Tag: Ebola

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Ebola Outbreak Hits Children Hardest

According to the United Nations, almost 600 children have now lost their lives to the Ebola outbreak in the north-east of the Democratic Republic of the Congo (DRC) out of almost 850 who have caught the deadly virus since the epidemic started in August 2018. More children, proportionately, are being affected than in any previous Ebola outbreak.

The total number of deaths has now passed 2,000, out of more than 3,000 cases.

The recent breakthrough in finding a successful treatment for this disease, and the continued effectiveness of vaccination efforts to prevent transmission and infection, mean that, for the first time, there is an ability to both prevent and treat Ebola. The U.N. notes, however, that these breakthroughs “mean little if individuals are too scared to seek treatment, or too slow to spot symptoms.” The Mayo Clinic . notes that the Ebola virus disease is not transmitted through the air and does not spread through casual contact, such as being near an infected person. Unlike respiratory illnesses, which can spread by particles that remain in the air after an infected person coughs or sneezes, Ebola is spread by direct contact with body fluids of a person who is sick with Ebola.

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The Medicine Without Borders (MSF) (Médecins Sans Frontières, an independent international medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, healthcare exclusion and natural or man-made disasters) found that “During the first eight months of the epidemic, until March 2019, more than 1,000 cases of Ebola were reported in the affected region. However, between April and June 2019, this number doubled, with a further 1,000 new cases reported in just those three months. Between early June and the beginning of August, the number of new cases notified per week was high, and averaged between 75 and 100 each week; since August, this rate has slowly declined, but the number of new cases are still averaging just under 50 per week.”

According to MSF, “There is considerable difficulty in identifying and following up contacts of people diagnosed with Ebola. Over the last three months, only a third of new Ebola cases were identified and monitored as contacts of previously confirmed cases; two-thirds of contacts were never followed-up with by the surveillance teams. People continue to die in their communities, undiagnosed, untreated.”

The problem has spread into another regional nation.  MSF noted that in June, Uganda announced that three people had been positively diagnosed with Ebola, the first cross-border cases since the outbreak began. After several weeks with no recorded cases, the Ugandan government announced a new case on 29 August. In July, the first case of Ebola was confirmed in Goma, the capital of North Kivu, and a city of one million people. Later that month, a second person in Goma was diagnosed with Ebola; they died the next day and two more cases were announced. No new cases have since been recorded in either Uganda or in Goma.

MSF states that “Unlike the 2014-2016 West Africa Outbreak, there now exists two vaccines against Ebola which are in clinical study phases and are not licenced. One, the rVSV-ZEBOV vaccine produced by Merck, has been used in a ‘ring’ vaccination strategy since the start of this year. Using this strategy – where the contacts of people diagnosed with Ebola are vaccinated (first-degree contacts), and their contacts (second-degree contacts) in turn are vaccinated – over 230,000 people have been vaccinated up to the end of September 2019. In late September 2019, the Ministry of Health announced plans to introduce a second investigational vaccine, produced by Johnson and Johnson.”

The World Health Organization (WHO) has announced that the current Ebola outbreak in DR Congo represents a public health emergency of international concern.

Chart: MSF

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DHS Attempted to Stonewall Ebola Investigation

According to a worrisome report by the Department of Homeland Security’s (DHS) Office of the Inspector General,  (OIG) DHS’s response to the Ebola epidemic in 2014 was flawed. It also appears that DHS attempted to stonewall the inquiry into its problematic response.

Following the outbreak of the largest Ebola outbreak on record, DHS was tasked with preventing the African outbreak from spreading to the United States, largely by screening passengers at American ports of entry. The OIG found that while the response was timely, DHS failed to provide proper training, appropriate procedures were not consistently followed, and DHS workers themselves did not receive necessary protection.

In September of 2014, the Centers for Disease Control, a division of the Department of Health and Human Services (HHS), confirmed the first case of Ebola in the United States.  Approximately two weeks later, screening began at five major airports, including NYC’s JFK, Washington-Dulles in Virginia, Newark Liberty in New Jersey, O’Hare in Chicago, and Hartsfield-Jackson in Atlanta.  The screenings eventually spread to all U.S. Ports of Entry, resulting in over 20,000 screenings between October 2014 and June 2015.

