The Ebola Virus - This Is What You Need To Be Aware Of.

Not Actual Pictures Of Ebola Virus Victim - Only To Depict The Right Symptoms:

The Ebola Virus... Because this disease is no joke, nor is it anything that you have to take super lightly. Since it will kill just as quickly as you can mention the name: Ebola Virus, and then you are done for. But you must ask yourself dear friend, whose fault is it really for such disease to take place? Is it Mankind's or God's? Because Man has a desire in his heart that could never be filled, and so the more he gets - the more he wants. Because of this Desire, he drives onward and forward into every forest and every jungle, pushing one and all out of their habitat. And Mother Nature, God's Giver of life, will not stand for just one specie to kill all the billions of the other ones in the earth. And so checks and balances are put into place to first slow down Mankind, and then to even put a stop to his selfish desire to conquer one and all. 




So the Ebola Virus is just one such disease to warn us:

So The exact origin, locations, and natural habitat (known as the "natural reservoir") of Ebola virus remain unknown. However, on the basis of available evidence and the nature of similar viruses, researchers believe that the virus is zoonotic (animal-borne), with 4 of the 5 subtypes occurring in an animal host native to Africa. A similar host, most likely in the Philippines, is probably associated with the Ebola-Reston subtype, which was isolated from infected cynomolgous monkeys that were imported to the United States and Italy from the Philippines. The virus is not known to be native to other continents, such as North America



Ebola hemorrhagic fever (Ebola HF) is a severe, often-fatal disease in humans and nonhuman primates (monkeys, gorillas, and chimpanzees) that has appeared sporadically since its initial recognition in 1976. The disease is caused by infection with Ebola virus, named after a river in the Democratic Republic of the Congo (formerly Zaire) in Africa, where it was first recognized. The virus is one of two members of a family of RNA viruses called the Filoviridae. There are five identified subtypes of Ebola virus. Four of the five have caused disease in humans: Ebola-Zaire, Ebola-Sudan, Ebola-Ivory Coast and Ebola-Bundibugyo. 




The fifth, Ebola-Reston, has caused disease in nonhuman primates, but not in humans. Infections with Ebola virus are acute. There is no carrier state. Because the natural reservoir of the virus is unknown, the manner in which the virus first appears in a human at the start of an outbreak has not been determined. However, researchers have hypothesized that the first patient becomes infected through contact with an infected animal.




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After the first case-patient in an outbreak setting is infected, the virus can be transmitted in several ways. People can be exposed to Ebola virus from direct contact with the blood and/or secretions of an infected person. Thus, the virus is often spread through families and friends because they come in close contact with such secretions when caring for infected persons. People can also be exposed to Ebola virus through contact with objects, such as needles, that have been contaminated with infected secretions.



Nosocomial transmission refers to the spread of a disease within a health-care setting, such as a clinic or hospital. It occurs frequently during Ebola HF outbreaks. It includes both types of transmission described above. In African health-care facilities, patients are often cared for without the use of a mask, gown, or gloves. Exposure to the virus has occurred when health care workers treated individuals with Ebola HF without wearing these types of protective clothing. In addition, when needles or syringes are used, they may not be of the disposable type, or may not have been sterilized, but only rinsed before reinsertion into multi-use vials of medicine. If needles or syringes become contaminated with virus and are then reused, numerous people can become infected


There is no standard treatment for Ebola HF. Patients receive supportive therapy. This consists of balancing the patient's fluids and electrolytes, maintaining their oxygen status and blood pressure, and treating them for any complicating infections




The signs and symptoms of Ebola HF are not the same for all patients. The table below outlines symptoms of the disease, according to the frequency with which they have been reported in known cases.

Time Frame Symptoms that occur in most Ebola patients Symptoms that occur in some Ebola patients
Within a few days of becoming infected with the virus: high fever, headache, muscle aches, stomach pain, fatigue, diarrhea sore throat, hiccups, rash, red and itchy eyes, vomiting blood, bloody diarrhea
Within one week of becoming infected with the virus: chest pain, shock, and death blindness, bleeding


Zaire Ebola Virus (ZEBOV)

Ebola virus outbreaks took place for the first time in Yambuku, Zaire in the year 1976. The virus causing such outbreaks has been named as the Zaire ebola virus. It is the most dangerous species of ebola virus that has claimed that has had the largest number of ebola virus victims which has led to the highest number of ebola virus deaths. Its symptoms include a chilly feeling accompanied with high fever which shares its similarity with the symptoms of malaria. The basic cause believed to lie behind the spread of the disease is the reuse of the same needle initially used for Lokela’s injection without sterilization. Ebola virus transmission may also be attributed to the unhygienic and poor traditional burial method that was followed by the South African tribes. This has resulted in the occurrence of the disease more than once in Congo, Gabon and other places in South Africa.



