Thursday
October 9, 2014
- As victim from Liberia succumbs to the killer
Ebola virus in the United States and health
workers inadvertently take the beastly and
treacherous virus to Europe we applaud moves by
the United Kingdom, the United States and other
concerned countries. Given the treacherous
nature of the virus as it tries to kill health
workers who challenge it, let us do all we can
for the safety of these health workers so that
their zeal will not flag.
What we had feared has
happened and the headlines have been running
away with the story of "the first person to be
diagnosed with Ebola within the United States
has died...." and so on. This is the sad story
of a 42-year-old man Thomas Eric Duncan who
caught the virus while in his first home country
of Liberia. This
BBC page
tells it all...of the rising hopes and
expectations punctuated by hospital reports of
his condition moving from serious to critical,
and then like the case of our healthcare
workers, the rising apprehension that our
prayers could well have been in vain.
We have another death on
our hands.
And then we have the
matter of the health worker in Spain sparking
off another headline about the first Ebola case
to be diagnosed in Europe. Teresa Romero Ramos
became a news item with..."the first person in
the current outbreak to have caught the virus
outside of west Africa" as reported on the web
pages of
the Guardian.
"A Spanish nurse who was
admitted to hospital in Madrid with the Ebola
virus, after treating a repatriated patient who
later died of the illness, had told health
authorities at least three times that she had a
fever before she was placed in quarantine.
Teresa Romero Ramos is
the first person in the current outbreak to have
caught the virus outside of west Africa. Her
first contact with health authorities was on 30
September when she complained of a slight fever
and fatigue. Romero Ramos called a specialised
service dedicated to occupational risk at the
Carlos III hospital where she worked and had
treated an Ebola patient, said Antonio Alemany
from the regional government of Madrid. But as
the nurse’s fever had not reached 38.6C, she was
advised to visit her local clinic where she was
reportedly prescribed paracetamol.
Days later, according to
El País newspaper, Romero Ramos called the
hospital again to complain about her fever. No
action was taken.
It would seem that the
same delay in the treatment of suspected cases
was deployed in the case of Thomas Eric Duncan
as we read from the pages of
US broadcaster NPR
-
"Duncan is believed to
have become infected after he helped a pregnant
woman with the disease into a taxi in Liberia
that was to take her to a hospital. Hospital
officials confirmed last week that Duncan had
been sent home on Sept. 26 after an initial exam
concluded he suffered from a "low-grade common
viral disease." The hospital said that although
a nurse, working from an Ebola checklist,
determined that he had recently traveled from
Liberia, that information was "not communicated
to the full team." Days after Duncan was put in
isolation, health officials said they were
tracing as many as 100 people who had either
direct or secondary contact with Duncan for
monitoring.
They subsequently
narrowed the list to about 50, with only about
10 people said to have had close contact and be
at the greatest risk for the disease — although
health officials have repeatedly said the risk
was low for all of the "contact traces."
Duncan had been
receiving the experimental drug brincidofovir,
which The Associated Press describes as an oral
medication being tested by a North Carolina
company for use against several other types of
viruses. Member station KERA in Dallas quotes
Dr. David Lakey, commissioner of the Texas
Department of State Health Services, as saying:
"The past week has been
an enormous test of our health system, but for
one family it has been far more personal. Today
they lost a dear member of their family. They
have our sincere condolences, and we are keeping
them in our thoughts. The doctors, nurses and
staff at Presbyterian provided excellent and
compassionate care, but Ebola is a disease that
attacks the body in many ways. We'll continue
every effort to contain the spread of the virus
and protect people from this threat."
The two cases quite
clearly buttress our belief that isolation,
testing and immediate treatment is key to
fighting the beast called Ebola and the delay in
both the United States and Spanish hospitals to
put immediate emergency measures in place shows
either a dismal lack of knowledge of the how
Ebola kills humans or a deliberate attack of
amnesia as administrative and other silly,
deadly ones at that, ramifications click into
place.
