A health care worker at Texas Health Presbyterian Hospital has tested positive for Ebola

Frieden begins slow release of the bad news that two more are infected:
"“We need to consider the possibility that there could be additional cases, particularly among the health-care workers who cared for [Duncan] when he was so ill,” Frieden said. “We would not be surprised if we did see additional cases.”

And that the CDC protocols are asinine:
"As investigators work to figure out how Pham got infected, health officials already are considering exactly what protocols need strengthening at U.S. hospitals. The CDC said it will examine every aspect of dealing with suspected or confirmed Ebola cases, including how best to staff isolation units and how protective gear is put on and taken off......Frieden said. “We have identified a series of things where we can make the care safer and easier for the health-care workers that are providing it.”


Link

originally posted by: fwkitziger
Frieden begins slow release of the bad news that two more are infected:
"“We need to consider the possibility that there could be additional cases, particularly among the health-care workers who cared for [Duncan] when he was so ill,” Frieden said. “We would not be surprised if we did see additional cases.”

And that the CDC protocols are asinine:
"As investigators work to figure out how Pham got infected, health officials already are considering exactly what protocols need strengthening at U.S. hospitals. The CDC said it will examine every aspect of dealing with suspected or confirmed Ebola cases, including how best to staff isolation units and how protective gear is put on and taken off......Frieden said. “We have identified a series of things where we can make the care safer and easier for the health-care workers that are providing it.”


Link

From your link:

Brantly also offered to donate blood to Duncan before his death, but their blood types were not a match.

This answers a question someone had earlier about why Duncan did not get Brantley's blood.

a reply to: ValentineWiggin

The link I found now, said that he did not refuse the blood transfusion but that no compatible blood was found of him, I guess I made a mistake of assumptions

He didn't get a blood transfusion from an Ebola survivor

Unlike other American patients, Duncan didn't get a blood transfusion from someone who'd survived the virus.

That's because doctors couldn't find a match, the hospital said Thursday.

"Mr. Duncan did not receive the same type of serum transfusion as the patient in Nebraska (Mukpo) because his blood type was not compatible with the serum donors," the hospital said. Mukpo received a transfusion from Dr. Kent Brantly, who survived the virus.

www.cnn.com...

a reply to: butcherguy

Thanks butcherguy, I also found the information, this article I found actually tells how the law sue could not go well due to the events before Mr. Duncans death, in which he was too late for proper treatment in with the disease.

a reply to: fwkitziger

Like I been saying, Mr. Duncan was able to spread his disease in his first visit to the hospital, regardless of what the CDC is telling, he was already too infected before he was admitted to the hospital and probably highly contagious

All this is expected, it will be more cases that is for sure, but as long as they stays isolated and the treatments administered earlier the survival rate will be better.

a reply to: fwkitziger

It is outrageous that the CDC is just NOW saying their procedures need improvement. They had MONTHS to observe, practice and learn from the epidemic in Africa. They reassured US citizens for months that IF it came here, they were ready. They PROMISED that US hospitals were prepared.

What were they doing all these months? Posting some instructions on a web-site, and hoping hospitals would read it? And these instructions were not of any use any way. Why were then not training people in at least all major hospitals on PROPER protocols, learned from the field in Africa? Why were they not ensuring that all hospitals had proper gear? Why were CDC experts (ha?) not IN every ER on the country training staff on what to look for?

Frieden needs to be fired, and everyone involved in this whole fiasco. Their incompetence has endangered everyone. Add to this incompetence the fact that our leadership is doing nothing to keep ebola out of our country and... they wonder why people are panicking? Why should anyone feel safe?

Sorry... just had to rant!

Responding to questions about sunlight exposure and such things that might help...

If you research Ebola you will find that it will only infect people with the NPC1 gene. That gene is a mutated gene that is necessary for the ebola virus to actually get into a cell. 1:150,000 are estimated to have this mutated gene.

Or at least that is my understanding I am in no way a medical professional. Here are some links if anyone wants to help me understand this better...

