The Pronk Pops Show 356, October 24, 2014, Story 1: Good News and Bad News Concerning Ebola — 2 Nurses Ebola Free and 1 Doctor Has Confirmed Case of Ebola in New York City — Ebola Infected Dr. Craig Spencer Took A-Train, L-Train and High-Line – Went Bowling — Contact Tracing Begins — Airborne Ebola Theme Song — If I can make it there, I can make it anywhere, New York, New York — Videos

Posted on October 24, 2014. Filed under: Airlines, American History, Biology, Blogroll, Business, Center for Disease Control, Chemistry, College, Communications, Constitutional Law, Culture, Disasters, Diseases, Drugs, Ebola, Ebola, Ebola, Elections, Employment, Federal Government, Foreign Policy, Government, Government Dependency, Government Spending, Health Care, Health Care Insurance, History, Housing, Illegal Immigration, Impeachment, Law, Legal Drugs, Media, Medical, Medicine, Philosophy, Photos, Politics, Radio, Scandals, Science, Security, Technology, Terror, Terrorism, Transportation, Unemployment, Videos, Violence, Wealth, Weapons, Weapons of Mass Destruction, Wisdom | Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |

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The Pronk Pops Show Podcasts

Pronk Pops Show 356: October 24, 2014

Pronk Pops Show 355: October 23, 2014

Pronk Pops Show 354: October 22, 2014

Pronk Pops Show 353: October 21, 2014

Pronk Pops Show 352: October 20, 2014

Pronk Pops Show 351: October 17, 2014

Pronk Pops Show 350: October 16, 2014

Pronk Pops Show 349: October 15, 2014

Pronk Pops Show 348: October 14, 2014

Pronk Pops Show 347: October 13, 2014

Pronk Pops Show 346: October 9, 2014

Pronk Pops Show 345: October 8, 2014

Pronk Pops Show 344: October 6, 2014

Pronk Pops Show 343: October 3, 2014

Pronk Pops Show 342: October 2, 2014

Pronk Pops Show 341: October 1, 2014

Pronk Pops Show 340: September 30, 2014

Pronk Pops Show 339: September 29, 2014

Pronk Pops Show 338: September 26, 2014

Pronk Pops Show 337: September 25, 2014

Pronk Pops Show 336: September 24, 2014

Pronk Pops Show 335: September 23 2014

Pronk Pops Show 334: September 22 2014

Pronk Pops Show 333: September 19 2014

Pronk Pops Show 332: September 18 2014

Pronk Pops Show 331: September 17, 2014

Pronk Pops Show 330: September 16, 2014

Pronk Pops Show 329: September 15, 2014

Pronk Pops Show 328: September 12, 2014

Pronk Pops Show 327: September 11, 2014

Pronk Pops Show 326: September 10, 2014

Pronk Pops Show 325: September 9, 2014

Pronk Pops Show 324: September 8, 2014

Pronk Pops Show 323: September 5, 2014

Pronk Pops Show 322: September 4, 2014

Pronk Pops Show 321: September 3, 2014

Pronk Pops Show 320: August 29, 2014

Pronk Pops Show 319: August 28, 2014

Pronk Pops Show 318: August 27, 2014 

Pronk Pops Show 317: August 22, 2014

Pronk Pops Show 316: August 20, 2014

Pronk Pops Show 315: August 18, 2014

Pronk Pops Show 314: August 15, 2014

Pronk Pops Show 313: August 14, 2014

Pronk Pops Show 312: August 13, 2014

Pronk Pops Show 311: August 11, 2014

Pronk Pops Show 310: August 8, 2014

Pronk Pops Show 309: August 6, 2014

Pronk Pops Show 308: August 4, 2014

Pronk Pops Show 307: August 1, 2014 

Pronk Pops Show 306: July 31, 2014

Pronk Pops Show 305: July 30, 2014

Pronk Pops Show 304: July 29, 2014

Pronk Pops Show 303: July 28, 2014

Pronk Pops Show 302: July 24, 2014

Pronk Pops Show 301: July 23, 2014

Pronk Pops Show 300: July 22, 2014

Pronk Pops Show 299: July 21, 2014

Pronk Pops Show 298: July 18, 2014

Pronk Pops Show 297: July 17, 2014

Pronk Pops Show 296: July 16, 2014

Pronk Pops Show 295: July 15, 2014

Pronk Pops Show 294: July 14, 2014

Pronk Pops Show 293: July 11, 2014

Pronk Pops Show 292: July 9, 2014

Pronk Pops Show 291: July 7, 2014

Pronk Pops Show 290: July 3, 2014

Pronk Pops Show 289: July 2, 2014

Story 1: Good News and Bad News Concerning Ebola — 2 Nurses Ebola Free and 1 Doctor Has Confirmed Case of Ebola in New York City — Ebola Infected Dr. Craig Spencer Took A-Train, L-Train and High-Line – Went Bowling — Contact Tracing Begins — Airborne Ebola Theme Song — If I can make it there, I can make it anywhere, New York, New York — Videos

Good News

Nurse-Nina-Pham-declared-free-of-Ebola-meets-President-Obama

Bad News

Ebola Czar Ron Klain 

SNL Cold Open Ridicules Obama on Ebola – ” Probably One of My Greatest Accomplishments “

Trey Gowdy vs Dr Lurie On Ron Klain Being Qualified For Ebola Czar. Ebola Hearing

CDC Director Grilled at House Hearing: Is Ebola Airborne at Airports?

Doctor Explains Why Ebola Could Spread Through the Air

Purdue virologist warns Ebola could become airborne

Could Ebola go airborne?

Max Alert! EBOLA Bodily Fluids Readily Airborne Weaponizable

White House Seeking To Reverse New York, New Jersey’s Ebola Quarantine Orders: NYT

US Health Official Criticizes Ebola Quarantine Protocols in NY, NJ

What We Now Know About New York’s First Ebola Case

dr spence

First Confirmed Ebola Case in New York

Doctor_in_New_York_being_treated_for_Ebola

biosafety level 4 spacesuit
Positive Pressure Personnel Suits
ebola-in-us

Biosafety Level 4 Positive Pressure Spacesuit!

BioContainment Unit at The Nebraska Medical Center

How Infectious Is Ebola? – Nebraska Medicine

Ebola_enemies

EbolaBellevue

New York City, Bellevue Hospital nurse Belkys Fortune, left, and Teressa Celia, Associate Director of Infection Prevention and Control, pose in protective suits in an isolation room, in the Emergency Room of Bellevue Hospital.

Note: They are not wearing a

Biosafety Level 4 Positive Pressure Spacesuit!

(See above photos)

MANDATORY EBOLA QUARANTINE Established in NEW YORK and NEW JERSEY – Mandatory Vaccine Next?

Calls To Quarantine Travelers And Ban Travel Follow NY Ebola Case

Ebola hysteria takes over New York City

Elbows-Deep in Ebola Virus – Richard Preston

USAMRIID The US Army Medical Research Institute of Infectious Disease

USAMRIID Overview

Ebola in NYC: Doctor’s Neighbors Speak Out | Mashable

CNN’s Dr. Sanjay Gupta suits up in Ebola protective …

BREAKING: Ebola is Airborne

NEW.Ebola : Inside the Deadly Outbreak (Documentary 2014)

Dr. Michael Osterholm Discusses Ebola Outbreak

Ebola Crisis Dean’s Symposium, Part 6: Challenges for Unprepared Health Systems

US Army: Ebola like FLU needs Winter Weather to go AIRBORNE

Ebola – What You’re Not Being Told

CDC Warns On AIRBORNE EBOLA

Airborne Ebola Fear Sparks Emergency VA Hospital HVAC Contract

Ebola discoverer: ‘This is unprecedented’

NIH Places Emergency Order To Stockpile 1 Year’s PPE Supply

Aerosolizing ONE DROP of EBOLA = 1/2 MILLION DEAD

Ebola hits New York, Craig Spencer Tests Positive May Infected Entire Bowling Alleyn Ebola in NYC

Dr. Craig Spencer Took A-Train, L-Train and High-Line – Went Bowling

Megyn Kelly on New Ebola Case: Dr. Craig Spencer Was ‘Irresponsible’

23 October 2014 Breaking news Ebola Crisis New York Dr Craig Spencer tests positive for Ebola virus

Ebola – The Truth About the Outbreak (Documentary)

EBOLA NYC: Biological Warfare in States

Ebola Theme Song — New York, New York

You Decide

Frank Sinatra-New York,New York

Frank Sinatra-New York,New York-Lyrics

Start spreadin’ the news, I’m leavin’ today
I want to be a part of it
New York, New York
These vagabond shoes, are longing to stray
Right through the very heart of it
New York, New YorkI want to wake up, in a city that never sleeps
And find I’m king of the hill
Top of the heapThese little town blues, are melting away
I’ll make a brand new start of it
In old New York
If I can make it there, I’ll make it anywhere
It’s up to you, New York..New YorkNew York…New York
I want to wake up, in a city that never sleeps
And find I’m A number one, top of the list
King of the hill, A number one….These little town blues, are melting away
I’ll make a brand new start of it
In old New York
If I can make it there, I’ll make it anywhere
It’s up to you, New York..New York New York!!!

Frank Sinatra – New York New York Song **Lyrics** [HD]

My Kind of Town (Chicago) – Frank Sinatra

“My Kind Of Town”

Now this could only happen to a guy like me
And only happen in a town like this
So may I say to each of you most gratef’lly
As I throw each one of you a kissThis is my kind of town, Chicago is
My kind of town, Chicago is
My kind of people, too
People who smile at youAnd each time I roam, Chicago is
Calling me home, Chicago is
Why I just grin like a clown
It’s my kind of town[brief instrumental]My kind of town, Chicago is
My kind of town, Chicago is
My kind of razzmatazz
And it has all that jazzAnd each time I leave, Chicago is
Tuggin’ my sleeve, Chicago is
The Wrigley Building, Chicago is
The Union Stockyard, Chicago is
One town that won’t let you down
It’s my kind of town

New York, New Jersey Set Up Mandatory Quarantine Requirement Amid Ebola Threat Christie: New Policy Has Already Been Used At Newark Liberty International Airport

In the wake of the first confirmed Ebola virus case in New York City, the states of New York and New Jersey have set up a new screening system that goes above and beyond the guidelines already set up by federal officials.

As CBS 2’s Alice Gainer reported, no other states have yet set up increased screening procedures for Ebola.

“We believe it’s appropriate to increase the current screening procedures from people coming from affected countries from the current (Centers for Disease Control and Prevention screening procedures),” Gov. Andrew Cuomo said Friday afternoon. “We believe it within the State of New York and the State of New Jersey’s legal rights.”

Under the new rules, state officials will establish a risk level by considering the countries that people have visited and their level of possible exposure to Ebola.

EXTRA: More On Ebola From The CDC

The patients with the highest level of possible exposure will be automatically quarantined for 21 days at a government-regulated facility. Those with a lower risk will be monitored for temperature and symptoms, Cuomo explained.

The New York and New Jersey health departments will determine their own specific procedures for hospitalization and quarantine, and will provide a daily recap to state officials on the status of screening, New York State Health Commissioner Dr. Howard Zucker said at the news conference.

The new procedures already have been put into use at Newark Liberty International Airport.

On Friday, a health care worker landed at Newark after treating Ebola patients in West Africa, New Jersey Gov. Chris Christie said at the news conference. A legal quarantine was issued for the woman, who was not a New Jersey resident and was set to go on to New York afterward.

“This woman, while her home residence is outside the area, said her next stop was going to be here in New York,” Christie said. “Governor Cuomo and I discussed it before we came out here, and a quarantine order will be issued.”

The woman will be quarantined in either New York or New Jersey, Christie said.

In discussing the new plan, Cuomo and Christie said a policy of voluntary quarantine simply does not go far enough.

