General Discussion
In reply to the discussion: Obama should rent a first class Hotel [View all]pnwmom
(110,125 posts)But if an Ebola-infected person without a fever goes out in public and vomits, he can then spread the virus. Without the fever as a positive marker of infection, we don't know who might be contagious.
The definition matters because that is the definition they have been using to decide who might be infectious or not. (At least since they lowered it from 101.5) If they don't have a quarantine, and only have temperature-reporting, and use the definition of 100.4 as the cut-off, that means almost 13% of people actually infected with Ebola could be allowed to move around in public -- and might develop Ebola symptoms, like vomiting, while they do so.
http://www.latimes.com/nation/la-na-1012-ebola-fever-20141012-story.html#page=1
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."