The world is not a safe place. (the truth will set you free?)
The advent of modern transportation with thousands of people travelling around the world in a matter of hours increases the importance of isolating and containing diseases such as Ebola. Prevention is less expensive, and treatment on site at the origin of the endemic outbreak is essential.
In areas where endemics occur the population density and the prevalence of the infection increases the liklihood of spread to other locations.
The outbreak of Ebola is a mere test of our CDC's control methods. Far worse could be forthcoming. Politicians are making decisions without accepting recommendations from public health scientists and authorities. Could they be correct ? The Governors of New York, New Jersey and others have correctly used their authority to protect the public health.
As usual our government reacts slowly.
The major effect has been for health workers returning from West Africa. Health officials have emphasized repeatedly that direct contact with secretions is required for transmission to non-infected individuals.
This week's NEJM (New England Journal of Medicine) has several articles regarding Ebola, regarding diagnosis, treatment and isolation measures.
Ebola in the United States: EHRs as a Public Health Tool at the Point of Care
Ebola and our fragile health system
Despite repeated assurance by the CDC that the transmission of Ebola Virus is not airborne, there are recent articles which report vomitting produces a spray pattern, and protective measures to prevent spread of Ebola Virus.
Ebola Virus Disease and the need for New Personal Protective Equipment.
Numbers below are time tags and contents of video:
0:00 Introduction to viruses
1:20 Virus anatomy
2:35 Hemorragic fever in Angola (Ebola)
2:56 WHO and GOERM
3:15 WHO and world wide monitoring
8:25 Infection control and prevention in underdeveloped countries
12:00 Biological containment and isolation methods
13:15 Ebola, Marburg virus have no treatments or vaccines.
25:00 Virology, methodology for research
33:00 Viral Vectors and origins, zoonoses, West Nile Virus
36:00 Threat of bioterrorism
41:00 Limited resources, requiring large volunteer efforts in Africa and elsewere.
45:00 Previous lessons from HIV (25% of Africans had HIV virus leading to AIDS)