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Ebola virus outbreak

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Comments

  • Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭FullblownRose


    I had swine flu and barely knew i had it. it sounds like i was lucky!


  • Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭FullblownRose


    And will soe people be less inclined to wash their hands because of the water charges :O :D


  • Registered Users, Registered Users 2 Posts: 1,073 ✭✭✭littlemac1980


    Here's a useful map applet that allows you to scroll through the timeline of the reported cases Ebola Outbreak.

    http://www.abc.net.au/news/2014-07-31/ebola-timeline-deadliest-outbreak/5639060

    You'll see that the shocking rate at which the number of infected is growing.

    From:

    17.04.2014 - 18.05.2014 - the number of cases grew from 249 to 305.

    18.05.2014 - 16.06.2014 - 305 to 666

    16.06.2014 - 12.07.2014 - 666 to 967

    12.07.2014. - 11.08.2014 - 967 to 1977

    11.08.2014 - 07.09.2014 - 1977 to 4392

    07.09.2014 - 01.10.2014 - 4392 to 7492.

    Analysing the above figures a little more shows us the corresponding increase in the daily rate of infection over those time periods.

    Of course it must be borne in mind - that the above figures represent the characteristics of contagion of the disease at an early stage and may not be absolutely accurate in terms of demonstrating the "exponent" of increase.

    Also it must be considered a likely factor that the number of new cases may have artificially jumped/or stalled in certain periods due to the fact that "new cases" really means "new cases detected" and would be influenced by greater or lesser efforts to detect.

    The accuracy of the figures is obviously limited by both the limited range of data available and the stage at which the contagion is at (very early stage), it would obviously be much better to have a number of years data of this strain and the numbers of people affected to give more accurate figures, nevertheless the rate of growth is a cause for concern should a serious increase in efforts to contain this virus and stall or reverse the spread not be implemented ASAP.

    17.04.2014 - 18.05.2014 - 31 days - 56 new cases - 1.8 new cases per day.

    18.05.2014 - 16.06.2014 - 29 days - 361 new cases - 12.45 new cases per day.

    16.06.2014 - 12.07.2014 - 26 days - 301 new cases - 11.58 new cases per day.

    12.07.2014. - 11.08.2014 - 30 days - 1010 new cases - 33.67 new cases per day.

    11.08.2014 - 07.09.2014 - 27 days - 2415 new cases - 89.44 new cases per day.

    07.09.2014 - 01.10.2014 - 24 days - 3100 new cases - 129.17 new cases per day.


  • Closed Accounts Posts: 974 ✭✭✭realweirdo


    This reason for the rapid expansion in new numbers would be largely down to the fact the countries in question can deal with small numbers but eventually they reach a tipping point where they can't isolate people or track their contacts. That tipping point has been reached and the numbers will continue to grow exponentially without a serious international effort. So far there has been no serious international effort.

    People still think this outbreak is the same as previous ones, if a bit more serious, but eventually the Africans will get it under control largely by themselves. They won't. This looks like the big one.


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  • Registered Users, Registered Users 2 Posts: 1,073 ✭✭✭littlemac1980


    realweirdo wrote: »
    This reason for the rapid expansion in new numbers would be largely down to the fact the countries in question can deal with small numbers but eventually they reach a tipping point where they can't isolate people or track their contacts. That tipping point has been reached and the numbers will continue to grow exponentially without a serious international effort. So far there has been no serious international effort.

    People still think this outbreak is the same as previous ones, if a bit more serious, but eventually the Africans will get it under control largely by themselves. They won't. This looks like the big one.

    Yes - that's likely another factor. There would be many, and each would affect the accuracy of projecting what might happen in the future, and in different circumstances with different factors and weights.

    Nevertheless you have to work with what's available and unfortunately in 12-18 months time the projections may be much more accurate, but by then, if nothing serious is done now, the projections might be purely academic in terms of assistance.


