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re: First confirmed case of Ebola in US

Posted on 9/30/14 at 7:55 pm to
Posted by cyde
He gone
Member since Nov 2005
31793 posts
Posted on 9/30/14 at 7:55 pm to
quote:

Thankfully, it sounds like he's in the very early stages of the disease process.

Which is good from several standpoints. The earlier they caught it, the less likely he is to have transmitted it very widely.

Also, catching it early and giving him treatment in a top-notch facility increases his chances of weathering the storm.
Posted by Jobu93
Cypress TX
Member since Sep 2011
19197 posts
Posted on 9/30/14 at 7:55 pm to
I still think it's exceptionally easy to have someone who is just starting to present symptoms or just shy of presenting to be a weapon.

Air travel, tourist destinations, hell, the stock exchange...

Simply shaking a hand, leaving a sheen on a pole or hand hold on a bus...

If I'm thinking about that, someone else who has more evil intentions is too.
Posted by kilo
Member since Oct 2011
27421 posts
Posted on 9/30/14 at 7:58 pm to
quote:

Airborne mutations are rare as hell though. Literally what makes a virus airborne is its outer casing. Assuming a virus can just change like that isn't very likely. It can happen, but it isn't as likely as one would predict.


No, its not very likely. Most of the experts give it a very very small chance of actually developing the mutation.


Posted by Kcoyote
Member since Jan 2012
12050 posts
Posted on 9/30/14 at 7:58 pm to
Thing is though, ebola ISNT supposed to be transmited through fomites (door knobs, bus rails, buttons, etc.). It isn't supposed to survive outside of the body. However, it appears it is to some degree. And the CDC and WHO won't acknowledge the studies proving that for fear of even more panic.

Not trying to be a conspiracy theorist, I just think its odd they cannot contain this infection from people who are literally head to toe in protective equipment.
Posted by kilo
Member since Oct 2011
27421 posts
Posted on 9/30/14 at 8:00 pm to
quote:

I still think it's exceptionally easy to have someone who is just starting to present symptoms or just shy of presenting to be a weapon.


Yep.

Sad but true world we live in now. If someone is willing to blow themselves up why wouldnt they also be willing to go this route.
Posted by Old Sarge
Dean of Admissions, LSU
Member since Jan 2012
55211 posts
Posted on 9/30/14 at 8:00 pm to
It's some scary stuff, in the 80's there were prominent dr.s convinced that by 2000 we'd be burning bodies in the streets from Aids. Education and precaution can help a lot and be a game changer. But the issue with Ebola is how fast it progresses. We all need to start taking it very seriously.
Posted by Wild Thang
YAW YAW Fooball Nation
Member since Jun 2009
44181 posts
Posted on 9/30/14 at 8:01 pm to
This is a very creative grind I must say
Posted by Kcoyote
Member since Jan 2012
12050 posts
Posted on 9/30/14 at 8:03 pm to
And just like doctors were wrong about how easily (or difficult) AIDS is transmitted, I think they're wrong about how easily Ebola is transmitted. Precaution is going to help a ton though as everyone with a fever is going to want to be checked for Ebola if this goes "viral".
Posted by Roger Klarvin
DFW
Member since Nov 2012
46505 posts
Posted on 9/30/14 at 8:03 pm to
quote:

The fear is it mutates and becomes airborne.


The odds of ebola spontaneously acquiring a mutation which allows for airborne transmission AND that strain successfully replicating are exceedingly small. You're better off worrying about what you'll do with your future lottery winnings.
Posted by EKG
Houston, TX
Member since Jun 2010
43976 posts
Posted on 9/30/14 at 8:06 pm to
quote:

No, its not very likely. Most of the experts give it a very very small chance of actually developing the mutation.

I saw a doctor discussing earlier that we've already seen various hemorrhagic fever mutations.
Wasn't the outbreak in 2009 a different strain?
Posted by Kcoyote
Member since Jan 2012
12050 posts
Posted on 9/30/14 at 8:12 pm to
Strains don't mean it changes its overall nature. Ebola is an enveloped virus. Meaning it can change rapidly once its inside the host, evading the immune system (its high death rate), but it is not transmitted as easily as non-enveloped viruses. Non-enveloped viruses have a protein coat but no envelope, and are not so easily degraded outside the body.

This is why it is extremely hard for an enveloped virus to suddenly lose its envelope and develop a protein coat to become nonenveloped. It would be like asking you to spontaneously grow another stomach because you ate too much.
Posted by kilo
Member since Oct 2011
27421 posts
Posted on 9/30/14 at 8:13 pm to
quote:

Wasn't the outbreak in 2009 a different strain?


There have always been a number of different strains, at least according to the articles I have read.

There is actually a strain where the mortality rate is very low.
Posted by EKG
Houston, TX
Member since Jun 2010
43976 posts
Posted on 9/30/14 at 8:17 pm to
Makes sound scientific sense; I just don't think we know enough yet.

That said, a physician friend shared this non-alarmist article earlier.
It's a good take on ebola in the US.

Don’t panic over Ebola in America
Posted by Kcoyote
Member since Jan 2012
12050 posts
Posted on 9/30/14 at 8:19 pm to
Indeed. Strains are different in their molecular structure as Ebola is just a giant strand of RNA that just so happens to frick cells up. Once it gets a different but still similar RNA structure through random mutations, it is classified as a different strain. However, it still doesn't mean it can randomly change to become airborne in some way. Viruses mutate extremely well, better than bacteria, but they still are not living beings.
Posted by Kcoyote
Member since Jan 2012
12050 posts
Posted on 9/30/14 at 8:22 pm to
Agreed. It won't be a problem here. Our healthcare system can handle this easier than it handles flu season.
Posted by kilo
Member since Oct 2011
27421 posts
Posted on 9/30/14 at 8:22 pm to
quote:

Kcoyote


Thanks for the insights.
Posted by LSU Patrick
Member since Jan 2009
73404 posts
Posted on 9/30/14 at 8:22 pm to
Don't give them anymore excuses.
Posted by Kcoyote
Member since Jan 2012
12050 posts
Posted on 9/30/14 at 8:26 pm to
I'll take over BamaDoc's duties of being the resident physician on the rant in 2 more years. Gunnin for ya brah.

But yeah, I look up on this stuff every day and my med school research project is on epidemiology.
Posted by kilo
Member since Oct 2011
27421 posts
Posted on 9/30/14 at 8:29 pm to
quote:

med school


Well, continued success in med school.



Posted by Cheese Grits
Wherever I lay my hat is my home
Member since Apr 2012
54613 posts
Posted on 9/30/14 at 8:29 pm to
quote:

Who is Ebola playing? Vandy?


quote:

Indiana


So the updated line looks like this?

Ebola > Indiana > Missouri > South Carolina > Vanderbilt > Umass?
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