The OIG audit revealed that DHS didn’t “ensure sufficient coordination, adequate training, and consistent screening of people arriving at U.S. ports of entry…Coordination between DHS, HHS, and other DHS components was not sufficient to ensure all passenger received full screening.”

Among the specific criticisms contained in the report:

CBP officers did not consistently refer passengers to Ebola screening, even when the travelers self-declared their travel to an Ebola-affected country;

Diplomats, United Nations workers, U.S. Government employees, and other dignitaries were not thoroughly scrutinized;

CBP officers did not consistently receive proper medical clearance, and DHS workers were not consistently protected.

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“During the course of this audit, we [OIG] encountered significant delays, cooperation issues and opposition from both components and Departmental offices.  Audited groups were unwilling to provide requested information in response to briefings and audit findings. The continued delays and resistance to providing responses during this engagement have violated the spirit of the Inspector General Act and have prevented our offices from delivering a timely report to Congress.”

The OIG has made ten recommendations for improvement. They urge stronger cooperation between agencies, better training, more thorough dissemination of information and guidance, more oversight of reporting procedures, and more careful purchasing of equipment.

The OIG’s report, which was brought to the public’s attention by the Washington Free Beacon,  did not cover broader policy issues concerning the federal government’s response to the Ebola outbreak.  Last October, the New York Analysis of Policy & Government noted that there was a lack of candid conversation about how Ebola is spread, and how it could evolve in dangerous ways, such as airborne transmission.  The American public was constantly told not to worry because the contagion is not airborne. Even without that mutation, however, the disease is so virulent that it can exist for hours on surfaces. So if an infected individual sweats, coughs, sneezes, or otherwise leaves any bodily fluid on a site others can touch, it can spread.

Nor has there been adequate discussion about the danger posed by direct flights to or from actively infected areas. Unlike several African nations and other countries including France and the United Kingdom which banned direct flights, the United States, inexplicably, continued them. The CDC’s director Thomas Freidan was asked about this on several occasions, and none of his explanations were even remotely credible. There is no reason that specially prepared charter flights could not have been substituted for any necessary transit to or from West Africa.

The five airports designated for receiving individuals from West Africa, including Kennedy International in New York, Newark Liberty International, Washington Dulles International, O’Hare International in Chicago, and Hartsfield-Jackson International in Atlanta, were both too numerous and located precisely in densely populated areas where the disease could most quickly spread. A more rational move would have been to limit travel, after a suitable quarantine period, to a single reception site in the United States where comprehensive health checks could have been performed.

In a 2010 decision the Obama Administration decided to scrap proposals  first set in place by the Bush Administration in 2005 in response to the potential spread of the Avian flu. It would have given the federal government wider authority to confront the spread of contagious diseases.

Health care workers have discussed fears about the adequacy of their facilities and procedures.  In a Washington Post interview, CDC spokeswoman Abbigail Tumpey admitted that “We as a health care system have to make sure not to let our guard down and be vigilant that patients with Ebola could show up at any U.S. health care facility…”

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Will American voters act to reject foreign policy failures?

Americans go to the polls tomorrow in the midst of a more urgent period of crisis than any since the start of the Second World War, and perhaps surpassing even that momentous epoch.

Extraordinary challenges facing our national security will be decided.

The evidence of both the depth of the threats facing the nation is abundant, as is the reality that the dogmas of the past several years have failed to provide any remedies. An objective, clear-eyed view reveals a devastating picture of an America that has seen its fortunes decline precipitously, in large part due to tragically faulty strategies.

At no time since the attack on Pearl Harbor has the United States been in such a weakened position militarily. This time, however, our vulnerability is not due to a sneak attack; it is the result of policies that were never based on any realistic assessments. The Obama-Clinton “reset” with Russia, highlighted by an extraordinary reduction in American arms at the same time that Moscow dramatically upgraded its conventional and nuclear forces, was clearly doomed to fail. But the White House and its supporters were so eager to redistribute military funding to social welfare programs, including an unprecedented leap in food stamps, that they ignored—and continue to ignore– this imminent threat. The same willful blindness applies to our stance towards China’s massive armed forces buildup and to the increasing threat of Islamic terrorism, a threat Mr. Obama and his allies seem reluctant to even call by its proper name.

