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Title: Blog by Novelist William S. Frankl, MD

Archive for October, 2014

Ebola in the USA On the Verge of Spreading

Sunday, October 26th, 2014

Events are changing from bad to worse. The Obama administration is on the road to plunge the United States into an Ebola epidemic.  At present, there is a doctor critically ill in Bellevue Hospital in New York City. He has Ebola (he came from West Africa where he had been treating Ebola patients). His girlfriend is in mandatory quarantine. He had come home and traveled around New York city before symptoms arose. There are other unknown individuals who came in contact with him and who are being monitored in the New York City area. A nurse is quarantined (and raising hell about it) in Newark, New Jersey. She allegedly has no symptoms, but had recently been treating Ebola patients. There are nine people in Connecticut who are being monitored for Ebola and the governor there has declared a public health emergency.

Gov. Christie of New Jersey and Gov. Cuomo of New York have mandated that all people coming from West Africa and who come into JFK and Newark airports and who admit they were in contact with an Ebola patient, will be quarantined for 21 days. This is a good step forward in dealing with Ebola –––  but what if the person lies?  Or is a terrorist infected with the virus and coming here to cause an epidemic?

There MUSt be a total and complete cessation of flights from West Africa. And any people coming into the United States from overseas who have recently been in West Africa MUST be quarantined –––  NOT VOLUNTARILY ––––  for 21 days. Quarantine sites should be set up in all the states with airports likely to have overseas flights coming in. We must stop the infection NOW or we will be thrust into the most serious plague this country or perhaps the world has ever experienced.

And we must put pressure on those fools in Washington to do these things immediately. The future of our country depends on a TRAVEL BAN and a VIGOROUS QUARANTINE PROGRAM!

Obama vs Ebola

Tuesday, October 14th, 2014

We MUST stop all flights from West Africa to the United States! IMMEDIATELY!!  Obama is risking the lives of hundreds of thousands of Americans with his failure to act; Obama risks the financial structure of the United States with his failure to act; Obama risks civil disorder and riots with his failure to act;  Obama risks disintegration of the medical system in the United States with his failure to act.
With the development of Ebola in Ms. Nina Pham,  a nurse who cared for Thomas Duncan, the Liberian who died of the disease six days ago, the efficacy of defensive protocols to protect the medical caregivers are now being questioned. However, it might also be that we do not understand the disease completely.
It is known that the body fluids of an infected individual are contaminated, and coming in contact with them is responsible for the spread of the illness. Now, it seems that a well respected infectious disease group at the University of Minnesota and a virologist at Purdue University who has studied Ebola since 2003 suggest that we cannot be certain that Ebola will not be spread via the aerosol route since it has been shown that the virus can infect lung cells of laboratory animals via this route. And in this epidemic the virus might very well have undergone enough mutations to allow it to become an airborne infectious agent. In addition, when the disease is at its peak, hemorrhage is widespread and in the nasal passages resultant sneezing can occur and shower the air and the surrounding environment with bloody discharge filled with Ebola.
Finally, it has been thought that the incubation period is three weeks and that the patients infected become contagious only when signs and symptoms occur –––  fever, cough, diarrhea, hemorrhage, etc. That might not be totally correct. Although the viral load systemically might not be as high as when the patient becomes  symptomatic, the body fluids might well contain some Ebola and indeed be infective.
There is much that is not known about Ebola. but it is clear that to keep Americans safe and the underlying structure of the United States sound –––  ALL TRAFFIC FROM WEST AFRICA MUST BE  SUSPENDED AND ALL PERSONS COMING FROM OTHER OVERSEAS SITES MUST BE CAREFULLY SCREENED BY QUALIFIED AUTHORITIES BEFORE BEING ALLOWED TO ENTER THE UNITED STATES. And oh, by the way, our troops can come back from West Africa via military flights and the materials to fight the epidemic in West Africa can also be sent in that manner. In no way will the  suspension of civilian flights from West Africa hinder the help which can come from the United States to fight the epidemic in that area.
The only thing that prevents this appropriate approach is Obama. And why does he prevent the suspension of flights coming from West Africa? Does he think it will look like racism? Does he think it would interfere with his determination to provide amnesty for undocumented aliens? Or is there something else? Something even worse?

