Saturday, October 18, 2014

Let your conscience be your guide…

I’ve been working on an Ebola posting and I just keep stumbling on the fact that there are tons of resources out there on every level, from information for the layperson to the health professional.  It seemed redundant to post another. (For links to sites offering up-to-date information on Ebola, see the posting “The latest zoonotic threat.”)  So, I’m going to focus on two things:  our role as a health care professional and what you can do to help.

I’ve been watching all this unfold with the Texas Presbyterian hospital like everyone else.  In total disbelief how it had been handled by those in authoritative positions.  Does this only fall on those in-charge?  My objective is not to point fingers, but to objectively look at what unfolded and make it a learning experience.

This leads into one of my professional pet peeves, and that’s acknowledging what YOU could have done to make things better.  It’s very easy to say “you made me do it” or “this was orchestrated by everyone else,” but how often are you genuinely powerless?  As health professionals we require a little more of something than in other professions…a backbone.  When we do not speak out, it can affect a patient or client’s life, or the health of a community.  I do not understand why health professionals within this hospital did not speak out.  I give the one and only voice I’ve heard so far, a nurse by the name of Briana Aguirre, kudos beyond all belief.  She expressed concern during her interview with the Today Show, she may be fired and even risks future employment with other hospitals in the area by coming forward.  She’s right, she is risking current and future employment.  But it should not be this way.  She deserves a raise if she stay’s where she is at, and if not, to be whisked up and paid well by a future employer.

Aren’t we suppose to speak up for our patient/client?  Should we not be more concerned about the welfare of our patient/client versus rubbing our superiors the wrong way?  As a veterinary professional, I would not want to surround myself with mindless drones.  Instead, I would want people around me that would speak out if I seem to be doing something to the contrary for the betterment of my patient, client and/or community.  So the learning experience…

Don’t let what others may think of you stop you from speaking out.  Although most of us need a paycheck, I hope you came into this profession for something greater than the almighty dollar.  And if you did, keep that in prospective.  For any health professionals reading this, or those that have friends or relatives in a health field (human and veterinary), use this situation to remind us how important it is for us to have a voice.  Keep yelling until someone hears you.

If at any point you have felt compelled to help with this Ebola crisis, I have some news for you on how you can help…check out Fighting Ebola on Open Ideo (https://openideo.com/content/fighting-ebola).  This is a collaborative effort to look at ways to stop Ebola from spreading.  Have you watched news content or read an article online and thought “I have an idea on how to help?”  You can become part of this think-tank, giving ideas and participating with others from around the world.  Registering and creating a profile is simply (I’ve done it).  After the few minutes it takes to get things started, your off and running!  Ideas are currently being sought for the following missions:  strengthening health care capacities, promote care seeking, boost tracking and communication, and “surprise us.”  Maybe you had an idea on improving personal protective equipment (PPE), or a new reporting plan for health care professionals, you can use this tool to submit your ideas!  This platform allows you to actually help, from the safety of your home!

So, the moral to the story, YOU can make a difference.  Everyone has the capacity to help in this crisis.  Let’s not sit back and say “It’s up to someone else.”  Your ideas, your initiative and your capacity for concern can show you the way.

Friday, October 10, 2014

The latest zoonotic threat...

On October 8th the Center for Disease Control and Prevention (CDC) held a live event on Twitter giving people an opportunity to ask questions in regards to Ebola (EVD).  Having done some research online, not to mention the barrage of information being furnished by the news stations, made me excited to be part of getting on-the-spot, up-to-date information right from the horse’s mouth.  Although having this on a website where you are limited to the number of characters you use to ask a question or respond, the CDC and participants did a good job of asking/answering questions.  Here is the rundown of facts learned about EVD from participating in the Twitter event:

·         This EVD is the Zaire strain and this is the largest EVD outbreak in history.

·         Ebola is NOT spread through casual contact.  There is NO evidence that EVD is transmitted via mosquitoes or other insects.  “Though unlikely, if person with Ebola sneezes on someone and saliva/mucus contacts persons eyes, nose, mouth, disease may spread.

