Archive | April 2025

QUOTE FOR WEDNESDAY:

“7 Disorders are part of or closely related to Autism. Each disorder has symptoms commonly seen with autism, as well as its own specific symptoms.  These disorders are:

  • Williams Syndrome
  • Fragile X Syndrome
  • Landau-Kleffner Syndrome
  • Prader-Willi Syndrome
  • Angelman Syndrome
  • Rett Syndrome
  • Tardive Dyskinesia”

Autism Research Institute (7 Disorders Closely Related to Autism – Autism Research Institute)

 

QUOTE FOR TUESDAY:

“Autism spectrum disorder (ASD) is a developmental disability caused by differences in the brain.
Some people with ASD have a known difference, such as a genetic condition or it can be other causes including those that are not yet known.
Scientists believe there are multiple causes of ASD that act together to change the most common ways people develop. We still have much to learn about these causes and how they impact people with ASD.
Early intervention services can greatly improve the development of a child with ASD.”
Centers of Disease Control and Prevention – CDC

QUOTE FOR MONDAY:

“The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory about a recently confirmed outbreak of Ebola disease in Uganda caused by the Sudan virus (species Orthoebolavirus sudanense) and to summarize CDC’s recommendations for U.S. public health departments and clinicians about case identification, testing, and biosafety considerations in clinical laboratories.

Currently, no suspected, probable, or confirmed Ebola cases related to this outbreak have been reported in the United States, or outside of Uganda. However, as a precaution and because there are other viral hemorrhagic fever (VHF) outbreaks in East Africa, CDC is sharing best practices for public health departments, public health and clinical laboratories, and healthcare workers in the United States to raise awareness about this outbreak.

On February 5, 2025, CDC issued a Travel Health Notice Level 2: Practice Enhanced Precautions for people traveling to Uganda. Currently, CDC has not issued any interim recommendations to health departments for post-arrival risk assessment and management of travelers, including U.S.-based healthcare workers, arriving from Uganda. CDC recommends that travelers monitor themselves for symptoms of Sudan virus disease (SVD) while in the outbreak area and for 21 days after leaving. Travelers should also self-isolate and contact local health authorities or a clinician if they develop symptoms (early “dry” symptoms may include fever, aches, pains, and fatigue and later “wet” symptoms may include diarrhea, vomiting, and unexplained bleeding).”

Centers for Disease Control and Prevention – CDC (Ebola Outbreak Caused by Sudan virus in Uganda | HAN | CDC)

Part 3 Lets see the facts of Ebola, healthcare workers & previous epidemics.

10Years Ago

Lets see the facts Ebola:

 First signs / symptoms range from

  • Fever (greater than 38.6°C or 101.5°F)
  • Severe headache
  • Muscle pain
  • Weakness
  • Diarrhea
  • Vomiting
  • Abdominal (stomach) pain
  • Unexplained hemorrhage (bleeding or bruising)

Symptoms may appear anywhere from 2 to 21 days after exposure to Ebola, but the average is 8 to 10 days.

Recovery from Ebola depends on good supportive clinical care and the patient’s immune response. People who recover from Ebola infection develop antibodies that last for at least 10 years.

Reference on symptoms of Eboli: (http://www.cdc.gov/vhf/ebola/symptoms/index.html).

Healthcare workers who may be exposed to people with Ebola should follow these steps:

  • Wear protective clothing, including masks, gloves, gowns, and eye protection.
  • Practice proper infection control and sterilization measures. For more information, see “Infection Control for Viral Hemorrhagic Fevers in the African Health Care Setting”.
  • Isolate patients with Ebola from other patients.
  • Avoid direct contact with the bodies of people who have died from Ebola.
  • Notify health officials if you have had direct contact with the blood or body fluids, such as but not limited to, feces, saliva, urine, vomit, and semen of a person who is sick with Ebola. The virus can enter the body through broken skin or unprotected mucous membranes in, for example, the eyes, nose, or mouth.