And one further note about the Ebola  crisis. The Republican Party is being accused of igniting and indeed causing the Ebola epidemic! Why? For “cutting” appropriations for the CDC.  A left wing group called the Agenda Project has launched an ad on social media showing Africans dead and dying because of Republicans.They plan to adapt this ad for TV. This is of course a blatant lie. Congress allocated $300 million more than Obama requested for the CDC this year. The left wing in this country is without conscience or capable of civil discussion. They are the “bottom of a stinking barrel”. And the Democratic Party and Obama stand aside and cheer them on while they continue to damage and possibly irreparably cripple the United States.

First Ebola Case Diagnosed in the USA

Wednesday, October 1st, 2014

As expected,  despite the previous nonsense from the Administration, an Ebola case has come to the United States. And there will be more. The diagnosis was missed in a local hospital. Apparently no one asked the patient where he came from and when! The following is the best we know about the case:

First Ebola Case Diagnosed in the U.S.
Dallas hospital is treating traveler from Liberia
Sep 30, 2014
By Dina Fine Maron

Federal officials today announced the first case of Ebola diagnosed in the U.S. The male patient was admitted to Texas Health Presbyterian Hospital Dallas and placed in strict isolation on
September 28 after flying from Liberia to visit family in north Texas. The patient left Liberia on September 19, arrived in the U.S. on September 20 and started showing signs of illness on Sept. 24. Because Ebola can be transmitted only after a person becomes sick, health authorities said, the man could not have infected nearby passengers.  The individual did not appear to have been in west Africa providing Ebola care.

“He undoubtedly had close contact with someone who was sick with Ebola or died from it,” Tom Frieden, the director of the Centers for Disease Control and Prevention said in a press conference this evening. The patient is being cared for in intensive care and any individuals who had potential exposure to him after he began showing symptoms will be contacted and monitored for 21 days. The disease typically has an incubation period of 8 to 10 days.

The case comes six months after the World Health Organization first formally published notification of the outbreak in Guinea.  The disease, spread solely by contact with the bodily fluids of symptomatic Ebola patients, has already caused more than 3,000 Ebola deaths in west Africa and rippled from Guinea to Liberia, Nigeria, Senegal and Sierra Leone. Nigeria and Senegal are no longer reporting any new cases, however, suggesting the countries have controlled the outbreak there. Despite some speculation published in the media, the disease is not spread by air and is unlikely to do so as Scientific American reported on September 16.

For months, the U.S. Centers for Disease Control and Prevention has maintained that unlike the health systems in west Africa, the robust health infrastructure in the U.S. would prevent Ebola from readily spreading if the virus was detected in the country. Healthcare workers who became ill with Ebola while caring for patients in west Africa and transferred to U.S. hospitals recovered without infecting other individuals.

Frieden again today reiterated that isolation capabilities at U.S. hospitals, healthcare workers ability to track people who may have been exposed to the ill patient and strong health communication which can alert people about how best to protect themselves, will keep this case from blossoming into a large-scale outbreak. Indeed, the CDC director reminded reporters that a woman who had contracted a similar disease, caused by the Marburg virus, was successfully treated in Colorado in 2008 after she became ill and had even undergone surgery without transmitting the virus to anyone else.

There are no other suspected Ebola cases in Texas at this time.

No therapy or vaccine has yet cleared scientific testing for Ebola although several candidates are currently in clinical trials. To date, the WHO has said that blood transfusions from Ebola survivors  should be the immediate priority treatment. Such blood, hopefully chock-full of antibodies against the virus, could help the newly infected to respond to the disease more quickly. Although the WHO has said the disease kills 70 percent of patients, individuals are more likely to survive when they have access to care that would be offered in the U.S. including electrolyte replacement for lost fluids.

William S. Frankl, MD, All Rights Reserved