Ebola monitoring inconsistent as virus spread

This Friday, Oct. 17, 2014, in Dallas, photographs shows an excerpt from a Texas Department of State Health Services document that healthcare workers with possible exposure to Ebola are being asked to sign. The document is signed by David L. Lakey, M.D., Commissioner, TDSHS. (AP Photo/Tony Gutierrez)

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‘Who’s the idiot with the clipboard?’ Disbelief and panic as mystery man WITHOUT a hazmat suit helps second Ebola nurse board her plane to Atlanta, disposes waste and then climbs aboard

A man in plain clothes was seen on the tarmac Wednesday afternoon, as the second Ebola patient (in yellow hazmat suit) boarded a flight to Atlanta, Georgia 

A man in plain clothes was seen on the tarmac Wednesday afternoon, as the second Ebola patient (in yellow hazmat suit) boarded a flight to Atlanta, Georgia

 

  • Man casually dressed in shirt and pants seen on TV walking with Ebola patient Amber Vinson

  • He carried a clipboard and walked alongside Ms Vinson and healthcare workers who were ALL dressed in hazmat suits

  • He has been identified as a supervisor for Phoenix Air, the company that flew Miss Vinson to Atlanta  

  • Miss Vinson walked onto the plane in Dallas and the man without protection also boarded the plane, flying with her to Atlanta, Georgia

  • Social media has dubbed him the ‘clipboard man’ – expressing shock that he came so close to an infected patient and unprotected 

 

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Stomach bug linked to produce sickens 285 in 11 states

Cases of cyclosporiasis have affected residents in 11 states, with symptoms including watery diarrhea, vomiting and body ache.

 

FDA investigating breakout of intestinal bug: Cyclosporiasis

FDA investigating breakout of intestinal bug: Cyclosporiasis

SOURCE

At least 285 people in 11 states have been sickened by a parasitic infection commonly linked to fresh produce, and the exact cause of the outbreak has yet to be pinpointed, the U.S. Centers for Disease Control and Prevention said on Thursday.

Most of the cyclospora infections have been clustered in the Midwest, with 138 cases reported in Iowa and 70 in neighboring Nebraska. The remainder have been identified in Texas, Georgia, Wisconsin, Connecticut, Illinois, Kansas, Minnesota, New Jersey and Ohio.

 

The cause of the illness has not yet been identified, but the parasite is most commonly found in fresh produce, including fruits, vegetables and herbs, grown in tropical and subtropical regions, according to Dr. Barbara Herwaldt, a medical epidemiologist at the CDC.

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Diseases That Threaten Humanity

 An American policeman wearing a mask to protect himself from the outbreak of Spanish flu following World War I, ca. 1918. (Topical Press Agency/Getty Images)

While it’s impossible to calculate the odds of a disease wiping out humanity (Are they better or worse than an asteroid hitting earth? What about a robot uprising?), this staple subject of both page and screen contains a kernel of truth. There are diseases out there in the world that pose a substantial risk to humankind. There are diseases that have attacked us already, killing millions upon millions. What follows are five diseases that, given the perfect, deadly mutation and the right push could lay siege to humanity.

And at the the end of this list there’s a kind of bonus: a disease that once would have been listed here, which ravaged humankind, killing upwards of 300 million people in the 20th century alone. But decades ago humanity struck back, eradicating it from the face of the earth.

Influenza

It’s believed that flu pandemics have occurred throughout human history, when especially nasty strains of influenza virus spread globally. The deadliest of these waves that we know about was the 1918 “Spanish” flu outbreak that according to flu.gov infected between 20 and 40 percent of the worldwide population and killed approximately 50 million people. With its high mutation rate and ability to spread easily, the flu virus remains a constant risk to humanity. Just as recently as 2009, the H1N1 strain of flu is believed to have killed hundreds of thousands of people. 

While the flu shot is not perfect – this year’s version was less effective for the elderly for reasons that are unclear – the CDC recommends that everyone over the age of six months old get a flu shot.

Superbugs

 Extensively Drug Resistant Tuberculosis is a type of tuberculosis that is resistant to various antibiotics. (CDC)
 

One of humanity’s best weapons against infectious disease could ultimately be the cause of a major threat to us: Superbugs. Superbugs are bacteria that have become resistant to antibiotic drugs. Recently, Sally Davies, the U.K.’s chief medical officer, described the danger posed by antibiotic-resistant bacteria as “apocalyptic.”

“There are few public health issues of potentially greater importance for society than antibiotic resistance,” Davies told the UK newspaper The Guardian.