Looking at some of the history is as follows:

In 1995, an outbreak of Ebola hemorrhagic fever (Ebola HF) affected more than 300 people in and around the city of Kikwit, Democratic Republic of the Congo (formerly, Zaire); approximately 80% of the patients died. More than one-fourth of all the patients were health care workers. After the outbreak, the DRC Ministry of Health, the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) developed practical recommendations for carrying out viral hemorrhagic fever (VHF) isolation precautions in rural health facilities in Africa. These recommendations have been consolidated in a manual for the local health community but something needs to be put into play in getting this epidemic under control if not history noted for repeating itself would be a shame in see results like the following:

The Black Death, 1918 Spanish Flu, HIV/AIDS (As of 2011 at least 60 million people had been infected by AIDS and 25 million had died. while in 2008 an estimated 1.2 million Americans had HIV, Sub-Saharan Africa alone was home to 22.9 million cases, with one in five adults infected. About 35.3 million people were believed to have HIV in 2012.), The Plague of Justinian (ultimately killed 25 million people dead), The Antonine Plague, Cholera, reference to this information is at http://www.rwjf.org/en/blogs/new-public-health/2013/12/the_five_deadliesto.html to go further into details about them.

Other epidemics are Polio, Typhus (camp fever), Malaria, Small Pox, Yellow Fever, The Flu in 1918 before the vaccine. The flu only survived for a year, this strain of virus was responsible for the deaths of 50 to 100 million people, as it was able to quickly spread from country to country as troops and soldiers returned home from WWI from all around the globe. Symptoms were common to those in today’s influenza virus. Also the death for many was the complication of the flu in causing fluid build up in the lungs causing the death (from probably putting the pt into the complication septicemia or or those with or without congestive heart failure going into a exacerbation without having effectively removing the fluids by getting better and ending result drowning in their own lungs).

This is not a pretty picture in having to repeat in history for some Epidemic to occur in our time; which could be Ebola.

Although there is still a great deal to learn about Ebola HF, two observations from the Kikwit outbreak strongly indicate that future outbreaks of this magnitude could be prevented:

  • The first case occurred in January 1995, but went unrecognized as Ebola HF by health-care workers. This one case started a chain of transmission of the virus that finally was recognized in April of that year, when many more cases appeared. The outbreak peaked in May. Thus, between January and April, there was a window of opportunity that could have allowed early detection and proper management of patients; the early response might have prevented widespread transmission of the virus.
  • After an international investigation team arrived in May 1995 and worked with Kikwit medical community to introduce VHF isolation precautions as well as standard precautions, no further nosocomial transmission of the virus was documented, indicating that although Ebola HF is highly infectious, the use of these measures is effective in preventing the spread of disease. Questionable by many since we have it in our country starting an epidemic and it is already an active one in Africa now.
  • The observations sent a strong message to the public health and medical communities in Africa and internationally: combining early suspicion of VHF and isolation precautions can help to prevent another serious outbreak of Ebola HF or other VHF in the future. The only question remaining was how these goals could be achieved in a region where resources are scarce and the health care infrastructure is either underdeveloped or deteriorating. This manual, prepared collaboratively by CDC and WHO, attempts to address the issues of early provisional diagnosis and response within a limited infrastructure. It is designed for the following uses:  For prevention through preparedness–to help African health facilities make advance preparations for responding with appropriate precautions when a VHF case is suspect.
  • For planning and conducting in-service training to strengthen standard precautions and VHF isolation precautions. With follow up by superiors of the facility, from floor managers to nursing education depts.
  • As a rapid reference when a VHF case appears at a health facility where no previous VHF preparations have been made give the following by CDC:     The recommendations in the manual make use of common, low-cost supplies, such as household bleach, water, cotton cloth, and plastic sheeting. Step-by-step instructions for implementing the recommendations are presented along with instructional aids for easy reference in health centers. For further information on this go to http://www.cdc.gov/vhf/abroad/vhf-manual.html.
  • God willing this becomes no epidemic in our country with our government taking better and stronger actions in prevention of diseases spreading in this country. In carrying out stricter rules and regulations which should have been laid down awhile ago regarding people living here or just visiting that travel to and from different countries. This is should have taken place already just by looking at our history of epidemics that have occurred from spread diseases that came some other than United States.

QUOTE FOR THE WEEKEND:

“Ebola is a serious, life-threatening type of viral hemorrhagic fever — a viral infection that damages your blood vessels. Ebola symptoms start off like the flu (influenza). But they can progress to:

2o14 An epidemic of Ebola virus disease was occurring in Western Africa on a scale not seen before, particularly in the countries of Guinea, Liberia, and Sierra Leone. The continued spread is facilitated by insufficient medical facilities, poor sanitation, travel, and unsafe burial practices. Several patients diagnosed with Ebola virus disease in Africa have been evacuated to the United States for treatment, and several other patients have been diagnosed in the United States. It is important for laboratories to be aware of available tests, especially those granted emergency use authorization, as hospitals prepare protocols for the diagnosis and management of high-risk patients.”

