Tick tock

http://www.nbcnews.com/storyline/ebola-virus-outbreak/how-did-ebola-patient-escape-two-days-n216216

NBC NEWS


Ebola Virus Outbreak [ Retrieved 4:45 PM Wednesday 01 October 2014 Pacific Time USA ]

310 STORIES

STORYLINE

Continuing coverage of the Ebola outbreak in West Africa

How Did The Ebola Patient Escape for Two Days?

By Maggie Fox

The man diagnosed with Ebola virus in Dallas first started feeling ill on September 24 and he showed up at Texas Health Presbyterian Hospital on September 26th, complaining of fever and abdominal pain.

The hospital had just been through a drill for such a case — a traveler from West Africa with potential symptoms of Ebola, which can include fever, although a stomach ache is not one of the classic symptoms. The patient, now identified as Thomas Eric Duncan, told a nurse he had come from West Africa, says Dr. Mark Lester, a vice president for the hospital system.

Yet somehow — it is not entirely clear yet how — Duncan was sent home. The “overall clinical presentation” didn’t suggest Ebola, Lester says.

Duncan returned two days later, on Sept. 28, in an ambulance. This time, the hospital staff treated him as an Ebola case and used all the right precautions to protect themselves from infection and to keep him away from other patients.

The two days that Duncan was sick and not isolated will be key to whether Ebola spreads in the United States.

The Centers for Disease Control and Prevention has issued very clear guidance — patients who have recently been in West Africa should be considered as potential Ebola patients. CDC says it’s been asked about 98 such cases by local or state health departments during the current Ebola epidemic, and considered 13 of them serious enough to justify running an Ebola test. Just one — the patient in Dallas — came back positive.

Still, should the emergency department have flagged Duncan on Sept. 26?

“Unfortunately those things happen. That's human nature. People make mistakes,” said Dr. Anthony Fauci, head of the U.S. National Institute of Allergy and Infectious Diseases. "The CDC has been trying very hard to get the message out with a variety of announcements that if you're in a health facility, in an emergency room or clinic, and someone comes in with symptoms that are compatible with Ebola that do a simple travel history, just ask them the question. Have you done any foreign travel lately?” Fauci told MSNBC.

“And obviously, if someone would say I've been to Liberia or a West African country, that would be a big red flag. Unfortunately, that did not work in this case. It's a lesson learned. And hopefully, that won't happen again.”

During the two days, the patient returned to relative he had been staying with in Texas. And now health officials say five school-aged children, as well as other people, may have been in close enough contact with him to be at risk.

Contact doesn’t equal infection, and the children will be watched for 21 days — the longest possible incubation period — to make sure they don’t become ill. At the first sign of a fever, they’ll be isolated and tested. CDC says it's confident everyone who Duncan might have infected has been found and will be watched, and that Ebola won't spread widely.

Ebola is not easy to catch. It’s worrisome because it’s so deadly — 70 percent of people sickened in this epidemic have died, according to the World Health Organization. But patients do not become contagious until they have symptoms and people must be in close contact with a patient or bodily fluids such as blood, feces or vomit, to catch it.

Dr. Edward Goodman, the epidemiologist at Texas Health Presbyterian Hospital, says Duncan was not vomiting or showing signs of diarrhea when he came in on the 26th, and by the 28th, the hospital and ambulance crew who carried him there were geared up. “We think it very unlikely that any health worker was exposed on Friday and certainly none since Sunday,” Goodman told a news conference.

“When the patient arrived on Sunday the 28th of September, he was received as a possible case,” Goodman added. “He was placed in the appropriate isolation.”

Health experts also point out that Ebola patients may not be especially infectious in the first few days of illness, because it takes a while for the virus to multiply in the blood and organs. CDC director Dr. Tom Frieden says many patients test negative for Ebola when they first get sick, because there’s not enough virus there to show up on the test and, presumably, not enough to make it easy to catch it from them.

Goodman stressed this, also. “In the first three to four days of symptoms the viremia is very low,” he said.










http://www.nytimes.com/2014/10/02/world/africa/ebola-victim-texas-thomas-eric-duncan.html?partner=EXCITE&ei=5043

The New York Times


Africa

U.S. Patient Aided Pregnant Liberian, Then Took Ill

Liberian Officials Identify Ebola Victim in Texas as Thomas Eric Duncan

By NORIMITSU ONISHI OCT. 1, 2014

MONROVIA, Liberia — A man who flew to Dallas and was later found to have the Ebola virus was identified by senior Liberian government officials on Wednesday as Thomas Eric Duncan, a resident of Monrovia in his mid-40s.

