For
decades now, Hollywood has been producing thrillers about the rapid
spread of disease. Many are pure fiction, with the disease resulting in
brain-craving zombies. Others have the air of
reality, like 1995’s blockbuster “Outbreak.”
We
can’t help but recall images from movies when we think of the very real
Ebola outbreak. But right now, the most important thing is to get the
facts about what Ebola really is, what is going
on in Africa and what is being done here in the U.S. to prevent spread
of the disease.
First,
Ebola is a virus that can infect humans and primates such as monkeys
and chimpanzees. It was first discovered in 1976 and there have been
sporadic outbreaks in Africa over the following
decades.
The
disease is not spread like the flu or the common cold. It cannot spread
through the air, only through contact with bodily fluids of someone
with symptoms. While early symptoms can appear
similar to other fevers, extreme bleeding, diarrhea and vomiting
develop over the coming days. Up to two out of three people who contract
Ebola may lose their life to the disease.
The
current outbreak started in Guinea in the spring of this year. It
spread to the neighboring countries of Sierra Leone and Liberia. It has
moved from smaller villages to larger cities, including
the capital of Liberia, Monrovia.
While
the World Health Organization has recorded over 3,000 deaths, they also
say that this figure may be unreliable since none of the three nations
have a modern public health system. That
fact has been a critical factor in the spread of Ebola.
Medicine
in West Africa looks almost nothing like what it does here. Where there
are medical facilities, they are often open to the air. There may only
be one doctor
available to treat patients and nurses typically have only basic training.
In
Africa, myths about the spread of Ebola abound. Many falsely believe
that the disease is actually being spread by people trying to disinfect
areas with chlorine. Personnel in protective
equipment are often feared more than actual carriers of the disease.
By
contrast with Africa, the United States has a sophisticated health
system to prevent the spread of any disease. The Centers for Disease
Control, based in Atlanta, is the premier organization
in the world for studying and preventing communicable diseases.
In
mid-September, I received a briefing from CDC Director Dr. Tom Frieden
while he was in Washington. Dr. Frieden had just returned from Africa,
where he witnessed firsthand the situation.
I then again spoke with Dr. Frieden after the announcement that a man
in Dallas had been diagnosed with Ebola. I am confident that right now
CDC is doing its best job and that they have adequate resources.
The
CDC has been preparing for the possibility that someone would enter the
country with the disease. Hospitals have received instructions about
how to isolate, test and treat patients. More
than 100 CDC staff are in the affected countries and hundreds more are
doing work here in the U.S.
Ebola
can only be spread by people who are showing symptoms. Currently,
anyone getting on a plane in the affected countries is being tested for
fever. However, given that the Dallas patient
didn’t come down with a fever until arriving in the U.S., there may
need to be more restrictions on travel. In fact, British Airways chose
to suspend flights without a government order.
Africa
is where Ebola started and it is where is must be stopped. It is
important to know exactly why President Obama sent U.S. military
personnel to the affected countries.
Service
members are not treating patients. They are filling a much needed
logistical role in coordinating the response. They are making sure that
airports are functioning, ferrying in supplies.
They are setting up tent hospitals so that more patients can be
isolated and treated. They are also training additional nurses in how to
combat Ebola.
This
is low-risk work that could yield great rewards. The more people in
Africa who contract Ebola, the greater the risk to the rest of the
world. Sitting by idly is a recipe for disaster.
I
will not say that there is absolutely nothing to fear. Ebola is a
serious and deadly disease. What is needed is a healthy fear, based in
real knowledge of the disease. Knowledge is the first
weapon in preventing the spread of disease.
For more information visit www.cdc.gov.
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