Since 2009, the United States has endangered staunch friends such as the United Kingdom, Poland, the Philippines, and especially Israel through an inexplicable attitude from the White House that sought to please our opponents more than America’s own interests and that of its allies. Today, a powerful and increasingly dangerous axis with a vast and contiguous portion of the Earth’s geography and population, including Russia, China, Iran and North Korea threatens planetary peace to an unacceptable degree.
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The American electorate tomorrow must make a decision similar to that of the United Kingdom’s in 1940, when Neville Chamberlain, who sought to appease Nazi Germany, was replaced by the clear-eyed Winston Churchill.

But foreign-born threats are not all from enemy weapons. The aimlessness and secretiveness with which the looming threat of Ebola has been met by the White House matches its disarray in other national security concerns.

Similarly, the refusal to not only appropriately secure America’s southern border, but to engage in statements which actually encourage illegal entry provides an effective vector for the introduction of contagious diseases and Islamic terrorists, masquerading as economic immigrants, to the U.S.

Tomorrow, Americans have a choice.  Their decision may determine whether they also have a secure future.

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Dangers of uncontrolled entry into the U.S.

Grateful parents around the world recently celebrated the birthday of Jonas Edward Salk,  a medical researcher and virologist born in New York in 1914.  He passed away in 1995. He discovered and developed the first viable polio vaccine.

Currently, the United States is experiencing an outbreak of enterovirus 68, which is in the same family of illnesses that includes polio, although it is not a polio infection. 43 states have reported cases. The timing of the outbreak coincided with the large scale arrival of unaccompanied minors from Latin America. Enteroviruses have been noted in America since the 1960’s, but the current strain is rare in the United states.  It is, however, more prevalent in Central America, according to at least one study.

The outbreak, at this point, with absolute scientific certainty, cannot definitely be blamed on the large scale arrival of the unaccompanied minors, although the circumstantial evidence is hard to ignore.

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Even during the periods of great mass immigrations in the past, when there were comparatively little restrictions, the new arrivals were subjected to medical inspection.  Most Americans are familiar with the iconic photos of physicians on Ellis Island in New York Harbor carefully examining immigrants before allowing them to set foot on the U.S. mainland. Many have also heard of the story of Mary Mallon, better known as Typhoid Mary.   Although healthy herself, she carried and transmitted the typhoid infection. She was, after a trial, forced to live in seclusion.

It is highly disturbing that President Obama has failed to learn the lessons of the past, as well as sound current medical wisdom, and continues to endanger the nation by refusing to engage in cautious border practices.

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Ebola in NYC: What it Reveals

The arrival of Ebola in New York City illustrates the shortcomings of official attitudes towards this deadly challenge.

The lack of candid conversation about how it is spread must be addressed.  The American public is constantly told not to worry because the contagion is not airborne. The reality is that the disease is so virulent that it can exist for hours on surfaces. So if an infected individual sweats, coughs, sneezes, or otherwise leaves any bodily fluid on a site others can touch, it can spread.

It must also be understood that direct flights to or from infected areas is a terrible idea. Unlike several African nations and other countries including France and the United Kingdom who have banned direct flights, the United States, inexplicably, has continued them. The CDC’s director Thomas Freidan has been asked about this on several occasions, and none of his explanations have been even remotely credible. There is no reason that specially prepared charter flights cannot be substituted for any necessary transit to or from West Africa.

The five airports designated for receiving individuals from West Africa, including Kennedy International in New York, Newark Liberty International, Washington Dulles International, O’Hare International in Chicago, and Hartsfield-Jackson International in Atlanta, are both too numerous and located precisely in densely populated areas where the disease can most quickly spread. A more rational move would have been to limit travel, after a suitable quarantine period, to a single reception site in the United States where comprehensive health checks could be performed.