Mr. Duncan, the first person to develop symptoms outside Africa during the current epidemic, had direct contact with a woman stricken by Ebola on Sept. 15, just four days before he left Liberia for the United States, the woman’s parents and Mr. Duncan’s neighbors said.

In a pattern often seen here in Monrovia, the Liberian capital, the family of the woman, Marthalene Williams, 19, took her by taxi to a hospital with Mr. Duncan’s help on Sept. 15 after failing to get an ambulance, said her parents, Emmanuel and Amie Williams. She was convulsing and seven months pregnant, they said.

Turned away from a hospital for lack of space in its Ebola treatment ward, the family said it took Ms. Williams back home in the evening, and that she died hours later, around 3 a.m.

Mr. Duncan, who was a family friend and also a tenant in a house owned by the Williams family, rode in the taxi in the front passenger seat while Ms. Williams, her father and her brother, Sonny Boy, shared the back seat, her parents said. Mr. Duncan then helped carry Ms. Williams, who was no longer able to walk, back to the family home that evening, neighbors said.

“He was holding her by the legs, the pa was holding her arms and Sonny Boy was holding her back,” said Arren Seyou, 31, who witnessed the scene and occupies the room next to Mr. Duncan’s.

Sonny Boy, 21, also started getting sick about a week ago, his family said, around the same time that Mr. Duncan first started showing symptoms.

In a sign of how furiously the disease can spread, an ambulance had come to their house on Wednesday to pick up Sonny Boy. Another ambulance picked up a woman and her daughter from the same area, and a team of body collectors came to retrieve the body of yet another woman — all four appeared to have been infected in a chain reaction started by Marthalene Williams.

A few minutes after the ambulance left, the parents got a call telling them that Sonny Boy had died on the way to the hospital.

Mr. Duncan had lived in the neighborhood, called 72nd SKD Boulevard, for the past two years, living by himself in a small room that he rented from the Williams couple. He had told that them and his neighbors that his son lived in the United States, played baseball, and was trying to get him to come to America.

For the past year, Mr. Duncan had worked as a driver at Safeway Cargo, the Liberian customs clearance agent for FedEx, said Henry Brunson, the company’s manager.

In an office with a large FedEx sign outside the building in downtown Monrovia, Mr. Brunson said that Mr. Duncan quit abruptly on Sept. 4, giving no reason. But Mr. Brunson said he knew that Mr. Duncan had family members in the United States as well.

“His sister came from the United States and he asked for a day off so that he could go meet her at the Mamba Point Hotel,” Mr. Brunson said, mentioning a hotel popular among foreigners. “He quit a few weeks after that.”

The way Mr. Duncan appears to have been infected with the Ebola virus is typical in Monrovia, where the epidemic is spreading rapidly and most people are dying at home because of a lack of ambulances and Ebola treatment centers. At home, they spread the virus to family and friends who are taking care of them.

Ms. Williams’s family said they had no choice but to take her back home after being turned away from John F. Kennedy Memorial Hospital, first at its maternity ward and then at its Ebola center. While she was sick at home, she appeared to have also infected a neighbor, Sarah Smith, whose corpse was picked up Wednesday.

Neighbors said that an ailing Ms. Williams used to visit Ms. Smith, who lived in a pink house next door. After Ms. Smith fell ill, a friend of hers living nearby started coming over to take care of her. That friend, Marie Wread, did chores for Ms. Smith, including washing her clothes.

On Wednesday, a visibly ill Ms. Wread was taken by ambulance to a hospital; her daughter, Mercy, 9, joined her in the ambulance, though she was not showing symptoms herself. Other neighbors, fearful of the growing contagion in their neighborhood, had insisted angrily that Mercy be taken away.

While Ms. Williams appears to have been the first patient in her area of the neighborhood, members of a local volunteer Ebola task force say they believe that the virus was brought in by an outsider. Ms. Williams rarely left home because of her pregnancy, they said. But a cousin who came to visit Ms. Williams later died of Ebola after apparently being infected by her mother, who is now in a Ebola treatment center, members of the task force said.

