LCSA: Ebola Community Brief

7/21/2019 LCSA: Ebola Community Brief

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Ebola and Other DiseaseThreats

A community briefon the progress ofEbola in Africa and

other potentialdisease threats.What can be done to

prepare for apandemic?

MAJ Eric Vought!ommanding"a#rence !ounty$heriff%s Au&iliary

'( October )(*+

Distribution, -orestrictions.


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About the Author

MAJ Vought #ored in A/$AA01entagon in the 2(%s#ith -uclear 3iological!hemical 4-3!5 #arfaremodels. 6as studied Ebola in connection and after.

-ot a medical practitioner. !reated county intelligence0threat analysis capability

under "!$O0"!$A.

7ecently coordinated study for "!$O0"!$A onME7$8!oV and recommendations for protecting local"E from infectious disease.


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9ntroduction

:nderstanding Ebola

What is the threat?

What is the response topandemic threats?

6o# should community

respond? Applies to other diseases


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Disclaimer,

The $heriff%s Au&iliary and the "!$Ois notpro;iding medical ad;ice.

9nformation is pro;ided in hopes that itmay be useful and is the sameinformation pro;ided to our

;olunteers0family.


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What is Ebola?

/ilo;irus, Ebola Marburg !ue;a;irus

/ilaments shepherd%s croo

Viral 6emorrhagic /e;er disco;ered*2=>

aire $udan 7eston
http://microbewiki.kenyon.edu/index.php/Ebola_virus_(EBOV)http://microbewiki.kenyon.edu/index.php/Ebola_virus_(EBOV)


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Disease 4aire5

)8)* day incubation 4@8*+ typical5

(82(B mortality

1rogression

/lu8lie 9llness 4/"95

$uppress immune system destroy T8cells

1ermeability of blood ;essels lymph nodes 4bleeding petechiae5

$uppress clotting ;omiting diarrhea Mae lots of ne# ;irus particles


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Treatment

/luids and support can ha;e benefit ifstarted early.

$ome e&perimental treatments4e.g.MA115 but )8> years from production.

$ome herbal methods C7A$ may pro;ide

some help in pre;ention or treatment.butmuch misinformation and no solid ans#ers.
http://www.cnn.com/2014/08/04/health/experimental-ebola-serum/http://insidesurgery.com/2014/08/gingko-turmeric-stop-ebola/http://insidesurgery.com/2014/08/gingko-turmeric-stop-ebola/http://www.cnn.com/2014/08/04/health/experimental-ebola-serum/


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1rogress of outbrea4s5

) current outbreas

West Africa 4"iberia $ierra "eone

Cuinea -igeria $enegal Mali + in :$5 !entral Africa 4!ongo5

W6O, Outbrea out of control butnot an e&pected :$ danger.


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Daily !ase !ounts


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West Africa

Ongoing since December )(*'

Not normal range.

*'=(' suspected cases 4=>'= lab confirmed +2)) deaths5

a0o )= October ;ia !D! $amaritan%s 1urse says under8count4)8).&5

-igeria 41atric $a#yer5 no cases since $ep.

$enegal )> August no ne# cases :$ )+ $eptember 4Thomas Duncan5
http://www.cdc.gov/vhf/ebola/outbreaks/guinea/http://q13fox.com/2014/08/07/number-of-people-infected-with-ebola-likely-undercounted-health-expert-says/http://www.foxnews.com/health/2014/09/01/who-says-senegal-ebola-case-top-priority-emergency/http://www.foxnews.com/health/2014/09/01/who-says-senegal-ebola-case-top-priority-emergency/http://q13fox.com/2014/08/07/number-of-people-infected-with-ebola-likely-undercounted-health-expert-says/http://www.cdc.gov/vhf/ebola/outbreaks/guinea/


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West Africa Distribution


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-igeria0"agos0$a#yer

)( August 1atric $a#yer tra;eled from$ierre "eone to "agos -igeria en route toMinnesota and collapsed ;omiting in airport.

)( confirmed cases and @ deaths primarilymedical0*st responderF

-O 9-/E!T9O-$ from airport0plane.

-o ne# infections since $eptember.


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!ongo

$eparate outbrea separate strain ofEbola aire

May ha;e been ongoing for some timefirst detected in August

>= cases as of )* October.

6a;e had outbreas there before.
http://abcnews.go.com/Health/ebola-outbreak-emerges-congo-toll-ticks-west-africa/story?id=25148251http://abcnews.go.com/Health/ebola-outbreak-emerges-congo-toll-ticks-west-africa/story?id=25148251


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Ebola in :$

On '( $eptember !D! confirmed first:$ case 4Thomas Duncan5 #ho hadtra;eled from "iberia to Dallas TG.

