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In fatal cases, death comes fairly quickly — within a few days or a couple of weeks of getting sick. To get Ebola, you need to have direct contact with the bodily fluids — such as vomit, urine, or blood — of someone who is already sick and has symptoms. But what, exactly, does that mean?
1) You can get the virus if you have "direct contact" with a range of bodily fluids from a sick person, including blood, saliva, breast milk, stool, sweat, semen, tears, vomit, and urine.
A burial team from the Liberian Ministry of Health unloads the bodies of Ebola victims onto a funeral pyre in Marshall, Liberia. 7) You could also get the virus by working in a biosafety-level-four lab that studies Ebola, touching lab specimens, and then putting your contaminated hands to your mouth or eyes or on a cut. 8) You can get Ebola by being pricked with a needle or syringe that has been contaminated with the virus. THE CURRENT EBOLA EPIDEMIC IS OUTRUNNING OUR ABILITY TO STOP ITEbola first appeared in 1976 during twin outbreaks in Zaire (now the Democratic Republic of the Congo) and South Sudan, likely spread by bats from nearby jungles. This year has, in many ways, changed people's notions of how Ebola can move through populations. The usual methods for containing Ebola, like tracing patients' contacts, haven't scaled to outbreaks of this sizeBy October 2014, Senegal and Nigeria were declared virus-free, having stopped their small outbreaks.
On May 9, 2015, Liberia was finally declared virus-free, but there are still cases in Guinea and Sierra Leone, "creating a high risk that infected people may cross into Liberia over the region's exceptionally porous borders," the WHO warned.The epidemic has dragged on in West Africa, in part because the usual methods for containing Ebola — like tracing patients' contacts — don't scaled to outbreaks of the size that Liberia, Guinea, and Sierra Leone had to battle. But an epidemic is much harder to contain when suddenly many countries are dealing with hundreds or thousands of cases. On September 30, 2014, the Centers for Disease Control and Prevention announced that Thomas Eric Duncan, a patient in Dallas, had Ebola — the first time the disease was diagnosed in the US. While official estimates suggest there are already more than 25,000 cases of Ebola during 2014 and 2015, the real number is likely much, much higher. Health workers sterilize a house and prepare a body for burial in Lango village, Kenema, Sierra Leone. To understand how an Ebola case could be missed, you need to understand what it takes to actually find and count a case.Oftentimes, potential cases are communicated through dedicated hotlines, which citizens can call to report themselves or their neighbors. Actually tracking these people down isn't straightforward, especially in areas where the roads and communication infrastructure are poor. When they finally locate an Ebola victim, he or she may not always be lucid enough to talk or even still alive. Of this epidemic, the World Bank said Ebola may deal a "potentially catastrophic blow" to the West African countries reeling from the virus.
GDP growth estimates for 2014 have been revised sharply downward since pre-crisis estimates. People are going to suffer and die more from other diseases as the already scarce health resources in the region go to Ebola. One disturbing feature of the current epidemic is that so many health workers have lost their lives while caring for the sick or trying to spread public health messages about Ebola.This is partly because Ebola is transmitted through bodily fluids, and no one has more contact with the bodily fluids of an Ebola patient than his or her doctor and nurse. A hospital guard waits to greet patients, some suspected of suffering from the Ebola virus, in Monrovia. Even if they have protective gear, doctors and nurses may want to use their scarce supplies only when absolutely necessary, which brings us to another reason for the alarming loss of health workers: many doctors caring for Ebola patients in West Africa, particularly in the early days of the outbreak, had no idea they were seeing Ebola patients. Finally, the scale of this outbreak requires medical personnel that just weren't at the ready in West Africa.
Poor literacy made it much harder for aid workers to mount a public health information campaign and explain to people how they can stop the spread of Ebola. A Liberian health worker interviews family members of a woman suspected of dying of the Ebola virus in Monrovia, Liberia.
Sadly, the world only seemed to wake up to Ebola after two American missionaries got infected. In other desperate and unprecedented measures, the UN Security Council characterized the virus as a threat to international peace and security, holding its second disease-focused meeting ever and setting up a special UN mission to deal with the epidemic.