Ebola Sudan Virus (SEBOV)

This is a second kind of species of ebola virus that is believed to have originated in Nzara, Sudan in 1976. The first case of Sudan ebola virus origin can be traced to the cotton factory workers of Sudan who were exposed to the same. The outbreak of Sudan ebola virus has been simultaneous with the outbreak of Zaire ebola virus. The disease also broke out in 1979, 2000 and 2004, most recently. The agent of transmission for Sudan ebola virus is still unknown but it has an average fatality rate.

Ebola Reston Virus (REBOV)

For those who want to know as to what is Ebola Reston virus must be enlightened with the ebola virus fact that it was discovered in 1989 in Reston, Virginia. Although it is non-pathogenic to humans, yet it has been found to affect primates such as monkeys. Subsequently Ebola Reston virus outbreaks have occurred in Texas and Italy. Interestingly Ebola Reston virus in pigs has been detected very recently with its outbreak in Philippines.

Ivory Coast Ebola Virus (CIEBOV)

Also known as Tai ebola virus, the origin of Ivory Coast ebola virus can be traced to the Tai forests of the Côte d’Ivoire in Africa, where the outbreak of this virus took place for the first time in 1994. The initial outbreak was among the wild African chimpanzees from whom it is believed to have got transmitted to humans during the process of conduction of necropsy on the dead body of the infected chimpanzees who had contracted the same. 



Bundibugyo Ebola Virus

An outbreak of ebola virus disease in the Bundibugyo district of Uganda in 2007 and 2008 led to the detection of a species of ebola virus that was hitherto unknown. The ebola virus was named after its place of outbreak for the first time and there were at least 100 or more ebola virus victims.

So as you can see, the Ebola Virus is a bringer of death. And you would not want to wish for it to come upon your worst enemy, because when one Soul dies, then the world become extremely poorer because of it. So we must attack the Ebola Virus, or any other viruses for that matter, with a two steps program. First we must understand and respect God's creations and that they all have been given ways to protect themselves by inflicting pain and death. And so we must stop infringing upon the animals, the forests, the jungle just so we could put up another shopping mall, or another condominium. 




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Two, we must always be on the look out for potential signs of trouble, potential sicknesses with everything and every being we come in contact with. Yes the animals are beings too, so are the plants, the trees and anything else that has been created just like us. What makes us so superior to them? We could not create our ownselves, nor could we stop our own death, as the Ebola Virus is proned to show us. And so learn to share and respect all in the world. Then we will see that the animals, the plants, the trees and Mother Earth will teach and give to us all the antidotes we need for the Ebola Virus... JamesDazouloute




UPDATE...............

ebolaLuc Gnago/ReutersA U.N. convoy of soldiers passes a screen displaying a message on Ebola on a street in Abidjan August 14, 2014.
The World Bank released a statement Wednesday warning that the economic impact of the Ebola outbreak in West Africa was "already serious" and could be "catastrophic" if the international community does not take serious action soon.
This Ebola outbreak is unprecendented in scope, and worsening with alarming speed. There have been 2,453 deaths counted so far, and 4,963 confirmed, probable, and suspected cases — almost half of which have been diagnosed in the past 21 days.
"The primary cost of this tragic outbreak is in human lives and suffering," said World Bank Group president Jim Yong Kim, but the economic repercussions cannot be ignored. "Today’s report underscores the huge potential costs of the epidemic if we don’t ramp up our efforts to stop it now."
The World Bank analysis includes the following estimates of the economic impacts if the outbreak is quickly contained ("Low Ebola") or if it continues to spin out of control ("High Ebola"):
"Its economic impact could grow eight-fold, dealing a potentially catastrophic blow to the already fragile states," the statement said, referring to Guinea, Sierra Leone, and Liberia, the three nations hardest-hit by Ebola. "If swift national and international responses succeed in containing the epidemic" and the fear swirling around it, however, there is still time to limit those economic effects.
The analysis is not just about future worst-case scenarios. The three countries are already reeling from the impacts of the outbreak.
Food prices and inflation are rising "in response to shortages, panic buying, and speculation," the World Bank notes. "Exchange rate volatility has increased... fueled by uncertainty and some capital flight."