Wiki - you can find the same info elsewhere but it summed it up well

The human Niemann–Pick C1 (NPC1) cholesterol transporter appears to be essential for Ebola virus infection: a series of independent studies have presented evidence that Ebola virus enters human cells after binding to NPC1.[7][8] When cells from Niemann Pick Type C patients lacking this transporter were exposed to Ebola virus in the laboratory, the cells survived and appeared impervious to the virus, further indicating that Ebola relies on NPC1 to enter cells; Côté M, Misasi J, Ren T, Bruchez A, Lee K, Filone CM, Hensley L, Li Q, Ory D, Chandran K, Cunningham J (September 2011). "Small molecule inhibitors reveal Niemann-Pick C1 is essential for Ebola virus infection". Nature 477 (7364): 344–8. doi:10.1038/nature10380. PMC 3230319. PMID 21866101. Lay summary – New York Times. mutations in the NPC1 gene in humans were conjectured as a possible mode to make some individuals resistant to this deadly viral disease.

explination of NPC1

Wiki - Niemann-Pick disease

originally posted by: fwkitziger
This just in from Doctor at Dallas Health Presbyterian ....Duncan's dialysis doctor and another nurse are running fever and are suspected for Ebola, tests are underway. Doctor tells me the CDC protocol is likely to blame. The protocol for removing infected gear for his 40 year career was to take off your garment first with gloves still on because the gloves are over the sleeve ends. When you pulled off the sleeves, the latex gloves would roll up a bit. Then you used two fingers under the glove roll and whipped off the contaminated glove. But after SARS, the WHO and CDC came up with the opposite....taker off you gloves first then remove the nasty garment without gloves....he calls this insanity and did not know the new protocol until today when he watched the CDC video at the hospital. It is likely that the dialysis team was all using the new CDC protocol. The incompetence of the Feds strikes again.

This is another reason why commonsense and critical thinking, should always take precedence over blindly following rules. I am an old fart, and when I went to nursing school, we were taught under the scientific rational theorem.
We were taught before we took any action we should ask ourselves, “What is the scientific rationale for what you are about to do?” If we did not know why we were doing something, then we had no business doing it. Our instructors would walk up on us in the middle of performing a task; they would ask, “What are you doing?” After you answered, they would ask the dreaded question. “What is the scientific rationale for, -insert previous answer-?” Regardless to how simple the task, you had to know why you were doing a thing, and give reason for why it was “sound and prudent”.

I still use that practice in my everyday life, and it gets me in a world of trouble “all” the time. Unfortunately, I have a “lot” of trouble, accepting orders, without an understandable reason for the request. People do not like having their orders questioned, but I have a quite a bit of difficulty doing anything, if I don’t know the rhyme and reason of it. In my line of work, I guess you can call me part of middle management, I am a contract consultant, and I don’t work directly for the corporation. I way too often get the response, “That is what I was told had to be done”, as a response to my inquiry of “why”. If I dare press further, I get the angry, belligerent response of, “I don’t make the rules, I am just the one paid to follow them”.

Trust me. I get it. I know exactly what they are dealing with, and why they accept their role in their grand scheme of things. I just don’t have the fortitude for following fools blindly off the cliff. So, I place myself in a neutral corner and watch the disaster play its self out. Personally, if I had been given that protocol for gowning and ungowning from the CDC, or anyone else, I would have dismissed it as either a typo, or another example of desktop pros giving instructions for how to do something they have read about and studied, but has never actually gotten their hands dirty in the tried and true method of experience.

The best way for dressing and undressing in a hazardous exposure situation, actually takes two people. The risk of contagion remains, but is greatly reduced when each,very cautiously, assists the other.

Again, my humble opinion.

I have some training ( a few years) -- and their procedure is STUPID and WILL kill people.

originally posted by: CardiffGiant
a reply to: JustMike

well that procedure for taking off the gear sucks. i have zero training and i can see that. actually let me say that if they go through the delousing shower it seems like it will be effective but not if you just yank them off.
sanjay grabbed the gown by the front and just ripped it forward with a decent amount of force. im thinking that yanking it like that would send all kinds of infected nano particulates into the air for the person to now breathe in.


edit*
if they are doing it like that it is easy to see how a person could get infected

a reply to: kimmie7

I can see nurses doing it their own way.

Unless there is a "supervisor" from the CDC assigned the job of holding the clipboard and watching and forcing them to do it THEIR way.

I'd rather the nurses do what makes sense to them.

I sincerely hope those protocols are changed soon.

Ebola Nurse Boyfriend Reportedly Admitted With Ebola Symptoms WITH UPDATE

An email sent out to the Alcon staff by its CEO reportedly said that the ebola nurse’s boyfriend was admitted into hospital with “Ebola-like symptoms.

Gotnews.com has received word from two different Alcon employees, both of whom asked not to be identified.

Alcon’s U.S. headquarters are in Fort Worth, Texas. It is an ophthalmological pharmaceutical company.