Even though people have known about Ebola for almost 40 years, vaccine and drug development for the disease has been slow at best. THE USUAL DRUG APPROVAL PROCESSES ARE BEING CONDENSED OR SKIPPEDThe news of vaccine development followed a decision by the World Health Organization to allow unproven and experimental treatments on people in this public health emergency — which means the usual drug approvals process will be condensed or phases of clinical testing potentially skipped, and that trials could be done amid the outbreak in Africa.One promising experimental Ebola drug is ZMapp, an antibody therapy that was used for the two American medical missionaries infected in Liberia.
Kent Brantly, one of the American medical missionaries infected with Ebola, who received the experimental drug ZMapp. Another experimental therapy now being tried in humans is TKM-Ebola, developed by the Canadian pharmaceutical company Tekmira with the help of funding from the US Department of Defense. Do make sure to write, no matter my length of stay at camp.  I need mail regardless if I am there for five days or eight weeks.
And remember, you can send a letter to ANYONE that you ever met at camp in care of the camp office and it will get forwarded on. 15 Coolest Things About Titanfall What are the Most Anticipated Games for the Xbox One and PS4? Altitude, bank, and pitch will change only slightly during turbulence—in the cockpit we see just a twitch on the altimeter—and inherent in the design of airliners is a trait known to pilots as “positive stability.” Should the aircraft be shoved from its position in space, its nature is to return there, on its own.
At times like this, pilots will slow to a designated “turbulence penetration speed” to ensure high-speed buffet protection (don’t ask) and prevent damage to the airframe.
There will also be an announcement made to the passengers and a call to the cabin crew to make sure they are belted in.
When we pass on reports to other crews, turbulence is graded from “light” to “extreme.” The worst encounters entail a postflight inspection by maintenance staff. One of those severes took place in July 1992, when I was captain on a fifteen-passenger turboprop. So that I’m not accused of sugar-coating, I concede that powerful turbulence has, on occasion, resulted in damage to aircraft and injury to their occupants.
Anecdotal evidence suggests that turbulence is becoming more prevalent as a byproduct of climate change. Because turbulence is so unpredictable, I am known to provide annoying, noncommittal answers when asked how best to avoid it. While it doesn’t make a whole lot of difference, the smoothest place to sit is over the wings, nearest to the plane’s centers of lift and gravity. As many travelers already know, flight crews in the United States tend to be lot more twitchy with the seat belt sign than those in other countries. If you can picture the cleaved roil of water that trails behind a boat or ship, you’ve got the right idea.
As a rule, bigger planes brew up bigger, most virulent wakes, and smaller planes are more vulnerable should they run into one. To avoid wake upsets, air traffic controllers are required to put extra spacing between large and small planes. Despite all the safeguards, at one time or another, every pilot has had a run-in with wake, be it the short bump-and-roll of a dying vortex or a full-force wrestling match. Ours was a long, lazy, straight-in approach to runway 27R from the east, our nineteen-seater packed to the gills. At around 200 feet, only seconds from touchdown, with the approach light stanchions below and the fat white stripes of the threshold just ahead, came a quick and unusual nudge—as if we’d struck a pothole.
It was the first officer’s leg to fly, but suddenly there were four hands on the yokes, turning to the left as hard as we could. It was taken at the Belle Isle Marsh Reservation, a popular birdwatching spot about a half-mile north of runway 22R at Boston’s Logan International Airport. Survivors return to a normal life after a monthslong recovery that can include periods of hair loss, hearing loss and other sensory changes, weakness, extreme fatigue, headaches, and eye and liver inflammation. Until last year, the total impact of these outbreaks included 2,357 cases and 1,548 deaths, according to the Centers for Disease Control and Prevention. And because Ebola is a rare disease, there are still many scientific avenues that need exploring. But go into a rainforest environment — ecologists haven't even given names to a lot of the insects there, and when it comes to mites and ticks, forget it. They don't know why some folks with Ebola never show symptoms and can't spread the disease to anyone, while others are "super-shedders" with very high viral loads — and are therefore very contagious.
Health officials didn't worry about it reaching epidemic proportions.And then Ebola went global. Since then, there have been 20 other outbreaks, but they have usually occurred in isolated rural areas and died out quickly. In December, the virus is believed to have first turned up in the body of a 2-year-old boy in Gueckedou, a rainforest region in southeastern Guinea. Since West Africa had never seen Ebola, the virus had a three-month head start before health officials in the countries involved even realized they were harboring an outbreak.