Cleveland Clinic (Ebola Virus: Causes, Symptoms, Treatment & Prevention)

 

Part 2 How bad is Ebola elsewhere and what are its signs & symptoms?

How bad is it elsewhere? In West Africa, pretty bad. Lack of resources and a slow global response has let the virus run wild. Over at Nature, they used WHO data to illustrate just how terrifying it’s getting. For an on-the-ground perspective, see what Karin Huster, a healthcare worker who just got back from treating Ebola in Liberia’s clinics, told R29. We’re also beginning to feel the first economic effects of the crisis.

What is the CDC doing to stop the spread of Ebola? Well, the first thing to remember is that the U.S. is not in the middle of the same kind of outbreak those in Guinea, Sierra Leone, and Liberia have been dealing with for months now. Ebola has not spread to the general American population, and those who have contracted the virus here have been in close contact with someone who was already severely infected. Complicating matters, the nurses who cared for Duncan report that they were forced to do so without proper training or equipment. And, Vinson says that she called the CDC before getting on her flight with a low-grade fever, but was told her temperature did not surpass the dangerous threshold (100.4 degrees Fahrenheit). However, the CDC has learned from its slow response to Dallas and has vowed to dispatch an Ebola response team to any hospital in the country with a confirmed case of the

How contagious is Ebola? Compared to other diseases you are more likely to get (such as enterovirus D68, the measles, and the flu), Ebola is not very contagious. It has a long incubation period (21 days) during which an infected person may begin to show symptoms. But, as far as we know, that person is not contagious until he or she is symptomatic. Ebola can only be spread by: direct contact with the bodily fluids of someone who is contagious (e.g., blood, urine, vomit); objects that have been contaminated with those fluids; or infected mammals, such as bats.

What are the symptoms of Ebola? Fever, headache, muscle pain, severe vomiting, and bloody diarrhea, among other unpleasant things. These symptoms hit hard and and they hit fast. They also get worse the longer you’re infected. So, if you feel kind of icky but are still dragging yourself to work, you’re probably Ebola-free BUT GO TO THE M.D.

Can we treat it? Not in every case. We have several experimental options, such as ZMapp, that have worked for some human cases or in animals. But, American scientists are still working on a cure that can save as many people as possible — and get approved by the FDA, too. Chinese and Russian scientists are on the case too, reportedly working on a cure and vaccine, respectively. But, Ebola is not necessarily a death sentence. About half of the people who have contracted it worldwide have lived to tell the tale. The CDC says whether or not you survive depends on your immune system and the quality of care you’re getting. And, when a person recovers from the virus, he or she will have antibodies that will protect against Ebola infection for at least 10 years.

Can we protect against it? Yes — with proper hand hygiene, basic public health tactics, a vaccine on the way, and a ramped-up CDC response.

Finally, I reinforce that unless you have had direct contact with the bodily fluids of someone with Ebola when that person was contagious (or if you’ve eaten some bushmeat recently), then your risk for Ebola are low and you don’t need to worry about getting it. Really, even Fox News says so. Instead, you should probably just get yourself a flu shot with how much higher you are at risk of getting the flu as opposed to the disease Ebola but our country should take strict action in preventing a disease epidemic in travelers coming back or from Africa to the US or any other country that has this disease in their country, safety for the people in America.

How is Ebola so deadly:

Lets look here on how it works: Symptoms start in two days to three weeks after contracting the virus, with a fever, sore throat, muscle pain, and headaches. Typically, vomiting, diarrhea, and rash follow, along with decreased function of the liver and kidneys. Looking at a car the engine of the human body is the heart, the liver Are we absolutely sure it’s not airborne? Pretty much.

Some of these fears can be traced to a 2012 paper in which researchers found that one strain of Ebola in pigs could be transmitted to macaque monkeys housed in separate cages. But, this effect has only been shown in animals. Although some scientists have suggested that the virus may have mutated into a more contagious (i.e. airborne) form, this has not been confirmed and remains extremely unlikely. Plenty of other scientists have proclaimed their disagreement.

Symptoms start two days to three weeks after contracting the virus, with a fever, sore throat, muscle pain, and headaches. Typically, vomiting, diarrhea, and rash follow, along with decreased function of the liver and kidneys. Which means in English your organs, the kidney and the liver go in decreased function and not resolved will go into failure and with the these 2 organs doing that it effects the rest of your organs. Just like a car if your oil or transmission or both aren’t functioning properly it will affect your engine (and the heart is our engine to the human body where your oil and transmission are like the kidneys and liver for example as a metaphor). Ending line one system affected with multiple systems failing with no treatment death occurs whether a car or human body.