  • Closed Accounts Posts: 974 ✭✭✭realweirdo


    I think the exponential model of growth is probably the most accurate going forward. 1 person infects on average 2 more and so on. So if this was followed, 3000 new cases this month, 5-6000 new cases next moth, 10-12000 the month after. And so on. In 6 months you could be talking 100,000 new cases a month.

    People are saying, yeh but, they will get it under control. However, they've already lost the point where it can be controlled. It can only be controlled if you isolate sick patients almost immediately and track down and monitor their contacts. In Liberia and Sierra Leone they have reached the stage where that is no longer possible. In other words, its out of control.


  • Banned (with Prison Access) Posts: 31,119 ✭✭✭✭snubbleste


    Spanish newspaper 'finds' her mobile number and calls her..
    El Mundo - 'I don't know how I caught Ebola'

    also she is deteriorating fast
    http://www.elmundo.es/madrid/2014/10/08/54346601e2704e35598b4571.html


  • Registered Users, Registered Users 2 Posts: 1,073 ✭✭✭littlemac1980


    realweirdo wrote: »
    I think the exponential model of growth is probably the most accurate going forward. 1 person infects on average 2 more and so on. So if this was followed, 3000 new cases this month, 5-6000 new cases next moth, 10-12000 the month after. And so on. In 6 months you could be talking 100,000 new cases a month.

    People are saying, yeh but, they will get it under control. However, they've already lost the point where it can be controlled. It can only be controlled if you isolate sick patients almost immediately and track down and monitor their contacts. In Liberia and Sierra Leone they have reached the stage where that is no longer possible. In other words, its out of control.

    Oh its definitely exponential - there's no doubt about that - a linear model of growth couldn't apply to any such situation. The question is what is the relevant exponent.

    It's likely not fixed and most likely will be a complex function itself dependant on the number of cases itself.

    The global rate of growth would obviously be much different than a local rate of growth and local rates of growth would be heavily influenced by health care standards and population densities, and social factors, infrastructure etc.

    Without intervention both local and global rates of growth will tend to converge, but the question is at what rate such convergence takes places, and where are the critical points in isolated local contagions which must be prevented to stop a local infection materially affecting the exponential of global rate.


  • Registered Users, Registered Users 2 Posts: 1,944 ✭✭✭fedor.2.


    At what stage, if any, should we panic like?


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  • Registered Users, Registered Users 2 Posts: 1,073 ✭✭✭littlemac1980


    snubbleste wrote: »
    Spanish newspaper 'finds' her mobile number and calls her..
    El Mundo - 'I don't know how I caught Ebola'

    also she is deteriorating fast
    http://www.elmundo.es/madrid/2014/10/08/54346601e2704e35598b4571.html

    Yeah I found it a little too convenient that somehow they "discovered" she had contracted the Virus from a specific instance she touched her face with her glove.

    In fact other news reports simply stated "She may have contracted the disease in such manner."

    I think the Spanish authorities are under a lot of pressure both nationally and internationally to explain what went wrong and to an extent this reminds me of the Thai Police parading the two alleged "murderers" around the beach in Thailand recently - anyone with a bit of sense would view the situation with a certain amount of skepticism at least in the absence of clearer objective evidence.


  • Registered Users, Registered Users 2 Posts: 1,073 ✭✭✭littlemac1980


    fedor.2. wrote: »
    At what stage, if any, should we panic like?

    I'd be inclined to say as soon as there is a confirmed case in Ireland take precautions not to expose yourself unnecessarily to any risk of infection.

    If there are more than one case its up to yourself - but I for one will probably take my chances with a few books and some quality home time until I see what happens.

    Unfortunately, I'm not a pessimistic person, but I tend to agree with most posters here that suggest that Ireland's health system is totally incapable of dealing with this Virus.

    The cynic in me would even go so far as to suggest that a case of Ebola here would be exactly what the Unions have been waiting for and you'd see strikes of Nurses and Junior doctors all over the place. Kind of like the Train Strike for All-Ireland weekend - a good opportunity to put a gun to the governments head and get a pay rise.