“Voluntary quarantine – you know it’s almost an oxymoron. This is a very serious situation.” Cuomo said. “Voluntary quarantine – raise your right hand and promise you’re going to stay home for 21 days. We’ve seen what happens.”

The new rules were announced a day after Dr. Craig Spencer, a member of Doctors Without Borders, became New York City’s first Ebola patient.

He reported Thursday morning coming down with a fever and diarrhea and is being treated in an isolation ward at Bellevue Hospital, a designated Ebola center.

Spencer returned from West Africa last Friday after treating Ebola patients in Guinea with Doctors Without Borders. He arrived at John F. Kennedy International Airport, passing the extensive CDC screening process.

“When he arrived in the United States, he was also well with no symptoms,” said New York City Health Commissioner Mary Travis Bassett.

Doctors Without Borders said per the guidelines it provides its staff members on their return from Ebola assignments, “the individual engaged in regular health monitoring and reported this development immediately.” But Spencer also took the subway, walked the High Line, and went bowling in Williamsburg, Brooklyn the day before he became sick.

“He was a doctor, and even he didn’t follow the guidelines,” Cuomo said.

With that in mind, the states have to lay down the law, the governors said.

“It’s too serious a situation to leave it to the honor system,” Cuomo said.

The CDC is reviewing its policy for health care workers returning from West Africa, but anyone flying into a Port Authority of New York and New Jersey airport will need to abide by the new procedures.

http://newyork.cbslocal.com/2014/10/24/new-york-new-jersey-set-up-mandatory-quarantine-requirement-amid-ebola-threat/

Ebola Arrives in New York. How Prepared Is the City to Handle It?

Dr. Craig Spencer, the health care worker who recently returned from Guinea and tested positive for the Ebola virus, is now the first patient to be treated at New York’s Bellevue Hospital.

But the hospital, as well as city, state and federal officials, have been working for weeks or more to ensure the city is ready to identify and treat Ebola cases.

This preparation reflects the now-proven fact that the longer the outbreak rages on in West Africa, the more likely it was that a patient would wind up in Western cities, including New York.

On Oct. 15, the state designated Bellevue Hospital Center as the facility to receive Ebola patients from among the city’s 11 public hospitals, and to receive transferred patients from other hospitals as well, in the event that any Ebola cases occur in the city.

According to a statement from the New York City Health and Hospitals Corporation, the hospital has four single-bed rooms in its infectious disease ward to treat “high probability or confirmed Ebola cases.” This part of the hospital also has a new laboratory that can test for Ebola, separate from the rest of the hospital’s labs, to handle Ebola blood samples.

Because the virus can be spread through contact with an infected person’s bodily fluids, careful handling of blood and other samples is necessary.

According to the statement:

The hospital is particularly well suited due to its long history of being on the front lines of epidemics and emerging public health threats, and managing an isolation unit for diseases, such as TB, for many years with support from and collaboration with the City Health Department.

Three other hospitals in New York City have also been designated by the state to treat suspected and confirmed Ebola cases, including Mt. Sinai and New York Presbyterian in Manhattan and Montefiore in the Bronx, according to Governor Cuomo’s Ebola preparedness plan.

None of these hospitals, including Bellevue, has an isolated biocontainment unit like those that have treated patients at Emory University Hospital in Atlanta, Georgia, and Nebraska Medical Center in Omaha, Nebraska.

Those specially-designed units can only hold nine patients at the same time.

The American public may not have much faith in ordinary hospitals to treat Ebola, considering that the only non-specialized hospital to treat Ebola patients, Texas Health Presbyterian Hospital Dallas, allowed the virus to spread to two nurses who worked on the original patient, Thomas Eric Duncan, who died of Ebola on Oct. 8. Both of the nurses are now being treated in a biocontainment unit.

The probability of an Ebola case in New York was always considerably higher than it was for many other cities in the U.S., given that two of the city’s international airports — JFK and Newark — are key gateways for travelers to and from West Africa, via stops in Europe or elsewhere in Africa.

“New York City is a frequent port of entry for travelers from West Africa, a home to communities of West African immigrants who travel back to their home countries, and a home to health care workers who travel to West Africa to treat Ebola patients,” The Centers for Disease Control and Prevention (CDC) said in a report on Oct. 17.

“Ongoing transmission of Ebola virus in West Africa could result in an infected person arriving in NYC,” the report said. However, the chance that a New Yorker who has not traveled to an Ebola hotspot would come down with the virus is “extremely slim,” since the disease is only spread through direct contact with an infectious person’s bodily fluids.

Ultimately, it was a doctor who lived in the city who would bring the virus home.

In recent weeks, the New York Health Commissioner issued a “Commissioner’s Order” to all hospitals and ambulance services in the state, “requiring that they follow protocols for identification, isolation and medical evaluation of patients requiring care.”

The state has been conducting “unannounced drills” at hospitals and health care facilities to test preparedness for handling possible Ebola cases. The state has also involved the Metropalitan Transit Authority, which operates the city’s subways and buses, in training for encountering possible Ebola patients.

And a mass Ebola training for health care workers, which included demonstrations for putting on and taking off protective equipment, took place in the city on Oct. 21.

According to new guidelines the CDC issued on Monday, there are now 30 steps health care workers have to take every time they treat a patient with Ebola or Ebola-like symptoms.

At hospitals like Bellevue, actors have played the role of patients with Ebola symptoms have been part of the drills, and the city’s 911 operators have been told to ask people who call in with Ebola-like symptoms if they have recently traveled to West Africa, according to the Guardian.

As of Thursday, there have been nearly 10,000 cases of Ebola in West Africa, along with about 4,900 deaths. However, these figures are likely to be underestimates, since the lack of treatment facilities and other circumstances are causing many patients to go uncounted.

http://mashable.com/2014/10/23/new-york-city-ebola-preparations/

Doctor in New York City Is Sick With Ebola

The Pronk Pops Show Podcasts Portfolio

Listen To Pronk Pops Podcast or Download Show 354-356

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Listen To Pronk Pops Podcast or Download Show 338-345

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The Pronk Pops Show 351, October 17, 2014, Story 1: Obama Recklessly Endangers The Health of The American People By Allowing West Africans From Ebola Infected Countries To Fly Into United States — Open Borders To Illegal Aliens Fleeing Ebola Pandemic — Obama Panics And Appoints New Ebola Czar — Another Political Elitist Establishment (PEE) Washington Insider With No Executive Leadership or Medical Experience — Videos

Posted on October 17, 2014. Filed under: American History, Biology, Blogroll, Budgetary Policy, Business, Chemistry, Communications, Constitutional Law, Disasters, Diseases, Drugs, Ebola, Ebola, Ebola, Economics, Education, Employment, European History, Federal Government, Fiscal Policy, Foreign Policy, Government, Government Spending, Health Care, Health Care Insurance, History, Housing, Illegal Immigration, Immigration, Impeachment, Investments, Law, Legal Drugs, Media, Medical, Medicine, Obama, Philosophy, Photos, Politics, Pro Life, Radio, Regulation, Resources, Scandals, Science, Security, Taxes, Terror, Terrorism, Transportation, Unemployment, United States Constitution, Videos, Violence, Wisdom | Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |

Project_1

The Pronk Pops Show Podcasts

Pronk Pops Show 351: October 17, 2014

Pronk Pops Show 350: October 16, 2014

Pronk Pops Show 349: October 15, 2014

Pronk Pops Show 348: October 14, 2014

Pronk Pops Show 347: October 13, 2014

Pronk Pops Show 346: October 9, 2014

Pronk Pops Show 345: October 8, 2014

Pronk Pops Show 344: October 6, 2014

Pronk Pops Show 343: October 3, 2014

Pronk Pops Show 342: October 2, 2014

Pronk Pops Show 341: October 1, 2014

Pronk Pops Show 340: September 30, 2014

Pronk Pops Show 339: September 29, 2014

Pronk Pops Show 338: September 26, 2014

Pronk Pops Show 337: September 25, 2014

Pronk Pops Show 336: September 24, 2014

Pronk Pops Show 335: September 23 2014

Pronk Pops Show 334: September 22 2014

Pronk Pops Show 333: September 19 2014

Pronk Pops Show 332: September 18 2014

Pronk Pops Show 331: September 17, 2014

Pronk Pops Show 330: September 16, 2014

Pronk Pops Show 329: September 15, 2014

Pronk Pops Show 328: September 12, 2014

Pronk Pops Show 327: September 11, 2014

Pronk Pops Show 326: September 10, 2014

Pronk Pops Show 325: September 9, 2014

Pronk Pops Show 324: September 8, 2014

Pronk Pops Show 323: September 5, 2014

Pronk Pops Show 322: September 4, 2014

Pronk Pops Show 321: September 3, 2014

Pronk Pops Show 320: August 29, 2014

Pronk Pops Show 319: August 28, 2014

Pronk Pops Show 318: August 27, 2014 

Pronk Pops Show 317: August 22, 2014

Pronk Pops Show 316: August 20, 2014

Pronk Pops Show 315: August 18, 2014

Pronk Pops Show 314: August 15, 2014

Pronk Pops Show 313: August 14, 2014

Pronk Pops Show 312: August 13, 2014

Pronk Pops Show 311: August 11, 2014

Pronk Pops Show 310: August 8, 2014

Pronk Pops Show 309: August 6, 2014

Pronk Pops Show 308: August 4, 2014

Pronk Pops Show 307: August 1, 2014 

Pronk Pops Show 306: July 31, 2014

Pronk Pops Show 305: July 30, 2014

Pronk Pops Show 304: July 29, 2014

Pronk Pops Show 303: July 28, 2014

Pronk Pops Show 302: July 24, 2014

Pronk Pops Show 301: July 23, 2014

Pronk Pops Show 300: July 22, 2014

Pronk Pops Show 299: July 21, 2014

Pronk Pops Show 298: July 18, 2014

Pronk Pops Show 297: July 17, 2014

Pronk Pops Show 296: July 16, 2014

Pronk Pops Show 295: July 15, 2014

Pronk Pops Show 294: July 14, 2014

Pronk Pops Show 293: July 11, 2014

Pronk Pops Show 292: July 9, 2014

Pronk Pops Show 291: July 7, 2014

Pronk Pops Show 290: July 3, 2014

Pronk Pops Show 289: July 2, 2014

Story 1: Obama Recklessly Endangers The Health of The American People By Allowing West Africans From Ebola Infected Countries To Fly Into United States — Open Borders To Illegal Aliens Fleeing Ebola Pandemic — Obama Panics And Appoints New Ebola Czar —  Another Political Elitist Establishment (PEE) Washington Insider With No Executive Leadership or Medical Experience —  Videos

BSL-4 US

stop_the_flights

Team of Fort Detrick Scientists Labored for Years to Develop Vaccine

Biosafety Level 4 Laboratory Spacesuits

Ebola_enemies

level_3_4_lab

Biosafety Level 4 Hospital Spacesuits

Ebola Americans Nebraskabiocontainment spacesuitEbola Americans Nebraska

CDC warns against travel ban on Ebola-affected countries

Bill Johnson Discusses the Congressional Ebola Hearing with Fox News’ Gretchen Carlson

Ebola outbreak: Nebraska Medical Center ready at moment’s notice

Activation- A Nebraska Medical Center Biocontainment Unit Story

NEIDL: Biosafety Level 4

A Mission of Safety

NEIDL

In the Hot Zone with Virus X – Richard Preston

Elbows-Deep in Ebola Virus – Richard Preston

CNN Reporter To WH: What Does Obama’s Ebola Czar Know About Ebola?