·         EVD is spread via blood and bodily fluids (I.e. urine, feces, semen, etc) and can live on fomites (inanimate objects) for up to two hours if surface is dry, longer if surface contained bodily fluids.

·         This outbreak is believed to be from an animal reservoir, most likely a bat. 

·         “When safe alternatives exist, Mothers with Ebola should avoid close contact with their babies, including breast feeding.”

·         Incubation period is two to 21 days, with the typical being eight to 10 days.  Usually the first notable symptom is fever.

·         “Evidence suggests Ebola survivors are immune (to Ebola) for at least 10 years from that particular strain.”

·         There are several treatment modalities and vaccines in development.

·         The current EVD medical processes involve:  finding the disease, isolating the patients, tracing/monitoring disease contacts and stopping exposure.

EVD is a zoonotic disease and should be evaluated from both the veterinary and human health professions.  As stated above, this current EVD outbreak is believed to have started from a bat.  The recent headlines included a dog that was euthanized in Spain because his owners, one of which was a nurse that had treated EVD patients, tested positive for EVD and is currently being treated (Nadeau, October 2014).  Although there a dog has never been documented as having showed clinical signs of Ebola, there was a study in 2005, “Ebola Virus Antibody Prevalence in Dogs and Human Risk” (Allela, Bourry, Pouillot, et al.) that demonstrated dogs may be asymptomatic carriers.  In this study, the researchers note that in various outbreaks in the Republic of Congo, a definitive source could not be identified in connecting to a bat host, however the common denominator was dogs.  When trying to place this information in context, keep in mind these dogs are purpose animals (I.e. used for hunting) and “are not fed and have to scavenge for food” (Allela, Bourry, Pouillot, et al, March 2005).

This information is meant to be a resource for those looking for information.  For the sources listed in this entry, or for more information, please refer to the following:

·         Center for Disease Control and Prevention (CDC).  Has a thorough tutorial on EVD.  http://www.cdc.gov/vhf/ebola/index.html

·         “Ebola Virus Antibody Prevalence in Dogs and Human Risk.”  http://wwwnc.cdc.gov/eid/article/11/3/pdfs/04-0981.pdf

·         World Health Organization (WHO).  Valuable information on EVD.  http://www.who.int/csr/disease/ebola/en/

·         CDC Safety Training Course for Healthcare Workers Going to West Africa in Response to the 2014 Ebola Outbreak.  http://www.cdc.gov/vhf/ebola/hcp/safety-training-course/index.html


·         Facts About Bushmeat and Ebola.  http://www.cdc.gov/vhf/ebola/pdf/bushmeat-and-ebola.pdf

 

Sources:

Allela, Loïs, Bourry, Olivier, Pouillot, Régis, Délicat, André, Yaba, Philippe, Kumulungui, Brice, Rouquet, Pierre, Gonzalez, Jean-Paul, Leroy, Eric M. (March 2005) “Ebola Virus Antibody Prevalence in Dogs and Human Risk.” Emerging Infectious Diseases. Vol 11 No. 3. Retrieved on October 10, 2014. Retrieved from http://wwwnc.cdc.gov/eid/article/11/3/pdfs/04-0981.pdf

Nadeau, Barbie Latza. (October 9, 2014) “The Dog is Dead-And We’ll Never Know if He Had Ebola.” The Daily Beast. Retrieved on October 10, 2014.  Retrieved from http://www.thedailybeast.com/articles/2014/10/09/the-dog-is-dead-and-we-ll-never-know-if-he-had-ebola.html.

Wednesday, October 8, 2014

Fore those seeking information about Ebola...


The Ebola Virus has been on every news source known to man.  Everyone has an opinion on how and who should handle this epidemic.  Let’s start with the basics and gather information on what is Ebola and how, as a medical professional (human or veterinary medicine) we can help.  The Center for Disease Control and Prevention (CDC) is having an online Q & A today giving an opportunity to cutout the middle man.


What's New on the CDC Emergency Preparedness & Response Website

CDC Twitter Chat - Ebola Q&A

Join us today (10/8) at 3PM EDT as CDC experts answer your questions on #Ebola. Use #CDCchat to participate. https://twitter.com/CDCemergency/status/519658049477160962/