Beyond the Cusp

October 10, 2014

Ebola: To Quarantine or Not to Quarantine

There has been more than sufficient debate and even beyond to the point of hyperbole. Even mentioning quarantine and you are accused of racism because closing the border to flights originating in the areas which are stricken with the Ebola epidemic will only cause the disease to spread faster across the world and the United States. Statements such as this, which fly in the face of logical thought, are really as ridiculous as any thinking person would first believe. But we are supposed to forgo logic and ordered thought and instead believe those thoughts which we are told solely because these truths are self-evident under the correctness as dictated by political correctness and multiculturalism and the chosen deciders of that which will be considered acceptable thought. We are told that the first person who succumbed to the Ebola virus was a person of color that the treatment he received was racist otherwise he would have lived if he were not a minority. It was due to racism that he was initially sent home when he went to the hospital emergency room with severe flu-like symptoms which should have been diagnosed immediately as Ebola but the hospital sent him home after treating him and the computer misdiagnosed the patient’s high risk for contracting the Ebola virus. Later the hospital readdressed the situation “in the interest of transparency” and stated in writing that “There was no flaw in the EHR in the way the physician and nursing portions interacted related to this event.” The latest statement from the hospital released stated, “Texas Health Dallas has relocated the travel history documentation to a portion of the EHR that is part of both workflows. It also has been modified to specifically reference Ebola-endemic regions in Africa. We have made this change to increase the visibility and documentation of the travel question in order to alert all providers. We feel that this change will improve the early identification of patients who may be at risk for communicable diseases, including Ebola.” None of this addresses the debate of whether to quarantine or not, it just restates the fact that even hospitals are staffed by humans and their procedures come from humans and as such are potentially flawed. There was no racial judgmentalism in the mistaken diagnosis and treatment nor was the treatment for Ebola for Thomas Duncan was exactly the same that any person upon diagnosis for Ebola would have been and the result would likely have been the same in any similar case of Ebola.

The claims that quarantine would cause more Ebola cases which would also spread faster within the United States. The claim that the United States should have a special relationship with Liberia because Liberia was founded because America had slavery misses one crucial factor, had the United States continued to allow slavery there would have been no founding of Liberia; Liberia was founded as a result of the United States ending slavery. Why would this be turned around and made to be that Liberia was founded because America had slavery without even bothering to mention that Liberia was founded for freed slaves because the United States ended slavery is an intentional attack on the United States meant to stir up anger and feelings of the death of Mr. Duncan had a racial element. But why would there be a need to quarantine the areas of the world which are facing an epidemic from Ebola and a closure of the border to flights and passengers coming from Western Africa. The CDC (Centers for Disease Control) which had initially stated that there was almost no chance for the spread of Ebola from one person to the next because the Ebola patient is not contagious until they have symptoms and then the virus is not airborne and one needs to have contact with bodily fluids in order to become infected which makes prevention easy. They did not bother to mention that one of those bodily fluids was the spray which results from sneezes and coughs and even sweat and that the Ebola virus could potentially remain active for as long as the moisture from any of the above remained at some residual level. This means that Ebola was far more easily spread than the CDC had initially stated especially considering that sweating, coughing, sneezing and projectile vomiting are all symptoms of a person with Ebola. How long before the CDC informs the public that any surface contaminated with bodily fluids, such as spittle from a sneeze or cough, can potentially remain contagious for hours which means that taking the shopping cart offered in a friendly manner from a person who just emptied it into their car on a busy Saturday where carts are at a premium might become a life threatening event and that you should wipe down the handle area of the cart before touching it and wipe the rest down discreetly out of the friendly person’s sight, especially if they sneeze after handing you the shopping cart. No, there is no reason to initiate a policy which would ban passengers from areas of the world where the Ebola virus is still an active contagion, is there?

The question of whether to quarantine or not to quarantine is even necessary can be blamed upon the invention of aircraft and airlines, especially international direct flights from anywhere in the world to any place else in the world directly. Before airlines shortened travel times between all places on Earth to all other places on Earth within a single day the fastest manner of travel was a steamship which took as much as three weeks to cross the Atlantic Ocean. This meant that Ebola carriers would more likely show signs of the contagion before the ship ever made port in New York allowing for precautions to be taken. Crossing the Pacific took even longer which would really allow sufficient time for Ebola and most other diseases to become evident long before the ship makes port. This was why the immigrants arriving in the United States until World War II landed on Ellis Island where even if a passenger was sniffling they were sent to a neighboring island for medical quarantine and treatment to determine if they should be permitted entry or be returned to Europe or wherever their originating port was. We no longer have that luxury in the modern world where the longest it takes to fly between destinations including stopovers where you do not necessarily need to deplane is under twenty-four hours. The discussion on quarantine is a new one for the United States. In Europe it is an old subject which has already been settled from past experiences and Europe will more often than not opt for quarantine without any concern for political correctness or multiculturalism as their experience where quarantine became their default position has much to do with a small plague which came from the Orient, the Bubonic Plague. From that horrendous time forward quarantine became the default in Europe and Britain but the United States has not yet to discuss quarantine nor have they been forced to before now. The only other time the United States faced an epidemic which was imported came after World War I when the returning soldiers brought the Spanish Flu with them and it spread throughout the United States like a storm, an ill wind blowing across the plains. There was no real alternative as the nations soldiers were already in transit and it was unthinkable to ban them or place them in quarantine, but some towns and even cities enforced short quarantine procedures where they basically had all stores, schools and other places where the public interacted including houses of worship to close and instructed the people to remain in their homes for as long as three or four days which did serve to stifle the spread and such places had far lower death rates than places where they continued life as normal. This is a discussion that should be argued and thought through to a complete and accepted policy for the future which will be applied in all cases of potential pandemic for the future. Any action which simply ignores the subject and dismisses any discussion simply claiming that there is no real need as the Ebola threat is over so there is no pressing reason to address the quarantine subject with any urgency. Such is simply doing what public officials too often use and get away from taking up sensitive subjects known as kicking the can down the road. The problem is nobody can predict when the next Ebola like disease will strike forcing the discussion once again on whether or not to impose quarantine on transit from the effective regions. Starting the discussion while under the gun, so to speak, is waiting too long and is the reason to force the discussion now. Hopefully the people elected to serve the public welfare and wellbeing will take the responsible path and make a reasoned decision now, and if they do not choose to perform their assigned tasks the public must force the discussion until a definitive decision is reached and a definitive policy has been defined and articulated in law, nothing less should be acceptable.

Beyond the Cusp

1 Comment »

  1. Brian, this article is so flawed I don’t know where to start correcting your “facts”.
    I will mention the first flaw and not bother with the rest regarding quarantine, decontamination, and isolation.
    The Texas hospital had a flawed HIT system in which there was little to no interface between nursing information and physician information. The End

    Like

    Comment by Laura — October 10, 2014 @ 3:23 AM | Reply


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