Dr Nicole Lurie on National Health Security and Resiliency

Nicole Lurie, HHS: Flu Pandemic Lessons for Future Biothreats

How to Prioritize Flu Vaccine in Future (Panel discussion)

How Influenza Pandemics Occur

Hospitals “Full-Up”: The 1918 Influenza Pandemic

Dr. Nicole Lurie – HHS Assistant Secretary for Preparedness & Response

Ebola Czar hides away in bunker — Dr. Nicole Lurie

Weekly Examiner: Obama appoints Ebola czar

Obama Appoints Ebola ‘czar’ As Anxiety Mounts

Source: Obama to name Ron Klain as Ebola czar

President Obama appoints Ron Klain as Ebola “czar”

Remarks of Ron Klain

Meet Ron Klain: The ‘Ebola czar’

Ebola Czar Ron Klain Says “Overpopulation” Top Concern

Results for America Convening: Opening Keynote Panel

Actor Kevin Spacey, Georgetown’s Ron Klain Discuss Politics and Ethics

Obama’s New Ebola ‘Czar’ Has NO Health or Medical Background!

Biosafety level

Krauthammer: Obama Is a Narcissist ‘Surrounded by Sycophants’

President Obama Speaks on Ebola

 

Fast Facts on US Hospitals

The American Hospital Association conducts an annual survey of hospitals in the United States. The data below, from the 2012 AHA Annual Survey, are a sample of what you will find in AHA Hospital Statistics, 2014 edition. The definitive source for aggregate hospital data and trend analysis, AHA Hospital Statistics includes current and historical data on utilization, personnel, revenue, expenses, managed care contracts, community health indicators, physician models, and much more.

AHA Hospital Statistics is published annually by Health Forum, an affiliate of the American Hospital Association. Additional details on AHA Hospital Statistics and other Health Forum data products are available at www.ahadataviewer.com. To order AHA Hospital Statistics, call (800) AHA-2626 or click on www.ahaonlinestore.com.

For further information or customized data and research, contact the AHA Resource Center at (312) 422-2050 or rc@aha.org.

  Total Number of All U.S. Registered * Hospitals

5,723

         Number of U.S. Community ** Hospitals

4,999

               Number of Nongovernment Not-for-Profit Community Hospitals

2,894

               Number of Investor-Owned (For-Profit) Community Hospitals

1,068

               Number of State and Local Government Community Hospitals

1,037

        Number of Federal Government Hospitals

211

        Number of Nonfederal Psychiatric Hospitals

413

        Number of Nonfederal Long Term Care Hospitals

89

        Number of Hospital Units of Institutions
(Prison Hospitals, College Infirmaries, Etc.)

11

  Total Staffed Beds in All U.S. Registered * Hospitals

920,829

        Staffed Beds in Community** Hospitals

800,566

  Total Admissions in All U.S. Registered * Hospitals

36,156,245

        Admissions in Community** Hospitals

34,422,071

  Total Expenses for All U.S. Registered * Hospitals

$829,665,386,000

        Expenses for Community** Hospitals

$756,916,757,000

  Number of Rural Community** Hospitals

1,980

  Number of Urban Community** Hospitals

3,019

  Number of Community Hospitals in a System ***

3,100

  Number of Community Hospitals in a Network ****

1,508

 *Registered hospitals are those hospitals that meet AHA’s criteria for registration as a hospital facility. Registered hospitals include AHA member hospitals as well as nonmember hospitals. For a complete listing of the criteria used for registration, please see Registration Requirements for Hospitals.

**Community hospitals are defined as all nonfederal, short-term general, and other special hospitals. Other special hospitals include obstetrics and gynecology; eye, ear, nose, and throat; rehabilitation; orthopedic; and other individually described specialty services. Community hospitals include academic medical centers or other teaching hospitals if they are nonfederal short-term hospitals. Excluded are hospitals not accessible by the general public, such as prison hospitals or college infirmaries.

***System is defined by AHA as either a multihospital or a diversified single hospital system. A multihospital system is two or more hospitals owned, leased, sponsored, or contract managed by a central organization. Single, freestanding hospitals may be categorized as a system by bringing into membership three or more, and at least 25 percent, of their owned or leased non-hospital preacute or postacute health care organizations. System affiliation does not preclude network participation.

**** Network is a group of hospitals, physicians, other providers, insurers and/or community agencies that work together to coordinate and deliver a broad spectrum of services to their community. Network participation does not preclude system affiliation.

http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

 

Inside The Isolation Wards That Keep Americans Safe From Ebola

Inside the Isolation Wards That Keep Us Safe From Ebola

Ebola has officially made it to the US, but there is absolutely no reason to freak out. That’s in large part thanks to Emory University Hospital’s state-of-the-art isolation ward, which is better-equipped to field Ebola cases than any ordinary hospital in the country. Here’s a look at the tech that keeps doctors and nurses safe.

Emory is one of four high-level biocontainment patient care units in the US; the others are located at the National Institutes of Health in Maryland, Rocky Mountain Laboratories in Montana, and the University of Nebraska Medical Center. We spoke with Dr. Angela Hewlett, associate medical director at the Nebraska Biocontainment Patient Care Unit — the largest of the four facilities — about biocontainment suits, wearing three pairs of gloves, and custom air pressure systems.

Perhaps the most comfort Hewlett was able to provide is that none of the super-fancy tech that these four high-level isolation wards have at their disposal is even necessary for Ebola. “There’s a big fear factor with this illness but really, these types of patients can taken care of at any good healthcare facility,” says Dr. Hewlett.

That’s because the Ebola virus easily dies outside of the human body, so unless you’ve been handling a sick person’s blood or feces, you are almost certainly A-OK. Ebola is pretty darn hard to get compared to an airborne disease like SARS or even the regular old flu. But with a mortality rate of up to 90 per cent — and over 50 per cent with the strain in the current outbreak — we still need to keep doctors and nurses as safe as we can. Here’s how Nebraska Biocontainment Unit keeps diseases like Ebola — and much, much worse — from spreading in the hospital.

Inside the Isolation Wards That Keep Us Safe From Ebola

Negative air pressure. As with Emory in Atlanta, the isolation unit in Nebraska is isolated from the rest of the general hospital. It runs on its own air circulation system, and the air is passed through a high-efficiency particulate air (HEPA) filter before it is vented outside of the building. That’s the same kind of precautions that you would see in a biosafety level 4 lab (the highest) that works with deadly or highly contagious diseases.

In addition, the biocontainment unit has negative air pressure, which means that air pressure inside the isolation rooms is slightly lower than that outside. Essentially, air is gently sucked into the room, so particles from inside the room can’t float out when you open a door. As another line of protection, ultraviolet lights zap any viruses or bacteria in the air or on surfaces.

Inside the Isolation Wards That Keep Us Safe From Ebola

Full-body suits and THREE pairs of gloves. The Biocontainment Unit is equipped with gear that covers you head to toe, in some places three times over. That includes personal respirators, headgear, full-body suits and gloves. Healthcare workers wear three pairs, including one thick pair that protects against needle accidents, and then two pairs of ordinary gloves so they have an extra pair to work with patients.

Entering and exiting the room becomes an elaborate production because putting on and taking off all the gear can take more than 10 minutes each way. A second person assists to make sure every piece of equipment is put on right and there are no rips or tears in any of the protective gear. Afterwards, every piece of equipment is wiped down to kill the pathogen; in the case of Ebola, simple bleach is enough to do the trick. The full-body suit is discarded after each use.

Inside the Isolation Wards That Keep Us Safe From Ebola

Training and training and training. Having fancy technology is great but not if you don’t know how to use it properly. “They have to go through really extensive training,” says Hewlett of the the 30-person team that works in the unit. They get 80 hours of training before they can begin, followed by monthly meetings and quarterly drills, where the photos in this post were taken.

It’s worth reiterating that most of this equipment and these procedures go above and beyond protecting for Ebola. The air systems and full-body suits are really there to guard against possible airborne diseases, like smallpox or SARS or some highly contagious avian flu viruses that may emerge in the future.

In fact, the CDC’s current guidelines for treating Ebola in U.S. hospitals require only gloves, goggles, a facemask, and a gown in most situations. Even if someone inadvertently brings Ebola to other hospitals, it’s highly unlikely to spread in the U.S. The situation is different in Africa, where inadequate equipment and fear of healthcare workers has contributed to the worsening situation.

A State Department official did visit Nebraska to see whether the unit would be ready to accept any Ebola patients in the future, though the facility hasn’t yet been used despite being open for nine years. There hasn’t been a disease serious enough to merit it. “This is good thing,” says Dr. Hewlett, “However with world travel the way it is, it is inevitable these things are going to come eventually.” If and when Ebola does come to the U.S. again, we are definitely prepared, which is not something we can say about what else may be coming down the line.

Pictures: University of Nebraska Medical Center

 

 

Obama names Ron Klain as Ebola ‘czar’

David Jackson

President Obama tapped veteran government insider Ron Klain to coordinate his administration’s efforts to contain the Ebola virus Friday.

Klain, a former chief of staff to Vice Presidents Joe Biden and Al Gore, is well-known by Obama and White House aides. He was selected for his management experience and contacts throughout the government, White House spokesman Josh Earnest said.

“He is the right person for the job,” Earnest said, particularly the challenge of “integrating the interagency response.”

Klain’s appointment marks a swift turnabout for Obama, who until Thursday had resisted calls to appoint a single official to run the government’s response to Ebola.

Asked Thursday about the prospect of an “Ebola czar,” Obama said, “It may make sense for us to have one person, in part just so that after this initial surge of activity, we can have a more regular process just to make sure that we’re crossing all the t’s and dotting all the i’s going forward.”

Obama did not mention Klain’s appointment during a speech Friday to the Consumer Financial Protection Bureau, but he said his administration is taking an “all-hands-on-deck” approach to fighting Ebola.

The administration has come under increased pressure to name an anti-Ebola coordinator in the wake of news that two nurses in Dallas contracted the deadly virus. Both had treated a man who died of Ebola.

Klain played a high-profile file in Gore’s 2000 presidential campaign. Oscar-winning actor Kevin Spacey portrayed him in an HBO movie on that year’s Florida recount.

The Ebola response includes efforts to screen travelers from West African nations where Ebola has reached epidemic proportions and killed more than 4,500 people. Klain will help coordinate the assistance the U.S. military provides in West Africa.

Some Republican lawmakers criticized Obama for entrusting the job to a former government manager rather than a professional.

Rep. Andy Harris, R-Md., tweeted, “Worst ebola epidemic in world history and Pres. Obama puts a government bureaucrat with no healthcare experience in charge. Is he serious?”

Members of the public health community expressed surprise.

“When are they going to stop making mistakes?” said Robert Murphy, the director of the Center for Global Health at Northwestern University’s Feinberg School of Medicine. “We need a czar, but optimally a strong public health expert. I am so disappointed. This is not what we need.”

Physician Amesh Adalja, a spokesman for the Infectious Diseases Society of America, said, “It’s clear that there’s a desperate desire for an organized approach to dealing with this outbreak. I don’t necessarily think we need a disease-specific czar — we have one for HIV — but more of an emerging infectious diseases/biosecurity coordinator who reports to the president.”

The Ebola position is designed to be more managerial in nature, involving an array of government agencies ranging from the Pentagon to Health and Human Services.

“This is much broader than a medical response,” Earnest said.

As for Republican criticism, Earnest joked, “That’s a shocking development.” He noted that national elections are less than three weeks away.

Klain may weigh in on another question facing the administration: the prospect of a U.S. travel ban from West African nations where there have been Ebola outbreaks.

Obama and aides have disputed the need for a travel ban, questioning whether it would work and arguing that it might create unintended problems.

Thursday, Obama said experts in infectious diseases have told him “a travel ban is less effective than the measures that we are currently instituting that involve screening passengers who are coming from West Africa.”

Klain is likely to take a low key role publicly.

Earnest said Obama wasn’t looking for an Ebola expert but “an implementation expert.”

He confirmed Klain’s title: “Ebola response coordinator.”

Klain will report to two officials involved in the anti-Ebola effort: homeland security adviser Lisa Monaco and national security adviser Susan Rice.

