't seek treatment or don't realize they've been in contact with either a cadaver or a patient with EVD.

The US hospital has told the media that they will use "supportive" treatment, which consists of giving drugs that boost the immune system, blood / platelet transfusions, intravenous hydration, oxygen therapy, and conventional fever management......and then hoping the body can survive long enough to fight the virus off, which takes 2 to 3 weeks. It is mostly treatments that are designed to reduce the damage that the virus is doing to the body as much as possible in order to keep the body alive long enough for it's immune system to adapt to and defeat the virus.
Last edited by California Prime on Sat Aug 02, 2014 11:18 am, edited 1 time in total.

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The Scientific States
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Postby The Scientific States » Sat Aug 02, 2014 11:19 am

The WHO and the UN really need to work hard to get this disease dealt with. Ebola is a threat to Africa, and if it's not dealt with, the rest of the world. Developed countries should also he sending foreign aid to West Africa to help those afflicted with the disease.
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Voegen
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Postby Voegen » Sat Aug 02, 2014 11:48 am

Korouse wrote:Inspect all people traveling to the U.S. from Africa.


That's all well and good but what about people from the hundreds of daily connecting flights from Africa to the US? And hypothetically, if an infected person were to pass it on to people in airports, how would border control deal with the amount of potential carriers of the disease at their borders, keeping in mind that the incubation period can last up to 21 days? It simply isn't going to work. It's hard to do, but it is the bitter truth that if not all commercial travel from infected countries is suspended, it is entirely possible that it will spread.
Last edited by Voegen on Sat Aug 02, 2014 11:48 am, edited 1 time in total.
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Greed and Death
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Postby Greed and Death » Sat Aug 02, 2014 4:23 pm

Half a dozen cases confirmed in France.
Person was fleeing treatment and containment flew to France on a Algerian Visa.
He is still on the loose. There are warrants for his arrest and interpol has his picture everywhere.

Name: Abd al Alim
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Photana
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Postby Photana » Sat Aug 02, 2014 4:49 pm

greed and death wrote:Half a dozen cases confirmed in France.
Person was fleeing treatment and containment flew to France on a Algerian Visa.
He is still on the loose. There are warrants for his arrest and interpol has his picture everywhere.

Name: Abd al Alim


That is very concerning. As long as he is still on the loose, he could spread the disease, and who knows how many people will get infected.
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Mirchusko
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Postby Mirchusko » Sat Aug 02, 2014 5:06 pm

greed and death wrote:Half a dozen cases confirmed in France.
Person was fleeing treatment and containment flew to France on a Algerian Visa.
He is still on the loose. There are warrants for his arrest and interpol has his picture everywhere.

Name: Abd al Alim


Er, where did you hear this? A brief internet search reveals nothing, surprising for what would be a HUGE story. Are you maybe looking for an RP thread?

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Castille de Italia
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Postby Castille de Italia » Sat Aug 02, 2014 5:39 pm

We should have kept the infected American doctors in Africa, and instead bring adequate medical supplies to treat them, instead of taking the risk of an outbreak in the US. As for containing the disease in Africa, round up all the infected, and keep them under quarantine in Africa.

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Guadalupador
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Postby Guadalupador » Sat Aug 02, 2014 5:52 pm

Castille de Italia wrote:We should have kept the infected American doctors in Africa, and instead bring adequate medical supplies to treat them, instead of taking the risk of an outbreak in the US. As for containing the disease in Africa, round up all the infected, and keep them under quarantine in Africa.

That's a lot easier said than done.
Last edited by Guadalupador on Sat Aug 02, 2014 5:53 pm, edited 2 times in total.
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Castille de Italia
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Postby Castille de Italia » Sat Aug 02, 2014 5:55 pm

Guadalupador wrote:
Castille de Italia wrote:We should have kept the infected American doctors in Africa, and instead bring adequate medical supplies to treat them, instead of taking the risk of an outbreak in the US. As for containing the disease in Africa, round up all the infected, and keep them under quarantine in Africa.

That's a lot easier said than done.

Care to elaborate, then?

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Scomagia
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Postby Scomagia » Sat Aug 02, 2014 5:57 pm

Castille de Italia wrote:We should have kept the infected American doctors in Africa, and instead bring adequate medical supplies to treat them, instead of taking the risk of an outbreak in the US. As for containing the disease in Africa, round up all the infected, and keep them under quarantine in Africa.

There's no risk of an outbreak in the U.S.
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Scomagia
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Postby Scomagia » Sat Aug 02, 2014 5:57 pm

Mirchusko wrote:
greed and death wrote:Half a dozen cases confirmed in France.
Person was fleeing treatment and containment flew to France on a Algerian Visa.
He is still on the loose. There are warrants for his arrest and interpol has his picture everywhere.

Name: Abd al Alim


Er, where did you hear this? A brief internet search reveals nothing, surprising for what would be a HUGE story. Are you maybe looking for an RP thread?

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United Marxist Nations
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Postby United Marxist Nations » Sat Aug 02, 2014 6:01 pm

Because I have been playing through all of the Halo games in the past week, I will suggest glassing Africa (and Atlanta) from orbit, as the only way to be sure.
Last edited by United Marxist Nations on Sat Aug 02, 2014 6:01 pm, edited 1 time in total.
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Guadalupador
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Postby Guadalupador » Sat Aug 02, 2014 6:09 pm

Castille de Italia wrote:
Guadalupador wrote:That's a lot easier said than done.

Care to elaborate, then?

To my knowledge, they simply don't have the equipment and people to fully quarantine every infected person in Africa, also factoring in how culture can relate to things, people don't really see doctors with modern medicine as helpful people, and will tend to infected family members themselves.
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Guadalupador
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Postby Guadalupador » Sat Aug 02, 2014 6:10 pm

United Marxist Nations wrote:Because I have been playing through all of the Halo games in the past week, I will suggest glassing Africa (and Atlanta) from orbit, as the only way to be sure.

But I go to school in Atlanta. :(
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