“That’s how Ebola came here,” said Mark Kpoto, 21, a task force member.










http://www.nbcnews.com/storyline/ebola-virus-outbreak/how-did-ebola-patient-escape-two-days-n216216

NBC NEWS


Ebola Virus Outbreak [ Retrieved 4:45 PM Wednesday 01 October 2014 Pacific Time USA ]

310 STORIES

STORYLINE

Continuing coverage of the Ebola outbreak in West Africa

How Did The Ebola Patient Escape for Two Days?

By Maggie Fox

The man diagnosed with Ebola virus in Dallas first started feeling ill on September 24










http://www.nytimes.com/2014/10/02/world/africa/ebola-victim-texas-thomas-eric-duncan.html?partner=EXCITE&ei=5043

The New York Times


Africa

U.S. Patient Aided Pregnant Liberian, Then Took Ill


In a pattern often seen here in Monrovia, the Liberian capital, the family of the woman, Marthalene Williams, 19, took her by taxi to a hospital with Mr. Duncan’s help on Sept. 15










http://www.excite.com/tv/prog.jsp?id=EP012800630105&s=201410032000&sid=35354&sn=KREMDT&st=201410032100&cn=102

excite tv


Hawaii Five-0 (New)

102 KREMDT: Friday, October 3 9:00 PM [ Friday 03 October 2014 ]

Crime drama

Ka Makuakane

While a Navy Seal is on a secret mission, his young daughter is kidnapped; Danny must find $18.5 million in order to save his brother.

Cast: Alex O'Loughlin, Scott Caan, Daniel Dae Kim, Grace Park, Masi Oka, Chi McBride, Jorge Garcia Director(s): Sylvain White Executive Producer(s): Peter Lenkov, Alex Kurtzman, Roberto Orci

Original Air Date: Oct 03, 2014










From 11/25/1915 ( Albert Einstein announces his theory of general relativity ) To 9/19/2013 is 35728 days

35728 = 17864 + 17864

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 9/30/2014 is 17864 days



From 8/26/1976 ( the first known human case of Ebola ) To 9/19/2013 is 13538 days

13538 = 6769 + 6769

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 5/15/1984 ( as Kerry Wayne Burgess I began active service for an enlistment period of six years as a United States Navy enlisted sailor ) is 6769 days



From 8/26/1976 ( the first known human case of Ebola ) To 9/19/2013 is 13538 days

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 11/26/2002 ( George Bush - Remarks on Signing the Terrorism Risk Insurance Act of 2002 ) is 13538 days



From 3/20/1948 ( premiere US film "Are You with It?" ) To 9/19/2013 is 23924 days

23924 = 11962 + 11962

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 8/3/1998 ( Tom Clancy "Rainbow Six" ) is 11962 days



From 8/3/1998 ( Tom Clancy "Rainbow Six" ) To 9/19/2013 is 5526 days

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 12/19/1980 ( premiere US film "Nine to Five" ) is 5526 days



From 8/3/1998 ( Tom Clancy "Rainbow Six" ) To 9/19/2013 is 5526 days

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 12/19/1980 ( premiere US film "Seems Like Old Times" ) is 5526 days



From 8/3/1998 ( Tom Clancy "Rainbow Six" ) To 9/19/2013 is 5526 days

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 12/19/1980 ( premiere US film "The Mirror Crack'd" ) is 5526 days



From 8/3/1998 ( Tom Clancy "Rainbow Six" ) To 9/19/2013 is 5526 days

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 12/19/1980 ( premiere US film "The Formula" ) is 5526 days



From 1/17/1991 ( the date of record of my United States Navy Medal of Honor as Kerry Wayne Burgess chief warrant officer United States Marine Corps circa 1991 also known as Matthew Kline for official duty and also known as Wayne Newman for official duty ) To 9/19/2013 is 8281 days

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 7/5/1988 ( Los Angeles Times - Tom Clancy - "Now, Something Worse in the Gulf Than War:What if You Do Everything Right and End Up Killing 300 Civilians?" ) is 8281 days



From 1/17/1991 ( RACKETEER INFLUENCED AND CORRUPT ORGANIZATIONS US Title 18 - the Persian Gulf War begins as scheduled severe criminal activity against the United States of America ) To 9/19/2013 is 8281 days