Most of these herbs have natural remedies that will help individuals get rid of cialis 10 mg this sexual inability. But, apparently, these starving songwriters (or generic cialis whoever owns the rights to the music) are being very well compensated for the right to use these classic songs for advertisement purposes. Some diabetics may find no noticeable effect on their penile health, others may experience that there is a tadalafil super active problem with their sexual health. This method has order generic levitra check for more info now especially been developed for people who are not caused by any health conditions; otherwise it should be taken of the strength of 25 mg or 10 mg. “Self-quarantining” simply is not practical or effective. Ebola has been known to remain dormant in a patient for 21 days, and there is evidence it may do so for up to 42 days. It strains credulity to believe that any individual can or will voluntarily refrain from engaging in the necessary activities of securing food to eat, socializing with family or friends, and doing all the things necessary for life without the support system of an enforced quarantine.  It is both dangerous and irrational to allow individuals who have been in affected regions to directly travel without first undergoing cautionary quarantine.

While there is a humanitarian obligation to allow trained medical personnel and the equipment they must use to go to West Africa, the concept of also sending up to 4,000 American troops borders on the insane.

Thomas Friedan, during his prior tenure as head of New York City’s Department of Health, appropriately became a national laughing stock because he thought the sale of large soda portions was a huge problem, and attempted to outlaw them.  He has failed to bring the same intensity to the fight against the very real Ebola problem.  Ron Klavin, the semi-“czar” appointed to oversee the White House’s Ebola efforts, is best known for his administration of the “Stimulus” program, which spent $700 billion and accomplished nothing to stimulate the economy.

Throughout this entire period, U.S. officials have been far less than honest with the American people.  It is a breach of trust unprecedented in the history of the nation, and calls into question the veracity, integrity, intelligence and competence of those involved.

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Downplaying the Ebola threat

The White House’s lack of a timely response to the increasing danger from Ebola is dangerously similar to Mr. Obama’s detached attitude towards other serious threats.

Since first taking office, the Obama Administration has consistently downplayed matters directly related to the safety of the American public from international sources, whether from military threats, terrorism, or illegal immigration.  As the Ebola contagion reaches unprecedented levels in West Africa, nations with direct service to Liberia, including Britain, France, Kenya, Cote D’Ivoire and Nigeria have restricted flights.  The U.S. has not.

The White House  has outlined three steps in response to the Ebola danger:

  1. “Caring for the patient, to provide the most effective care possible, and as safely as possible, to maximize the chances that the patient will recover.
  2. Identifying all people who may have had contactwith the patient while he could have been infectious.
  3. Monitoring those peopleif they develop fever — isolate and care for them, and eliminate any chances that they will infect other people.”

Clearly absent from those steps is a specific concentration on preventing the disease from entering American shores. The White House also continues to downplay the possibility of the disease mutating and becoming infectious through airborne means, though some researchers have expressed concern over this possibility. In a recent New York Times  article, the director of the Center for Infectious Disease Research and Policy at the University of Minnesota, Michael Osterholm, noted: “virologists are loath to discuss openly but are definitely considering in private: … an Ebola virus could mutate to become transmissible through the air.”
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While humanitarian assistance, including the sending of trained medical personnel is universally supported, the White House’s plan to send three thousand troops has raised a number of public safety issues, both for the soldiers themselves as well as for the general public upon their return to the U.S.  The concern became even more salient following reports of an NBC cameraman’s infection, demonstrating that the disease is not containable.

The case of Thomas Eric Duncan, a West African who has become the first person diagnosed in the U.S. with Ebola, clearly demonstrates the danger this malady imposes on the American homeland.

In a 2010 decision the Obama Administration decided  to scrap proposals  first set in place by the Bush Administration in 2005 in response to the potential spread of the Avian flu. It would have given the federal government wider authority to confront the spread of contagious diseases.

Health care workers have discussed fears about the adequacy of their facilities and procedures.  In a Washington Post interview, CDC spokeswoman Abbigail Tumpey admitted that “We as a health care system have to make sure not to let our guard down and be vigilant that patients with Ebola could show up at any U.S. health care facility…”

This lack of attention to what should be a significant priority of the Executive Branch has produced highly undesirable effects. It is similar to the unrealistic attitude Mr. Obama has displayed towards the military buildups by China and Russia,  and his hesitancy to confront Islamic extremism. After six years, the pattern is clear, and the implications distressing.

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Don’t Use the Army to Fight Ebola

President Obama’s plan to send 3,000 troops to Africa to fight the Ebola epidemic places a serious risk to the U.S. military both at home and abroad.