Obama is pleased with the work of Monaco and Rice, but “given their management of other national and homeland security priorities, additional bandwidth will further enhance the government’s Ebola response,” a White House official said, speaking on condition of anonymity.

The president has long known Klain, who helped prepare him for debates with Mitt Romney during the 2012 presidential campaign.

Klain has been out of government since leaving Biden’s staff during Obama’s first term.

http://www.usatoday.com/story/news/politics/2014/10/17/obama-ebola-czar-ron-klain/17429121/

 

Who Do They Think We Are?

By PEGGY NOONAN

The administration’s Ebola evasions reveal its disdain for the American people.

The administration’s handling of the Ebola crisis continues to be marked by double talk, runaround and gobbledygook. And its logic is worse than its language. In many of its actions, especially its public pronouncements, the government is functioning not as a soother of public anxiety but the cause of it.

An example this week came in the dialogue between Megyn Kelly of Fox News andThomas Frieden, director of the Centers for Disease Control.

Their conversation focused largely on the government’s refusal to stop travel into the United States by citizens of plague nations. “Why not put a travel ban in place,” Ms. Kelly asked, while we shore up the U.S. public-health system?

Dr. Frieden replied that we now have screening at airports, and “we’ve already recommended that all nonessential travel to these countries be stopped for Americans.” He added: “We’re always looking at ways that we can better protect Americans.”

“But this is one,” Ms. Kelly responded.

Dr. Frieden implied a travel ban would be harmful: “If we do things that are going to make it harder to stop the epidemic there, it’s going to spread to other parts of—”

Ms. Kelly interjected, asking how keeping citizens from the affected regions out of America would make it harder to stop Ebola in Africa.

“Because you can’t get people in and out.”

“Why can’t we have charter flights?”

“You know, charter flights don’t do the same thing commercial airliners do.”

“What do you mean? They fly in and fly out.”

Dr. Frieden replied that limiting travel between African nations would slow relief efforts. “If we isolate these countries, what’s not going to happen is disease staying there. It’s going to spread more all over Africa and we’ll be at higher risk.”

Later in the interview, Ms. Kelly noted that we still have airplanes coming into the U.S. from Liberia, with passengers expected to self-report Ebola exposure.

Dr. Frieden responded: “Ultimately the only way—and you may not like this—but the only way we will get our risk to zero here is to stop the outbreak in Africa.”

Ms. Kelly said yes, that’s why we’re sending troops. But why can’t we do that and have a travel ban?

“If it spreads more in Africa, it’s going to be more of a risk to us here. Our only goal is protecting Americans—that’s our mission. We do that by protecting people here and by stopping threats abroad. That protects Americans.”

Dr. Frieden’s logic was a bit of a heart-stopper. In fact his responses were more non sequiturs than answers. We cannot ban people at high risk of Ebola from entering the U.S. because people in West Africa have Ebola, and we don’t want it to spread. Huh?

In testimony before Congress Thursday, Dr. Frieden was not much more straightforward. His answers often sound like filibusters: long, rolling paragraphs of benign assertion, advertising slogans—“We know how to stop Ebola,” “Our focus is protecting people”—occasionally extraneous data, and testimony to the excellence of our health-care professionals.

It is my impression that everyone who speaks for the government on this issue has been instructed to imagine his audience as anxious children. It feels like how the pediatrician talks to the child, not the parents. It’s as if they’ve been told: “Talk, talk, talk, but don’t say anything. Clarity is the enemy.”

The language of government now is word-spew.

Dr. Frieden did not explain his or the government’s thinking on the reasons for opposition to a travel ban. On the other hand, he noted that the government will consider all options in stopping the virus from spreading here, so perhaps that marks the beginning of a possible concession.

It is one thing that Dr. Frieden, and those who are presumably making the big decisions, have been so far incapable of making a believable and compelling case for not instituting a ban. A separate issue is how poor a decision it is. To call it childish would be unfair to children. In fact, if you had a group of 11-year-olds, they would surely have a superior answer to the question: “Sick people are coming through the door of the house, and we are not sure how to make them well. Meanwhile they are starting to make us sick, too. What is the first thing to do?”

The children would reply: “Close the door.” One would add: “Just for a while, while you figure out how to treat everyone getting sick.” Another might say: “And keep going outside the door in protective clothing with medical help.” Eleven-year-olds would get this one right without a lot of struggle.

If we don’t momentarily close the door to citizens of the affected nations, it is certain that more cases will come into the U.S. It is hard to see how that helps anyone. Closing the door would be no guarantee of safety—nothing is guaranteed, and the world is porous. But it would reduce risk and likelihood, which itself is worthwhile.

Africa, by the way, seems to understand this. The Associated Press on Thursday reported the continent’s health-care officials had limited the threat to only five countries with the help of border controls, travel restrictions, and aggressive and sophisticated tracking.

All of which returns me to my thoughts the past few weeks. Back then I’d hear the official wordage that doesn’t amount to a logical thought, and the unspoken air of “We don’t want to panic you savages,” and I’d look at various public officials and muse: “Who do you think you are?”

Now I think, “Who do they think we are?”

Does the government think if America is made to feel safer, she will forget the needs of the Ebola nations? But Americans, more than anyone else, are the volunteers, altruists and in a few cases saints who go to the Ebola nations to help. And they were doing it long before the Western media was talking about the disease, and long before America was experiencing it.

At the Ebola hearings Thursday, Rep. Henry Waxman (D., Calif.) said, I guess to the American people: “Don’t panic.” No one’s panicking—except perhaps the administration, which might explain its decisions.

Is it always the most frightened people who run around telling others to calm down?

This week the president canceled a fundraiser and returned to the White House to deal with the crisis. He made a statement and came across as about three days behind the story—“rapid response teams” and so forth. It reminded some people of the statement in July, during another crisis, of the president’s communications director, who said that when a president rushes back to Washington, it “can have the unintended consequence of unduly alarming the American people.” Yes, we’re such sissies. Actually, when Mr. Obama eschews a fundraiser to go to his office to deal with a public problem we are not scared, only surprised.

But again, who do they think we are? You gather they see us as poor, panic-stricken people who want a travel ban because we’re beside ourselves with fear and loathing. Instead of practical, realistic people who are way ahead of our government.

http://online.wsj.com/articles/who-do-they-think-we-are-1413502475

 

Ron Klain

From Wikipedia, the free encyclopedia
Not to be confused with Ron Klein.
Ron Klain
Chief of Staff to the Vice President of the United States
In office
January 20, 2009 – January 14, 2011
Vice President Joe Biden
Preceded by David Addington
Succeeded by Bruce Reed
In office
1995–1999
Vice President Al Gore
Preceded by Jack Quinn
Succeeded by Charles Burson
Personal details
Born August 8, 1961 (age 53)
Indianapolis, Indiana, U.S.
Political party Democratic
Alma mater Georgetown University
Harvard University

Ronald A. “Ron” Klain is an American lawyer and political operative best known for serving as Chief of Staff to two Vice PresidentsAl Gore (1995–1999) and Joseph Biden (2009–2011).[1][2] He is an influential Democratic Party insider. Earlier in his career, he was a law clerk for Supreme Court Justice Byron “Whizzer” White during the Court’s 1987 and 1988 Terms and worked on Capitol Hill, where he was Chief Counsel to the Senate Judiciary Committee during theClarence Thomas Supreme Court nomination. He was portrayed by Kevin Spacey in the HBO film Recount depicting the tumult of the 2000 presidential election. On October 17, 2014, President Obama named Klain the newly created “Ebola response coordinator” (or, less officially, Ebola “czar”).[3][4][5]

Early life

Klain was born on August 8, 1961 in Indianapolis, He is a member of the DayBreak Boys Band and grew up in a Jewish home.[6] He graduated from North Central High School[7] in 1979 and was on the school’s Brain Game team, which finished as season runner-up.[citation needed] He graduated summa cum laude from Georgetown University in 1983. In 1987, he graduated magna cum laude from Harvard Law School,[7] where he was one of several to win the Sears Prize for the highest grade point average in 1984–85. While at Harvard Law School, Klain was also an editor of the Harvard Law Review.

Career

Capitol Hill career

Klain’s early experience on Capitol Hill included serving as Legislative Director for U.S. Representative Ed Markey. From 1989 to 1992, he served as Chief Counsel to the U.S. Senate Committee on the Judiciary, overseeing the legal staff’s work on matters of constitutional law, criminal law, antitrust law, and Supreme Court nominations. In 1995, Senator Tom Daschle appointed him the Staff Director of the Senate Democratic Leadership Committee.

Clinton administration

Klain joined the Clinton-Gore campaign in 1992. He ultimately was involved in both of Bill Clinton‘s campaigns, oversaw Clinton’s judicial nominations, and was General Counsel to Al Gore’s recount committee in the 2000 election aftermath. Some published reports have given him credit for Clinton’s “100,000 cops” proposal during the 1992 campaign; at a minimum, he worked closely with Clinton aide Bruce Reed in formulating it. In the White House, he was Associate Counsel to the President, directing judicial selection efforts, and led the team that won confirmation of Supreme Court Associate Justice Ruth Bader Ginsburg. Klain left the judicial selection role in 1994 to become Chief of Staff and Counselor to Attorney General Janet Reno. In 1995, he became Assistant to the President, and Chief of Staff and Counselor to Al Gore.

Gore campaign

During Klain’s tenure as Gore’s Chief of Staff, Gore consolidated his position as the likely Democratic nominee in 2000. Still, Klain was seen as too loyal to Clinton by some longtime Gore advisors. Feuding broke out between Clinton and Gore loyalists in the White House in 1999, and Klain was ousted by Gore campaign chairmanTony Coelho in August of that year. In October 1999, he joined the Washington, D.C. office of the law firm of O’Melveny & Myers. A year later, Klain returned to the Gore campaign, once Coelho was replaced by William M. Daley. Daley hired Klain for a senior position in the Gore campaign and then named him General Counsel of Gore’s Recount Committee.

Legal career

In 1994, Time named Klain one of the “50 most promising leaders in America” under the age of 40. In 1999, Washingtonian magazine named him the top lawyer in Washington under the age of 40, and the American Bar Association’s Barrister magazine named him one of the top 20 young lawyers nationwide. The National Law Journal named him one of its Lawyers of the Year for 2000.

Lobbying

Klain helped Fannie Mae overcome “regulatory issues”.[8]Lobbying on “regulatory issues concerning Fannie Mae” in 2004, as disclosure forms indicate Klain did, involved convincing Congress and Fannie Mae’s regulators that Fannie Mae wasn’t doing anything dangerous, and wasn’t exposing taxpayers to risk. In other words, Ron Klain got paid to help fuel the housing bubble up until a couple of years before it popped.

2004-2008

During the 2004 Presidential campaign, Klain worked as an adviser to Wesley Clark in the early primaries. Later, during the General Election, Klain was heavily involved behind the scenes in John Kerry‘s campaign and is widely credited for his role in preparing Senator Kerry for a strong performance in the debates against President George W. Bush, which gave Kerry a significant boost in the polls.[9] He then acted as an informal adviser to Evan Bayh, who is from Klain’s home state of Indiana. Klain has also commented on matters of law and policy on televised programs such as the Today Show, Good Morning America, Nightline, Capital Report,NewsHour with Jim Lehrer, and Crossfire.

