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“You Don’t Need A Hazmat Suit”: Want To Help Combat Ebola? Get A Flu Shot

On Friday morning, the Obama administration announced that it was appointing Ron Klain, the former chief of staff to Vice President Joe Biden, to become the Ebola “Czar” to oversee all efforts to combat the disease. This isn’t much of a surprise. After all, the president told reporters Thursday night that he would consider making such a move. But there is another, much more subtle message, hidden in this move: Get a flu shot.

When he spoke to reporters Thursday, Obama expressed complete satisfaction with his current team overseeing the Ebola response: Thomas Frieden, the head of the Centers for Disease Control and Prevention, Sylvia Mathews Burwell, the secretary of the Health and Human Services, Homeland Security Advisor Lisa Monaco, and National Security Advisor Susan Rice. But each of those four have other duties as well. Monaco and Rice are both heavily involved in coordinating the airstrikes in Iraq and Syria.

For Frieden and Burwell, their attention will soon be partially diverted to flu season. “We’re going into flu season, which means, by the way, that people should be looking to get their flu shots,” Obama said. “We know that every year tens of thousands of people potentially die of the flu, and a hundred-thousand or more may be actually going to the emergency room and hospitalized because of the flu. So that’s something that Tom [Frieden] also is responsible for.”

As I noted Friday morning, there is no reason to fear Ebola. You don’t need to wear a hazmat suit when you travel. But if you are feeling helpless and want to do something to help combat the disease, get a flu shot. The symptoms for the flufever, nausea, vomitingare very similar to those of Ebola. That means the more people who get the flu this year, the more people are going to panic about potential cases of Ebola, cases that the vast, vast majority of the time will prove false. Reducing the number of people who get the flu will help quell that panic.

And, by the way, the flu killed 50,643 Americans in 2012. That’s another very good reason to get a flu shot.

 

By: Danny Vinik, The New Republic, October 17, 2014

October 18, 2014 Posted by | Communicable Diseases, Ebola, Influenza | , , , , | Leave a comment

“Unbridled Opportunism”: Republicans Want You To Be Terrified Of Ebola—So You’ll Vote For Them

The first transmission of Ebola within the United States, from Liberian visitor Thomas Eric Duncan to a Dallas nurse, marked a turning point in the political dialogue surrounding the virus toward an unbridled opportunism. The subsequent diagnosis of a second nurse and other revelationsthat she took a flight shortly before she began showing symptoms, apparently with Centers for Disease Control’s approvalhave only accelerated it. Obviously a degree of paranoia and sensationalism has colored the Ebola story since long before this week. But this week’s developments provided conservatives the psychological ammunition they needed to justify using the specter of a major Ebola outbreak as an election-year base-mobilization strategy.

Republican candidates like Scott Brown are now in on the game, and so is House Speaker John Boehner. Fox News, with the exception of Shepard Smith, is ginning up more Ebola terror than CNN, which had been the vanguard of Ebola hysteria until this week. Matt Drudge’s call to panic was not only deranged

but unintentionally self-defeating, as one cannot vote if one is self-quarantined.

Engaging in the politics of fear requires a pretense. You can find people who hype mortal danger, without a sheen of plausibility, shouting into bullhorns on street corners. Politicians and their enablers need persuasive stories that make the threats sound real. And the story that many conservatives are telling about Ebola goes something like this: We’d love to eschew hysteria, and we’d love to believe our public health officials can break the chain of transmission within the U.S., but the Obama administration has proven itself untrustworthy.

“This is an episode when people want to trust the government, people need to trust the government and they can’t,” columnist George Will intoned on Fox News earlier this month. “What was happening exactly 12 months ago? A government shutdown and the disastrous rollout of Healthcare.gov. Since then we’ve had intelligence failures regarding ISIS; we’ve had the debacle of the veterans handling of healthcare; and the Secret Service that couldn’t lock the front door of the White House. So people think this is a gang that can’t shoot straight.”

University of Tennessee law professor Glenn Reynolds repackaged Will’s basic argument in USA Today on Monday. Among those he cited was “Meet the Press” host Chuck Todd, who added lost IRS emails, Edward Snowden’s NSA disclosures, and the child-migrant crisis to the litany. Members of the media are enabling this opportunism. They should be anathematizing it.