T#o nurses also infected. -o# H)* days.

)' October !raig $pencer -< doctor

returning from Cuinea.


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E;ery#here else

There ha;e been -O !O-/97MED!A$E$ outside of these areas so far.

Many suspected ;ictims ha;e collapsedof malaria.

Difficult diagnosis time8delay ontesting maes identifying difficult.


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9s it airborne?

-O. E;en Ebola 7eston may not actually beairborne.

*22) :$AM799D study consideredinconclusi;e.

WeaponiIed Ebola can be deli;ered airborne

initially but not human8to8human. 7eally airborne is #rong uestion.


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9s it dangerous?

Absolutely.

May infect (((( by end of January.

9s it dangerous 6E7E?

Maybe but not the same as in Africa.

3etter system here but our responseneeds #or 4Dallas5.
http://www.cdc.gov/mmwr/preview/mmwrhtml/su6303a1.htm?s_cid=su6303a1_whttp://www.cdc.gov/mmwr/preview/mmwrhtml/su6303a1.htm?s_cid=su6303a1_w


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Will it come here?

!learly yes..

9nfectees from other countries through transport.

3ut #ill it escape containment here? -ot liely but may cause problems esp.

economic.

"oo at cost of one "agos0Dallas8type incident.


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What #ill it loo lie in :$?

3etter medical response isolated pocetsFconcentrate response.

"imits to facilities supplies training inresponse to dispersed threat.

Multiple threats, may need to limit

transportation to slo# it do#n. Domestic animals may be a problem.


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7esponse to pandemic

/irst try to isolate and contain indi;idualincidents. Mo;e e&perts and euipment.

*( 1rinciples of Modern Kuarantine 8 !D!

$lo# do#n spread by international andinterstate transportation.

-othing goes in0nothing comes out notnecessaryand not effecti;e.


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!ommunity preparation

Disruption of suppliesF disinfect #hatcomes inF

Telecommute reduce commerce0contact !an emergency ser;ices be maintained?

Disruption of ser;ices

DON'T PANIC!

P l P t ti


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Personal ProtectiveEqipment "ad E#ample
http://www.dailymail.co.uk/news/article-2710620/It-scares-Jesus-outta-Outrage-Nigerian-Nollywood-star-posts-image-wearing-ebola-mask-class-airport-lounge-flees-Liberia.html


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3etter 1rotection

1rotect sin0eyes first.

Cood shield ;s. cheap mas.

Cood sanitation. 7educe contact #ith public fi&tures.

Disinfect surfaces 4any hospital8grade

disinfectant light and O)5 7adio cell te&t email doesn%t infectL


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Transportation $hutdo#n

Who do you #ant enforcing?

Do you ha;e enough nurses? /irst aid?

1OD8trained? 7adio operators? "ocal community0local corecapability

7ural areas lo#8priority for help any#ay.

3ut lo#er8ris more self8reliant.


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$pecial -eeds !ommunities

/EMA euphemism socially or physicallyisolated incl. Minority

6o# respond to epidemic in /erguson? "atino community #on%t trust responders.

Many #hite Americans #on%t trust go;%t.

Must address proacti;elyF o#nership0trust


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6erbalists As 9nsurance

!ulti;ation0identification0preparation ofmedicinals pro;ide reser;oir if needed.

C7A$ treatments faster to put into effect inemergency less ethically challenging thanuntested synthetics but may not #or.

%-atural% not #ithout do#nside but option.

3e#are fraud and snae oil/DA releaseN.
http://var/www/apps/conversion/tmp/scratch_2/FDA%20warns%20consumers%20about%20fraudulent%20Ebola%20treatment%20productshttp://var/www/apps/conversion/tmp/scratch_2/FDA%20warns%20consumers%20about%20fraudulent%20Ebola%20treatment%20products


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Other Threats

$A7$ $#ine /lu recently

ME7$ 4#ill come to MO not Hthreat5

Other hemorrhagic fe;ers and tropicaldiseases

9ncreasing mosuito8born illnesses

O;er long8term bio8terrorism


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!onclusions

Cood bad and ugly.

$ignificant unno#ns.

9f not Ebola #e $illha;e increasingdisease threats must face response.

/ocus on changes maing communitybetter0stronger either #ay.


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Kuestions0!ontact

6ttp,00lcmoau&iliary.org

e;oughtlcmoau&iliary.org

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http://lcmoauxiliary.org/mailto:[email protected]://www.facebook.com/LCSAMOhttps://www.facebook.com/LCSAMOmailto:[email protected]://lcmoauxiliary.org/

LCSA: Ebola Community Brief

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