The key factor behind these trends is not mortality or lost productivity, per se, but "aversion behavior," which the World Bank calls "a fear factor resulting from peoples' concerns about contagion." This is what motivates workers to stay home, businesses to shut their doors, and governments to close down airports and seaports. In the SARS epidemic of 2002-2004 and the H1N1 epidemic of 2009, the analysis notes, such "behavioral effects... [were] responsible for as much as 80 – 90 percent of the total economic impact."
While the costs of containment and mitigation may be high — as much as "several billions of dollars," the World Bank says — such strategies "would be cost-effective if they successfully avert the worse scenario."
The World Bank report calls for international mobilization on four fronts:
  • Humanitarian support (e.g., health supplies, emergency treatment units)
  • Fiscal support ("The fiscal gap, just for 2014, is estimated at around $290 million," the World Bank notes.)
  • Screening facilities for international travelers (to facilitate both aid and commerce)
  • Strengthening African health systems
The World Bank has pledged $230 million toward the effort, with $117 million mobilized so far. On Tuesday, the World Health Organization estimated that $1 billion was needed to stop the outbreak.

Credit: 
http://www.businessinsider.com/world-bank-ebola-could-be-catastrophic-2014-9#ixzz3DabWDkof  


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UPDATE............... 10/2/14


Ebola virus multiplying at ‘terrifying rate,’ group says



Ebola is spreading at a "terrifying rate," with five people infected with the deadly virus every hour in Sierra Leone alone, according to data published Thursday by human rights organization Save the Children.
The London-based group estimates the rate of infected persons in the West African country will increase to 10 every hour if nothing is done to curb Ebola’s spread.
"The scale of the Ebola epidemic is devastating and growing every day, with five people infected every hour in Sierra Leone last week," Justin Forsyth, chief executive of Save the Children, said in a statement. "We need a coordinated international response that ensures treatment centers are built and staffed immediately."
The organization’s infection-rate figures are based on both confirmed cases and an estimate of how many cases are not being reported.
Save the Children’s urgent plea for a more concerted effort to tackle the virus came as Britain hosted an international conference titled "Defeating Ebola: Sierra Leone" in London on Thursday where officials announced plans to build up to 1,000 makeshift clinics in the African nation.

The new clinics will offer little, if any, treatment, but they will get sick people out of their homes, away from their families and hopefully slow the infection rate. Only a fraction of Ebola patients in Sierra Leone are now in treatment centers.
"If we don't do anything, we'll just be watching people die," said Dr. Margaret Harris, spokeswoman for the World Health Organization.
While Ebola continues to ravage West Africa, Sierra Leone is one of the hardest-hit countries. The virus has killed more than 3,300 people and infected at least twice as many in West Africa.
Experts say the virus will continue to spread rapidly unless authorities can reach and isolate at least 70 percent of infected persons. Dozens of Ebola treatment centers have been promised, but they could take weeks or even months to be constructed.
The makeshift clinics, however, could be put up in as little as a week's time, said Manuel Fontaine, the West Africa regional director for the U.N. Children's Fund, which is preparing to help equip them.
"It's not one or the other," said Fontaine. "What we're saying is the care centers need to move fast, but that shouldn't be an excuse to slow down the ETUs (Ebola Treatment Units)."
Experts are turning to these imperfect solutions because the scale of the Ebola outbreak is overwhelming the traditional response methods tried so far.
"We need to try different things because of the scale of this outbreak," said Brice de la Vingne, director of operations for Médecins Sans Frontières.
"We've used these kinds of basic tents in past catastrophes but never for Ebola," he said. "But right now we're screaming for more isolation centers so patients don't infect their communities."

Ebola's American front

Concerns about the spread of Ebola took a new turn this week with the announcement of the first person diagnosed with the illness in the United States.
Health officials in Texas said on Thursday they had reached out to about 80 people who may have had direct or indirect contact with Thomas Eric Duncan or someone close to him.
Dallas County Health and Human Services spokeswoman Erikka Neroes said about 80 people are part of the "contact investigation." Neroes said no one has shown symptoms of the virus.
Of the 80 people, Neroes said 12 to 18 had come into direct contact with Duncan. Others had second-hand contact with him. Dr. David Lakey, commissioner of the Texas Department of State Health Services, said Thursday that four people are currently under quarantine as a precaution. But he stressed that they did not show any signs of Ebola symptoms.
"There’s food being delivered to them … we’re arranging for that apartment to be cleaned," Lakey said.
Health officials said they educated the group on how to recognize Ebola symptoms and instructed them to notify health workers if they feel ill.
Earlier on Thursday, the Texas health services department said it was working from a list of about 100 potential or possible contacts and would soon have an official contact tracing number that would be lower.
"Out of an abundance of caution, we're starting with this very wide net, including people who have had even brief encounters with the patient or the patient's home," said Carrie Williams, a spokeswoman with the Texas Department of State Health Services.
Duncan recently traveled from Liberia to Dallas. He was dismissed from the hospital last Thursday and treated with antibiotics after falling ill. But when he returned to the hospital last Sunday, doctors diagnosed him with the Ebola virus.

