“America The Whiny”: Everyone Blames Everyone For An Ebola Disaster That Has Yet To Occur
Is there absolutely nothing left in this country that we can take on as a nation without someone heading for the nearest cable TV news studio or on-line publication to lay the blame for our latest problem on the President, the government, racism or some other convenient entity?
Yes, we know there were mistakes made at Texas Health Presbyterian Hospital who sent Thomas Eric Duncan home upon his initial visit where he complained of symptoms that turned out to be the earliest stages of an Ebola infection.
The result for Mr. Duncan was tragic. But with just one human having passed away in the United States as a result of the Ebola virus, does the situation truly merit the whining and blaming that is now very much underway?
Sadly, the public dialogue, in this instance, began with cries of racism alleged by Mr. Duncan’s nephew—allegations quickly adopted by others despite there being no proof that racism played a role in any way whatsoever.
It is certainly true that an error was made when Mr. Duncan was sent home with a 103 fever, despite having informed the receiving desk at the ER that he had come to Dallas from Africa. It is also just as true that hospital error is estimated to cause some 210,000 deaths per year in this country, involving victims of all races.
Still, we know that blood tests were performed on Mr. Duncan in the emergency room on the day of Duncan’s first arrival. We know that he was not simply given an aspirin and a prescription for antibiotics and sent on his way without a full exam and a blood panel in order to hold down the price tag to the hospital or in response to his not mattering because of skin color.
I’ve shown up at an ER with a high fever and feeling quite badly. I was given an exam by the attending physician who also took a blood panel. After six hours, most of which was spent waiting to see the Doc, I was sent home with an antibiotic, told to drink lots of liquid so I would not become dehydrated and told to stay down for a few days.
Never was it contemplated that I be admitted to the hospital for what appeared to be a bad case of the flu.
Unfortunately, because the receiving desk at the hospital did not communicate to the physicians that Duncan had recently arrived from Africa, despite having been given this information, his blood tests did not include an Ebola test and he was treated just as I was when presenting with similar symptoms.
Next, contrary to what many have claimed, Mr. Duncan was given the experimental anti-viral drug, brincidofovir, shortly after his ultimate admission to the hospital. Tragically, his case was, by then, too far along for the drug to have a positive impact.
Finally, in answer to the complaint that Duncan was not prescribed a blood transfusion from one of the Americans who has survived the disease, in the hopes that the antibodies in the donor’s blood would be of assistance, this allegation turns out to be untrue. Unfortunately, the donor blood type did not match Mr. Duncan’s type, taking the possibility of such a transfusion off the table.
Accordingly, for someone to assert that racism or lack of health insurance was at work here, one would have to determine that racism or health insurance played a role in the communication failure that kept the treating physician(s) from considering Ebola as a possibility.
I don’t know about you but that seems like quite a stretch to me.
Aside from the actual evidence that would argue against a racial bias in this instance when it comes to the best possible treatment, there is a strong, compelling and virtually irrefutable logic to the argument that Thomas Duncan was not treated differently because of either race or a lack of health insurance.
One can reasonably assume that most everyone who was working at Texas Health Presbyterian on the day Mr. Duncan first appeared complaining of his symptoms lives in the Dallas area—meaning that each of them, and their families, would find themselves at ground zero for the spread of Ebola due to the presence of Duncan in their area.
What’s more, as I suspect that everyone from the clerks and nurses at the receiving desk to all remaining health professionals at the hospital were quite aware that Ebola does not only spread among the same race as the initial victim, it would make absolutely no sense whatsoever to take less of an interest in one individual presenting with Ebola who might be black than it would someone who is white—unless Ebola did not cross their minds as a possible diagnosis. And if that is the case, we should all be able to agree, based on the population of West Africa, that a white person coming into the ER with the same symptoms would be even less likely to capture the medical staff’s imagination and point it towards a possible case of Ebola.
By: Rick Ungar, Op-Ed Contributor, Forbes, October 13, 2014
“Ebola Doesn’t Abide By Borders”: Ensuring Our Public Health System Is Adequately Funded And Allowed To Do Its Job Is Key
The U.S. should not implement travel restrictions on countries impacted by the Ebola crisis and here is why. The Ebola outbreak has reminded the world what public health officials have known for centuries: Infectious disease does not respect geographical borders.
There was a time when we travelled the globe in ships and across land. In those days travel took months and diseases died out or were easy to contain using quarantine measures and broad travel restrictions.
We now live in a global society during a time when the variables we are trying to compute are numerous and complex. The vast number of people traveling around the world, the speed of travel, the large number of conveyances and the presence of multiple ports of entry into our country argues for a focused, well-tested and science-based approach to reducing the risk of exposure to this highly lethal infectious disease.
