<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	
	xmlns:georss="http://www.georss.org/georss"
	xmlns:geo="http://www.w3.org/2003/01/geo/wgs84_pos#"
	
	>
<channel>
	<title>
	Comments on: #Ebola UPDATE-Rate Of New Cases Rises, Note to Laurie Garrett, is there a case in South Africa?	</title>
	<atom:link href="https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/feed/" rel="self" type="application/rss+xml" />
	<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/</link>
	<description></description>
	<lastBuildDate>Thu, 11 Sep 2014 02:33:57 +0000</lastBuildDate>
	<sy:updatePeriod>
	hourly	</sy:updatePeriod>
	<sy:updateFrequency>
	1	</sy:updateFrequency>
	<generator>https://wordpress.org/?v=6.4.8</generator>
	<item>
		<title>
		By: Jason Z		</title>
		<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/#comment-481446</link>

		<dc:creator><![CDATA[Jason Z]]></dc:creator>
		<pubDate>Thu, 11 Sep 2014 02:33:57 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20180#comment-481446</guid>

					<description><![CDATA[This is just not &quot;science.&quot;

From a sample data set, you cannot take the last two numbers and infer anything.  It does not have statistical power.


The last two reported numbers are low - it may be subsiding - this is tabloid journalism, not scientific discussion.]]></description>
			<content:encoded><![CDATA[<p>This is just not &#8220;science.&#8221;</p>
<p>From a sample data set, you cannot take the last two numbers and infer anything.  It does not have statistical power.</p>
<p>The last two reported numbers are low &#8211; it may be subsiding &#8211; this is tabloid journalism, not scientific discussion.</p>
]]></content:encoded>
		
			</item>
		<item>
		<title>
		By: Greg Laden		</title>
		<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/#comment-481445</link>

		<dc:creator><![CDATA[Greg Laden]]></dc:creator>
		<pubDate>Mon, 18 Aug 2014 18:10:02 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20180#comment-481445</guid>

					<description><![CDATA[&quot;Then I’m confused about what constitutes an EBOV* outbreak in Nigeria. What about the following statistics and what virus, if not EBOV or “Ebola,”generally, as I mean that term, is being referenced by them?&quot;

It isn&#039;t clear how many cases make an outbreak, and it is certainly possible to say that they HAD a tiny outbreak (smaller than any previous instance). But, at least one case was not infected in Nigeria, and the other cases are all closely related to that one case, and there are no new cases. So, Nigeria is not having an outbreak.  Close call.

The last new case in Nigeria was before August 6th, so over 12 days ago.  Maybe there are additional cases waiting to be discovered, but I&#039;m going with no current activity there.]]></description>
			<content:encoded><![CDATA[<p>&#8220;Then I’m confused about what constitutes an EBOV* outbreak in Nigeria. What about the following statistics and what virus, if not EBOV or “Ebola,”generally, as I mean that term, is being referenced by them?&#8221;</p>
<p>It isn&#8217;t clear how many cases make an outbreak, and it is certainly possible to say that they HAD a tiny outbreak (smaller than any previous instance). But, at least one case was not infected in Nigeria, and the other cases are all closely related to that one case, and there are no new cases. So, Nigeria is not having an outbreak.  Close call.</p>
<p>The last new case in Nigeria was before August 6th, so over 12 days ago.  Maybe there are additional cases waiting to be discovered, but I&#8217;m going with no current activity there.</p>
]]></content:encoded>
		
			</item>
		<item>
		<title>
		By: proximity1		</title>
		<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/#comment-481444</link>

		<dc:creator><![CDATA[proximity1]]></dc:creator>
		<pubDate>Mon, 18 Aug 2014 17:18:05 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20180#comment-481444</guid>

					<description><![CDATA[@ 7 :   &quot;Prox (if I may call you that) ...&quot;
Certainly.  That&#039;s standard practice for such a discussion as this.

    Citing you:  &quot;But Nigeria simply isn’t having an EBOV outbreak, so one could have used any large densely populated city with certain other characteristics connected to the affected area by airplane.&quot;

  ?  Then I&#039;m confused about what constitutes an EBOV* outbreak in Nigeria.   What about the following statistics and what virus, if not EBOV or &quot;Ebola,&quot;generally, as I mean that term, is being referenced by them?