He died nine days later.After that, two health workers who cared for him got sick, spreading fear and panic among the health-care community and the general population. But its medical setting did.It is true that the average West African has a lower life expectancy than the average American. Investigators can spend days chasing a rumor.These health teams also work under constant stress and uncertainty.
So the investigators need to interview friends, family, or community members to determine whether it's Ebola that struck — always keeping a distance.If this chase appears to have led to an Ebola patient, the health team notifies a dispatcher to have that person transported by ambulance to a nearby clinic or Ebola treatment center for testing and isolation.
David Fisman, an infectious-disease modeler working on Ebola, summed up: "A person needs to have recognized symptoms, seek care, be correctly diagnosed, get lab testing — if they're going to be a confirmed case — and have the clerical and bureaucratic apparatus actually transmit that information to the people doing surveillance.


The disease had never appeared in that part of Africa, and it can be difficult to diagnose, sometimes masquerading as malaria or the flu until symptoms worsen. The director of the WHO called this Ebola epidemic the "greatest peacetime challenge" the world has ever faced.
Notably, most of the investment in Ebola cures has come from government agencies (such as the US Department of Defense) interested in researching potential biological terrorism weapons — not in helping patients.But the Ebola epidemic burning in West Africa has sparked unprecedented focus on finding an Ebola cure and speeding up the drug testing and approval process for current therapies being developed. The Ebola drug was developed by several stakeholders — Mapp Biopharmaceutical and LeafBio in San Diego, Defyrus from Toronto, the US government, and the Public Health Agency of Canada. Sure, I get that some people collect them, or that it is important to pick the right design and there is a financial value to them.
I wanted to know more, I needed to know more, if this is true I have been doing it wrong all this time.  A stamp is something that seemed so small, but yet held such power.
We created a Top 10 list of dos and don’ts when it comes to corresponding with your camper.  I would like to share it with you in hopes that you benefit too. Missing things like the 4th of July family fireworks, or Grandma’s birthday are hard enough.  This has the tendency to bring on homesickness and it makes me worry. The Xbox One captures video that can be saved to the console, edited, and shared on Xbox Live and Twitch.
For all intents and purposes, a plane cannot be flipped upside-down, thrown into a tailspin, or otherwise flung from the sky by even the mightiest gust or air pocket. I remember one night, headed to Europe, hitting some unusually rough air about halfway across the Atlantic. This speed is close to normal cruising speed, however, so you probably won’t notice the deceleration from your seat.
Pilots often request that flight attendants remain in their seats if things look menacing up ahead.
We take our cues from weather charts, radar returns, and, most useful of all, real-time reports from other aircraft. There are definitions for each degree, but in practice the grades are awarded subjectively. With respect to the latter, these are typically people who fell or were thrown about because they weren’t belted in. Turbulence is a symptom of the weather from which it spawns, and it stands to reason that as global warming intensifies certain patterns, experiences like the one I had over Maine will become more common. We keep the sign on longer after takeoff, even when the air is smooth, and will switch it on again at the slightest jolt or burble. With aircraft, this effect is exacerbated by a pair of vortices that spin from the wingtips.
For pilots, one technique is to slightly alter the approach or climb gradient, remaining above any vortices as they sink. Even with full opposite aileron—something never used in normal commercial flying—the ship kept rolling to the right. In less than five seconds, before either of us could utter so much as an expletive, the plane came to its senses and rolled level. The strongest vortices are produced on takeoff, but ideally you want to be on the landing side, as the plane will be nearer (i.e. In a phenomenon now dubbed "post-Ebola syndrome," Ebola, scientists have learned, can continue to live in other parts of the body or bodily fluids, including the eyeballs or semen of survivors, for months after the blood is declared virus-free.
The sick person also has to be far enough along in the illness — with enough virus in the bloodstream — to transmit the disease. But unless you're an Ebola health worker or sharing needles with Ebola victims, this isn't likely. This is an infection that requires very close contact."YOU CAN'T GET EBOLA FROM MOSQUITOES3) You can't get Ebola from mosquitoes. Compare this situation with West Africa, which had to deal with more than 25,000 cases in a completely broken and underfunded health system. They are still learning about the long-term side effects of Ebola, and whether survivors have lifelong immunity to the virus (meaning they can't get it more than once). The countries involved — DRC, Gabon, Sudan — have experience in stamping out the virus before it spreads.