I’ve just returned from South Africa with a connection through Amsterdam, Netherlands. While this is far from West Africa, I saw a system of health and customs officials on high alert looking for ill passengers, passenger screenings using temperature monitors at airports and health advisories in airports to inform passengers how to protect themselves. What I saw, in fact, was a responsive, competent public health approach at work.
Preventing travel from affected countries is an inadequate measure. Not only do we need to ensure rapid passage of people in and out of the area for response purposes, but we also need to ensure the continued flow of supplies desperately needed to address the outbreak at its source, which is the best way to break the chain of infection. With the number of people passing through airports all over the world, identifying those who could have come into contact with people from affected countries is an impossible task. Multiply this by the number of connecting flights through European or other international hubs and it becomes even harder.
While we are appropriately worried about Ebola, enterovirus-68 has sickened more than 628 people in 44 states and the District of Columbia, a severe coronavirus – the Middle East respiratory syndrome – is circulating in the Middle East and chikungunya virus has entered our country. We have many significant biological threats, and they are all managed best through proven public health measures.
I have yet to hear calls to quarantine our borders between states while these serious diseases are already here because such a measure, of course, would be ineffective. Sound disease surveillance, case finding, monitoring and treatment is the appropriate approach. Ebola, although highly lethal, can be managed using these proven methods. We know its epidemiology, its biology and how to defeat it.
A strong, well-developed and adequately funded public health system is the key to containing Ebola and all of these other infectious threats. Unfortunately, ongoing budget cuts to the Centers for Disease Control and Prevention and other health agencies continue to put a strain on resources. Policymakers who want to be part of the solution need only to support ensuring our public health system is adequately funded and allowed to do its job.
Yes, we should screen travelers, but restricting travel is not the solution. A focused, robust and science-based public health response is.
By: Georges Benjamin, M.D., Executive Director, American Public Health Association; Publisher, Control of Communicable Diseases Manuel; Debate Club, U. S. News and World Report, October 10, 2014
“For GOP, Scaring Voters Is Good For Business”: Ebola Scare-Mongerer Rand Paul Wants You To Think You’re Going To Die
Although Thomas Eric Duncan, the first person diagnosed with Ebola on U.S. soil, has now died of the disease, American public health officials remain confident in our nation’s ability to prevent a widespread epidemic. “The bottom line here is we know how to stop it,” CDC director Tom Frieden told NBC News this weekend. “It’s not going to spread widely in the U.S., for two basic reasons. We can do infection control in hospitals, and we can do public health interventions that can stop it in its tracks.”
His wasn’t the only voice that sought to reassure. “I know there’s a lot of reason to be concerned. It is a serious problem, but in my lifetime, when we have been frightened by this so-called coming epidemic—most of it has never materialized,” said Mr. Paul. Ron Paul, that is, Rand’s dad. “I think sometimes overreaction can become very dangerous as well,” said the elder Paul. Indeed.
Sir, please call your son and tell him that.
Rand Paul, Republican Senator from Kentucky, recently told conservative radio host Laura Ingraham that Ebola “could get beyond our control” and speculated: “Can you imagine if a whole ship full of our soldiers catch Ebola?”
Saying “it’s a real mistake to underplay the danger of a worldwide pandemic,” Paul, doing his level best to overplay the danger, told Glenn Beck: “I think I said this the last time I was on your show a couple weeks ago, I said that I’m concerned that political correctness has caused us to underplay the threat of Ebola.” Er, um, because the people dying of Ebola in West Africa are black? I’m confused… Anyway, I thought the reason not to let panic spread was because, you know, panic is bad and we should have a rational and informed public rather than an irrationally fearful one. But speaking of informed…
“It’s an incredibly transmissible disease that everyone is downplaying, saying it’s hard to catch,” Rand said to Beck. “Well, we have physicians and health workers who are catching it who are completely gloved down and taking every precaution and they’re still getting it. So, yes, I’m very concerned about this.” Rand Paul, mind you, is a doctor and should know better than to spread skepticism or downright misinformation about public health issues. But instead, he is using Ebola to not only attack President Obama (as are other Republicans, natch) but to push his extremist anti-government agenda that goes beyond healthy skepticism to tin-foil hat conspiracy land
Though here it’s worth noting Rand’s hypocrisy—the health workers who are contracting Ebola don’t have adequate protective gear, something the United States might be able to help with if we would actually fund public health and foreign aid instead of slashing it. Meanwhile, Rand Paul actually wants to end all U.S. foreign aid. Think of how much worse Ebola would be in West Africa without America’s help.
Paul isn’t alone in panic-mongering. Other Republicans have joined in, including Texas Republican Rep. Louie Gohmert, who mysteriously also blamed “political correctness” for why the United States is sending troops to help in West Africa, troops Gohmert asserts will “get Ebola that they can bring back.