The competence argument is appealing because it doesn’t require dabbling in pseudoscience or xenophobiajust healthy skepticism of our governing institutions. Moreover, I’m certain this sort of skepticism does help explain why a large minority of people in the U.S. feels at risk of contracting Ebola. But they are at no great risk. That the risk is provably infinitesimal underscores the fact that the issue with Ebola isn’t the virus itself so much as paranoia about it.

Even if each of the failures and crises enumerated above were as unambiguous and damning as the administration’s critics claim, it doesn’t follow that federal health officials aren’t up to the task of controlling Ebola, or that the public at large faces any meaningful risk. It might follow that we shouldn’t believe this season’s Affordable Care Act enrollment period will be glitch-free, and that the Vetrerans Affairs’s problems won’t be solved with new management alone. The point is not that we should never draw inferences from this administration’s previous failings. But it’s a fallacy to arbitrarily extend that second-guessing to the Ebola containment effort, while at the same time happily taking it for granted that the vast majority of things we entrust the government to do will continue apace.

Ebola carries a crucial mix of novelty, visibility, and lethality that ripens it for demagogy. But conservatives have selected a familiar line of demagogythat you can’t trust the government to administer things and solve problemsand imposed it on to a situation where stoking reflexive distrust of the government tugs at the lid of a big Pandora’s box.

The sad irony is that state and local institutions, so beloved on the right, were apparently out to sea when Ebola arrived in Dallas, and health officials there would have let things drift further into chaos had the federal government not intruded further. Not that they’ve performed flawlessly, but we need more of their expertise and involvement, not less. Texas Governor Rick Perrywho in gentler times plays footsie with secessionis grateful for this intrusion, and has “great faith” that their efforts will succeed. Perhaps he’ll surprise us further by dismissing the idea that the federal officials who’ve stepped up against Ebola shouldn’t be trusted because about a year ago, some federal healthcare website was beset by glitches.

 

By: Brian Beutler, The New Republic, October 16, 2014

October 17, 2014 Posted by | Ebola, Midterm Elections, Republicans | , , , , , , , , | Leave a comment

“Tea Party’s Ebola Paranoia”: Why GOP’s Fear-Mongering Is Just A Cynical Turnout Strategy

There’s good news in the NBC News/Wall Street Journal poll released Tuesday night: Most Americans believe the government is ready to handle a possible Ebola outbreak, even as a second Dallas health worker has contracted the disease.  But if you want to understand why the GOP is fear-mongering on the issue, you’ve got to analyze the poll results more closely.

Some 56 percent of Americans say the government is prepared to handle Ebola, including 61 percent of Democrats. But that number is flipped on its head when you ask Tea Party voters: 57 percent of them say the government is not prepared, as do 54 percent of rural voters. So two core components of the GOP red-state base coalition don’t trust the federal government, in the person of President Obama, to keep them safe – and there’s some political opportunity for Republicans in those numbers. When Texas Sen. Ted Cruz continues to insist “I remain concerned that we don’t see sufficient seriousness on the part of the federal government about protecting the American public,” those are the voters he’s talking to.

The Plum Line’s Greg Sargent makes the excellent point that one big political benefit of Ebola to the GOP is that it gives them a theme with which to nationalize the election and make it about the perceived failures of President Obola – I mean Obama – especially in states like Georgia, Louisiana and North Carolina, where vulnerable Democrats have kept it close by focusing on local issues and their GOP opponents’ foibles.  That’s why Thom Tillis is insisitng that Sen. Kay Hagan has “failed the people of North Carolina and the nation by not securing our border.”

The poll had more good news than bad for the forces of calm and reason: 49 percent of Americans thought the CDC is doing a good job, compared to 22 percent who said it wasn’t. Other polls have given us a little more to worry about: Last week’s Rutgers-Eagleton survey of New Jersey voters found that 69 percent were at least somewhat concerned about the disease spreading here – and that people who were paying the most attention to TV actually knew the least about the disease, and were the most frightened.

That’s an unusual finding: People who pay the most attention to coverage of a political issue usually know the most about it when polled. But not when it comes to Ebola. “The tone of the coverage seems to be increasing fear while not improving understanding,” the pollster told reporters. No data on whether they were mostly watching Fox, where Bill O’Reilly is calling for the resignation of the respected CDC head Tom Frieden (the sensible Greta Van Susteren called her colleague out here.)

That same NBC/WSJ poll showed Republicans with a generic two point lead over Democrats in the coming midterm elections, 46-44. Again, the best thing I can say about continued polling is: It could be worse for Dems. That same poll had Republicans up by 7 at the same point, and they went on to deliver a “shellacking.” The poll was tied 45-45 in 2012, when President Obama won re-election and Democrats gained seats in Congress.

