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“It may not be absolutely true that those without symptoms can’t transmit the disease, because we don’t have the numbers to back that up,” said Beutler, “It could be people develop significant viremia [where viruses enter the bloodstream and gain access to the rest of the body], and become able to transmit the disease before they have a fever, even. People may have said that without symptoms you can’t transmit Ebola. I’m not sure about that being 100 percent true. There’s a lot of variation with viruses.” In fact, in a study published online in late September by the New England Journal of Medicine and backed by the World Health Organization, 3,343 confirmed and 667 probable cases of Ebola were analyzed, and nearly 13 percent of the time, those infected with Ebola exhibited no fever at all."
You're right, it doesn't make sense! I believe what I meant to say is that if it were that easy to catch from touching your face, which is the proposed mechanism of exposure du jour, more of the health care workers should have gotten it, especially those in the ER where protective equipment was not being used, AFAIK.
Right. Ebola is Ebola. All this latest emphasis on "they touched their faces" is really rather humorous. It's supposed to be freaking hard to contract. A casual brush of one's hair back from the face with your fingers supposedly is causing this Ebola in health care workers who are otherwise protected. Yet their intimate household contacts aren't getting it. What gives?
It depends on the viral load. If a nurse has just changed the diapers of a person in the later stages of the infection, when the viral load is rampant, and touches her face with a glove with bodily fluids on it, even to brush her hair back, he or she may come close enough to her mouth, nose or eyes, to transmit the disease.
If you use the bathroom after an infected person who is in the early stages of the infection, the viral load may not be high enough to transmit viable virus on.
The science does indicate that the greater the viral load is on initial contact, the worse the infection will turn out to be. That's one of the reasons posited for the swift recoveries of Pham and Vinson, that the protection they did have minimized how much of the virus they contacted with. I believe scientists are studying Dr Spencer's case closely, because while we don't know yet how he contracted the virus, if his case is similar to Pham's and Vinson in terms of severity and length, then it may be that the promptness and quality of treatment are the determining factors regarding severity and length of infection.
It depends on the viral load. If a nurse has just changed the diapers of a person in the later stages of the infection, when the viral load is rampant, and touches her face with a glove with bodily fluids on it, even to brush her hair back, he or she may come close enough to her mouth, nose or eyes, to transmit the disease.
If you use the bathroom after an infected person who is in the early stages of the infection, the viral load may not be high enough to transmit viable virus on.
The science does indicate that the greater the viral load is on initial contact, the worse the infection will turn out to be. That's one of the reasons posited for the swift recoveries of Pham and Vinson, that the protection they did have minimized how much of the virus they contacted with. I believe scientists are studying Dr Spencer's case closely, because while we don't know yet how he contracted the virus, if his case is similar to Pham's and Vinson in terms of severity and length, then it may be that the promptness and quality of treatment are the determining factors regarding severity and length of infection.
Read the CDC procedures....each layer is disinfected before removed.
The scenario you propose..touching her face with an Ebola virus laden glove means she didn't disinfect anything and used her gloved hands to remove the rest of her clothing.
It depends on the viral load. If a nurse has just changed the diapers of a person in the later stages of the infection, when the viral load is rampant, and touches her face with a glove with bodily fluids on it, even to brush her hair back, he or she may come close enough to her mouth, nose or eyes, to transmit the disease.
If you use the bathroom after an infected person who is in the early stages of the infection, the viral load may not be high enough to transmit viable virus on.
The science does indicate that the greater the viral load is on initial contact, the worse the infection will turn out to be. That's one of the reasons posited for the swift recoveries of Pham and Vinson, that the protection they did have minimized how much of the virus they contacted with. I believe scientists are studying Dr Spencer's case closely, because while we don't know yet how he contracted the virus, if his case is similar to Pham's and Vinson in terms of severity and length, then it may be that the promptness and quality of treatment are the determining factors regarding severity and length of infection.
What is your source for that? These are some factors Dr. Buetler is saying are not 100% known, and I agree with him. I gave some examples upthread (probably all ignored by the CDC apologists) of things I have had to unlearn in my nursing career.
You're right, it doesn't make sense! I believe what I meant to say is that if it were that easy to catch from touching your face, which is the proposed mechanism of exposure du jour, more of the health care workers should have gotten it, especially those in the ER where protective equipment was not being used, AFAIK.
Thank goodness! I thought I was totally missing something, because your posts are generally so cogent.
I think I answered your question in a later post. Transmission seems to be related to viral load, which makes sense. Duncan's infection arc was just a pit, with the viral load increasing day after day after day. And each subsequent contact with him would have entailed a greater risk. Texas Presbyterian really did get a raw deal in this, because the infection arcs with the people treated at Emory for example, would not have been the same. Their viral load would have peaked at some point, and then steadily declined, so that after the peak, subsequent contacts would not have entailed a greater risk. Duncan's immune system never did get the introduction of antibodies, and that seems to contain the viral load and hasten recovery, although with just a handful of patients, we can't make any conclusions yet on this.
So our military is being quarantined for 21 days but she isn't. They never had close contact with affected people, but she did. And our military did not volunteer, as she did. And somehow she is a 'hero' after whining about being quarantine. And we are to believe that somehow medical workers know the exact minute that they turn infectious. Do walk around with a thermometer in the mouth?
Given she worked for the CDC, I think she has a political agenda. She is an absolute disgrace and I hope people everywhere shun her.
Last I checked Italy isn't one of the United States. I am pretty sure the US Military is there by invitation of the sovereign nation consequently, their desires need to be followed.
Last I checked Italy isn't one of the United States. I am pretty sure the US Military is there by invitation of the sovereign nation consequently, their desires need to be followed.
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I believe what I meant to say is that if it were that easy to catch from touching your face, which is the proposed mechanism of exposure du jour, more of the health care workers should have gotten it, especially those in the ER where protective equipment was not being used, AFAIK.