  &lt;blockquote&gt;

 (source: Center for Disease Control /  2014 Ebola Outbreak in West Africa
 http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html

 Nigeria

    Suspected and Confirmed Case Count: 12
    Suspected and Confirmed Case Deaths: 4
    Laboratory Confirmed Cases: 11

  &lt;/blockquote&gt;

  and this, from Wikipedia:

 &lt;blockquote&gt;

 &quot;There are 11 confirmed cases of Ebola in Nigeria as of 14 August 2014.[44] The first one was an imported case of a Liberian-American, Patrick Sawyer, who traveled by air from Liberia and became violently ill upon arriving in the city of Lagos. On 20 July, Sawyer flew into Nigeria via Lomé and Accra from Liberia, and he died five days later in Lagos. In response, the Nigerian government increased surveillance at all entry points to the country; health officials were placed at entry points to conduct tests on people arriving in the country. Initial reports noted that sixty-nine individuals previously in contact with Sawyer (including airport staff, fellow flight passengers and health workers at the hospital where Sawyer was hospitalised) were placed under close surveillance without symptoms.[45] On 4 August, it was confirmed that the doctor who treated the patient tested positive for the virus strain and is being treated.[30] On 6 August, Nigerian authorities confirmed the Ebola death of a nurse who had treated Sawyer.&quot; ...

http://en.wikipedia.org/wiki/2014_West_Africa_Ebola_virus_outbreak#Nigeria

 &lt;/blockquote&gt;

(*)  Unless I&#039;m mistaken, EBOV refers to one of the common strains of the deadly Ebola virus but my reference is to any of the five strains and not strictly  and  only the EBOV strain and this is the sense in which I use the term &quot;Ebola&quot;.

  I guess that it is this distinction which is all-important for your analysis---as in *Ebola cases in Nigeria, yes, but not the EBOV.*  Unless that is the gist of your point, I&#039;m very confused about how we are in a misunderstanding.]]></description>
			<content:encoded><![CDATA[<p>@ 7 :   &#8220;Prox (if I may call you that) &#8230;&#8221;<br />
Certainly.  That&#8217;s standard practice for such a discussion as this.</p>
<p>    Citing you:  &#8220;But Nigeria simply isn’t having an EBOV outbreak, so one could have used any large densely populated city with certain other characteristics connected to the affected area by airplane.&#8221;</p>
<p>  ?  Then I&#8217;m confused about what constitutes an EBOV* outbreak in Nigeria.   What about the following statistics and what virus, if not EBOV or &#8220;Ebola,&#8221;generally, as I mean that term, is being referenced by them?</p>
<blockquote>
<p> (source: Center for Disease Control /  2014 Ebola Outbreak in West Africa<br />
 <a href="http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html" rel="nofollow ugc">http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html</a></p>
<p> Nigeria</p>
<p>    Suspected and Confirmed Case Count: 12<br />
    Suspected and Confirmed Case Deaths: 4<br />
    Laboratory Confirmed Cases: 11</p>
</blockquote>
<p>  and this, from Wikipedia:</p>
<blockquote>
<p> &#8220;There are 11 confirmed cases of Ebola in Nigeria as of 14 August 2014.[44] The first one was an imported case of a Liberian-American, Patrick Sawyer, who traveled by air from Liberia and became violently ill upon arriving in the city of Lagos. On 20 July, Sawyer flew into Nigeria via Lomé and Accra from Liberia, and he died five days later in Lagos. In response, the Nigerian government increased surveillance at all entry points to the country; health officials were placed at entry points to conduct tests on people arriving in the country. Initial reports noted that sixty-nine individuals previously in contact with Sawyer (including airport staff, fellow flight passengers and health workers at the hospital where Sawyer was hospitalised) were placed under close surveillance without symptoms.[45] On 4 August, it was confirmed that the doctor who treated the patient tested positive for the virus strain and is being treated.[30] On 6 August, Nigerian authorities confirmed the Ebola death of a nurse who had treated Sawyer.&#8221; &#8230;</p>
<p><a href="http://en.wikipedia.org/wiki/2014_West_Africa_Ebola_virus_outbreak#Nigeria" rel="nofollow ugc">http://en.wikipedia.org/wiki/2014_West_Africa_Ebola_virus_outbreak#Nigeria</a></p>
</blockquote>
<p>(*)  Unless I&#8217;m mistaken, EBOV refers to one of the common strains of the deadly Ebola virus but my reference is to any of the five strains and not strictly  and  only the EBOV strain and this is the sense in which I use the term &#8220;Ebola&#8221;.</p>
<p>  I guess that it is this distinction which is all-important for your analysis&#8212;as in *Ebola cases in Nigeria, yes, but not the EBOV.*  Unless that is the gist of your point, I&#8217;m very confused about how we are in a misunderstanding.</p>
]]></content:encoded>
		