====================================================================

UPDATE - Wed. 10/8/14 - First Ebola Patient In The United States Has Died...

DALLAS, Texas – A Dallas hospital spokesman says the first Ebola patient diagnosed in the United States has died.
Wendell Watson of Texas Health Presbyterian Hospital says Thomas Eric Duncan died Wednesday morning at 7:51 am.
Presbyterian Hospital in Dallas, where Duncan was being treated, released the following statement:
“Mr. Duncan succumbed to an insidious disease, Ebola. He fought courageously in this battle. Our professionals, the doctors and nurses in the unit, as well as the entire Texas Health Presbyterian Hospital Dallas community, are also grieving his passing. We have offered the family our support and condolences at this difficult time.“
Duncan left his home country of Liberia on September 19, 2014 and arrived in the United States on September 20th with no virus symptoms.
He initially went to the hospital after 10 p.m. on Thursday, September 25, but presented no flu or other contagious virus symptoms and was given antibiotics and released.
Duncan’s condition deteriorated and by Sunday, September 28 was so bad that he was transported back to the hospital by ambulance.
Duncan, 42, was given the experimental Ebola drug brincidofovir, but his family said he was doing poorly and the hospital had downgraded his condition from serious to critical. When the family visited Tuesday with the Rev. Jesse Jackson, they declined to view Duncan via video link because the last time had been too upsetting.
"What we saw was very painful. It didn't look good," said Duncan's nephew Josephus Weeks.
Dr. Kent Brantly, who donated plasma to an NBC News freelancer being treated for Ebola in Nebraska, was contacted by the hospital and said he would be willing to donate blood if Duncan were a match. He never heard back from the hospital and assumes his blood type was not a match, according to Samaritan's Purse.


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UPDATE. Wed. 10/22/2014: 

CDC (Center For Disease Control) Teaches HCW (Health Care Workers) How To Properly Wear PPE (Personal Protective Equipment)


CDC Fact Sheet:
Tightened Guidance for U.S. Healthcare Workers on 
Personal Protective Equipment for Ebola


The Centers for Disease Control and Prevention is tightening previous infection control guidance for healthcare workers caring for patients with Ebola, to ensure there is no ambiguity. The guidance focuses on specific personal protective equipment (PPE) health care workers should use and offers detailed step by step instructions for how to put the equipment on and take it off safely. 

Recent experience from safely treating patients with Ebola at Emory University Hospital, Nebraska Medical Center and National Institutes of Health Clinical Center are reflected in the guidance.

The enhanced guidance is centered on three principles:
All healthcare workers undergo rigorous training and are practiced and competent with PPE, including taking it on and off in a systemic manner
No skin exposure when PPE is worn
All workers are supervised by a trained monitor who watches each worker taking PPE on and off. 




All patients treated at Emory University Hospital, Nebraska Medical Center and the NIH Clinical Center have followed the three principles. None of the workers at these facilities have contracted the illness.


Principle #1: Rigorous and repeated training

Focusing only on PPE gives a false sense of security of safe care and worker safety. Training is a critical aspect of ensuring infection control. Facilities need to ensure all healthcare providers practice numerous times to make sure they understand how to appropriately use the equipment, especially in the step by step donning and doffing of PPE. CDC and partners will ramp up training offerings for healthcare personnel across the country to reiterate all the aspects of safe care recommendations. 




Principle #2: No skin exposure when PPE is worn

Given the intensive and invasive care that US hospitals provide for Ebola patients, the tightened guidelines are more directive in recommending no skin exposure when PPE is worn. 