Because the disease isn't very contagious and spreads slowly, they just needed to find all those infected, quarantine them, and identify everyone they'd been in contact with. It didn't help that the international community was very slow to bring aid to the region, only declaring a public health emergency in August, five months after the first international spread. First, on October 12, Nina Pham — one of Duncan's nurses — tested positive for the disease.
And a much smaller number of Americans have so far contracted — and been treated for — Ebola. These reports are forwarded to local surveillance-response teams.All these cases need to be followed up on and verified to be counted. If the person is already dead, they notify a burial team, which arrives in full personal-protective gear. In that county alone, nearly 170 farmers and their family members have died from Ebola," the World Health Organization director warned.
Joanne Liu, international president of Doctors Without Borders, said, "Mounting numbers are dying of other diseases, like malaria, because health systems have collapsed."In a 2015 study in the journal Science, researchers focused on measles — the most contagious virus recorded — and applied statistical models to quantify the likelihood of an epidemic in the three countries worst hit by the virus. So doctors and nurses weren't always protecting themselves as they would from a deadly virus.A third reason for the outsize health-worker death toll is that the total number of people infected with the virus this year is so much greater.
President Barack Obama said Ebola is "not just a threat to regional security … [but] a potential threat to global security." For this reason, the US sent thousands of troops to fight Ebola, funding the largest international response in the history of the CDC. It's made up of a cocktail of monoclonal antibodies, which are essentially lab-produced molecules manufactured in plants that mimic the body's immune response to theoretically help it attack the Ebola virus.
Judging by the reactions of many airline passengers, one would assume so; turbulence is far and away the number one concern of anxious passengers.
I’ve never been through an extreme, but I’ve had my share of moderates and a sprinkling of severes. It had been a hot day, and by early evening, a forest of tightly packed cumulus towers stretched across eastern New England.
About sixty people, two-thirds of them flight attendants, are injured by turbulence annually in the United States. In some respects, this is another example of American overprotectiveness, but there are legitimate liability concerns. At the wings’ outermost extremities, the higher-pressure air beneath is drawn toward the lower pressure air on top, resulting in a tight, circular flow that trails behind the aircraft like a pronged pair of sideways tornadoes. A mid-sized jet, the 757 isn’t nearly the size of a 747 or 777, but thanks to a nasty aerodynamic quirk it produces an outsized wake that, according to one study, is the most powerful of any airplane. Almost instantaneously, our 16,000-pound aircraft was up on one wing, in a 45-degree right bank. There we were, hanging sideways in the sky; everything in our power was telling the plane to go one way, and it insisted on going the other. Excuse the atrocious video quality, but the sound is acceptable and that’s the important thing.
There are five species of Ebola, four of which have caused the disease in humans: Zaire, Sudan, Tai Forest, and Bundibugyo. 2) This means you can get Ebola by kissing or sharing food with someone who is infectious. 3) Mothers with Ebola can give the disease to their babies.
The CDC says, "Only mammals (for example, humans, bats, monkeys and apes) have shown the ability to spread and become infected with Ebola virus."4) It's pretty difficult to get Ebola through coughing or sneezing.
The guy who wrote the textbook on Ebola explained it to me: there is a gold standard proof that the Marburg virus (an Ebola cousin) lives in a particular species of bat. All of a sudden, you have to test thousands of creatures for Ebola and you still might not have found Ebola because it might be in that insect you didn't test.
The WHO has continually said that even its current dire numbers don't reflect the full reality.
The team puts the body in a body bag, decontaminates the house, swabs the corpse for Ebola testing, and transports the body to the morgue.But confirming the cause of death doesn't always happen. Others suggest that faith healing, hot chocolate, coffee, and raw onions might stamp out the virus. In October 2014, the Obama administration appointed Ron Klain its first "Ebola czar" to coordinate the response. That had to be some kind of record- my child was going to be so excited to be getting all these emails! Turbulence is an aggravating nuisance for everybody, including the crew, but it’s also, for lack of a better term, normal. It came out of nowhere and lasted several minutes, and was bad enough to knock over carts in the galleys.