In 2005, Klain left his partnership at O’Melveny & Myers to serve as Executive Vice President and General Counsel of a new investment firm, Revolution LLC, launched by AOL co-founder Steve Case.[citation needed]

Obama administration

On November 12, 2008, Roll Call announced that Klain had been chosen to serve as Chief of Staff to Vice President Joe Biden, the same role he served for Gore.[10]Klain had worked with Biden previously, having served as counsel to the United States Senate Committee on the Judiciary while Biden chaired that committee and assisted Biden’s speechwriting team during the 1988 presidential campaign.[11]

Klain was mentioned as a possible replacement for White House Chief of Staff Rahm Emanuel,[12] but opted to leave the White House for a position in the private sector in January 2011.[2]

Klain apparently signed off on President Obama’s support of a $535 million loan guarantee for now-defunct solar-panel company Solyndra. Despite concerns about whether the company was viable, Klain approved an Obama visit, stating, “The reality is that if POTUS visited 10 such places over the next 10 months, probably a few will be belly-up by election day 2012.”[13]

On October 17, 2014, Klain was appointed the “Ebola response coordinator” (or, less officially, Ebola “czar”)[3] by President Obama, to help coordinate the nation’s response to the Ebola virus.[4][5][14]

 

 

Dr. Lurie is the Assistant Secretary for Preparedness and Response (ASPR) at the US Department of Health and Human Services (HHS).

The mission of her office is to lead the nation in preventing, responding to and recovering from the adverse health effects of public health emergencies and disasters, ranging from hurricanes to bioterrorism.
Dr. Lurie was previously Senior Natural Scientist and the Paul O’ Neill Alcoa Professor of Health Policy at the RAND Corporation. There she directed RAND’s public health and preparedness work as well as RAND’s Center for Population Health and Health Disparities. She also served as Principal Deputy Assistant Secretary of Health in the US Department of Health and Human Services; in state government, as Medical Advisor to the Commissioner at the Minnesota Department of Health; and in academia, as Professor in the University of Minnesota Schools of Medicine and Public Health. Dr. Lurie has a long history in the health services research field, primarily in the areas of access to and quality of care, mental health, prevention, public health infrastructure and preparedness and health disparities.

Dr. Lurie attended college and medical school at the University of Pennsylvania, and completed her residency and MSPH at UCLA, where she was also a Robert Wood Johnson Foundation Clinical Scholar. She is the recipient of numerous awards, and is a member of the Institute of Medicine.

Finally, Dr. Lurie continues to practice clinical medicine in the health care safety net in Washington, DC. She has three sons.

Nicole Lurie

From Wikipedia, the free encyclopedia
Nicole Lurie, M.D., M.S.P.H.
Nicole-lurie.jpg
Assistant Secretary for Preparedness and Response
Incumbent
Assumed office
July 10,2009
President Barack Obama
Personal details
Alma mater University of Pennsylvania: M.D.
University of California, Los Angeles (UCLA): Residency and M.S.P.H.

Nicole Lurie, M.D., M.S.P.H., is the Assistant Secretary for Preparedness and Response (ASPR) at the U.S. Department of Health and Human Services (HHS).[1] Lurie is a Rear Admiral in the U.S. Public Health Service.

The Assistant Secretary for Preparedness and Response serves as the Secretary’s principal advisor on matters related to bioterrorism and other public health emergencies. The ASPR also coordinates interagency activities between HHS, other Federal departments, agencies, and offices, and State and local officials responsible for emergency preparedness and the protection of the civilian population from acts of bioterrorism and other public health emergencies.[2] The mission of her office is to lead the nation in preventing, responding to and recovering from the adverse health effects of public health emergencies and disasters. Dr. Lurie was nominated to the position by President Obama on May 12, 2009[3] and her confirmation by the U.S. Senate[4] was announced by HHS Secretary Kathleen Sebelius on July 10, 2009.[5]

Led by The Federalist website her absence from the media has been noted with regards to the events of the Ebola virus disease affair.[6]

Early career

Dr. Lurie has served as the Senior Natural Scientist and the Paul O’ Neill Alcoa Professor of Health Policy at the RAND Corporation.[7] There she directed RAND’s public health and preparedness work as well as RAND’s Center for Population Health and Health Disparities. She has previously served in federal government, as Principal Deputy Assistant Secretary of Health in the US Department of Health and Human Services; in state government, as Medical Advisor to the Commissioner at the Minnesota Department of Health; and in academia, as Professor in the University of Minnesota School of Medicine and the University of Minnesota School of Public Health. Dr. Lurie has a long history in the health services research field, primarily in the areas of access to and quality of care, managed care, mental health, prevention, public health infrastructure and preparedness and health disparities.

Lurie has served as the Senior Editor for Health Services Research and has served on editorial boards and as a reviewer for numerous journals. She has served on the council and was President of the Society of General Internal Medicine,[8] and on the board of directors for Academy Health, and has served on multiple other national committees.

Education

Lurie attended college and medical school at the University of Pennsylvania, and completed her residency and Master of Science of Public Health (MSPH) at UCLA, where she was also a Robert Wood Johnson Foundation Clinical Scholar.

Professional awards

Lurie is the recipient of numerous awards, including the AHSR Young Investigator Award, the Nellie Westerman Prize for Research in Ethics, the Heroine in Health Care Award, the University of Pennsylvania Perelman School of Medicine’s Distinguished Alumni Award, and is a member of the Institute of Medicine.

References

  1. Jump up^ Biography of Dr. Lurie
  2. Jump up^ Emergency Support Function #8. Public Health and Medical Services Annex. Federal Emergency Management Agency
  3. Jump up^ President Obama Announces More Key Administration Posts
  4. Jump up^ Nominations Confirmed (Civilian) – United States Senate
  5. Jump up^ HHS Secretary Sebelius Announces Senate Confirmation of Assistant Secretary for Preparedness and Response Dr. Nicole Lurie
  6. Jump up^ http://philadelphia.cbslocal.com/2014/10/15/editor-from-the-federalist-as-ebola-outbreak-surges-on-where-is-the-secretary-for-preparedness-and-response/
  7. Jump up^ RAND Awards Paul O’ Neill Alcoa Chair to Dr. Nicole Lurie. RAND Corporation. January 3, 2002
  8. Jump up^ Past Presidents. Society of General Internal Medicine.

External links[edit]

http://en.wikipedia.org/wiki/Nicole_Lurie

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The Pronk Pops Show 350, October 16, 2014, Story 1: Obama Claims Ebola Virus Not Airborne — Why are The Two Confirmed Cases of Ebola in Dallas Being Sent To a Bio-Safety Level 4 Hospital Bed in A Biocontainment Center — Dr. Nicole Lurie, “The Ebola Czar” Missing In Action — CDC Director Opposes Travel Ban On West African — Videos

Posted on October 16, 2014. Filed under: American History, Biology, Blogroll, Business, Center for Disease Control, Chemistry, College, Communications, Computers, Constitutional Law, Disasters, Diseases, Ebola, Ebola, Ebola, Economics, Education, Employment, Federal Government, Food, Government, Government Dependency, Health Care, History, Impeachment, Language, Law, Media, Medical, Medicine, National Security Agency, Philosophy, Photos, Politics, Radio, Resources, Scandals, Science, Security, Social Science, Technology, Terror, Transportation, Unemployment, Videos, Violence, War, Wealth, Weapons of Mass Destruction, Wisdom | Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |

Project_1

The Pronk Pops Show Podcasts

Pronk Pops Show 350: October 16, 2014

Pronk Pops Show 349: October 15, 2014

Pronk Pops Show 348: October 14, 2014

Pronk Pops Show 347: October 13, 2014

Pronk Pops Show 346: October 9, 2014

Pronk Pops Show 345: October 8, 2014

Pronk Pops Show 344: October 6, 2014

Pronk Pops Show 343: October 3, 2014

Pronk Pops Show 342: October 2, 2014

Pronk Pops Show 341: October 1, 2014

Pronk Pops Show 340: September 30, 2014

Pronk Pops Show 339: September 29, 2014

Pronk Pops Show 338: September 26, 2014

Pronk Pops Show 337: September 25, 2014

Pronk Pops Show 336: September 24, 2014

Pronk Pops Show 335: September 23 2014

Pronk Pops Show 334: September 22 2014

Pronk Pops Show 333: September 19 2014

Pronk Pops Show 332: September 18 2014

Pronk Pops Show 331: September 17, 2014

Pronk Pops Show 330: September 16, 2014

Pronk Pops Show 329: September 15, 2014

Pronk Pops Show 328: September 12, 2014

Pronk Pops Show 327: September 11, 2014

Pronk Pops Show 326: September 10, 2014

Pronk Pops Show 325: September 9, 2014

Pronk Pops Show 324: September 8, 2014

Pronk Pops Show 323: September 5, 2014

Pronk Pops Show 322: September 4, 2014

Pronk Pops Show 321: September 3, 2014

Pronk Pops Show 320: August 29, 2014

Pronk Pops Show 319: August 28, 2014

Pronk Pops Show 318: August 27, 2014 

Pronk Pops Show 317: August 22, 2014

Pronk Pops Show 316: August 20, 2014

Pronk Pops Show 315: August 18, 2014

Pronk Pops Show 314: August 15, 2014

Pronk Pops Show 313: August 14, 2014

Pronk Pops Show 312: August 13, 2014

Pronk Pops Show 311: August 11, 2014

Pronk Pops Show 310: August 8, 2014

Pronk Pops Show 309: August 6, 2014

Pronk Pops Show 308: August 4, 2014

Pronk Pops Show 307: August 1, 2014 

Pronk Pops Show 306: July 31, 2014

Pronk Pops Show 305: July 30, 2014

Pronk Pops Show 304: July 29, 2014

Pronk Pops Show 303: July 28, 2014

Pronk Pops Show 302: July 24, 2014

Pronk Pops Show 301: July 23, 2014

Pronk Pops Show 300: July 22, 2014

Pronk Pops Show 299: July 21, 2014

Pronk Pops Show 298: July 18, 2014

Pronk Pops Show 297: July 17, 2014

Pronk Pops Show 296: July 16, 2014

Pronk Pops Show 295: July 15, 2014

Pronk Pops Show 294: July 14, 2014

Pronk Pops Show 293: July 11, 2014

Pronk Pops Show 292: July 9, 2014

Pronk Pops Show 291: July 7, 2014

Pronk Pops Show 290: July 3, 2014

Pronk Pops Show 289: July 2, 2014

Story 1: Obama Claims Ebola Virus Not Airborne — Why are The Two Confirmed Cases of Ebola in Dallas Being Sent To a Bio-Safety Level 4 Hospital Bed in A Biocontainment Center — Dr. Nicole Lurie, “The Ebola Czar” Missing In Action — CDC Director Opposes Travel Ban On West African — Videos

BioContainment Unit at The Nebraska Medical Center

The United States Centers for Disease Control commissioned The Nebraska Medical Center biocontainment unit in 2005. It was designed to provide the first line of treatment for people affected by bio terrorism or extremely infectious naturally occurring diseases. It’s the only non-governmental facility of its kind in the U.S.

Ebola Update – The Nebraska Medical Center

Dr. Phil Smith and Dr. Mark Rupp discuss the improving condition of the patient being treated for the Ebola virus at The Nebraska Medical Center. They also answer questions about what may have happened to the health care worker in Dallas who now appears to have Ebola. This video is from a live Ustream broadcast October 12, 2014.

Activation- A Nebraska Medical Center Biocontainment Unit Story

Dr. Sacra’s Tunnel Walk – The Nebraska Medical Center

Dr. Rick Sacra gets an official Nebraska sendoff from staff members who cared for him at The Nebraska Medical Center. Dr. Sacra spent three weeks in the hospital’s Biocontainment Unit being treated for the Ebola virus. He was the third American health care worker to be treated for the virus after contracting it treating patients in West Africa.

NEIDL: Biosafety Level 4

MWV Episode 68 – Threading the NEIDL: TWiV Goes Inside a BSL-4

 

In the Hot Zone with Virus X – Richard Preston

Elbows-Deep in Ebola Virus – Richard Preston

The Hot Zone” author Richard Preston tells the story of a U.S. Army Lt. Colonel’s life-threatening experience while researching a strain of deadly Ebola virus.

