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	Comments on: Ebola in Dallas Texas: Is our response adequate?	</title>
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	<lastBuildDate>Wed, 08 Oct 2014 14:26:28 +0000</lastBuildDate>
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		<title>
		By: Greg Laden		</title>
		<link>https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483300</link>

		<dc:creator><![CDATA[Greg Laden]]></dc:creator>
		<pubDate>Wed, 08 Oct 2014 14:26:28 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20417#comment-483300</guid>

					<description><![CDATA[Proximity1: Yes, I think about the nasty flu season we had a few years ago which included H1N1.  Huxley was born at the beginning of that season.  Taking him for his first few visits to the pediatrician, the waiting room in the clinic was full of people who all looked really sick and I suspect many had the flue.  The procedure for infants was to not even stop at the checkin, just to go right into the exam room area, say who the appointment was for, and then get escorted right to an exam room. They didn&#039;t want any proximity between infants and all the sick people.]]></description>
			<content:encoded><![CDATA[<p>Proximity1: Yes, I think about the nasty flu season we had a few years ago which included H1N1.  Huxley was born at the beginning of that season.  Taking him for his first few visits to the pediatrician, the waiting room in the clinic was full of people who all looked really sick and I suspect many had the flue.  The procedure for infants was to not even stop at the checkin, just to go right into the exam room area, say who the appointment was for, and then get escorted right to an exam room. They didn&#8217;t want any proximity between infants and all the sick people.</p>
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		<title>
		By: proximity1		</title>
		<link>https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483299</link>

		<dc:creator><![CDATA[proximity1]]></dc:creator>
		<pubDate>Wed, 08 Oct 2014 11:06:42 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20417#comment-483299</guid>

					<description><![CDATA[a propos of # 25:  Those descriptive facts are accurate but there is also this data to consider (from a recent news story in the Dallas Morning News /  www.dallasnews.com)

 &quot;Before Ebola failure, Dallas hospital saw long emergency waits&quot;

 Link :  http://www.dallasnews.com/news/local-news/20141002-before-ebola-failure-dallas-hospital-saw-long-emergency-waits.ece]]></description>
			<content:encoded><![CDATA[<p>a propos of # 25:  Those descriptive facts are accurate but there is also this data to consider (from a recent news story in the Dallas Morning News /  <a href="http://www.dallasnews.com" rel="nofollow ugc">http://www.dallasnews.com</a>)</p>
<p> &#8220;Before Ebola failure, Dallas hospital saw long emergency waits&#8221;</p>
<p> Link :  <a href="http://www.dallasnews.com/news/local-news/20141002-before-ebola-failure-dallas-hospital-saw-long-emergency-waits.ece" rel="nofollow ugc">http://www.dallasnews.com/news/local-news/20141002-before-ebola-failure-dallas-hospital-saw-long-emergency-waits.ece</a></p>
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		<title>
		By: Brainstorms		</title>
		<link>https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483298</link>

		<dc:creator><![CDATA[Brainstorms]]></dc:creator>
		<pubDate>Mon, 06 Oct 2014 16:40:47 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20417#comment-483298</guid>

					<description><![CDATA[Most viruses do not retain their virulence outside a host, which provides an environment that protects it from oxygen &#038; ionizing radiation.  (Your cells need similar protections, which is why you&#039;re sheathed in insulative layers of dead skin cells.)

Your UV light would make short work of virus particles... And bacteria.  And bugs, etc. But the longer your textiles are exposed, the more they, too, will be damaged &#038; weakened (witness how beach towels fade in the sun).

UV light ionizes molecules, which tends to break them down (or cause them to recombine) -- basically doing the very thing everyone who&#039;s afraid of &quot;radiation&quot; freaks out over.

Oxygen in the air does somewhat the same thing -- only it takes longer to &quot;rust&quot; the viral particles into non-activity.]]></description>
			<content:encoded><![CDATA[<p>Most viruses do not retain their virulence outside a host, which provides an environment that protects it from oxygen &amp; ionizing radiation.  (Your cells need similar protections, which is why you&#8217;re sheathed in insulative layers of dead skin cells.)</p>
<p>Your UV light would make short work of virus particles&#8230; And bacteria.  And bugs, etc. But the longer your textiles are exposed, the more they, too, will be damaged &amp; weakened (witness how beach towels fade in the sun).</p>
<p>UV light ionizes molecules, which tends to break them down (or cause them to recombine) &#8212; basically doing the very thing everyone who&#8217;s afraid of &#8220;radiation&#8221; freaks out over.</p>
<p>Oxygen in the air does somewhat the same thing &#8212; only it takes longer to &#8220;rust&#8221; the viral particles into non-activity.</p>
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		<title>
		By: Tim		</title>
		<link>https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483297</link>

		<dc:creator><![CDATA[Tim]]></dc:creator>
		<pubDate>Mon, 06 Oct 2014 16:36:17 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20417#comment-483297</guid>

					<description><![CDATA[And now I just &#039;heard&#039;/learned something new (from CNN, though. So some boulders of sodium chloride overload may be prudent).