You’re liable to imagine the pilots in a sweaty lather: the captain barking orders, hands tight on the wheel as the ship lists from one side to another. For example, those burbling, cotton-ball cumulus clouds—particularly the anvil-topped variety that occur in conjunction with thunderstorms—are always a lumpy encounter.
The last thing a captain wants is the FAA breathing down his neck for not having the sign on when somebody breaks an ankle and sues.


The vortices are most pronounced when a plane is slow and the wings are working hardest to produce lift.
The traffic we’d been following, a 757, had already cleared the runway and was taxiing toward the terminal. A feeling of helplessness, of lack of control, is part and parcel of nervous flyer psychology. That is more than seven times the death toll of all previous outbreaks combined, making this epidemic one of the worst public health crises of the last century. On October 15, officials announced that a second nurse, Amber Vinson, had gotten the virus while caring for Duncan, too. As you can see in the map below, Guinea, Liberia, and Sierra Leone (circled in green) have some of the lowest literacy rates in the world.
Consider that in June, Doctors Without Borders — which had been on the ground since the beginning — had already declared the epidemic "out of control."Part of the reason for the slow response can be attributed to budget cuts and managerial confusion at the WHO that have left the agency understaffed and short on resources.
I didn’t have to address the envelope or lick it shut, I didn’t have to find a stamp or go buy one, and I didn’t have to make sure I got to the mailbox on time.  In my mind this was a win- win!   I quickly found out that I had been going about it all wrong, mail and emails are not treated equal!!   The bottom line: An email is an email, but a letter with a STAMP- that is MAIL! Everybody who steps on a plane is uneasy on some level, and there’s no more poignant reminder of flying’s innate precariousness than a good walloping at 37,000 feet. From a pilot’s perspective it is ordinarily seen as a convenience issue, not a safety issue. Flights over mountain ranges and through certain frontal boundaries will also get the cabin bells dinging, as will transiting a jet stream boundary.
As the sun fell, it became one of the most picturesque skyscapes I’ve ever seen, with buildups in every direction forming a horizon-wide garden of pink coral columns.
We’d been given our extra ATC spacing buffer, and just to be safe, we were keeping a tad high on the glide path.
About 30 seconds after the jet passes overhead you’ll begin to hear a whooshing, crackling and thundering.
The animal host of Ebola is widely believed to be the fruit bat, although scientists haven't been able to confirm this.
As one study put it, "It seems prudent to advise breastfeeding mothers who survive [Ebola] to avoid breastfeeding for at least some weeks after recovery and to provide them with alternative means of feeding their infants."THE EBOLA VIRUS HAS BEEN ABLE TO LIVE IN SEMEN FOR UP TO 199 DAYS4) You can get Ebola through sex with an Ebola victim. So, as the Centers for Disease Control and Prevention explained, "If a symptomatic patient with Ebola coughs or sneezes on someone, and saliva or mucus come into contact with that person's eyes, nose or mouth, these fluids may transmit the disease." This happens rarely and usually only affects health workers or those caring for the sick. Both were later discharged from the hospital, virus-free.In addition to Pham and Vinson, several other Americans have been infected with Ebola. With limited resources, too, saving people who are alive tends to take precedent over managing and testing dead bodies.Reported cases are then communicated to the ministry of health in the country. To put that into context, in the second biggest outbreak in history — in Zaire in 1976 — 11 medical personnel died. According to a New York Times investigation, the WHO and the Guinean health ministry had "documented in March [2014] that a handful of people had recently died or been sick with Ebola-like symptoms across the border in Sierra Leone." But information about the potential cases never made it to senior health authorities in Sierra Leone. When a flight changes altitude in search of smoother conditions, this is by and large in the interest of comfort. They were beautiful and, it turned out, quite violent—little volcanoes spewing out invisible updrafts.
People get so accustomed to the sign dinging on and off, seemingly without reason, that they ignore it altogether.
One of the ways these devices increase aerodynamic efficiency is by mitigating the severity of wingtip vortices. The virus only seldom makes the leap into humans.The current outbreak involves the Zaire strain, which was discovered in 1976 — the year Ebola was first identified in what was then Zaire (now the Democratic Republic of the Congo).