According to the White House, “At the request of the Liberian government, we’re going to establish a military command center in Liberia to support civilian efforts across the region…  It’s going to be commanded by Major General Darryl Williams, commander of our Army forces in Africa.  … our forces are going to bring their expertise in command and control, in logistics, in engineering.”

The Administration has failed to provide any information about what protective gear the troops would be issued, and what percentage of the three thousand would have at least basic training in dealing with epidemic outbreaks.

While experts maintain that Ebola is mainly transmitted through body to body contact, no epidemiologist is willing to guarantee that the disease will not mutate and become infectious through airborne means such as coughing or sneezing.  In fact, Ebola has been transmitted through airborne means in cases found in pigs and monkeys.

There is no practical means to ensure the safety of our servicemen and women. Add to that disturbing fact is the reality that symptoms of infection may not be evident for up to three weeks, according to the World Health Organization , which stresses: “No licensed vaccine for EVD is available. Several vaccines are being tested, but none are available for clinical use…”
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There is little doubt that international aid is desperately required. The National Center for Communicable diseases  notes that “The scale of this outbreak is unprecedented and has not been brought under control, with all three affected countries reporting new cases and deaths. Of concern is the dramatic surge in new cases in all three affected countries, which reflects on going transmission of infection in the community and in healthcare facilities. This is likely due to inadequate treatment facilities, insufficient human resources and, in some areas, persistent community resistance to instituting preventive measures.”
But while trained medical professionals are urgently required, and perhaps some protective services to assist them, the provision of three thousand U.S. soldiers, as well as some British military personnel, may be providing more risk than reward.

Consider the possibility:  An individual soldier becomes contaminated. Troops deployed in the region live in close quarters, giving the disease a good chance of spreading.  Some will be rotated out of Africa or otherwise travel back home, providing a dangerously efficient means of spreading Ebola throughout both the U.S. military as well as the civilian population.

In an interview in the military newspaper States and Stripes,  Bruce Aylward, The World Health Organization’s assistant director, said “This health crisis we face is unparalleled in modern times. The gravity of the situation is difficult to get across with just a few numbers… With the number of cases, 4,985, and deaths, 2,461, doubling in the past 14 days, ‘you start to get a sense of the rapid escalation we’re seeing of the virus from what was a linear increase in cases to now an almost exponential increase,’ Scientists from Fort Detrick say the number of Ebola cases in West Africa is much larger than official estimates indicate.”

Unease with the White House move began to grow following a New York Times  article written by Michael Osteholm, the director of the Center for Infectious Disease Research and Policy at the University of Minnesota. According to Osterholm, “The Ebola epidemic in West Africa has the potential to alter history as much as any plague has ever done. … virologists are loath to discuss openly but are definitely considering in private: that an Ebola virus could mutate to become transmissible through the air. …The current Ebola virus’s hyper-evolution is unprecedented; there has been more human-to-human transmission in the past four months than most likely occurred in the last 500 to 1,000 years. Each new infection represents trillions of throws of the genetic dice.”

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Public Health & Safety Reasons for Stopping Illegal Immigration

Statements and evidence submitted by U.S. border patrol agents and others onsite indicate that the general perception of what is happening on our southern border is both incorrect and incomplete.

While some of the illegals are, indeed, young children, there is a significant number whose classification as “children” is quite misleading. Young men who are members of Mexican drug cartels are also part of this dramatic influx, and the ramifications that will have in terms of increased crime will be long-term and dramatic.

But it is also incorrect that only Latin Americans are entering unlawfully.  Border patrol officials report that there is evidence that Chinese, Middle Eastern, and Africans from areas affected by the Ebola outbreak are also arriving.  The threat of infectious diseases is very real to U.S. border patrol agents.

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Reports of scabies, tuberculosis and other maladies have been made, and these can jump to the general U.S. population when the illegals are sent to sites across the nation.

Generations of Americans, who entered the United States lawfully through portals such as Ellis Island, were inspected for contagious diseases and other impediments to admission. That public safety and public health reason is why not adequately controlling illegal immigration is a terrible idea. Common sense and basic safe medical practice warrants far stricter border control.