Ebola progression is &lt;b&gt;biphasic&lt;/b&gt;.  That is to say that many get better before suddenly getting back to looking like Death eating a cracker.  Now, I don&#039;t how common or disseminated this is but, to me, &lt;b&gt;that&#039;s a pretty important piece of small print&lt;/b&gt;!!]]></description>
			<content:encoded><![CDATA[<p>And now I just &#8216;heard&#8217;/learned something new (from CNN, though. So some boulders of sodium chloride overload may be prudent).</p>
<p>Ebola progression is <b>biphasic</b>.  That is to say that many get better before suddenly getting back to looking like Death eating a cracker.  Now, I don&#8217;t how common or disseminated this is but, to me, <b>that&#8217;s a pretty important piece of small print</b>!!</p>
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		<title>
		By: Tim		</title>
		<link>https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483296</link>

		<dc:creator><![CDATA[Tim]]></dc:creator>
		<pubDate>Mon, 06 Oct 2014 15:47:00 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20417#comment-483296</guid>

					<description><![CDATA[Greg,

Would one of those 18 inch quartz envelope hard UV germicidal bulbs be effective/helpful with this particular virus?? (Not for people to be in the same room with it!!) -- I had one way back that I&#039;d play around with.. sticking it down inside the central air intake and whatnot.  If it was placed in the bathroom, you could nearly immediately smell the &#039;germs cooking&#039; off towels and whatnot much like when a septic system is dug up and the dirt exposed to the sun.

{I&#039;ve a friend that was in the duct cleaning buisness and he was looking to &#039;invent&#039; something.  We came up with maybe it&#039;d be good to have some kind of inner surface of the ducts to refract that light all throughout it.}

I&#039;m thinking sheets, towels, surfaces, that kind of thing.]]></description>
			<content:encoded><![CDATA[<p>Greg,</p>
<p>Would one of those 18 inch quartz envelope hard UV germicidal bulbs be effective/helpful with this particular virus?? (Not for people to be in the same room with it!!) &#8212; I had one way back that I&#8217;d play around with.. sticking it down inside the central air intake and whatnot.  If it was placed in the bathroom, you could nearly immediately smell the &#8216;germs cooking&#8217; off towels and whatnot much like when a septic system is dug up and the dirt exposed to the sun.</p>
<p>{I&#8217;ve a friend that was in the duct cleaning buisness and he was looking to &#8216;invent&#8217; something.  We came up with maybe it&#8217;d be good to have some kind of inner surface of the ducts to refract that light all throughout it.}</p>
<p>I&#8217;m thinking sheets, towels, surfaces, that kind of thing.</p>
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		<title>
		By: Greg Laden		</title>
		<link>https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483295</link>

		<dc:creator><![CDATA[Greg Laden]]></dc:creator>
		<pubDate>Mon, 06 Oct 2014 15:33:18 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20417#comment-483295</guid>

					<description><![CDATA[Frankly, I don&#039; t think the CDC did anything wrong there. You can leave an apartment with Ebola Kooties as long as you want. I do think they should have gotten the family someplace else ASAP for a number of reasons.

But we are not assured that they COULD have jumped in to disinfect the apartment within hours, since they didn&#039;t do that; under other conditions that might have been necessary.]]></description>
			<content:encoded><![CDATA[<p>Frankly, I don&#8217; t think the CDC did anything wrong there. You can leave an apartment with Ebola Kooties as long as you want. I do think they should have gotten the family someplace else ASAP for a number of reasons.</p>
<p>But we are not assured that they COULD have jumped in to disinfect the apartment within hours, since they didn&#8217;t do that; under other conditions that might have been necessary.</p>
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		<title>
		By: Tim		</title>
		<link>https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483294</link>

		<dc:creator><![CDATA[Tim]]></dc:creator>
		<pubDate>Mon, 06 Oct 2014 15:14:50 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20417#comment-483294</guid>

					<description><![CDATA[Dean, this is what I *thought* I saw on CNN &lt;b&gt;friday&lt;/b&gt;