QUOTE FOR FRIDAY:

“Ebola is a rare but life-threatening infection. It can cause outbreaks of serious disease, especially in parts of Africa. Ebola spread through the air?

No, the virus that causes Ebola is not transmitted through the air. Unlike a cold or the flu, the Ebola virus is not spread by tiny droplets that remain in the air after an infected person coughs or sneezes.

Ebola is spread between humans when an uninfected person has direct contact with body fluids of a person who is sick with the disease or has died. People become contagious when they develop symptoms.”

MAYO CLINIC (Ebola transmission: Can Ebola spread through the air? – Mayo Clinic)

 

What is Ebola and how does it spread?

According to the Center for Disease Control (CDC )the 2014 Ebola epidemic is the largest in history, affecting in West Africa. One imported case from Liberia and associated locally acquired cases in healthcare workers have been documented. CDC and partners are taking precautions to prevent the further spread of Ebola within the United States. We should have taken action with making limitations a long time ago but again our government seems to worry about other countries more than our own or else we would not have this potential epidemic. Look at what is finally being doing in airports at least in New York regarding visitors coming from Africa, they are being checked for disease in someway, that should have started years ago with the increase or population into our country from people unfortunately in other countries with more disease due to less protection or action due to their economy and what they can afford. Yet, in the end our government needs to protect us the US citizens and have a regulation much more tighter than it was if US citizens for whatever the reason is leaving this country to other countries for business (EX. News Report Employees.) or vacation is allowed; which it has been going on for ages. The key factor like to almost any disease or infection in or out of hospitals is: Prevention!

Share Compartment

MSF (Médecins Sans Frontières) health staff in protective clothing constructing perimeter for isolation ward.

***Background of the disease Ebola

***The Ebola virus causes an acute, serious illness which is often fatal if untreated. Ebola virus disease (EVD) first appeared in 1976 in 2 simultaneous outbreaks, one in Nzara, Sudan, and the other in Yambuku, Democratic Republic of Congo. The latter occurred in a village near the Ebola River, from which the disease takes its name.

The past current outbreak in West Africa, (first cases notified in March 2014), is the largest and most complex Ebola outbreak since the Ebola virus was first discovered in 1976. There have been more cases and deaths in this outbreak than all others combined. It has also spread between countries starting in Guinea then spreading across land borders to Sierra Leone and Liberia, by air (1 traveller only) to Nigeria, and by land (1 traveller) to Senegal. God willing we do something fast enough with all the medical technology we have in America and fine a way to control it in our own country; we came through in controlling the flu and so many other epidemics.

The most severely affected countries, Guinea, Sierra Leone and Liberia have very weak health systems, lacking human and infrastructural resources, having only recently emerged from long periods of conflict and instability. On August 8, the WHO Director-General declared this outbreak a Public Health Emergency of International Concern. Well the US better do something fast to prevent both me and many others in this home land to keep us safe. By the way I am RN 26 years and this topic Ebola concerns me terribly.

PRESENTLY NOW according to the CDC this is the case with Ebola since this past Monday, “there are about 8,900 cases of Ebola infection worldwide with almost 4,500 deaths as of this week. And, the World Health Organization announced on Monday that we may see 10,000 new cases per week by December. Yes, that headline-making virus has now also made its way to the U.S. But, no, you will still probably not get it. Here’s what we know, and what you need to know about today’s Ebola situation.”

Transmission of Ebola

It is thought that fruit bats of the Pteropodidae family are natural Ebola virus hosts. Ebola is introduced into the human population through close contact with the blood, secretions, organs or other bodily fluids of infected animals such as chimpanzees, gorillas, fruit bats, monkeys, forest antelope and porcupines found ill or dead or in the rainforest that picked up this virus.

Ebola then spreads through human-to-human transmission via direct contact (through broken skin or mucous membranes) with the blood, secretions, organs or other bodily fluids of infected people, and with surfaces and materials (e.g. bedding, clothing) contaminated with these fluids.

Health-care workers have frequently been infected while treating patients with suspected or confirmed EVD. This has occurred through close contact with patients when infection control precautions are not strictly practiced or taught to the medical workers through detailed and concise information with written instructions, proper demonstration, with most important follow up by health care worker superiors like managers to nursing education depts.

For further information on this go to my reference http://www.who.int/mediacentre/factsheets/fs103/en/The World Health Organization. *** There is no FDA-approved vaccine available for Ebola, unfortunately but like most after damage occurs in enough quantities (which is the case) in time most diseases come up with one regarding the many over the few diseases we haven’t seem to have invented yet. So the key for this disease right now is PREVENTION of it.

