Ebola: The tolling bell
stanfordlawyer.law.stanford.edu
stanfordlawyer.law.stanford.edu
Exponential growth tends to catch people off-guard. Just like Moore's Law lead to a rapid emergence of the home computer, a deadly disease could reshape the world overnight.
In addition it would be a lot easier to ban plane travel out of Africa than it would be to end the ebola outbreak. Both options would prevent ebola getting into India.
In addition I am not that terrified of India - the kind of people who live about the airline are the kind of people who have access to medical resources. I don't want to live in India, but it is not entirely a third-world country, certainly not for the middle-class and above.
Now if it got into the slums of Calcutta we might a bigger problem.
Many of them work in the Persian Gulf in labor camps. ANd I do not mean a couple thousand. In Qatar, there is 10 million plus population, the population is overwhelmingly male, and the Qataris are less one million of that population. Male South Asian laborers are the largest demographic group in the whole country. This is an increasingly common pattern in the region.
There is little or no medical care, and despite first class medical care for expats, it would be way too late for the unprepared MoH units, which receive basically minimal training from the CDC to react in time. This area, specifically Qatar, has become a major transportation for hub internationa flights, hence the real underlying panic for MERS (Middle East Respiratory Syndrome).
If South Asia (India, Pakistan, Nepal, etc.) were hit in any real way, the world would be fucked ... probably in the course of weeks.
It's important that we realize that theses people being affected by viral spread of Ebola are people just like you, me, our families and friends.
However I think your outlook is that which enables the worst in us.
We like to demonise leaders when we count up the corpses of history, but it is twisted little fuckers like you who oil the way for them, make no mistake about that.
Anyone from Europe or America who likes to sit in sneering judgment over the wide variety of cultures in Africa either has no education in their own history or hasn't the strength of character to face up to it.
Good luck, Ebola-Chan.
http://www.reddit.com/r/Showerthoughts/comments/2i418w/every...
Mostly because I think the odds are remote, yet it happens more often than is reasonable to predict. Thus, I suppose I believe in a sort of synchronicity. I'm not sure if I realized that before.
It happens as often as you should be able to predict it. This usually indicates a limited access to relevant data rather than some kind of exotic mechanism.
http://stanfordlawyer.law.stanford.edu/2014/10/ebola-the-tol...
http://en.m.wikipedia.org/wiki/Baader-Meinhof_phenomenon#Fre...
I want a good counter argument to this feeling because it is morally wrong but seems logically sound: between terrorist threatening us at home (they just murdered another british aid worker), ugandas death penalty for homosexuality, out of control ebola in Africa (made a lot worse because these people are too uneducated to trust medical staff, but trust their local community witch) I don't see how we can let these people govern themselves any more.
Like I said I don't want to feel this way, so good logical counter arguments are much appreciated.
Also, the distance between the groups you are treating as some sort of homogeneous lump is 4000 miles, or about the same as Washington State to Northern Japan.
Many thought the same of Germany in 1945. Be glad that they didn't get their way.
http://www.msf.org.uk/make-a-donation
https://donate.doctorswithoutborders.org/
Better to cough up cash now...
- The U.S. has been advertising that we're the ones with the cure for ebola, so where is anyone with money going to go as soon as they get exposed? And while most of the victims are among the urban poor, there will be more wealthy people who become infected as the epidemic increases in scale.
- Even if we have better technology, the cost of treating each victim here is exponentially higher. The cost for each patient could easily be close to a million dollars if you count 2+ weeks in the ER, licensed biohazard disposal and decontamination, network tracing, quarantining exposed contacts, etc.
- Nearly 50M Americans don't have health insurance. If going into the ER risked you getting kept there while waiting for test results, possibly losing your job, and getting getting stuck with a bill for tens of thousands of dollars even if you don't have ebola, it's hard to imagine that many of those people aren't going to just wait a few extra days.
