“The 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.”
CDC (Center for disease control and prevention)
Responding to growing calls to appoint an “Ebola czar” to lead America’s battle against the deadly virus, sources confirm to Fox News that President Obama plans to name Ron Klain, a longtime political hand with no apparent medical or health care background.
“Appointed by our President Barack Obama is former White House official Ron Klain to coordinate the U.S. government’s response to the Ebola outbreak, an administration official said on Friday. He is an attorney, comes to the job with strong management credentials, extensive federal government experience overseeing complex operations and good working relationships with leading members of Congress, as well as senior Obama administration officials, including the president,” the official said to fox news.com.
What is a czar? This word by definition, is any person exercising great authority or power in a particular field. This man has no medical background, not even a license as M.D. working as even a general practitioner who understands all diseases in general. Wouldn’t you want someone with medical background who decides for our US guiding our President in what to do with medical diseases, and who makes the decision in what is best to protect our country by giving the President what proper direction to go towards? I would.
Isn’t this bizarre to you or at least don’t you question why this man is not a biology major, or a scientist, or a M.D. or something in science research?
I could understand if our President gave this role to Mr. Ron Klain with a science major as a doctor, biologist, scientist or someone with a lot of disease research knowledge experience working with him but so far no one in media or the President himself has not mentioned that this is the case. You already have officials mentioning this concern with the media with no one defending it that favors the czar decision by our President. We don’t even have a general surgeon in place, our President has still has not made a decision who takes on this role at this present time.
The surgeon general is the operational head of the U.S. Public Health Service Commissioned in the federal government and thus the leading spokesperson on matter of public heath in the federal government of the U.S. for 4 years, when hired. This person reports to the Assistant Secretary of Health, who may be a 4 star general in the United States Public Health Service, Commissioned Corps. and who serves as the PRINCIPLE advisor to the secretary of heath and scientific issues but we don’t have one chosen yet by our President. Such a vital position for our country to be safe regarding American citizens health on a daily basis. Is this decision by our President logical for protecting and keeping health in the U.S. safe? Is this logical?
Rep. Bill Johnson stated on CNN today “I am not going to question the President” with hesitancy but yet states he has “concerns” he stated in wondering “why he has no science or medical background”. I personally heard it on CNN straight from his mouth not someone else’s.
Do you not have confidence in the CDC? he was asked by CNN today this morning and he even responded “Absolutely not, and the CDC found this out in March but we have no resolution yet. They don’t know how this spread went to 2 coworkers in the same hospital.”
Do you feel safe? I am concerned.
Do you find this scary living in the U.S.? I have my concerns not that I am moving out of the country or locking myself up in my house, like a paranoia case but this situation means we need to CONTAIN this situation with proper PREVENTION of this disease before ever becoming an epidemic.
Go under comment and give your opinion; your thoughts matter especially if America is your home and even if you visit the U.S.
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!
One major way in prevention is MSF (Médecins Sans Frontières) health staff in protective clothing constructing perimeter for isolation ward.
***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 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.” There is no treatment reinforced by Dr. Anthony Fauci asked today on CNN live at 1045 this morning; one of the MD’s treating Nina Pham the RN infected by Ebola in Dallas who was transferred to another hospital for treatment. He also stated that Ebola “is an unpredictable situation, he will follow the direction of the US President, there is no information to support that this is airborne contaminating, but for safety the staff is also using face masks with regular contact isolation equipment with remaining still on contact isolation”. The government pays 4.2 million dollars a year to run this hospital hopefully this will save the patient with this money. He also stated, “It would be unusual for a patient with Ebola not to worry about Ebola.” just like us in America hearing all this information. CNN states “the reason this hospital is so special for the patient Nina Pham is they have bio-containment rooms to prevent spreading the disease.”
Transmissiono 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.”
Check out part 2 on EBOLA with more information you should know about this weekend and Monday!
“Vertigo is the conflict between the fear of falling and the desire to fall.“
“My father has positional vertigo, and if he flies he gets really dizzy, so he has to drive out to California, which he does a couple times a year. We talk, but we e-mail mostly.”
“Know what to do if you feel faint or dizzy, especially if you might fall and hit your head.”
Marilyn vos Savant (Marilyn vos Savant (born August 11, 1946, is an American magazine columnist, author, lecturer, and playwright who rose to fame through her former listing in the Guinness Book of World Records under “Highest IQ.”)
If one day you start the day going to work than come home feeling like a sinus infection that appears to be spreading to the ears and after going to bed several hours upon awakening you sit up finding yourself pulling to one side that you think the cause is an ear infection but in it could be something else; or if when you get up and feel dizzy, than have a meal but due to the dizziness you vomit causing dizziness to increase terribly (like if sea sick or even like too much alcohol followed with vomiting and now everything’s spinning to the point you can’t get up from the ground) this might just be something else. What might this be?