Requests for comment from Alcon were not returned.”

source

originally posted by: MrLimpet
Ebola Nurse Boyfriend Reportedly Admitted With Ebola Symptoms WITH UPDATE

An email sent out to the Alcon staff by its CEO reportedly said that the ebola nurse’s boyfriend was admitted into hospital with “Ebola-like symptoms.

Gotnews.com has received word from two different Alcon employees, both of whom asked not to be identified.

Alcon’s U.S. headquarters are in Fort Worth, Texas. It is an ophthalmological pharmaceutical company.

Requests for comment from Alcon were not returned.”

source

I posted a comment on this in another thread but I will say it here, too. The company email distributed all Alcon employees states that the boyfriend is not showing any symptoms of the virus.

Then why the heck is he hospitalized? Then why wasn't Duncan's girlfriend, Louise Troh, also hospitalized if it's just a precautionary measure?

I think he must be showing symptoms but they have to keep the public calm.

a reply to: texasgirl

I am glad that they have taken the initiative to have him hospitalized, after all the chances of treating ebola successfully is to tackle the disease as early as possible before it causes irreparable and deadly damage.

This is the right thing to do, to avoid more spread.

Chuck C Colson has been reporting on the Alcon employee through his twitter. His Twitter has now been suspended.

gotnews.com...

a reply to: mrsdudara

It certainly doesnt hurt to pursue that avenue of research but these "studies on Ebola resistance were done in a lab, in mice and in human cells with samples from those with Niemann-Pick C disease, "it's not known for certain if carriers of the NPC1 are truly resistant to Ebola".

This is an autosomal recessive inheritance so that means it will occur (manifest the disease of lipid storage which =death) when both parents carry and pass on a copy of the faulty gene, but neither parent is affected by the disorder.
So, people that carry this mutation (without the disease) will have one good copy. They may have some resistance to filoviruses but the drug would suggest a mechanism that temporarily blocks the NPC1 from being expressed....I would expect that this will take a human model to test this in as we know death would result if lets say the drug did not allow any further expression of the protein you have to have to live.

Mutations in the NPC1 gene result in Niemann-Pick C disease, an autosomal recessive lipid storage disease. They cant produce the the protein and only live about 10 to 12 years, as their cells become clogged with cholesterol and eventually die. Dye and his team -- Andrew Herbert, Ana Kuehne and Gordon Ruthel -- were able to take cells from Niemann-Pick patients and expose the cells to the filoviruses last October. "We found that those cells are uninfectable by filovirus, which basically means that if you don't have NPC-1, you can't be infected," Dye said.
(www.plosgenetics.org...)

originally posted by: 2gd2btru
Chuck C Colson has been reporting on the Alcon employee through his twitter. His Twitter has now been suspended.

gotnews.com...

This is a big tell.

Watch out people, things are gettng dicey.

a reply to: mrsdudara
MrsDudara,

my apologies, but your statement: "That gene is a mutated gene that is necessary for the ebola virus to actually get into a cell." is not correct. It's actually the exact opposite. NPC1 is a normal gene and in fact we have serious problems if we lack it or it's not functioning properly. Yes, as the study you quoted says, NPC1 is apparently the route the virus uses to enter cells, but that means that as most people have normal NPC1, they can be infected that way.

The 1:150,000 figure refers to the very rare mutation of NPC1 (and NPC2) that causes Niemann–Pick disease, type C. If people have this mutation, the virus cannot cross into their cells and so they will not be infected.
ETA: amendment, with thanks to bella2256: that is, laboratory studies suggest this. It's not a definitive fact. END Eta.

In a city the size of Dallas, for example, there is probably not more than about a dozen people with the Niemann-Pick disease NPC1 or NPC2 mutation. They are resistant to the virus. The rest of the population are not -- at least, not on the basis of their NPC1 or NPC2 genes.

Man Rep Michael Burgess is on CNN asking for voluntary flights to be suspended and he is SWEATING BULLETS.

a reply to: bella2256
I was writing up my post and didn't see yours but just wanted to say I think you've actually expressed the matter far better than I did.

I should have stated that the resistance in humans is not factually demonstrated but only implicated. Even so, it is certainly an interesting line of thinking. If it becomes possible to temporarily inhibit NPC1's function that could be massively beneficial in blocking infections by a lethal pathogen like Ebola.

I think flights HAVE to be suspended. I've thought about the numbers and projections and numbers/projections aren't even my strong point and it seems like there is no other way.

They are suspended or this is going to get out of control. I don't know why they are wasting precious time.