- In the US healthcare workers are generally paid well enough that they can just leave their jobs, maybe not comfortably, but with enough money to at least feed themselves and get by. It's hard to imagine that we won't have large numbers of healthcare workers just taking off if this ever gets serious. Especially since US healthcare workers aren't trained to deal with ebola, and largely aren't interested -- notice how most of the people going to west Africa to volunteer in this crisis are missionaries, not doctors.
- We have all sorts of religious fundamentalists in the US who think it's god's will that the US be destroyed for condoning homosexuality or whatever who would be more than happy to help the process along, and more than enough people abroad who would gladly sacrifice their own lives to disrupt our foreign/domestic policy.
Ok, I think anyone here generally understands how dangerous Ebola is and could become if it continues to spread.
That being said, already this century:
Smoking has killed roughly 60 million people
HIV / AIDS has killed 20 to 25 million
Malaria has killed eight million
Diarrhoea has killed perhaps 15 million
We're a long ways yet from Ebola competing as a worst human disaster candidate. To put it in stark perspective, it could kill a million people before it's contained (100+ fold more than it likely currently has), and it still wouldn't get near the health disasters I listed. I don't really understand why people persist with inflating Ebola's stature (or downplaying the other health disasters, however you want to look at it). The only conclusions I've come to, are that Ebola has been sensationalized for years by Hollywood and the media (on-going), and its mortality rate and rapid nature are obvious fear points. I still don't see how the fear adds up when compared to millions of children dying from diarrhoea, except that these are things most people think they can't get / won't die from.
We've already underestimated Ebola in a number of ways. The assumption was that it's not easily transmissible, but it's spreading, so perhaps that assumption is not as true as we thought. The fact that doctors are getting infected is certainly a bad sign. Perhaps this strain is more easily transmissible, or will be soon due to a larger infected population within which it can evolve.
Also, none of those other problems require drastic measures like a 3-week quarantine, which is costly, disruptive, and doesn't scale well.
In contrast, we lack the capability to treat Ebola reliably, and it acts fast enough and powerfully enough that patients can't get meaningfully involved in their own treatment the way many HIV patients did in the early days of that epidemic. Our best strategy against Ebola right now is to just isolate people and hope that it burns itself out. Given the size of the area where it is rampant, this is a highly unreliable strategy.
How many people contracted HIV by hugging someone? Or being in the same environment for a prolonged period of time? How many contracted it because of unprotected sex, or perhaps sharing needles? Again, how long did they live with the disease?
How many people did not die from Diarrhoea and Malaria? Do we have medicines for these diseases?
It takes two weeks to die from Ebola from the moment you are infected. You don't have any choice in the matter. It has extremely low survival rates. We have no cure. It infects anyone and everyone. Being infected with Ebola is closer to being the victim of a random shooting than any of the diseases you mentioned.
And finally, in numbers alone, from the original article: "WHO and Centers for Disease Prevention and Control (CDC) both estimate that the number of people infected is doubling roughly every 20 days. This means that in 20 days 6,000 infections would become 12,000 and in 100 days, 6,000 infections would become about 200,000. In 200 days – early April 2015—there would be 6 million infections and in 400 days—roughly Halloween 2015—we would see over 6 billion people infected, nearly as many as the world’s total population."
He does go on to say: "Unsustainable trends will stop; that rate of new infections will slow down.[3] We will not see the world’s whole population infected with, and more than half of us dead of, Ebola before the end of 2015. It is possible that outbreak may end up largely confined to the three current epidemic countries in West Africa. Other parts of the developing world provide some hopeful signs."
So, there is hope. And it may not be as bad as the whole world being infected, but the possibility is much larger than 60, 25, 6 or 15 million. That too in one year, and not in 14.
Hey, moron, let me spell it out for you. If my little five year old girl gets ebola she will be in horrible pain crying out for Mommy and Daddy and her siblings, anyone, really, to comfort her. And if Mommy and Daddy do comfort her mommy and Daddy FUCKING DIE. And Mommy and Daddy will probably kill themselves if they watch their little girl die without comforting her. Parent, sibling, families, neighborhoods would be ripped to shreads. I don't know about you, but I would gladly die hugging my little girl until she goes if she has to.