			</item>
		<item>
		<title>
		By: Greg Laden		</title>
		<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/#comment-481443</link>

		<dc:creator><![CDATA[Greg Laden]]></dc:creator>
		<pubDate>Mon, 18 Aug 2014 13:13:22 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20180#comment-481443</guid>

					<description><![CDATA[Prox (if I may call you that) yes, and I mainly agree with her as well. But Nigeria simply isn&#039;t having an EBOV outbreak, so one could have used any large densely populated city with certain other characteristics connected to the affected area by airplane.

Lagos is theoretically scary, but not empirically scary, but many are empirically scared because there have been some cases there. That is an important difference that I felt needed to be pointed out.]]></description>
			<content:encoded><![CDATA[<p>Prox (if I may call you that) yes, and I mainly agree with her as well. But Nigeria simply isn&#8217;t having an EBOV outbreak, so one could have used any large densely populated city with certain other characteristics connected to the affected area by airplane.</p>
<p>Lagos is theoretically scary, but not empirically scary, but many are empirically scared because there have been some cases there. That is an important difference that I felt needed to be pointed out.</p>
]]></content:encoded>
		
			</item>
		<item>
		<title>
		By: proximity1		</title>
		<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/#comment-481442</link>

		<dc:creator><![CDATA[proximity1]]></dc:creator>
		<pubDate>Mon, 18 Aug 2014 10:08:11 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20180#comment-481442</guid>

					<description><![CDATA[After a quick scan of Laurie Garrett&#039;s linked article (thank you, GL, for presenting that!), I&#039;m in fairly complete agreement with her judgment on practically every essential point.  We needn&#039;t suppose with Ms. Garrett that her remark,
&lt;blockquote&gt;
  ...&quot;my brilliant Council on Foreign Relations colleague John Campbell, former U.S. ambassador to Nigeria, warned that &lt;i&gt;spread of the virus inside Lagos&lt;/i&gt; -- which has a population of 22 million -- would &lt;i&gt;instantly transform&lt;/i&gt; this situation into a worldwide crisis&quot;....&lt;/blockquote&gt;
 (emphasis added)

  is precisely and literally true in its forecast.  It may indeed not be &quot;instantly&quot; done, but that won&#039;t matter if the spread  of the virus (with its eventual mutations) isn&#039;t effectively contained.]]></description>
			<content:encoded><![CDATA[<p>After a quick scan of Laurie Garrett&#8217;s linked article (thank you, GL, for presenting that!), I&#8217;m in fairly complete agreement with her judgment on practically every essential point.  We needn&#8217;t suppose with Ms. Garrett that her remark,</p>
<blockquote><p>
  &#8230;&#8221;my brilliant Council on Foreign Relations colleague John Campbell, former U.S. ambassador to Nigeria, warned that <i>spread of the virus inside Lagos</i> &#8212; which has a population of 22 million &#8212; would <i>instantly transform</i> this situation into a worldwide crisis&#8221;&#8230;.</p></blockquote>
<p> (emphasis added)</p>
<p>  is precisely and literally true in its forecast.  It may indeed not be &#8220;instantly&#8221; done, but that won&#8217;t matter if the spread  of the virus (with its eventual mutations) isn&#8217;t effectively contained.</p>
]]></content:encoded>
		
			</item>
		<item>
		<title>
		By: proximity1		</title>
		<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/#comment-481441</link>

		<dc:creator><![CDATA[proximity1]]></dc:creator>
		<pubDate>Sun, 17 Aug 2014 09:40:03 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20180#comment-481441</guid>

					<description><![CDATA[I&#039;ll post today what I considered posting last Thursday (since Friday) --but did not--only to find that reports on Ebola carried by Al Jazeera&#039;s English-language service stated exactly what I&#039;d had in mind:

  this epidemic is considerably more serious in scope than has been thought by even some in the professional ranks of epidemiology and I think--and thought Thursday--that your postings have been far too complacent about the capacity for containment and too conservative in your assumptions about the potential numbers of currently infected people.