The types of bacteria that have become untreatable by antibiotics range from strains of staphylococcus, a common bacteria that usually causes minor skin infections, if anything, to the sexually-transmitted disease gonorrhea. And experts warn that there are not enough new antibiotics coming to market for humanity to keep up in this evolutionary arms race.

Ebola

 This colorized transmission electron micrograph (TEM) revealed some of the ultrastructural morphology displayed by an Ebola virus virion. (CDC)
 The stuff of nightmares: a disease that causes massive internal bleeding and reportedly kills more than half of the people it infects. Ebola, named after the Ebola River in the Democratic Republic of the Congo where it was discovered, perhaps entered the public consciousness with the publication of Richard Preston’s The Hot Zone. The book recounts – in graphic detail – what happens during an Ebola outbreak. 

The good news is that Ebola appears to be a blood-borne pathogen, making it significantly more difficult to transmit than air-borne diseases like the flu. The bad news is that the virus’s “natural reservoir” – the animals it calls host when it’s not cutting down humans – is unknown (scientists reportedly think the likeliest candidate is bats).

SARS

 Two Chinese girls wear masks to protect themselves from SARS on a street April 24, 2003, in Shanghai, China. (Kevin Lee/Getty Images)

This respiratory disease caused by the SARS coronavirus came to the public’s attention in 2003, with a concerted public awareness campaign conducted by health organizations around the world. The name stands for Severe Acute Respiratory Syndrome, and the disease demonstrated, according to the Mayo Clinic, “how quickly infection can spread in a highly mobile and interconnected world.”

The 2003 outbreak spread to more than two-dozen countries, infecting about 8000 people worldwide, according to the CDC.  The disease killed approximately 10 percent of the people infected, according to Harvard Magazine, and, because its symptoms mimicked that of the cold of flu, experts worried it would spread undetected. Ultimately, the spread of the disease was curbed by an aggressive public health campaign, but, worryingly, a different coronovirus has emerged in recent months, and has caused six confirmed fatalities.

Anthrax

 A microscopic view of stained anthrax bacteria in an undated photo from the Command at Fort Detrick, Md. (U.S. Army Medical Research and Development/Getty Images)
 Not every threat in this list comes direct from Mother Nature. Anthrax’s danger lies in its potential as a biological weapon. While dealing with infected animals or animal products is the most common natural cause, the bacteria can be grown in a lab setting and so this disease has been actively researched for use as a weapon. According the BBC, an accidental release of anthrax spores at a Soviet military lab in 1979 sickened 79 and killed 68.

The disease comes in three types, depending on how one catches it, according to the CDC. It can infect the skin, the gastrointestinal tract, or, in its most deadly form, the lungs. About half the cases of inhaled anthrax result in death.

Smallpox

The success story on this list – as far as humanity is concerned, anyway – smallpox is the only disease that has been driven extinct due to a concerted effort by humankind (although the guinea worm could be next). This killer of millions was known throughout much of human history – and is believed to have been responsible for one-third of all cases of blindness until its eradication. It was vanquished in 1980 through a vaccination campaign headed by WHO. Smallpox caused severe rash, sores and fever and killed nearly a third of those who contracted it before it was wiped out.

Perhaps there’s reason to be (cautiously) optimistic. But there are a couple of samples stashed away for government research.

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Rare Superbug Spreads in US

Rare superbug emerging in U.S. elicits advisory warning from CDC

The Centers for Disease Control and Prevention is alerting clinicians of an emerging untreatable multidrug-resistant organism in the United States.

There are many forms of Carbapenem-resistant Enterobacteriaceae (CRE), but of the 37 forms reported in the U.S., 15 have been reported in less than a year.

The CDC said the increase in CRE means health care providers need to “act aggressively to prevent the emergence and spread of these unusual CRE organisms.”

Enterobacteriaceae lives in water, soil and the human gut. These “surperbugs” have developed high levels of resistance to antibiotics – even carbapanems. Individuals who usually develop CRE infections are those who are taking antibiotics and getting significant medical treatment for other conditions.

The majority of CRE were “isolated from patients who received overnight medical treatment outside of the United States,” according to the CDC.

Health care providers that encounter CRE infections should follow the CDC’s recommendations in the 2012 CRE toolkit.

Persons who shared a room with a patient who has a CRE infection – and maybe even health care providers who treated the infected patient – should be screened to make sure they have not caught the infection.

If the infected patient is transferred to another health care facility, the new facility should become aware of the CRE infection. Health care providers who care for infected patients should not treat other non-infected patients.

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