—–

Richard Preston talks about Panic in Level 4: Canibals, Killer Viruses, and Other Journeys to the Edge of Science. These dramatic accounts, all updated since appearing in The New Yorker, are true tales, taking readers on a journey to military labs, hospitals, and jungles around the world, revealing frightening forces and constructive discoveries that are reordering our world – Book Passage

Richard Preston is the author of seven books, including The Hot Zone, The Cobra Event and The Demon in the Freezer, which are his “Dark Biology” series.

Preston is a regular contributor to The New Yorker. His books have been translated into more than 30 languages, and he has won numerous awards, including the American Institute of Physics Award and the National Magazine Award.

Preston is the only non-medical professional ever to receive the Centers for Disease Control’s Champion of Prevention Award for public health.

The Ebola virus The Search for a Cure BBC Full Documentary 2014

Beating the world’s deadliest viral villains

Ebola : Inside the Deadly Outbreak (Documentary 2014)

Ebola: The world’s most dangerous Virus (full documentary)

Ebola – The Truth About the Outbreak (Documentary)

WATCH: CDC Director Dr. Frieden Grilled over Travel Ban at House Ebola Hearing

WATCH: Megyn Kelly Goes Head to Head with CDC Director over Ebola in America

Dr. Nicole Lurie – HHS Assistant Secretary for Preparedness & Response

“I have responsibility for getting the nation prepared for public health emergencies—whether naturally occurring disasters or man-made, as well as for helping it respond and recover. It’s a pretty significant undertaking.”

Dr. Lurie is Assistant Secretary for Preparedness and Response at the US Department of Health and Human Services at HHS. Prior to that, she was Senior Natural Scientist and the Paul O Neill Alcoa Professor of Health Policy at the RAND Corporation. There she directed RANDs public health and preparedness work as well as RANDs Center for Population Health and Health Disparities.

Ebola Czar hides away in bunker — Dr. Nicole Lurie

John McCain: U.S. Needs an Ebola Czar

Ebola Czar pissed away a billion dollars on kick-backs — Dr. Nicole Lurie

Dr. Nicole Lurie’s Ebola death squads — urr — temporary morgues

Experts: Ebola Could Go Airborne, Kill Millions

Expert Doctor says CDC is lying about Ebola virus

Ebola strain appears to be different

The Structural Basis of Ebola Viral Pathogenesis

 

Obama administration failed to implement all of the CDC’s advice to prevent an Ebola outbreak

The Centers for Disease Control told the incoming Obama administration in 2008 that it should establish 18 regional disease detection centers around the world to adequately safeguard the U.S. from emerging health threats like Ebola, according to an agency memo.

But six years later, as the government struggles to contain the fallout from a deadly Ebola outbreak at home and abroad, the CDC still has only 10 centers — and none of them operates in the western Africa region hardest hit by the deadly virus.

“The existing centers have already proven their effectiveness and impact on detecting and responding to outbreaks including avian influenza, aflatoxin poisoning, Rift Valley fever, Ebola and Marburg virus outbreaks,” the CDC said in its memo to the Obama transition team, which The Washington Times obtained through a Freedom of Information Act request.

At the time, the CDC had five centers set up, and has only added five more of the 13 the agency had proposed “to complete the network and properly protect the nation.”

The memo sheds new light on the problems dealing with the current Ebola crisis, which intensified with the revelations Wednesday that a second Texas nurse had tested positive for the disease and President Obama used a White House Cabinet meeting to promise a “more aggressive” federal response to the threat.

The CDC’s plan outlined in the transition memo was based on the notion that the U.S. shouldn’t wait for a disease to enter the country but rather monitor threats in hot spots overseas to try to help local public health authorities control outbreaks before then.

The CDC didn’t respond to messages seeking comment on its plans Wednesday.

On its Web page, the agency said it has eight regional centers running, with another two in development.

Aside from detecting and monitoring diseases, the centers also provide education to local public health authorities. Though the CDC operates three response centers in Africa — in Kenya, Egypt and South Africa — none of those are based in the western parts of the continent that have seen major Ebola outbreaks this year.

News on Wednesday that another patient in the U.S. — a second health care worker who treated an Ebola patient in Texas — may be infected prompted calls for tightened travel restrictions and at least a temporary travel ban for Liberia, Guinea and Sierra Leone, including one from House Speaker John A. Boehner, Ohio Republican.

The administration has so far rejected those calls, with health officials saying they fear the bans could prevent them from getting aid workers and medical assistance to and from Africa.

Meanwhile, the fight over funding for anti-Ebola efforts has turned political.

Fights over funding

Five Democratic House members on Wednesday called for hearings into budget cuts at the National Institutes of Health and CDC.

The lawmakers said NIH has lost $1.2 billion in funding over the last four years and that a CDC program that supports public workers was slashed 16 percent during the past four years, while a hospital preparedness program lost 44 percent of its funding.

“The CDC and the NIH are already working to combat the spread of Ebola,” said Rep. Michael M. Honda, California Democrat. “In light of recent tragic developments in Texas, and in the interests of ensuring public safety and transparency, we need an update from these agencies so we can ensure they have the proper funding to protect patients, health care workers and the public at large.”

As the deadly virus continues to spread, the CDC has sent dozens of disease control experts into western Africa. In a recent budget document, the agency also has said it’s seeking an extra $45 million for global health security “to accelerate progress toward a world safe and secure from infectious disease threats.”

But the agency’s own memo to the president’s transition team highlighted the need for beefed-up infectious disease detection and other public health efforts overseas. It also reflects funding concerns during the George W. Bush administration.

“Our investment is modest,” the CDC memo stated, “but our capacity in most critical areas has been eroded by budget attrition and increases in the cost of science, travel and infrastructure support in recent years.”

The comments were included in the appendix to the agency’s 128-page briefing memo to the transition team. That same portion of the report had been sent in 2007 to a House appropriations subcommittee overseeing CDC funding, according to the transition memo.

The memo also stated that “core funding” for noninfluenza infectious diseases was lacking, “leaving us many millions behind where we were five years ago when adjusted for inflation.”

“Programs for rabies, rotavirus, food safety, special pathogens like Ebola virus and many others need immediate support if they are to sustain their baseline capabilities.”

The White House and CDC have both cited the regional response centers in recent weeks as an example of the administration’s Ebola response.

Neither the White House nor the Department of Health and Human Services, which oversees the CDC, responded to messages about the recommendation for 18 regional centers.

Senate Health, Education, Labor and Pensions Committee Chairman Tom Harkin, Iowa Democrat, said in a recent floor speech that he’s worked for years to secure more funding for CDC disease detection centers overseas.

“We must stop chasing diseases after the fact and start building public health systems capable of detecting and stopping diseases before they cross borders,” Mr. Harkin said.

The transition memo sounded a similar warning to Mr. Obama’s team as the president prepared to take power in late 2008: “Our nation’s preparedness has greatly benefited from government investments in terrorism and pandemic influenza preparedness, but recent events illustrated that vulnerabilities remain.”

http://www.washingtontimes.com/news/2014/oct/15/cdc-outbreak-prevention-advice-dismissed-by-obama-/?page=2

We Already Have An Ebola Czar – Dr. Nicole Lurie – The Obama Administration Just Wants To Hide Her….

ebola obama 2

(Via The Federalist)  […]   See, in 2004, Congress passed The Project Bioshield Act. The text of that legislation authorized up to $5,593,000,000 in new spending by NIH for the purpose of purchasing vaccines that would be used in the event of a bioterrorist attack. A major part of the plan was to allow stockpiling and distribution of vaccines.

obama ebola team white House

Just two years later, Congress passed the Pandemic and All-Hazards Preparedness Act, which created a new assistant secretary for preparedness and response to oversee medical efforts and called for a National Health Security Strategy. The Act established Biomedical Advanced Research and Development Authority as the focal point within HHS for medical efforts to protect the American civilian population against naturally occurring threats to public health. It specifically says this authority was established to give “an integrated, systematic approach to the development and purchase of the necessary vaccines, drugs, therapies, and diagnostic tools for public health medical emergencies.”

Last year, Congress passed the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 which keep the programs in effect for another five years.

If you look at any of the information about these pieces of legislation or the office and authorities that were created, this brand new expansion of the federal government was sold to us specifically as a means to fight public health threats like Ebola. That was the entire point of why the office and authorities were created.

In fact, when Sen. Bob Casey was asked if he agreed the U.S. needed an Ebola czar, which some legislators are demanding, he responded: “I don’t, because under the bill we have such a person in HHS already.”

[…] So, we have an office for public health threat preparedness and response. And one of HHS’ eight assistant secretaries is the assistant secretary for preparedness and response, whose job it is to “lead the nation in preventing, responding to and recovering from the adverse health effects of public health emergencies and disasters, ranging from hurricanes to bioterrorism.”

In the video below, the woman who heads that office, Dr. Nicole Lurie, explains that the responsibilities of her office are “to help our country prepare for, respond to and recover from public health threats.” She says her major priority is to help the country prepare for emergencies and to “have the countermeasures—the medicines or vaccines that people might need to use in a public health emergency. So a large part of my office also is responsible for developing those countermeasures.”  (read more)

Or, as National Journal rather glowingly puts it, “Lurie’s job is to plan for the unthinkable. A global flu pandemic? She has a plan. A bioterror attack? She’s on it. Massive earthquake? Yep. Her responsibilities as assistant secretary span public health, global health, and homeland security.” A profile of Lurie quoted her as saying, “I have responsibility for getting the nation prepared for public health emergencies—whether naturally occurring disasters or man-made, as well as for helping it respond and recover. It’s a pretty significant undertaking.” Still another refers to her as “the highest-ranking federal official in charge of preparing the nation to face such health crises as earthquakes, hurricanes, terrorist attacks, and pandemic influenza.”

Now, you might be wondering why the person in charge of all this is a name you’re not familiar with. Apart from a discussion of Casey’s comments on how we don’t need an Ebola czar because we already have one, a Google News search for Lurie’s name at the time of writing brings up nothing in the last hour, the last 24 hours, not even the last week! You have to get back to mid-September for a few brief mentions of her name in minor publications. Not a single one of those links is confidence building.

So why has the top official for public health threats been sidelined in the midst of the Ebola crisis? Only the not-known-for-transparency Obama administration knows for sure. But maybe taxpayers and voters should force Congress to do a better job with its oversight rather than get away with the far easier passing of legislation that grants additional funds before finding out what we got for all that money we allocated to this task over the last decade. And then maybe taxpayers should begin to puzzle out whether their really bad return on tax investment dollars is related to some sort of inherent problem with the administrative state.

The Ron Perelman Scandal

There are a few interesting things about the scandal Lurie was embroiled in years ago. You can—and should—read all about it in the Los Angeles Times‘ excellent front-page expose from November 2011, headlined: “Cost, need questioned in $433-million smallpox drug deal: A company controlled by a longtime political donor gets a no-bid contract to supply an experimental remedy for a threat that may not exist.” This Forbespiece is also interesting.

The donor is billionaire Ron Perelman, who was controlling shareholder of Siga. He’s a huge Democratic donor but he also gets Republicans to play for his team, of course. Siga was under scrutiny even back in October 2010 when The Huffington Post reported that it had named labor leader Andy Stern to its board and “compensated him with stock options that would become dramatically more valuable if the company managed to win the contract it sought with HHS—an agency where Stern has deep connections, having helped lead the year-plus fight for health care reform as then head of the Service Employees International Union.”

The award was controversial from almost every angle—including disputes about need, efficacy, and extremely high costs. There were also complaints about awarding a company of its size and structure a small business award as well as the negotiations involved in granting the award. It was so controversial that even Democrats in tight election races were calling for investigations.

Last month, Siga filed for bankruptcy after it was found liable for breaching a licensing contract. The drug it’s been trying to develop, which was projected to have limited utility, has not really panned out—yet the feds have continued to give valuable funds to the company even though the law would permit them to recoup some of their costs or to simply stop any further funding.