  My impression is that there are perhaps thousands who have risked exposure and who remain so far undiscovered across the affected areas.  Moreover, when infected people travel in populous urban areas such as Lagos, the disease&#039;s opportunities for spread are virtually open-ended.

  I don&#039;t know what in the world you mean when you wrote that,

   &quot;The disease ... has no human reservoir.&quot;  Nor can I see any good reason to believe that the disease is  &quot;too hot to not burn itself out ...&quot;

   A temporary drop in detected infections rates--that is, over the space of a mere  few days--should be regarded, really, as telling us nothing effectively valid about what the disease may do in the coming weeks.   Only a steady and prolonged decline in infection rates is indicative of a turn in the progress of the spread and I&#039;ve not seen this when the affected areas as a whole are considered.]]></description>
			<content:encoded><![CDATA[<p>I&#8217;ll post today what I considered posting last Thursday (since Friday) &#8211;but did not&#8211;only to find that reports on Ebola carried by Al Jazeera&#8217;s English-language service stated exactly what I&#8217;d had in mind:</p>
<p>  this epidemic is considerably more serious in scope than has been thought by even some in the professional ranks of epidemiology and I think&#8211;and thought Thursday&#8211;that your postings have been far too complacent about the capacity for containment and too conservative in your assumptions about the potential numbers of currently infected people.</p>
<p>  My impression is that there are perhaps thousands who have risked exposure and who remain so far undiscovered across the affected areas.  Moreover, when infected people travel in populous urban areas such as Lagos, the disease&#8217;s opportunities for spread are virtually open-ended.</p>
<p>  I don&#8217;t know what in the world you mean when you wrote that,</p>
<p>   &#8220;The disease &#8230; has no human reservoir.&#8221;  Nor can I see any good reason to believe that the disease is  &#8220;too hot to not burn itself out &#8230;&#8221;</p>
<p>   A temporary drop in detected infections rates&#8211;that is, over the space of a mere  few days&#8211;should be regarded, really, as telling us nothing effectively valid about what the disease may do in the coming weeks.   Only a steady and prolonged decline in infection rates is indicative of a turn in the progress of the spread and I&#8217;ve not seen this when the affected areas as a whole are considered.</p>
]]></content:encoded>
		
			</item>
		<item>
		<title>
		By: Quick and Dirty Analysis of Ebola &#124; monkey&#039;s uncle		</title>
		<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/#comment-481440</link>

		<dc:creator><![CDATA[Quick and Dirty Analysis of Ebola &#124; monkey&#039;s uncle]]></dc:creator>
		<pubDate>Sun, 17 Aug 2014 00:44:59 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20180#comment-481440</guid>

					<description><![CDATA[[&#8230;] with careful public health protective measures, as the historical record from Uganda shows. A recent post by Greg Laden got me to thinking about the numbers from the current EVD outbreak and what we might be able to [&#8230;]]]></description>
			<content:encoded><![CDATA[<p>[&#8230;] with careful public health protective measures, as the historical record from Uganda shows. A recent post by Greg Laden got me to thinking about the numbers from the current EVD outbreak and what we might be able to [&#8230;]</p>
]]></content:encoded>
		
			</item>
		<item>
		<title>
		By: Greg Laden		</title>
		<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/#comment-481439</link>

		<dc:creator><![CDATA[Greg Laden]]></dc:creator>
		<pubDate>Sat, 16 Aug 2014 21:23:16 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20180#comment-481439</guid>

					<description><![CDATA[Regarding the artifact, I discussed that in my earlier post that dealt more with mortality, suggesting the very effect you mention.  But that effect should operate over shorter time scales that we see here, and the drop does not go away when the fop data are massaged as you suggest.  I think we see both.   There is usually an occupies boundary effect at any moment, plus a longer term spdownward shift other trend.