  • Registered Users, Registered Users 2 Posts: 1,944 ✭✭✭fedor.2.


    I'd be inclined to say as soon as there is a confirmed case in Ireland take precautions not to expose yourself unnecessarily to any risk of infection.

    If there are more than one case its up to yourself - but I for one will probably take my chances with a few books and some quality home time until I see what happens.

    Unfortunately, I'm not a pessimistic person, but I tend to agree with most posters here that suggest that Ireland's health system is totally incapable of dealing with this Virus.

    The cynic in me would even go so far as to suggest that a case of Ebola here would be exactly what the Unions have been waiting for and you'd see strikes of Nurses and Junior doctors all over the place. Kind of like the Train Strike for All-Ireland weekend - a good opportunity to put a gun to the governments head and get a pay rise.


    Sh1t, that does not sound good at all


  • Banned (with Prison Access) Posts: 489 ✭✭Sclosages


    How is it passing on then?


  • Banned (with Prison Access) Posts: 489 ✭✭Sclosages


    Are all patients shagging/kissing/pissing/bleeding on each other? How have so so many people, medical professionals with space suits on them contracting it?
    That is what worries me!


  • Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭FullblownRose


    Sclosages wrote: »
    Are all patients shagging/kissing/pissing/bleeding on each other? How have so so many people, medical professionals with space suits on them contracting it?
    That is what worries me!

    The suits in the Spanish case were only designed for grade 2 disease protection when they needed a higher grade of protective suit for dealing with Ebola.


  • Banned (with Prison Access) Posts: 489 ✭✭Sclosages


    The suits in the Spanish case were only designed for grade 2 disease protection when they needed a higher grade of protective suit for dealing with Ebola.

    I expect Ireland will have grade 1 then lol.


  • Registered Users, Registered Users 2 Posts: 939 ✭✭✭wildefalcon


    Sclosages wrote: »
    Are all patients shagging/kissing/pissing/bleeding on each other? How have so so many people, medical professionals with space suits on them contracting it?
    That is what worries me!

    Working in protective gear is not very nice, it's hot, uncomfortable, itchy and smelly.

    If you have an itch on your nose, what do you do? Go into decon and remove the suit for disposal, scratch and get a new suit on? Fine, if there are unlimited resources, but if there are no new suits? Some people will just lift the mask and scratch their nose.

    Ever had a nose Itch? See how long you could go without scratching it!


  • Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭FullblownRose


    fedor.2. wrote: »
    At what stage, if any, should we panic like?

    Wait for the results of the testing of anyone currently being monitored after being in contact with the ones who actually have ebola (the man in texas who caught it in liberia, or the spanish nurse who caught it from the repatriated missionary)

    . If any of the people being monitired, have caught it, wait and see what the explanation is for how they caught it.

    Only if someone catches it without there being an obvious reason such as having touched a patient who was vomiting or handling medical waste without protection, then it would be a worry and I would personally start taking it *more* seriously.


  • Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭FullblownRose


    Sclosages wrote: »
    I expect Ireland will have grade 1 then lol.

    Eh, yes, probably :O Who knows?


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  • Registered Users, Registered Users 2 Posts: 5,184 ✭✭✭nyarlothothep


    Norovirus isn't airborne except for vomit particulates afaik yet it spreads like wildfire. I'd imagine it's comparable in this sense for ebola.


  • Closed Accounts Posts: 1,087 ✭✭✭Spring Onion


    Peist2007 wrote: »
    I think you're just a little miffed that you have been wrong about this outbreak all along

    :D Yes of course - let's have a retrospective in 2015 and see who was over-hyping the situation. To be honest I find this thread absolutely fascinating. There is a thesis here for sure!
    Some lad just suggested that the nurses and doctors will strike for more money to deal with ebola. You cant make this stuff up, well actually most of you can.


  • Closed Accounts Posts: 1,906 ✭✭✭Streetwalker


    fedor.2. wrote: »
    At what stage, if any, should we panic like?