Keep in mind through the CDC we are in the U.S. working on a treatment. Let us take a look.

“Experimental vaccines and treatments for Ebola are under development, but they have not yet been fully tested for safety or effectiveness.

Recovery from Ebola depends on good supportive care and the patient’s immune response. People who recover from Ebola infection develop antibodies that last for at least 10 years, possibly longer. It isn’t known if people who recover are immune for life or if they can become infected with a different species of Ebola. Some people who have recovered from Ebola have developed long-term complications, such as joint and vision problems.”

Here are some tips given by the CDC (Center for Disease Control): If you travel to or are in an area affected by an Ebola outbreak, make sure to do the following:

  • Practice careful hygiene. For example, wash your hands with soap and water or an alcohol-based hand sanitizer and avoid contact with blood and body fluids.
  • Do not handle items that may have come in contact with an infected person’s blood or body fluids (such as clothes, bedding, needles, and medical equipment). In a hospital patients with contaminating diseases through blood, secretions or fluids of the body is when contact isolation is used to prevent the spread of diseases (EX. MRSA, VRE)that can be spread through contact with open wounds, urine, blood, simple secretions of the body (even tears or fluids coming from the eye). Health care workers making contact with a patient on contact isolation are required to wear gloves, a gown, even a mask if one wants (which I without question do for any contact isolation a pt is on for their contaminating disease to prevent spread on me or others). With Ebola it may even go into further restrictions with disease to PREVENT further contamination which is only watching the safety of all citizens and visitors in this country or hopefully this will be carried out in Africa and anywhere else at this point.
  • Avoid funeral or burial rituals that require handling the body of someone who has died from Ebola.
  • Avoid contact with bats and nonhuman primates or blood, fluids, and raw meat prepared from these animals.
  • Avoid hospitals in West Africa where Ebola patients are being treated, if .not needed. The U.S. embassy or consulate is often able to provide advice on facilities.

Lets look at what has happened so far. Thomas Eric Duncan contracted the virus while in West Africa. He then flew on a commercial flight to visit family in the States in late September. On the 26th, he went to Texas Presbyterian Health Hospital with a fever and was sent home with Tylenol and antibiotics. Two days later, Duncan went back to the hospital, and on the 29th he was confirmed to be the first person diagnosed with Ebola on U.S. soil. He died on October 8th. He is one of three confirmed Ebola cases to be diagnosed in the U.S. The other two are nurses who were treating Duncan at the hospital. The first was Nina Pham, who is reportedly in “good condition.” The second, Amber Vinson, took a commercial airline flight back from Cleveland the day before developing a severe fever. While we don’t know if she was contagious on the flight, the CDC says she had a low-grade fever before boarding and it is in the processes of reaching out to other passengers on the flight.   Check out part 2 tomorrow!

QUOTE FOR THURSDAY:

“Heart failure occurs when the heart muscle doesn’t pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath.

Some heart conditions slowly leave the heart too weak or stiff to fill and pump blood properly. These conditions include narrowed arteries in the heart and high blood pressure.

Proper treatment may improve the symptoms of heart failure and may help some people live longer. Lifestyle changes can improve quality of life. Try to lose weight, exercise, use less salt and manage stress.

But heart failure can be life-threatening. People with heart failure may have severe symptoms. Some may need a heart transplant or a device to help the heart pump blood.

Heart failure also may be called congestive heart failure.”

MAYO CLINIC (Heart failure – Symptoms and causes – Mayo Clinic)

QUOTE FOR WEDNESDAY:

 “WHEREAS, thrombocytopenia-absent radius (TAR) syndrome is a rare genetic condition characterized by the absence of the radius bones in the forearms and low levels of platelets in the blood (thrombocytopenia); and,

WHEREAS, thrombocytopenia prevents normal blood clotting, resulting in easy bruising and frequent nosebleeds, with the potential for life-threatening episodes of severe bleeding in the brain and other organs; and,

WHEREAS, thrombocytopenia usually appears during infancy and becomes less severe over time, with platelet levels often normalizing in later childhood and into adulthood; and,

WHEREAS, the physical findings and severity of TAR syndrome vary among affected individuals and can include skeletal abnormalities of the arms, legs, or hips, as well as heart defects, kidney defects, and difficulty digesting milk.”

State of Michigan (https://www.michigan.gov/whitmer/news/proclamations/2023/04/01/april-2023-thrombocytopenia-a)