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Airborne Infection Isolation Room
- "Conduct the procedures in a private room and ideally in an Airborne Infection Isolation Room (AIIR) when feasible. Room doors should be kept closed during the procedure except when entering or leaving the room, and entry and exit should be minimized during and shortly after the procedure.
- HCP should wear appropriate PPE during aerosol-generating procedures.
(see also:
"Assessment of the Risk of Ebola Virus Transmission from Bodily Fluids and Fomites"
"Clinical specimens: Fifty-four specimens from 26 patients, 12 (46%) of whom died, were collected (table 1). Sixteen clinical specimens from 12 patients were positive by virus culture (4 specimens) and/or RT-PCR (16 specimens), including saliva (8 of 16), skin swab (1 of 11), stool (2 of 4), semen (1 of 2), breast milk (2 of 2), tears (1 of 1), and nasal blood (1 of 1). No virus was found in urine (0 of 11), vomit (0 of 2), sputum (0 of 2), sweat (0 of 1)..."
Ref: 2007 Bausch
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March: WHO notified of an outbreak of Ebola
"On March 23, 2014, the World Health Organization (WHO) was notified of an outbreak of Ebola virus disease (EVD) in Guinea. On August 8, the WHO declared the epidemic to be a “public health emergency of international concern."
"These data indicate that without drastic improvements in control measures, the numbers of cases of and deaths from EVD are expected to continue increasing from hundreds to thousands per week in the coming months."
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Aug 26: WHO shuts Sierra Leone lab after worker infected with Ebola
"The WHO said it had withdrawn staff from the laboratory testing for Ebola at Kailahun — one of only two in Sierra Leone — after a Senegalese epidemiologist was infected with Ebola. The Senegalese medic — the first worker deployed by WHO to be infected — will be evacuated from Sierra Leone in the coming days, Feig said. He is currently being treated at a government hospital in the eastern town of Kenema."
A report from the U.N. mission in Congo on Tuesday said 13 people there had died from Ebola, including five health workers. Congo said on Sunday it would quarantine the area around the town of Djera, in the isolated northwestern jungle province of Equateur, where a high number of suspected cases has been reported. It is Congo’s seventh outbreak since Ebola was discovered in 1976 in Equateur, near the Ebola river.
Congo’s Health Minister Felix Kabange Numbi said on Sunday the outbreak in Equateur was a different strain of the virus from the deadly Zaire version in West Africa, although further tests are planned in a German laboratory.
The only treatments are extremely rare, experimental and have so far had mixed results. Of the six health workers known to have been treated with unlicensed drug ZMapp, two have died.
Still, the first Briton to have contracted the deadly Ebola virus while working in West Africa has decided to take the drug, the London hospital where he is being treated said, adding that the volunteer nurse was “in good spirits”.
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COMMENTARY: Health workers need optimal respiratory protection for Ebola
Sidrac suggests respiratory protection.
Breitbart reports "Ebola is airborne". ("Ebola can be airborne" would have been safer)
Sidrac offers a rebuttal based on two points: 1) "Sidrac did not say it was airborne" 2) This protection is for a healthcare setting not the community.
As if a bus is less of an issue than a hermetically sealed BSL4 ICU chamber. If they cough in you, you can be infected. Notice the authors did not say "only in healthcare settings" they said "Being at first skeptical that Ebola virus could be an aerosol-transmissible disease, we are now persuaded by a review of experimental and epidemiologic data that this might be an important feature of disease transmission, particularly (emph. mine) in healthcare settings."
Or in crowded buses? Are we supposed to believe, "not so much" in that instance?
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Barrier method invented by Fatu Kekula
It can be exhausting nursing a child through a nasty bout with the flu, so imagine how 22-year-old Fatu Kekula felt nursing her entire family through Ebola.
Her father. Her mother. Her sister. Her cousin. Fatu took care of them all, single-handedly feeding them, cleaning them and giving them medications.
And she did so with remarkable success. Three out of her four patients survived. That's a 25% death rate -- considerably better than the estimated Ebola death rate of 70%.
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Control of Ebola Virus Disease — Firestone District, Liberia, 2014
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Firestone Did What Governments Have Not: Stopped Ebola In Its Tracks
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