A very sad and tragic
lesson for all those taking care of people with
high fevers. We pray that health professionals
all over the world will now advise themselves to
eliminate Ebola as a first step when people
present with a fever - especially if they are
from areas where the beast rages. There is no
excuse for this.
We have just seen on the
BBC website
that the nurse who was taking care of the
priests who died in Spain and who is now
admitted in a hospital after she caught the
disease has revealed that she may have touched
her face with her gloves after cleaning out the
room in which the priests passed on to the great
beyond.
This should be a lesson
for us in Sierra Leone and could well explain
why our brave health delivery workers keep
succumbing to the ravages of the scourge, the
beast known as Ebola. This means that we need
more of the right protective suits, not just any
suit that is described as protective by donors
from various quarters. These protective suits
have to be medically sound and must be able to
protect the wearers.
Next - we believe that
we need quite a lot of these sound protective
suits as it would seem that even though the
health workers are protected, taking them off
could well create an opportunity for infection -
not only for the health care workers, but also
for other patients they may want to touch.
Therefore in our humble opinion, it will have to
be one fresh suit per patient and no matter what
the load, the next patient would have to be
handled in a fresh suit to minimise the health
risks. We ask for a close eye/supervision to be
kept on health workers taking off their suits
and making sure that they do not have any part
of these suits touch any part of their body.
Indeed as the man who
first put the finger on Ebola
Professor Piot
warned that even the simplest movement, like
rubbing your eyes, is a risk. "The smallest
mistake can be fatal," he said. "For example, a
very dangerous moment is when you come out of
the isolation unit you take off your protective
gear, you are full of sweat and so on."
Professor Piot said he was not surprised by the
case of the nurse in Madrid and expected more
cases in Europe and the US, although he did not
expect to see the illness spread as rapidly as
it has in Africa. Many of those who have died of
Ebola in West Africa have been health care
workers."
And we have just seen on
Sky news that a company has been contracted to
send a hundred thousand protective suits a month
to Sierra Leone as the UK steps up the fight
against Ebola with seven hundred and fifty
troops, a whole battalion, sent in to help. We
welcome this and the latest US effort not only
for Liberia which appears to have the largest
casualty figures but for Sierra Leone and indeed
the sub-region.
The new kit will be
supplied by a company in Hull and
this video
should provide something that could help
minimise infection through contamination. This
report on the pages of the
Hull Daily Mail
says it all - "TWO Hull companies have teamed up
to supply the British Government with vital
safety equipment as aid workers fight the spread
of Ebola in Sierra Leone.
Arco is shipping 100,000
suits a month to the disease-hit country from
its National Distribution Centre in west Hull.
The gear, which has been requested by the
Department for International Development in a
seven-figure contract, will be used by 750
British troops and other workers on the ground
to protect them from infection. It has been
designed by fellow Hull firm Microgard. Ebola,
which is spread when people come into contact
with the bodily fluids of an infected person,
has claimed the lives of thousands of people
across western Africa this year. Thomas Martin,
Arco joint managing director, said: “To get to
this stage, it has taken the best part of six
weeks - you might think it’s a long time, but I
think it is pretty impressive.
“They couldn’t have done
it any faster and done a professional job. “This
gear will be used whenever they are in an
environment where there is an infected person.”
The Government had initially ordered 50,000
suits a month but stepped up the scale of
production as the size of the crisis became
clear. The equipment, which feature a disposable
sealed suit, gloves, a hood, visor and
respirator will be driven down to RAF Kemble in
Gloucestershire and flown to Sierra Leone in
cargo planes. Initial shipments are coming from
a stock pile in Hull, but after those have been
exhausted, they will be shipped directly by Arco
from a manufacturing site in China. The deal is
set to last for five months and the first flight
left on Monday."
Meanwhile a row is
developing in the UK on whether airport
screening at all points of entry should be in
place after the US ordered that should be the
case at five entry airports that would take a
closer scrutiny at passengers travelling from
the areas worst hit - Sierra Leone, Liberia,
Guinea and Nigeria and indeed the whole of West
Africa as the UK has the largest number of
people coming from the sub-region. The UK is
reported to have been following World Health
Organisation guidelines that proper screening be
done at the point of embarkation.