I am almost crying as I write this because I can imagine it and it hurts. A parent's worst nightmare. How dare you compare it to smoking and AIDS. How FUCKING CLUELESS can you possibly be? This IS different. Very different.
Sorry for the emotion and the language. I suggest readers place themselves in the above scenario before posting stupid fucking comments.
And please, donate some money to organizations that can help the people in Africa going through this horrible problem. You know, the Mom and Dad choosing to hug and kiss their little girl and die with her rather than watch her die while she cries out for their love.
Enough said.
(I upvoted you but I have been vote-banned AKA my votes do nothing at all)
It's actually a terrible propaganda tool, the "goal" so far as there is one is to strike terror into your opponents (and gain supporters) while not doing something so heinous that you call down the wrath of your target since terrorism is usually the far weaker side opposing the stronger side.
I think for example IS/ISIL/ISIS are just about to cross that line if they haven't already.
As cynical as it sounds I think there are many positive effects being overlooked here. People need a good wake-up every now and again.
We suddenly realized that there is zero global coordination. There is just no global immediate response mechanism in place to deal with this type of stuff. In the Hollywood movies you see the American tanks roll in as a show of force to contain an area...but where are the American tanks in Nigeria?
Sure eventually UN & US mechanisms kicked in (which is great) but I still feel it was subpar. Not in the sense of the people under-performed (they're great) but rather that the structures in place under-performed / don't exist.
Personally I think there should be a global response team. i.e. one group that has the ability to declare an emergency (Ebola) and then specific governments can buy in or not (and delegate power & funding). Based on that buy-in the team either has power or it does not. In this case, with EU and US buy-in such a team would have vast of power over many nations - and many other nations will follow a US/UN/EU alliance blindly (imagine finding yourself on the wrong side of that). With THAT kind of response you can counter an epidemic.
Thats a bit of a pipe dream sure, but it illustrates what I mean by saying we lack a global immediate response team. Now I'm not suggesting the above should be implemented - its more of a thought experiment...the fact remains that the current model is not capable of deal with Ebola let alone other stuff (that shall remain unnamed in the interest of keeping things on track)
Not quite what I had envisioned when I talked about a global response team. I guess thats why we don't have a global response team. :(
And thats not meant as an anti-american comment but rather as a realization that countries don't get along all that well.
oh you already did, together AGAINST USA
And there are oh-so-many things that are so much more fun to spend time on for those in authority, and the odds that their fundamental preparations will be found wanting so low during their tenure, that the appeal of shifting all resources and money away from basic prep is tempting to the point of irresistibility.
Unfortunately, the disasters that can occur are not bounded by our imagination.
(And I do mean fun for those in authority. Contemplating emergencies is not fun. Exerting primate dominance over others in the so very many varied ways that humans are capable of is so much more fun.)
A recent NPR Planet Money podcast highlighted the difficulty in raising money to fight Ebola:
http://www.npr.org/blogs/money/2014/09/22/349962559/why-rais...
"Donors like being part of a recovery story. In Haiti, buildings and lives were destroyed. The pitch was, let's help them rebuild. In the case of Ebola, it's been harder to make a pitch."
"They're doing this to institute martial law and kill us all! NWO FEMA death camps! Obama's HitlerStalin on a rampage! JEWS!"
The more extreme versions won't gain much traction, but the smaller ones which tie into pre-existing crap like anti-vaccine sentiment will gain enough to make life difficult for the people trying to improve things.
In the Hollywood movies you see the American tanks roll in as a show of force to contain an area...but where are the American tanks in Nigeria?"
This is why I have to apologize on behalf of Americans when I meet foreigners from any of the dozens of countries the US has recently invaded.
They know not what they do.