The Los Angeles Times revealed that, during the fight over the grant, Lurie wrote to Siga’s chief executive, Dr. Eric A. Rose, to tell him that someone new would be taking over the negotiations with the company. She wrote, “I trust this will be satisfactory to you.” Later she denied that she’d had any contact with Rose regarding the contract, saying such contact would have been inappropriate.

The company that most fought the peculiar sole-source contract award to Siga was Chimerix, which argued that its drug had far more promise than Siga’s. And, in fact, Chimerix’s Brincidofovir is an antiviral medication being developed for treatment of smallpox but also Ebola and adenovirus. In animal trials, it’s shown some success against adenoviruses, smallpox, and herpes—and preliminary tests show some promise against Ebola. On Oct. 6, the FDA authorized its use for some Ebola patients.

It was given to Ebola patient Thomas Eric Duncan, who died, and Ashoka Mukpo, who doctors said had improved. Mukpo even tweeted that he was on the road to recovery.

Back to that Budget

Consider again how The Huffington Post parroted Collins’ claims:

Money, or rather the lack of it, is a big part of the problem. NIH’s purchasing power is down 23 percent from what it was a decade ago, and its budget has remained almost static. In fiscal year 2004, the agency’s budget was $28.03 billion. In FY 2013, it was $29.31 billion—barely a change, even before adjusting for inflation.

Of course, between the fiscal years 2000 and 2004, NIH’s budget jumped a whopping 58 percent. HHS’s 70,000 workers will spend a total of $958 billion this year, or about $7,789 for every U.S. household. A 2012 report on federal spending including the following nuggets about how NIH spends its supposedly tight funds:

  • a $702,558 grant for the study of the impact of televisions and gas generators on villages in Vietnam.
  • $175,587 to the University of Kentucky to study the impact of cocaine on the sex drive of Japanese quail.
  • $55,382 to study hookah smoking in Jordan.
  • $592,527 to study why chimpanzees throw objects.

Last year there were news reports about a $509,840 grant from NIH to pay for a study that will send text messages in “gay lingo” to meth-heads. There are many other shake-your-head examples of misguided spending that are easy to find.

And we’re not even getting into the problems at the CDC or the confusing mixed messages on Ebola from the administration. CDC director Tom Frieden noted:

Indeed. The Progressive belief that a powerful government can stop all calamity is misguided. In the last 10 years we passed multiple pieces of legislation to create funding streams, offices, and management authorities precisely for this moment. That we have nothing to show for it is not good reason to put even more faith in government without learning anything from our repeated mistakes. Responding to the missing Ebola Czar and her office’s corruption by throwing still more money, more management changes, and more bureaucratic complexity in her general direction is madness.

 

http://theconservativetreehouse.com/2014/10/14/we-already-have-an-ebola-czar-dr-nicole-lurie-the-obama-administration-just-wants-to-hide-her/

 

Tracking a Serial Killer: Could Ebola Mutate to Become More Deadly?

Why we need to terminate Ebola 2014 before the virus learns too much about us.

bY David Quammen

Forty years ago, Ebola was just the name of a river. It was a small waterway of no particularly sinister character that flowed through northern Zaire, not far from the village hospital where the first known outbreak of a new viral disease had been centered. That river gave its name to the new virus, and now “Ebola” is a global byword for ugly death, misery, and fear of contagion.

The 2014 epidemic of Ebola virus disease in West Africa is unprecedented in scope, and much attention has been focused, rightly, on how it has gotten so badly out of control.

Behind that question are three others, less obvious, more complicated, and crucial to seeing Ebola in a broader context: Where did the virus come from? Where is it going? What’s next? We do well to consider these questions even as we react to the daily headlines, urge our leaders to take more deeply committed action, and support the organizations (such as Doctors Without Borders) that are fighting the epidemic so courageously in West Africa.

Where Did It Come From?

The outbreak began in early December, in a village called Meliandou, southeastern Guinea, not far from the borders with both Liberia and Sierra Leone. The first known case was a two-year-old child who died, after fever and vomiting and passing black stool, on December 6. The child’s mother died a week later, then a sister and a grandmother, all with symptoms that included fever, vomiting, and diarrhea. Then, by way of caregiving visits or attendance at funerals, the outbreak spread to other villages.

It wasn’t until March, three months later, that local officials alerted the Guinean Ministry of Health about these clusters of a strange, lethal disease in the countryside. By then, human-to-human transmission had started to multiply the case count. But tracing linked cases raises the question of ultimate origin. How did that first child get sick?

Ebola virus is a zoonosis, meaning an animal infection transmissible to humans. The animal in which a zoonosis lives its customary existence, discreetly, over the long term, and without causing symptoms, is called a reservoir host. The reservoir host of Ebola virus is still unknown—even after 38 years of efforts to identify it, since the original 1976 outbreak—although one or more kinds of fruit bat, including the hammer-headed bat, are suspects. There are hammer-headed bats in southeastern Guinea. It’s possible that somebody killed one for food and brought it to Meliandou, where the child became infected either by direct contact with the bat or by virus passed on the hands of an adult.

Why are these facts and suppositions significant? Because they remind us that Ebola virus abides endemically in the forests of equatorial Africa. It will never be eradicated as long as those forests exist, unless the reservoir host itself is eradicated (not recommended) or cured of the viral infection (not likely possible). The virus may retire into its hiding place for years at a time, but eventually it will return, as a result of some disruptive contact by humans with the reservoir host. Then it will spill over into us again. All thinking and planning about how to defend against Ebola virus disease in the future needs to take account of that reality.

Another puzzling fact about origins is that the West Africa epidemic involves a species of ebolavirus (that’s the label for the group, which includes five species) previously known only from outbreaks in the Democratic Republic of the Congo and its close neighbors.

A different species has emerged in Ivory Coast, another West African country, just east of Guinea and Liberia. According to a study published in Science in late August by Stephen K. Gire of Harvard and a long list of co-authors, the virus in West Africa seems to have diverged from its lineage in Central Africa just within the past decade. It somehow leapfrogged over or around the Ivory Coast ebolavirus in order to situate itself in southeastern Guinea. That suggests the unnerving prospect that the Central African ebolavirus (the only one strictly known as Ebola virus) is expanding its range, either by infecting new populations of reservoir hosts or by migrations of those host animals.

One way or another, it has been on the move.

Fruit bats are sold at an outdoor market in Brazzaville, capital of the Republic of the Congo. The reservoir host of Ebola virus is still unknown, but one or more kinds of fruit bat are suspects.

 

Where Is It Going?

The virus has also traveled within living human bodies. We know that it went from Liberia to Dallas within the late Thomas Eric Duncan, from Liberia to Nigeria by way of the late Patrick Sawyer, and from Sierra Leone to Spain by way of two Spanish missionary priests, both also now deceased, who were evacuated for treatment.

And it has been carried to Omaha, Atlanta, London, Paris, Hamburg, Frankfurt, and Oslo within infected people, mostly health and aid workers brought home to be treated.

But just as worrisome as the virus’s geographic spread is its journey across the evolutionary landscape. Is it mutating in ways that could make it more dangerous to humans? Is there any chance that it might become transmissible through the air, like the flu, the SARS virus, or a common cold?

Although Ebola becoming airborne is the ultimate disease nightmare, that seems to be almost vanishingly improbable, for reasons well put in a recent article in the Washington Post by Laurie Garrett, a senior fellow for global health at the Council on Foreign Relations. What is now a fluid-borne virus attaching itself to cells lining the circulatory system can’t easily change into one that targets the tiny air sacs in the lungs.

“That’s a genetic leap in the realm of science fiction,” Garrett wrote.

The virus probably will not go airborne, but it could conceivably increase its Darwinian fitness in other ways, becoming more subtle and elusive.

The genetic study by Gire and his colleagues (five of whom were dead of Ebola by the time their study appeared) found 341 mutations as of late August, some of which are significant enough to change the bug’s functional identity. The higher the case count in West Africa goes, the more chances for further mutations, and therefore the greater possibility that the virus might adapt somehow to become more transmissible-perhaps by becoming less pathogenic, sickening or killing its victims more slowly and thereby leaving them more time to infect others.

That’s why, the Gire group wrote, we need to stop this thing everywhere as soon as possible. Future spillovers of Ebola are bound to occur, but those freshly emerged strains of the virus, direct from the reservoir host, won’t contain any adaptive mutations that the West Africa strain is acquiring now.

We need to terminate Ebola 2014 before the virus learns too much about us.

Kumba Conde cries after her sister Marie, 14, died from Ebola in Koundony, Guinea, in July 2014. The current outbreak began in December 2013 in southeastern Guinea, not far from the borders with both Liberia and Sierra Leone.

 

What’s Next?

No one knows, of course, how much worse the epidemic in West Africa will get. The U.S. Centers for Disease Control and Prevention issued a report, in late September, projecting that under the worst-case scenario there could be 1.4 million cases by early next year. The World Health Organization said Tuesday that new cases could rise to 10,000 per week by December, ten times the rate of the previous month. And the World Bank has warned that costs of the epidemic could reach $32.6 billion, which would be an economic catastrophe for the three West African countries that would compound their health catastrophes.

Will the epidemic spread more widely, igniting outbreaks in other parts of the world? We hope not. Will it turn up as additional cases, here and there, among people who have traveled from West Africa unaware, as Thomas Eric Duncan was reportedly unaware, that they were infected before boarding the airplane? Probably.

What’s the best way to limit such occurrences? Rigorous screening at airports, quarantine for travelers who test positive, travel restrictions, or perhaps total bans on commercial flights arriving from Liberia, Guinea, and Sierra Leone-these measures should help. The most important and effective thing we can do, though, is to provide all possible assistance toward ending the outbreak where it began, in West Africa.

The world won’t be free of Ebola 2014 until West Africa is free of it. Even severe restrictions, barring entry to anyone traveling from West Africa, would not make it impossible for the virus to get into America, or Europe, or wherever. To understand why, consider what I call the Nairobi Tabletop Scenario.

Imagine a doctor who departs from Monrovia, the capital of Liberia, feeling fine, on a flight to Nairobi, Kenya’s capital, in East Africa. In transit he begins suffering a headache-nothing terrible yet, just discomfort, but it’s the first hint of Ebola. At the Nairobi airport, in a café, the Liberian doctor coughs onto a table. Five minutes later, an American businessman touches that table. He rubs his eye. He departs to Singapore and spends three days there, in good health, discussing finance for his project in Kenya. Then he flies home to Los Angeles. To the screeners at LAX, he is an American businessman arriving from Singapore, with no history of recent travel in West Africa. But he’s now infected with Ebola, carrying it into the United States.

How do you defend against the Nairobi Tabletop Scenario? By doing everything possible to end the epidemic in West Africa, and thereby to ensure that the Liberian doctor is healthy when he visits Nairobi.

Our safety against the menace of killer viruses can never be an absolute safety. There are too many of them, lurking within reservoir hosts amid distant forests or closer to home-viruses such as Nipah in Bangladesh, Marburg in Uganda, Lassa in West Africa, Sin Nombre virus in the American West, all the new influenzas coming out of southeastern Asia, plus many others that haven’t yet been identified and named.

