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In reply to the discussion: Obama should rent a first class Hotel [View all]pnwmom
(110,122 posts)Last edited Sun Oct 26, 2014, 01:31 AM - Edit history (3)
And sometimes fever isn't the first symptom of Ebola . . . and vomiting could be -- just as it can be with other viruses that affect the stomach.
And doctors who work in the field report that some Ebola patients are hard to identify because they have atypical symptoms.
ON EDIT: I just found this article. According to three studies, almost 13% of contagious Ebola patients present without fever --which means there is no simple way to determine if they could be infectious, before they vomit or otherwise spread bodily fluids. This is a good reason for the 21 day quarantines.
http://www.latimes.com/nation/la-na-1012-ebola-fever-20141012-story.html#page=1
Yet the largest study of the current outbreak found that in nearly 13% of "confirmed and probable" cases in Liberia, Sierra Leone, Guinea and elsewhere, those infected did not have fevers.
The study, sponsored by the World Health Organization and published online late last month by the New England Journal of Medicine, analyzed data on 3,343 confirmed and 667 probable cases of Ebola.
The finding that 87.1% of those infected exhibited fever but 12.9% did not illustrates the challenges confronting health authorities as they struggle to contain the epidemic.
SNIP
The official assumptions about the frequency of fever in Ebola patients have not been challenged publicly. But Dr. Paul D. Stolley, former chairman of the University of Maryland's Department of Epidemiology and Preventive Medicine, said the matter "requires further investigation."
Given the stakes, he said, the "absolute" assumption that Ebola can be spread only when an infected person displays fever should be reevaluated.
"It may be true," said Stolley, a member of the Institute of Medicine, part of the National Academies. "It just doesn't sound very plausible to me."
http://www.washingtonpost.com/national/health-science/how-the-microscopic-ebola-virus-kills-thousands/2014/10/18/6e21bdec-561b-11e4-809b-8cc0a295c773_story.html
The virus has its quirks: Some people infected with Ebola never get sick at all. Some who become sick shed massive amounts of virus theyre super-shedders but others do not. Fever is typically the first symptom of Ebola virus disease, but sometimes its a lagging indicator or never appears at all.
http://www.medicinenet.com/ebola_hemorrhagic_fever_ebola_hf/page4.htm#what_are_ebola_virus_disease_symptoms_and_signs
What are Ebola virus disease symptoms and signs?
Unfortunately, early symptoms of Ebola virus disease are nonspecific and include the following:
fever,
headache,
weakness,
vomiting,
diarrhea,
stomach discomfort,
decreased appetite,
and joint and muscle discomfort.
As the disease progresses, patients may develop other symptoms and signs such as:
SNIP
http://www.thenational.ae/news/world/africa/confounding-ebola-outbreak-contained-in-uganda
KAMPALA, Uganda // Doctors were slow to respond to an outbreak of Ebola in Uganda because symptoms werent always typical, but a World Health Organization official said Friday that authorities are halting the spread of the deadly disease.
SNIP
The doctors in Kibaale say the symptoms were a bit atypical of Ebola, Museveni said in a national address Monday. They were not clearly like Ebola symptoms. Because of that delay, the sickness spread to another village.
http://www.cleveland.com/akron/index.ssf/2014/10/ebola_patient_amber_joy_vinson.html
Summit County and Ohio Department of Health officials had previously maintained that Vinson was not experiencing any symptoms while in Ohio. Ebola patients become contagious when symptoms appear.
Braden said Vinson did not have typical Ebola symptoms even when she was diagnosed with the virus Tuesday.
Vinson, 29, a graduate of Firestone High School and Kent State University who worked at Summa Akron City Hospital from 2007-12, is planning her wedding.
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