CDC is recommending all of the same PPE included in the August 1, 2014 guidance, with the addition of coveralls and single-use, disposable hoods. Goggles are no longer recommended as they may not provide complete skin coverage in comparison to a single use disposable full face shield. Additionally, goggles are not disposable, may fog after extended use, and healthcare workers may be tempted to manipulate them with contaminated gloved hands. PPE recommended for U.S. healthcare workers caring for patients with Ebola includes:


Double gloves
Boot covers that are waterproof and go to at least mid-calf or leg covers
Single use fluid resistant or imperable gown that extends to at least mid-calf or coverall without intergraded hood.


Respirators, including either N95 respirators or powered air purifying respirator (PAPR)


Single-use, full-face shield that is disposable
Surgical hoods to ensure complete coverage of the head and neck
Apron that is waterproof and covers the torso to the level of the mid-calf should be used if Ebola patients have vomiting or diarrhea

The guidance describes different options for combining PPE to allow a facility to select PPE for their protocols based on availability, healthcare personnel familiarity, comfort and preference while continuing to provide a standardized, high level of protection for healthcare personnel.
The guidance includes having:


Two specific, recommended PPE options for facilities to choose from. Both options provide equivalent protection if worn, donned and doffed correctly.
Designated areas for putting on and taking off PPE. Facilities should ensure that space and lay-out allows for clear separation between clean and potentially contaminated areas
Trained observer to monitor PPE use and safe removal
Step-by-step PPE removal instructions that include:
Disinfecting visibly contaminated PPE using an EPA-registered disinfectant wipe prior to taking off equipment
Disinfection of gloved hands using either an EPA-registered disinfectant wipe or alcohol-based hand rub between steps of taking off PPE.




Principle #3: Trained monitor

CDC is recommending a trained monitor actively observe and supervise each worker taking PPE on and off. This is to ensure each worker follows the step by step processes, especially to disinfect visibly contaminated PPE. The trained monitor can spot any missteps in real-time and immediately address.


PPE is Only One Aspect of Infection Control

It is critical to focus on other prevention activities to halt the spread of Ebola in healthcare settings, including:
· Prompt screening and triage of potential patients
· Designated site managers to ensure proper implementation of precautions
· Limiting personnel in the isolation room
· Effective environmental cleaning


Think Ebola and Care Carefully

The CDC reminds health care workers to “Think Ebola” and to “Care Carefully.” Health care workers should take a detailed travel and exposure history with patients who exhibit fever, severe headache, muscle pain, weakness, diarrhea, vomiting, stomach pain, unexplained hemorrhage. If the patient is under investigation for Ebola, health care workers should activate the hospital preparedness plan for Ebola, isolate the patient in a separate room with a private bathroom, and to ensure standardized protocols are in place for PPE use and disposal. Health care workers should not have physical contact with the patient without putting on appropriate PPE. 


CDC’s Guidance for U.S. Healthcare Settings is Similar to MSF’s (Doctors Without Borders) Guidance


Both CDC’s and MSF’s guidance focuses on:
Protecting skin and mucous membranes from all exposures to blood and body fluids during patient care


Meticulous, systematic strategy for putting on and taking off PPE to avoid contamination and to ensure correct usage of PPE


Use of oversight and observers to ensure processes are followed
Disinfection of PPE prior to taking off: CDC recommends disinfecting visibly contaminated PPE using an EPA-registered disinfectant wipe prior to taking off equipment. Additionally, CDC recommends disinfection of gloved hands using either an EPA-registered disinfectant wipe or alcohol-based hand rub between steps of taking off PPE. Due to differences in the U.S. healthcare system and West African healthcare settings, MSF’s guidance recommends spraying as a method for PPE disinfection rather than disinfectant wipes. 





Five Pillars of Safety

CDC reminds all employers and healthcare workers that PPE is only one aspect of infection control and providing safe care to patients with Ebola. Other aspects include five pillars of safety:

Facility leadership has responsibility to provide resources and support for implementation of effective prevention precautions. 


Management should maintain a culture of worker safety in which appropriate PPE is available and correctly maintained, and workers are provided with appropriate training. 

Designated on-site Ebola site manager responsible for oversight of implementing precautions for healthcare personnel and patient safety in the healthcare facility.


Clear, standardized procedures where facilities choose one of two options and have a back-up plan in case supplies are not available.


Trained healthcare personnel: facilities need to ensure all healthcare providers practice numerous times to make sure they understand how to appropriately use the equipment.


Oversight of practices are critical to ensuring that implementation protocols are done accurately, and any error in putting on or taking off PPE is identified in real-time, corrected and addressed, in case potential exposure occurred.


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