And there are too many of us humans, sharing the landscape with the reservoir hosts and with one another. We are too interconnected by air travel and transport. Viruses are simple organisms but well-adapted to the modern world. This year it’s Ebola, devastating and scary. Next year it will be something else.

http://news.nationalgeographic.com/news/2014/10/141015-ebola-virus-outbreak-pandemic-zoonotic-contagion/

 

The Pronk Pops Show Podcasts Portfolio

Listen To Pronk Pops Podcast or Download Show 346-350

Listen To Pronk Pops Podcast or Download Show 338-345

Listen To Pronk Pops Podcast or Download Show 328-337

Listen To Pronk Pops Podcast or Download Show 319-327

Listen To Pronk Pops Podcast or Download Show 307-318

Listen To Pronk Pops Podcast or Download Show 296-306

Listen To Pronk Pops Podcast or Download Show 287-295

Listen To Pronk Pops Podcast or Download Show 277-286

Listen To Pronk Pops Podcast or Download Show 264-276

Listen To Pronk Pops Podcast or Download Show 250-263

Listen To Pronk Pops Podcast or Download Show 236-249

Listen To Pronk Pops Podcast or Download Show 222-235

Listen To Pronk Pops Podcast or Download Show 211-221

Listen To Pronk Pops Podcast or DownloadShow 202-210

Listen To Pronk Pops Podcast or Download Show 194-201

Listen To Pronk Pops Podcast or Download Show 184-193

Listen To Pronk Pops Podcast or Download Show 174-183

Listen To Pronk Pops Podcast or Download Show 165-173

Listen To Pronk Pops Podcast or Download Show 158-164

Listen To Pronk Pops Podcast or Download Show 151-157

Listen To Pronk Pops Podcast or Download Show 143-150

Listen To Pronk Pops Podcast or Download Show 135-142

Listen To Pronk Pops Podcast or Download Show 131-134

Listen To Pronk Pops Podcast or Download Show 124-130

Listen To Pronk Pops Podcast or Download Shows 121-123

Listen To Pronk Pops Podcast or Download Shows 118-120

Listen To Pronk Pops Podcast or Download Shows 113 -117

Listen To Pronk Pops Podcast or Download Show 112

Listen To Pronk Pops Podcast or Download Shows 108-111

Listen To Pronk Pops Podcast or Download Shows 106-108

Listen To Pronk Pops Podcast or Download Shows 104-105

Listen To Pronk Pops Podcast or Download Shows 101-103

Listen To Pronk Pops Podcast or Download Shows 98-100

Listen To Pronk Pops Podcast or Download Shows 94-97

Listen To Pronk Pops Podcast or Download Shows 93

Listen To Pronk Pops Podcast or Download Shows 92

Listen To Pronk Pops Podcast or Download Shows 91

Listen To Pronk Pops Podcast or Download Shows 88-90

Listen To Pronk Pops Podcast or Download Shows 84-87

Listen To Pronk Pops Podcast or Download Shows 79-83

Listen To Pronk Pops Podcast or Download Shows 74-78

Listen To Pronk Pops Podcast or Download Shows 71-73

Listen To Pronk Pops Podcast or Download Shows 68-70

Listen To Pronk Pops Podcast or Download Shows 65-67

Listen To Pronk Pops Podcast or Download Shows 62-64

Listen To Pronk Pops Podcast or Download Shows 58-61

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The Pronk Pops Show 348, October 14, 2014, Story 1: Stop The Ebola Illegal Alien Invasion/Pandemic — Secure The U.S./Mexican Border — Videos

Posted on October 14, 2014. Filed under: Addiction, American History, Biology, Blogroll, Chemistry, College, Communications, Constitutional Law, Crime, Disasters, Diseases, Drugs, Ebola, Ebola, Ebola, Economics, Education, Employment, Federal Government, Food, Foreign Policy, Gangs, Government, Government Dependency, Government Spending, Health Care, History, Housing, Illegal Drugs, Illegal Immigration, Immigration, Impeachment, Law, Legal Drugs, Media, Medical, Medicine, National Security Agency, Philosophy, Photos, Politics, Private Sector Unions, Public Sector Unions, Radio, Regulation, Resources, Scandals, Science, Security, Success, Taxes, Technology, Terror, Unemployment, Unions, Videos, Violence, War, Wealth, Weapons, Weapons of Mass Destruction, Wisdom | Tags: , , , , , , , , , |

Project_1

The Pronk Pops Show Podcasts

Pronk Pops Show 348: October 14, 2014

Pronk Pops Show 347: October 13, 2014

Pronk Pops Show 346: October 9, 2014

Pronk Pops Show 345: October 8, 2014

Pronk Pops Show 344: October 6, 2014

Pronk Pops Show 343: October 3, 2014

Pronk Pops Show 342: October 2, 2014

Pronk Pops Show 341: October 1, 2014

Pronk Pops Show 340: September 30, 2014

Pronk Pops Show 339: September 29, 2014

Pronk Pops Show 338: September 26, 2014

Pronk Pops Show 337: September 25, 2014

Pronk Pops Show 336: September 24, 2014

Pronk Pops Show 335: September 23 2014

Pronk Pops Show 334: September 22 2014

Pronk Pops Show 333: September 19 2014

Pronk Pops Show 332: September 18 2014

Pronk Pops Show 331: September 17, 2014

Pronk Pops Show 330: September 16, 2014

Pronk Pops Show 329: September 15, 2014

Pronk Pops Show 328: September 12, 2014

Pronk Pops Show 327: September 11, 2014

Pronk Pops Show 326: September 10, 2014

Pronk Pops Show 325: September 9, 2014

Pronk Pops Show 324: September 8, 2014

Pronk Pops Show 323: September 5, 2014

Pronk Pops Show 322: September 4, 2014

Pronk Pops Show 321: September 3, 2014

Pronk Pops Show 320: August 29, 2014

Pronk Pops Show 319: August 28, 2014

Pronk Pops Show 318: August 27, 2014 

Pronk Pops Show 317: August 22, 2014

Pronk Pops Show 316: August 20, 2014

Pronk Pops Show 315: August 18, 2014

Pronk Pops Show 314: August 15, 2014

Pronk Pops Show 313: August 14, 2014

Pronk Pops Show 312: August 13, 2014

Pronk Pops Show 311: August 11, 2014

Pronk Pops Show 310: August 8, 2014

Pronk Pops Show 309: August 6, 2014

Pronk Pops Show 308: August 4, 2014

Pronk Pops Show 307: August 1, 2014 

Pronk Pops Show 306: July 31, 2014

Pronk Pops Show 305: July 30, 2014

Pronk Pops Show 304: July 29, 2014

Pronk Pops Show 303: July 28, 2014

Pronk Pops Show 302: July 24, 2014

Pronk Pops Show 301: July 23, 2014

Pronk Pops Show 300: July 22, 2014

Pronk Pops Show 299: July 21, 2014

Pronk Pops Show 298: July 18, 2014

Pronk Pops Show 297: July 17, 2014

Pronk Pops Show 296: July 16, 2014

Pronk Pops Show 295: July 15, 2014

Pronk Pops Show 294: July 14, 2014

Pronk Pops Show 293: July 11, 2014

Pronk Pops Show 292: July 9, 2014

Pronk Pops Show 291: July 7, 2014

Pronk Pops Show 290: July 3, 2014

Pronk Pops Show 289: July 2, 2014

Story 1: Stop The Ebola Illegal Alien Invasion/Pandemic — Secure The U.S./Mexican Border — Videos

USA Invaded by Central America….

RED ALERT: TOP GENERAL WARNS EBOLA WILL NOT STAY IN WEST AFRICA!!!!

Why Do Viruses Kill

MicroKillers: Super Flu

The Influenza Pandemic of 1918

We Heard the Bells: The Influenza of 1918 (full documentary)

In 1918-1919, the worst flu in recorded history killed an estimated 50 million people worldwide. The U.S. death toll was 675,000 – five times the number of U.S. soldiers killed in World War I. Where did the 1918 flu come from? Why was it so lethal? What did we learn?

After Armageddon  (when deadly virus strikes)

SOMETHING ‘NEVER SEEN BEFORE’ IS COMING TO AMERICA (GLOBAL PANDEMIC)

Judge Jeanine Pirro – Hidden Danger? – Could Illegal Immigrant Kids Bring Diseases To U.S.?

Obama Triggers a Massive Surge of Illegal Immigrant Children(90,000!)

Reporters Confront U.S. Border Patrol Over Illegal Immigration Stand-Down

Pestilence : Illegal Aliens bringing serious diseases across the U.S. Border (Aug 01, 2014)

\

immigrants bring in serious, contagious diseases

PJTV – Illegal Immigrants Being Illegally Dumped in Arizona…Illegally

Gen. Kelly at University of South Florida

 

 

The Pronk Pops Show Podcasts Portfolio

Listen To Pronk Pops Podcast or Download Show 346-348

Listen To Pronk Pops Podcast or Download Show 338-345

Listen To Pronk Pops Podcast or Download Show 328-337

Listen To Pronk Pops Podcast or Download Show 319-327

Listen To Pronk Pops Podcast or Download Show 307-318

Listen To Pronk Pops Podcast or Download Show 296-306

Listen To Pronk Pops Podcast or Download Show 287-295

Listen To Pronk Pops Podcast or Download Show 277-286

Listen To Pronk Pops Podcast or Download Show 264-276

Listen To Pronk Pops Podcast or Download Show 250-263

Listen To Pronk Pops Podcast or Download Show 236-249

Listen To Pronk Pops Podcast or Download Show 222-235

Listen To Pronk Pops Podcast or Download Show 211-221

Listen To Pronk Pops Podcast or DownloadShow 202-210

Listen To Pronk Pops Podcast or Download Show 194-201

Listen To Pronk Pops Podcast or Download Show 184-193

Listen To Pronk Pops Podcast or Download Show 174-183

Listen To Pronk Pops Podcast or Download Show 165-173

Listen To Pronk Pops Podcast or Download Show 158-164

Listen To Pronk Pops Podcast or Download Show 151-157

Listen To Pronk Pops Podcast or Download Show 143-150

Listen To Pronk Pops Podcast or Download Show 135-142

Listen To Pronk Pops Podcast or Download Show 131-134

Listen To Pronk Pops Podcast or Download Show 124-130

Listen To Pronk Pops Podcast or Download Shows 121-123

Listen To Pronk Pops Podcast or Download Shows 118-120

Listen To Pronk Pops Podcast or Download Shows 113 -117

Listen To Pronk Pops Podcast or Download Show 112

Listen To Pronk Pops Podcast or Download Shows 108-111

Listen To Pronk Pops Podcast or Download Shows 106-108

Listen To Pronk Pops Podcast or Download Shows 104-105

Listen To Pronk Pops Podcast or Download Shows 101-103

Listen To Pronk Pops Podcast or Download Shows 98-100

Listen To Pronk Pops Podcast or Download Shows 94-97

Listen To Pronk Pops Podcast or Download Shows 93

Listen To Pronk Pops Podcast or Download Shows 92

Listen To Pronk Pops Podcast or Download Shows 91

Listen To Pronk Pops Podcast or Download Shows 88-90

Listen To Pronk Pops Podcast or Download Shows 84-87

Listen To Pronk Pops Podcast or Download Shows 79-83

Listen To Pronk Pops Podcast or Download Shows 74-78

Listen To Pronk Pops Podcast or Download Shows 71-73

Listen To Pronk Pops Podcast or Download Shows 68-70

Listen To Pronk Pops Podcast or Download Shows 65-67

Listen To Pronk Pops Podcast or Download Shows 62-64

Listen To Pronk Pops Podcast or Download Shows 58-61

Listen To Pronk Pops Podcast or Download Shows 55-57

Listen To Pronk Pops Podcast or Download Shows 52-54

Listen To Pronk Pops Podcast or Download Shows 49-51

Listen To Pronk Pops Podcast or Download Shows 45-48

Listen To Pronk Pops Podcast or Download Shows 41-44

Listen To Pronk Pops Podcast or Download Shows 38-40

Listen To Pronk Pops Podcast or Download Shows 34-37

Listen To Pronk Pops Podcast or Download Shows 30-33

Listen To Pronk Pops Podcast or Download Shows 27-29

Listen To Pronk Pops Podcast or Download Shows 17-26

Listen To Pronk Pops Podcast or Download Shows 16-22

Listen To Pronk Pops Podcast or Download Shows 10-15

Listen To Pronk Pops Podcast or Download Shows 01-09

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