Given the level of
corruption in all things possible in Sierra
Leone, we would urge that the medical team, the
troop deployment medical corps, should have one
such set up at the Lungi international airport
and that their screening ports be manned by
them. This would greatly reduce the risk.
The Daily Mail
has been asking questions.
"Why won't UK test air
travellers for Ebola? Fears of complacency after
President Obama announces tough measures at
major US airports UK gets more air passengers
from affected countries than anywhere else.
Health officials claim screening including
temperate test is unnecessary. Health Secretary
Jeremy Hunt: It is a 'serious global health
emergency'
In the meantime, the
Royal Navy
medical contingent is preparing for its role in
the fight against the treacherous and deadly
scourge in Sierra Leone with the planned
deployment of RFA Argus. "14 Merlin helicopters,
Royal Marines and the Royal Navy’s ‘floating
clinic’ RFA Argus will join the fight to stop
the spread of the deadly Ebola virus in West
Africa.
Three Merlins from 820
Naval Air Squadron will join Argus and sail to
Sierra Leone to support UK’s growing effort on
land to deal with the outbreak of the disease.
After a meeting of the Government’s COBR
emergency committee, chaired by Prime Minister
David Cameron , to discuss the worsening virus
crisis in Africa, Defence Secretary Michael
Fallon announced that the UK armed forces were
ramping up their efforts. The helicopters and
auxiliary ship will be used first and foremost
to help medical efforts on land, where Britain’s
Armed Forces are playing a pivotal role in
tackling the crisis.
Mr Fallon said more
troops would be dispatched to support engineers,
logisticians and planners already on the ground
to support the construction of the Kerry Town
Ebola Treatment Unit, while additional personnel
are being sent to support an Ebola training
facility run by the World Health Organisation.
“The inherent
flexibility of the Merlin, the Navy’s latest
Anti-Submarine helicopter, acting in a transport
and utility role from afloat, will mean that
medical operations ashore can be fully
supported. “Our people are fully committed to
this vital role.” Thanks to her impressive
medical facilities, including wards for up to
100 patients, an operating theatre and intensive
care/high dependency units, Argus also has the
capacity to support medical efforts currently
provided by UK personnel ashore in Sierra Leone.
Mr Fallon said the Ebola outbreak posed “a
global threat to public health” and was vital
that the UK remains at the forefront of
responding to the epidemic."
We wish everyone
involved in this battle against the beast
snuffing out the lives of our people every
success in the hope that soon...and very soon
they would be on top of the situation.
God bless them and their
relations as we continue to advocate for more to
be done for the survivors of the disease as well
as the relations and dependents of those brave
health workers who have died giving their all so
that others may live.
And we again ask - has
the rat and his fellow vicious rodents absorbed
these surviving brave health workers into the
civil service as he promised?
Have they worked out a
pension plan for them instead of the corrupt
pension cesspit NASSIT stealing money from the
coffers of tax payers to put into the paws of
the rat "as a contribution to the fight against
Ebola"?
What a charade!!!
We saw
this and
hope it will trigger more positive action on why
we need to save as many of our brothers and
sisters as possible.
"Ebola’s initial
symptoms include fever, headache, diarrhea, and
vomiting — all of which sound misleadingly
common and relatively treatable. But the disease
can quickly progress, with mortality rates of
upward of 70%. “At the end stage of the disease,
you have small leaks in blood vessels,” Thomas
Geisbert, an immunologist at the University of
Texas Medical Branch at Galveston, told NPR in
August.
“You end up with
essentially no blood pressure. Your body
temperature drops and you go into shock.” That’s
largely because Ebola can provoke a “cytokine
storm” in the body, as the immune system
launches an all-out response to fight off the
disease — which simultaneously ravages a human
body, damages blood vessels, and further lowers
blood pressure to dangerous levels."
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