&lt;blockquote&gt;A hazmat team finally arrived on scene today to sanitize the contaminated apartment&lt;/blockquote&gt;

yes, yes... it&#039;s DM

Published: 00:47 EST, 3 October 2014 &#124; Updated: 16:55 EST, 3 October 2014
http://www.dailymail.co.uk/news/article-2779036/Hazmat-team-arrives-Ebola-victim-s-apartment-FIVE-DAYS-later.html

Could you please point me to the source/ simple &#039;splainer of this &#039;four day&#039; discrepancy? thx.]]></description>
			<content:encoded><![CDATA[<p>Dean, this is what I *thought* I saw on CNN <b>friday</b></p>
<blockquote><p>A hazmat team finally arrived on scene today to sanitize the contaminated apartment</p></blockquote>
<p>yes, yes&#8230; it&#8217;s DM</p>
<p>Published: 00:47 EST, 3 October 2014 | Updated: 16:55 EST, 3 October 2014<br />
<a href="http://www.dailymail.co.uk/news/article-2779036/Hazmat-team-arrives-Ebola-victim-s-apartment-FIVE-DAYS-later.html" rel="nofollow ugc">http://www.dailymail.co.uk/news/article-2779036/Hazmat-team-arrives-Ebola-victim-s-apartment-FIVE-DAYS-later.html</a></p>
<p>Could you please point me to the source/ simple &#8216;splainer of this &#8216;four day&#8217; discrepancy? thx.</p>
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		By: The Daily Mail (dot) CO (dot) UK		</title>
		<link>https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483293</link>

		<dc:creator><![CDATA[The Daily Mail (dot) CO (dot) UK]]></dc:creator>
		<pubDate>Sun, 05 Oct 2014 22:42:28 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20417#comment-483293</guid>

					<description><![CDATA[Breaking:

Rice and salt cures ebola.]]></description>
			<content:encoded><![CDATA[<p>Breaking:</p>
<p>Rice and salt cures ebola.</p>
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		<title>
		By: Greg Laden		</title>
		<link>https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483292</link>

		<dc:creator><![CDATA[Greg Laden]]></dc:creator>
		<pubDate>Sun, 05 Oct 2014 16:35:50 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20417#comment-483292</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483291&quot;&gt;RiceAndSalt&lt;/a&gt;.

RiceAndSalt, thanks for the perspective, very informative.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483291">RiceAndSalt</a>.</p>
<p>RiceAndSalt, thanks for the perspective, very informative.</p>
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		<title>
		By: RiceAndSalt		</title>
		<link>https://gregladen.com/blog/2014/10/02/ebola-in-dallas-texas-is-our-response-to-a-threat-adequate/#comment-483291</link>

		<dc:creator><![CDATA[RiceAndSalt]]></dc:creator>
		<pubDate>Sun, 05 Oct 2014 14:51:16 +0000</pubDate>
		<guid isPermaLink="false">http://scienceblogs.com/gregladen/?p=20417#comment-483291</guid>

					<description><![CDATA[Greg, the hospital in question is actually one of the better facilities in Dallas; it&#039;s basically the regional facility for neighborhoods like Preston Hollow (where George W. Bush moved to). The neighborhood the patient stayed in is a few miles east, and is a very dense area of multifamily complexes with a large immigrant population (a great many refugees are resettled in that neighborhood by relief agencies).

A key issue here is that, as in most urban areas, facilities in Dallas proper have very little unused or surge capacity. Leaving aside any workflow issues with EHRs like Epic, it&#039;s not surprising that a nonspecifically-symptomatic patient, even a Liberian national, slipped through the cracks when there&#039;s fifty other patients in line at the ER, with ten of them needing immediate triage.]]></description>
			<content:encoded><![CDATA[<p>Greg, the hospital in question is actually one of the better facilities in Dallas; it&#8217;s basically the regional facility for neighborhoods like Preston Hollow (where George W. Bush moved to). The neighborhood the patient stayed in is a few miles east, and is a very dense area of multifamily complexes with a large immigrant population (a great many refugees are resettled in that neighborhood by relief agencies).</p>
<p>A key issue here is that, as in most urban areas, facilities in Dallas proper have very little unused or surge capacity. Leaving aside any workflow issues with EHRs like Epic, it&#8217;s not surprising that a nonspecifically-symptomatic patient, even a Liberian national, slipped through the cracks when there&#8217;s fifty other patients in line at the ER, with ten of them needing immediate triage.</p>
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