The virus has been able to live in semen up to 199 days after a patient started showing symptoms — well into recovery and long after the virus has disappeared from the blood. Mali confirmed an Ebola case last October: a 2-year-old girl who had recently returned from neighboring Guinea who has since died, leading to the discovery of several other cases and deaths. So far, almost all of them got the virus while working in Africa, received treatment in the United States, and survived.In October 2014, a doctor in New York City tested positive for the virus. Before the Ebola outbreak, West African nations were seeing promising signs of economic growth. Boats are occasionally swamped, capsized, or dashed into reefs by swells, so the same must hold true for airplanes.
The pilots aren’t worried about the wings falling off; they’re trying to keep their customers relaxed and everybody’s coffee where it belongs.
Indeed, one of the worst things a pilot could do during strong turbulence is try to fight it. When we hit those bumps on the way to Europe that night, what info we had told us not to expect anything worse than mild chop. The pummeling came on with a vengeance until it felt like being stuck in an upside-down avalanche.
If you live near an airport, stake out a spot close to a runway and listen carefully as the planes pass overhead; you can often hear the vortices’ whip-like percussions as they drift toward the ground. Thus a winglet-equipped plane tends to produce a more docile wake than a similarly sized plane without them. That same year, the virus was also discovered in South Sudan.The Ebola virus is extremely rare. 5) You can get the virus by eating wild animals infected with Ebola or coming into contact with their bodily fluids.
In December 2014, a health worker returning from Sierra Leone to Glasgow, Scotland, was diagnosed with the virus. The WHO classifies a suspected case as any person, dead or alive, who had Ebola-like symptoms. Planes themselves are engineered to take a remarkable amount of punishment, and they have to meet stress limits for both positive and negative G-loads. Even with my shoulder harness pulled snug, I remember holding up a hand to brace myself, afraid my head might hit the ceiling.
Compared with the leading causes of death in Africa, Ebola only accounts for a tiny fraction of deaths. It's believed that the fruit bat is the animal reservoir for Ebola and that when it's prepared for a meal or eaten raw, people get sick. A probable case is any person who had symptoms and contact with a confirmed or probable case.The ministry of health compiles and crunches this information and sends it to the WHO country office. So this Ebola epidemic has served as a reminder of just how slow and poorly coordinated our global responses to outbreaks are, and this is a problem because any infectious diseases expert will tell you that the best way to stop an outbreak is to contain it early.
The level of turbulence required to dislodge an engine or bend a wing spar is something even the most frequent flyer—or pilot for that matter—won’t experience in a lifetime of traveling.
Rather than increasing the number of corrective inputs, it does the opposite, desensitizing the system. People are much more likely to die from AIDS, respiratory infections, or diarrhea, as you can see.
That office reports that to the WHO's regional Africa office in Brazzaville, Congo, and that message is passed along to Geneva, home to WHO's headquarters. However, if you cook a bat infected with Ebola and then eat it, you won't get sick because the virus dies during cooking.6) You can get Ebola through contact with a contaminated surface. He recovered and was released from Bellevue Hospital in New York in November.That month, Sierra Leonean surgeon and permanent resident of the US Dr. Any change in heading—that is, the direction our nose was pointed—was all but undetectable.
Martin Salia was flown to Nebraska Medical Center after catching Ebola while working in a Freetown hospital. I imagine some passengers saw it differently, overestimating the roughness by orders of magnitude. But if it isn't caught, it can live outside the body on, say, a doorknob or countertop for several hours. So maybe it could be in a tiny little tick or insect that lives on the body of a bat, and then it's infecting the bat and the bat infects a human. He was already in critical condition when he arrived, and he died two days later.Nebraska Medical Center also took in Ashoka Mukpo, a freelance cameraman who was infected with Ebola while working in Liberia with NBC News. So you'd need to touch an infected surface and then put your hands into your mouth or eyes to get Ebola.This is why the funerals of Ebola victims are problematic.
Since the virus can live in bodily fluids on their body, if you participate in the ritual washing of an Ebola victim and then touch your hands to your face, you could get the virus.
Patrick Sawyer, a Liberian American, got Ebola in Liberia, where he worked at the Ministry of Finance. He died in Lagos, Nigeria, in July.Another health worker was flown back from Sierra Leone for treatment at NIH in March 2015, and discharged, virus-free, a month later.




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