Burning out certainly is hard to do in such a relatively hoping population area.]]></description>
			<content:encoded><![CDATA[<p>Regarding the artifact, I discussed that in my earlier post that dealt more with mortality, suggesting the very effect you mention.  But that effect should operate over shorter time scales that we see here, and the drop does not go away when the fop data are massaged as you suggest.  I think we see both.   There is usually an occupies boundary effect at any moment, plus a longer term spdownward shift other trend.</p>
<p>Burning out certainly is hard to do in such a relatively hoping population area.</p>
]]></content:encoded>
		
			</item>
		<item>
		<title>
		By: NICURN		</title>
		<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/#comment-481438</link>

		<dc:creator><![CDATA[NICURN]]></dc:creator>
		<pubDate>Sat, 16 Aug 2014 21:09:09 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20180#comment-481438</guid>

					<description><![CDATA[Addendum: I am assuming that the majority of Ebola victims are being cared for at this time by family members. I did not address the effect of Ebola victims being taken to receive professional health care, which could either serve to slow or speed its spread, depending on knowledge of infection control and on available resources.]]></description>
			<content:encoded><![CDATA[<p>Addendum: I am assuming that the majority of Ebola victims are being cared for at this time by family members. I did not address the effect of Ebola victims being taken to receive professional health care, which could either serve to slow or speed its spread, depending on knowledge of infection control and on available resources.</p>
]]></content:encoded>
		
			</item>
		<item>
		<title>
		By: NICURN		</title>
		<link>https://gregladen.com/blog/2014/08/12/ebola-rate-of-new-cases-drops-patient-zero-idd-untested-drugs-will-be-used/#comment-481437</link>

		<dc:creator><![CDATA[NICURN]]></dc:creator>
		<pubDate>Sat, 16 Aug 2014 20:55:54 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20180#comment-481437</guid>

					<description><![CDATA[Regarding the decrease in mortality, I think that this is partly artifact---a math thing. If you look at a graph of infections and deaths, the &quot;cases&quot;  are farther along the exponential curve than the &quot;deaths&quot; . . .this widening gap is partly from the lag between when someone is reported as infected and when they are reported as dead. To get a more accurate (but still hugely ballpark) death rate you would compare the # of cases from, lets say, a couple of weeks ago with the current # of deaths. Then to complete the picture you would keep in mind the WHO&#039;s comment about the cases and deaths being &quot;VASTLY underestimated&quot;. What a choice of adverb . . . V  A  S  T  L  Y  .
One aside, I disagree about Ebola&#039;s inevitable  &quot;burnout&quot;. Despite Ebola&#039;s &quot;hotness&quot;,  at the end, victims are teaming with the virus and it gets very messy, so the family caretakers invariably are exposed/infected. In about 14 days or so those people will need caretakers, and so on. As long as there is an available pool of uninfected individuals, Ebola will continue to burn on until it is put out.]]></description>
			<content:encoded><![CDATA[<p>Regarding the decrease in mortality, I think that this is partly artifact&#8212;a math thing. If you look at a graph of infections and deaths, the &#8220;cases&#8221;  are farther along the exponential curve than the &#8220;deaths&#8221; . . .this widening gap is partly from the lag between when someone is reported as infected and when they are reported as dead. To get a more accurate (but still hugely ballpark) death rate you would compare the # of cases from, lets say, a couple of weeks ago with the current # of deaths. Then to complete the picture you would keep in mind the WHO&#8217;s comment about the cases and deaths being &#8220;VASTLY underestimated&#8221;. What a choice of adverb . . . V  A  S  T  L  Y  .<br />
One aside, I disagree about Ebola&#8217;s inevitable  &#8220;burnout&#8221;. Despite Ebola&#8217;s &#8220;hotness&#8221;,  at the end, victims are teaming with the virus and it gets very messy, so the family caretakers invariably are exposed/infected. In about 14 days or so those people will need caretakers, and so on. As long as there is an available pool of uninfected individuals, Ebola will continue to burn on until it is put out.</p>
]]></content:encoded>
		
			</item>
	</channel>
</rss>