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 7/5/1988 ( Los Angeles Times - Tom Clancy - "Now, Something Worse in the Gulf Than War:What if You Do Everything Right and End Up Killing 300 Civilians?" ) is 8281 days



From 7/8/1942 ( premiere US film "Little Tokyo, U.S.A." ) To 5/25/1990 ( premiere US film "Fire Birds" ) is 17488 days

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 9/19/2013 is 17488 days



From 3/23/1984 ( premiere US film "Police Academy" ) To 9/19/2013 is 10772 days

10772 = 5386 + 5386

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 8/1/1980 ( premiere US film "The Final Countdown" ) is 5386 days



From 8/18/1951 ( premiere US film "Iron Man" ) To 9/19/2013 is 22678 days

22678 = 11339 + 11339

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 11/18/1996 ( premiere US film "Star Trek: First Contact" ) is 11339 days



From 12/26/1962 ( premiere US film "Nature's Playmates" ) To 9/19/2013 is 18530 days

18530 = 9265 + 9265

From 11/2/1965 ( my birth date in Antlers Oklahoma USA and my birthdate as the known official Deputy United States Marshal Kerry Wayne Burgess and active duty United States Marine Corps officer ) To 3/16/1991 ( my first successful major test of my ultraspace matter transportation device as Kerry Wayne Burgess the successful Ph.D. graduate Columbia South Carolina ) is 9265 days



[ See also: http://hvom.blogspot.com/2014/09/freaked-out-ncis-tuesday.html ]


http://www.presidency.ucsb.edu/ws/index.php?pid=104263

The American Presidency Project

Barack Obama

XLIV President of the United States: 2009 - present

642 - Remarks at a Meeting of the President's Export Council

September 19, 2013

The President. Everybody, please have a seat. Have a seat. Well, it is good to see all of you. I know that we've got a——

[At this point, Export Council Chairman W. James McNerney, Jr., reached over and turned on the President's microphone].

The President. ——whoops, All right.

Mr. McNerney. There you go.

The President. I know that we've got a few new members, in fact, some folks that were just appointed and immediately got to work. And so we're thrilled to see all of you. And then there are the grizzled veterans of the Export Council—[laughter]—although you don't look grizzled. You guys look great.










http://www.chakoteya.net/movies/movie8.html

Star Trek: First Contact


COCHRANE: Ha, ha, ha. That's a trick. Ha, ha, ha. How'd you do that?

LAFORGE: It's your telescope.

TROI: That's our ship. The Enterprise.

COCHRANE: And Lily's up there right now?

TROI (OC): That's right.

COCHRANE: Can I talk to her?

RIKER: We've lost contact with the Enterprise. We don't know why yet.

COCHRANE: So, what is it you want me to do?

RIKER: Simple. Conduct your warp flight tomorrow morning just as you planned.

COCHRANE: Why tomorrow morning?

RIKER: Because at eleven o'clock an alien ship will begin passing through this solar system.

COCHRANE: Alien? You mean extra-terrestrials. More bad guys?

TROI: Good guys. They're on a survey mission. They have no interest in Earth. ...Too primitive.

COCHRANE: Oh!

RIKER: Doctor, tomorrow morning when they detect the warp signature from your ship and realise that humans have discovered how to travel faster than light, they decide to alter their course and make first contact with Earth, right here.

COCHRANE: Here?

LAFORGE: Sir, it's actually over there.

RIKER: It is one of the pivotal moments in human history, Doctor. You get to make first contact with an alien race, and after you do, everything begins to change.

LAFORGE: Your theories on warp drive allow fleets of starships to be built and mankind to start exploring the Galaxy.

TROI: It unites humanity in a way no one ever thought possible when they realise they're not alone in the universe. Poverty, disease, war. They'll all be gone within the next fifty years.

RIKER: But unless you make that warp flight tomorrow morning before eleven fifteen, none of it will happen.

COCHRANE: And you people, you're all astronauts, ... on some kind of star trek?

LAFORGE: Look, Doc, I know this is a lot for you to take in, but we're running out of time here.

RIKER: We need your help. ...What do you say?

COCHRANE: Why not?



- posted by H.V.O.M - Kerry Wayne Burgess 5:09 PM Pacific Time Spokane Valley Washington USA Wednesday 01 October 2014