And the former head of the Republican Party in South Carolina recently tweeted that anyone in the United States who has Ebola should be euthanized immediately, adding a lynch mob dimension to the panic.
Why? Partly, it’s the “any excuse to criticize anything on Obama’s watch” mindset. But also just as the news media plays to or even inflames such fears to drive ratings, Republicans stoke fear to drive votes. Simply put, when voters fear for their safety, they vote more Republican. Scaring voters, whether about ISIS or Ebola, is good for the GOP.
As fear about ISIS grew among Americans, so did support for Republican leadership on foreign policy. An October 6 poll found that just 11 percent of Americans are “very worried” they will be exposed to Ebola. If Republican panic hyping continues, aided and abetted by media coverage, look for that number to rise—along with the electoral outlook for Republicans next month
And meanwhile, look for Rand Paul to carve out his own corner of this advantage by stoking anti-government sentiment as well—the same October 6 poll found that 42 percent of independent voters are not confident in government’s ability to handle any Ebola outbreak. As that number grows, so does the potential voting block for a anti-government libertarian Rand Paul presidency.
“Could we have a worldwide pandemic?” Rand Paul asked in another interview. “The Spanish flu in 1918 killed 21 million people, the plague in the 14th century killed 25 million people; I’m not saying that’s going to happen, I don’t know what’s going to happen.” Actually, Rand Paul, despite every reasonable and responsible fact to the contrary, you not only implying a mass pandemic might happen but clearly encouraging the American people to panic.
Your own dad said that’s dangerous. Take his advice.
By: Sally Kohn, The Daily Beast, October 12, 2014
“Unreasoning Dread”: Freaking Out About Ebola Isn’t Helping
One afternoon two weeks ago, I did my best to calm a friend who’d become fearful that her son would contract Ebola in Syria. The young man had enlisted in the National Guard. She knew the U.S. was bombing ISIS terrorists there, and that people were talking about “boots on the ground.” She thought she’d heard about a Syrian Ebola outbreak on TV.
Because others were listening, I didn’t want to embarrass her. I suggested she’d misheard a reference to Sierra Leone, a tiny country in the tropical forest of West Africa where the Ebola epidemic rages — thousands of miles from Syria, which borders on Israel. The road to Damascus and all that.
The Bible reference helped. A guy in a John Deere cap backed me up. Syria was definitely not in Africa. My friend was mollified.
I’m sure she’s heard plenty more about Ebola since then, possibly even about Sierra Leone, a nation of which most Americans have zero knowledge. A lifelong map nut, I’d have had to search for it myself.
Although my friend is an intelligent person with a lively wit, it wasn’t her ignorance of geography I found so surprising. After all, polls showed only 17 percent of Americans could locate Iraq on a map back when the U.S. invaded in 2003. Rather, it was her unreasoning dread of Ebola, a tropical disease wholly limited at that time to three countries in West Africa.
Now that a single Ebola victim from neighboring Liberia has made his way to Dallas, isn’t that fear more justifiable? Shouldn’t we be running around with our hair on fire like the talking heads on cable TV? Isn’t it time for our government to do something drastic, such as banning all travel from West Africa to prevent Ebola-stricken refugees from bringing this terrifying plague to America?
Actually, no and no. Freaking out never helps when there’s real danger. For once, I felt sympathetic toward Gov. Rick Perry, who, because the Liberian victim ended up at Texas Health Presbyterian in Dallas, was compelled to act like a competent government official instead of a carnival barker.
“Rest assured that our system is working as it should,” Perry said during a hospital press conference. “Professionals on every level of the chain of command know what to do to minimize this potential risk to the people of Texas and this country.”
Of course that wasn’t strictly true. Due to a communications snafu too common in hospitals, the first physician who examined the victim wasn’t told he’d traveled from Liberia, misread the chart, and bungled the diagnosis.
But that still doesn’t mean the sky is falling. Medical experts agree that while deadly in Third World environments, Ebola is both treatable and relatively hard to catch. Patients aren’t contagious until they’re visibly ill. Even then direct contact with a symptomatic person’s bodily fluids — saliva, vomit, stool, urine, etc. — is necessary. Unlike a cold, it can’t be transmitted through the air.
Writing in The New Yorker, brilliant surgeon and author Atul Gawande documents a South African case in which some 300 hospital workers treated an undiagnosed Ebola patient for 12 days without contracting the disease.
Isolate patients, monitor their intimate contacts, dispose of their waste properly, and Ebola can be stopped. According to the CDC (Centers for Disease Control and Prevention) the likelihood of a mass Ebola outbreak in the United States is remote.