Even better, Democrats are leading Republicans among registered voters in the top-11 Senate races, 47 percent to 42 percent. So Democrats should expect losses, but it’s still not looking like a wave year. Unless Republicans can use Ebola and ISIS to drive out their voters, and Democratic voters stay home.

 

By: Joan Walsh, Editor at Large, Salon, October 15, 2014

October 16, 2014 Posted by | Ebola, GOP, Tea Party | , , , , , , , | 1 Comment

“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 Yorkerbrilliant 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

October 10, 2014 Posted by | Communicable Diseases, Conservatives, Public Health | , , , , , , , , | Leave a comment

“Irrational Exceptionalism”: America Is Exceptionally Dumb When It Comes To Guns

While Americans typically laud our national “exceptionalism” — a sense that the trajectory of history has bestowed greatness upon the United States — there are a few of our distinctive characteristics that don’t deserve celebration. On the subject of firearms, for example, the United States is exceptionally irrational. No other nation has set guns aside as an object of worship.

We have let a blood-soaked gun lobby dictate our laws and regulations on firearms; we have passed “stand your ground” laws that allow violent and angry men to murder unarmed people; we have given the mentally unstable the ability to buy military-style assault weapons with which they wreak havoc on crowds. Last week, Georgia governor Nathan Deal signed a bill into law that would allow denizens of his state to carry firearms into government buildings, bars and, God help us, churches.

In addition, we have allowed the gun lobby to suppress research into the public health consequences of our firearms-worshipping culture. Indeed, U.S. Rep. Jack Kingston (R-GA) — running in a crowded GOP primary for a U.S. Senate seat — has recently reversed himself, going back on an earlier pledge to support such studies. It hardly gets any loonier than that.

In the 1990s, the National Rifle Association successfully stymied public health researchers who wanted to study the causes and consequences of gun violence. According to ProPublica, a nonprofit news organization, “funding for firearms injury prevention activities dropped from more than $2.7 million in 1995 to around $100,000 in 2012.”

The gun lobby clearly fears that science will discover that guns are dangerous and that, well, more guns are more dangerous. (To quote that famous philosopher Stephen Colbert, “Reality has a well-known liberal bias.”)

However, after the Sandy Hook atrocity in December 2012, it appeared that the dead bodies of 20 small children — and six adults — might be enough to finally restore some sanity to the national conversation. President Obama issued a presidential memorandum ordering the CDC to “research the causes and prevention of gun violence.” The National Rifle Association didn’t immediately object, since it recognized the fraught politics of that grief-laden moment.

Some of the NRA’s supporters, too, were muted, seemingly willing to consider modest measures to improve public safety. Kingston was among those willing to support more research on gun violence, saying, “Let’s let the data lead rather than our political opinions.”

At a Savannah, Georgia, gathering shortly after Sandy Hook, he said: “You have to be a pretty sick person to squeeze a trigger on a human being, particularly unarmed children at a school. I think if we focus and keep beating up on the weapon as the problem, we are missing the big picture of mental health that we can come together on as Democrats and Republicans. I spoke with the head of the CDC last week. I think we can find some common ground.”

But Kingston now finds himself in a GOP primary in which some of his right-wing opponents have tagged him as a RINO (Republican In Name Only), despite his solidly conservative credentials. That has left him desperate to court the crazies among his constituents, lest the “fire-at-will” crowd doubt his fidelity to the notion that every American should own his own shoulder-fired missile launcher.

So Kingston has dutifully signed up to block Obama’s request for CDC funding for gun violence research, telling ProPublica recently that “the president’s request to fund propaganda for his gun-grabbing initiatives through the CDC will not be included” in the next appropriations bill.

That means that some of the questions we desperately need answered won’t get the inquiry they deserve: Do background checks deter gun violence? How many mass shooters had a detectable mental illness? What is the link between suicide and gun ownership? Even Kingston’s question about a possible link between violent video games and mass shootings won’t be studied.

That’s just nuts, a reminder of our willingness to be exceptionally dumb about some things.

 

By: Cynthia Tucker, Winner of the 2007 Pulitzer Prize For Commentary, is a Visiting Professor at the University of Georgia; Published in The National Memo, April 26, 2014

April 28, 2014 Posted by | Gun Violence, Guns | , , , , , , , , | 1 Comment