    No need for panic but it is worrying. I simply don't believe the "it isn't airborne" argument at this stage. That's not to say if you are in the same room as someone who has it you will catch it but yeah if they are couching/sneezing beside you I think you are in trouble.

    Problem is worldwide I see no leadership in taking on the problem.


  • Registered Users, Registered Users 2 Posts: 1,820 ✭✭✭ProfessorPlum


    I'd be inclined to say as soon as there is a confirmed case in Ireland take precautions not to expose yourself unnecessarily to any risk of infection.

    If there are more than one case its up to yourself - but I for one will probably take my chances with a few books and some quality home time until I see what happens.

    Unfortunately, I'm not a pessimistic person, but I tend to agree with most posters here that suggest that Ireland's health system is totally incapable of dealing with this Virus.

    The cynic in me would even go so far as to suggest that a case of Ebola here would be exactly what the Unions have been waiting for and you'd see strikes of Nurses and Junior doctors all over the place. Kind of like the Train Strike for All-Ireland weekend - a good opportunity to put a gun to the governments head and get a pay rise.


    I agree with a lot of what you're saying littlemac, but above is grossly unfair. Nurses and doctors here have never refused to treat emergent patients during industrial disputes, and many, especially doctors, work far in excess of their contracted hours. They will be the ones most exposed on the front lines, along with paramedics and other workers in the sector, and they deserve our respect and support.


  • Banned (with Prison Access) Posts: 489 ✭✭Sclosages


    No need for panic but it is worrying. I simply don't believe the "it isn't airborne" argument at this stage. That's not to say if you are in the same room as someone who has it you will catch it but yeah if they are couching/sneezing beside you I think you are in trouble.

    Problem is worldwide I see no leadership in taking on the problem.

    I'm with you on this one. To me, 'airborne' is snot flying through the air at me! Might not be the medical definition, but mucus certainly seems to be a carrier!


  • Registered Users, Registered Users 2 Posts: 2,238 ✭✭✭javagal


    Australia have a fair system i think. Anyone who has been anywhere near an ebola patient/victim must isolate themselves at home alone for 21 days on returning home and they must constantly check their temperature.
    Reduces the risk of spreading.


  • Registered Users, Registered Users 2 Posts: 4,122 ✭✭✭BeerWolf


    Sclosages wrote: »
    I expect Ireland will have grade 1 then lol.

    Our mode of defence, procedural face masks.


  • Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭FullblownRose


    :D Yes of course - let's have a retrospective in 2015 and see who was over-hyping the situation. To be honest I find this thread absolutely fascinating. There is a thesis here for sure!
    Some lad just suggested that the nurses and doctors will strike for more money to deal with ebola. You cant make this stuff up, well actually most of you can.

    I find the discussion fascinating too. Possibly not from the same angle as you, but I think those who are quickest to repudiate the suggestion any disease might spread in unforseen ways, and insist that it isn't sensible to discuss these ideas, are really a bit frightened and overcompensating by trying to appear more detatched than they really feel. I have seen people all but suggest a media moratorium on coverage on Ebola.

    The other extreme is the kind of people, like some friends I have on my Facebook page, who almost seem to be desperately hoping it will escalate much further.


  • Registered Users, Registered Users 2 Posts: 17,369 ✭✭✭✭Zillah


    NauP wrote: »
    Heading to Morocco via Heathrow in early November. Not sure whether to cancel or not......

    lol are you serious?

    Dublin to Morocco: 2000km
    Morocco to Liberia: 3000km

    Dublin is closer to Moscow than Morocco is to Liberia.

    Go on holidays.


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  • Banned (with Prison Access) Posts: 489 ✭✭Sclosages


    BeerWolf wrote: »
    Our mode of defence, procedural face masks.

    And gloves! We're great with the gloves.
    And how could I forget the alcohol rub thing you must put on when entering a hospital lmao. Protects against everything that stuff does!


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