This could be an ear infection with BPPV or just BPPV itself; this abbreviation stands for BPPV-Benign Paroxsymal Posterior Vertigo (highly probable if its feeling clogged, no draining from the ear canal, no wax build up after checked with an otoscope by an ENT or Neurologist and the symptoms listed above present that I mentioned= Vertigo, Nausea; Possibly vision disturbance with lethargy) including a nystagmus (described below). This is how you feel after a concussion (with or without a nystagmus) in varying intensities depending on the impact after a blow to the head. How do these symptoms arise with no infection in the ear?
This involves the inner ear causing the brain to pick up miscommunication signals in detecting or reading what is happening going on giving the ending result of vertigo =dizziness, causing your balance to be off, which again I reenforce is due to the condition that is going on in the middle ear. It is the sensitivity detection by ear sensitivity hairs picking up what shouldn’t be there, which in turn is causing the symptoms. This can be due to inner ear particles clumped together in the ear or particles in the inner ear floating freely depending where the are located in the inner ear. We will discuss this more in detail shortly, just know these particles are called “rocks”.
If your having these symptoms this should be checked for BPPV and (I do recommend you go to MD to be evaluated first):
Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of vertigo in the United States. It has been estimated that at least 20% of patients who present to the physician with vertigo have BPPV. However, because BPPV is frequently misdiagnosed, this figure may not be completely accurate and is probably an underestimation. Since BPPV can occur concomitantly with other inner ear diseases (for example, one patient may have both Ménière disease and BPPV at once), statistical analysis may be skewed toward lower numbers.
BPPV was first described by Barany in 1921. The characteristic nystagmus and vertigo associated with positioning changes were attributed at that time to the otolithic organs. In 1952, Dix and Hallpike performed the provocative positional testing named in their honor, shown below. They further defined classic nystagmus and went on to localize the pathology to the proper ear during provocation. *
It deals with the inner ear.
The patient is placed in a sitting position with the head turned 45° towards the affected side and then reclined past the supine position.
BPPV is defined as an abnormal sensation of motion that is elicited by certain critical provocative positions. The provocative positions usually trigger specific eye movements (ie, nystagmus). The character and direction of the nystagmus are specific to the part of the inner ear affected and the pathophysiology.
BPPV is a complex disorder to define; because an evolution has occurred in the understanding of its pathophysiology, an evolution has also occurred in its definition. As more interest is focused on BPPV, new variations of positional vertigo have been discovered. What was previously grouped as BPPV is now subclassified by the offending semicircular canal (SCC; ie, posterior superior SCC vs lateral SCC) and, although controversial, further divided into canalithiasis and cupulolithiasis (depending on its pathophysiology).
Although some controversy exists regarding the 2 pathophysiologic mechanisms, canalithiasis and cupulolithiasis, agreement is growing that the entities actually coexist and account for different subspecies of BPPV. Canalithiasis (literally, “canal rocks”) is defined as the condition of particles residing in the canal portion of the SCCs (in contradistinction to the ampullary portion). These densities are considered to be free floating and mobile, causing vertigo by exerting a force. Conversely, cupulolithiasis (literally, “cupula rocks”) refers to densities adhered to the cupula of the crista ampullaris. Cupulolith particles reside in the ampulla of the SCCs and are not free floating.
Classic BPPV is the most common variety of BPPV. It involves the posterior SCC and is characterized by the following:
Anorexia nervosa is an eating disorder that causes people to obsess about their weight and the food they eat. People with anorexia nervosa attempt to maintain a weight that’s far below normal for their age and height. To prevent weight gain or to continue losing weight, people with anorexia nervosa may starve themselves or exercise excessively.
Anorexia (an-oh-REK-see-uh) nervosa isn’t really about food. It’s an unhealthy way to try to cope with emotional problems. When you have anorexia nervosa, you often equate thinness with self-worth.
Anorexia nervosa can be difficult to overcome. But with treatment, you can gain a better sense of who you are, return to healthier eating habits and reverse some of anorexia’s serious complications.
Bulimia (boo-LEE-me-uh) nervosa, commonly called bulimia, is a serious, potentially life-threatening eating disorder. People with bulimia may secretly binge — eating large amounts of food — and then purge, trying to get rid of the extra calories in an unhealthy way. For example, someone with bulimia may force vomiting or do excessive exercise. Sometimes people purge after eating only a small snack or a normal-size meal.
Bulimia can be categorized in two ways:
Check out Part 2 on Anorexia versus Bulemia tomorrow regarding complications, treatment and more.