Perhaps that makes the disgraceful performance of so many self-styled “conservative” pundits and GOP politicians a bit less disturbing. Going all Chicken Little and doing everything possible to use a public health crisis for partisan ends would be even more contemptible if the danger were as great as they pretend.
As usual, Fox News personalities led the charge. Former Arkansas Gov. Mike Huckabee sought to use Ebola to foment petulant mistrust of government in general and President Obama in particular.
It all somehow reminded him of Benghazi.
“The Ebola scare,” Huckabee claimed “goes to the heart of a simple question: do you trust the government. Audience, do you trust the government?”
Fox News and ABC News contributor Laura Ingraham hosted crank medical conspiracy theorist Dr. Elizabeth Vliet, who accused Obama of downplaying Ebola for political reasons. Rush Limbaugh suggested that the president sees Ebola as a punishment for slavery, and won’t ban travel to and from West Africa out of political correctness.
Several GOP politicians, including Louisiana Gov. Bobby Jindal, have suggested basically quarantining entire countries, a “solution” that sounds sensible until you think about it for 30 seconds.
For example, would that mean volunteer doctors, nurses, missionaries and soldiers couldn’t come home? And then what? A catastrophically worsening epidemic in Africa, that’s what.
I’ll say this too: If Ebola were happening, in say, Denmark or Belgium, we’d be having a far saner conversation.
But then it couldn’t, which is part of the point.
By: Gene Lyons, The National Memo, October 8, 2014
“You Do The Math”: 30,000 Yearly Gun Deaths Is A Health Epidemic
It was back in 1996 that Congressman Jay Dickey (R-AR) inserted language into the 1997 budget that prohibited gun research funded by the CDC. And from that time forward, physicians and public health researchers have been a favorite target of the NRA. The most public example of this attempt to demonize the notion that guns constitute a health risk is, of course, the Florida law (“Docs versus Glocks”) which potentially criminalizes physicians who ask patients about guns. Yet another instance in which gun “rights” were used to distort the role and value of physicians was the successful attempt by Rand Paul, the self-certified opthalmologist from Kentucky, to block or at least temporarily derail the appointment of Vivek Murthy to be head of the CDC.
Rand’s opposition to Murthy’s nomination was nothing except an attempt to pander to a receptive audience, i.e., hardcore NRA members and other right-wing folks, whose support he will surely need if and when he announces a bid for the White House in 2016. I actually have no issue with Paul or any other political candidate saying whatever has to be said to get his ducks lined up in the water in order to try and latch onto the gold ring. But when Rand politicizes the importance and value of public health as regards guns or anything else, he’s stepped across a line that ordinarily demarcates stupidity from common sense.
Last week the first case of someone infected with Ebola was confirmed. It turned out to be a man who came into contact with an Ebola patient in his native country of Liberia shortly before coming to the United States. And while he evidently told hospital staff in Texas that he had recently been in an infected zone, the hospital in Dallas mistakenly released him back into the general population and God knows how many individuals may have come into contact with this poor guy before he was properly diagnosed.
The challenge now facing Texas Health Presbyterian Hospital is to identify every person with whom this patient may have had contact, get them isolated and tested and hope that the disease hasn’t spread. But I’ll tell you this: If there’s even the slightest hint that the Ebola virus might appear in Dallas or elsewhere, guess which agency the entire American population will expect to step in? It won’t be the NRA, that’s for sure. Despite the fact that the penultimate guardians of the 2nd Amendment, along with Rand Paul, claim to know what doctors should and shouldn’t do, the burden of dealing with Ebola will fall right where it should — on public health researchers and the CDC.
I’m not saying that gun violence is as much a threat to public health as Ebola. In roughly a month, the WHO estimates that the “epidemic” has killed more than 3,000 people in Liberia, Guinea and Sierra Leone. Representatives from more than twenty countries are now meeting in London to figure out how to get more medical aid and resources to contain the deadly spread. In Sierra Leone there are five new cases reported every hour of every day.
Hey, wait a minute. The Ebola mortality rate is estimated at 50 percent, which means that 30 people will die each day from the virus in Sierra Leone, which is about one-third of all the cases that are being reported throughout West Africa at this time. Do the arithmetic, as Bill Clinton said, and this adds up to 30,000+ Ebola victims in West Africa over a full year. Isn’t that roughly the same number of people who die from gun violence each year in the United States?
But let’s not forget that the CDC isn’t allowed to figure out what to do about gun violence and if it were up to the NRA, every state would follow Florida’s lead in gagging doctors who want to talk to their patients about guns. If 30,000 Ebola deaths in Africa constitutes an epidemic, what do you call 30,000 gun deaths which have occurred every year in America for the past twenty years?
By: Mike Weisser, The Huffington Post Blog, October 6, 2014
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