Thursday, October 23, 2014

Veterans Hospital Orders Emergency Installation of HEPA Air Filters to Create A Multi-person Ebola Quarantine Ward


The Veterans Administration hospital in San Juan, Puerto Rico, is expecting the near term arrival of a number of Ebola patients and is creating an entire Ebola Ward to handle the infected patient inflow. It is unclear if Puerto Rico is the defacto "leper colony" for US Service Men who become infected with Ebola in Africa via Operation United Assistance, or if its for a purely Puerto Rican Ebola outbreak.

The hospital is fearful that the Airborne spread of Ebola out of their quarantine ward will "create a situation where an outbreak of Ebola may happen to patient, guest or employees". The Veterans Administration has categorized this as an emergency situation, and has awarded a no-bid emergency contract to install HEPA air filters in the Ward's return air HVAC ducting.

The Ebola Ward will be located on the 2nd floor of South Bed Tower, identified as building 8 in this Va Map.



The Hospital states:

"As such this situation is considered an emergency and prompt attention is a required delaying repair will create a situation where an outbreak of Ebola may happen to patient, guest or employees." 
"San Juan needs to conduct emergency installation of HEP Filters at the HVAC line that serves Ward 2K of the South Bed Tower
"The vendor must provide and install a filter frame for the return duct and HEPA filters for the return and supply systems. Once completed the Contractor must test and Balance the area (ward 2K of the South Bed Tower)"
"This emergency service is for the creation of a Ward to attend suspected patients with the Ebola Virus that have to be quarantine. "
 "Ward 2K of the South Bed Tower must be prepared to attend patients that have acquired or are suspected of being a carrier of the Ebola Virus. Engineering work needs to be done to mitigate and prevent further exposure to the virus."
 "These changes to the HVAC system are needed at once to preclude impairment of healthcare delivery capabilities or mission performance in case of a patient contaminated with the Ebola Virus."
" Prior authorization was obtained to process this emergency and is filled on the briefcase under P11 approve emergency order."
 Facility is working with the Ward to make a long term care unit for any other outbreak"

Sources:

https://www.fbo.gov/index?s=opportunity&mode=form&tab=core&id=27f96d73a7d08beb9c22d0ac2fe3a533



Wednesday, October 22, 2014

Outbound Ebola Air Flight Indicates Another Ebola Victim Is Headed To USA For Treatment

Phoenix Air Group's 2nd ABCS equipped Gulfstream Jet is on its way to Africa. Its following a flight plan which has previously used by its sister aircraft to return Ebola infected personal to the USA for treatment. The flight is scheduled to arrive in Senegal at 3:33pm GMT.


Friday, October 17, 2014

CDC Releases Epidemiological Analysis of Dr Brantly & Writebol Ebola Transmission In Africa- Says Aerosol To Us

The CDC has released their epidemiological investigation of how Dr Brantly and Nancy Writebol became infected with Ebola while in Liberia. Basically CDC could find no transmission chain among the 5 people in that Ebola cluster.

CDC's analysis is that nothing out of the ordinary happened, ie nothing directly points to airborne.
Of course nothing points to contact transmission either, butCDC assumses direct contact caused this Ebola cluster. Our suspicion has been that Brantly & Writebol became infected as Writebol sprayed Brantly with Clorox water; that spraying action aerosolized the contamination on Brantly's protective suit.


Sources:

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6341a3.htm?s_cid=mm641a3_w


Thursday, October 16, 2014

National Institutes of Health Orders a One Year Stockpile of "EMERGENCY DISASTER EVENT PREPARATION FOR PERSONAL PROTECTIVE EQUIPMENT"


The National Institutes of Health [NIH] just placed a solicitation  to stockpile an entire year's worth of Personal Protective Equipment [PPE] to support eight agencies inside of NIH. They are placing the massive order in case there is a disruption in supply of medical goods like goggles, gloves, gowns, masks, spacesuits.

The NIH's rationale is that the animal testing they are doing is so vitally important that no disruption in supplies can be risked. Apparently the disruption in PPE supply is expect to last at least one full year, and they have an option to carry it on for four more years.

"This Sources Sought Notice has been posted to establish, provide, and maintain a laboratory animal personnel protective equipment (PPE) resource to ensure the accessibility and availability of essential supplies throughout an emergency/disaster, government shutdown, or any other interruption of regular deliveries. These supplies support irreplaceable multidisciplinary animal research, which is critical to the mission of eight institutes at the National Institutes of Health."

 "During emergency/disaster events, the normal supply and distribution channels will most likely be unavailable/or protracted due to the impact of the emergency and the rush of immediate orders. Our program's disaster plan takes these factors into account; it is therefore our intention is to establish an offsite source of critical supplies with an established, laboratory animal PPE vendor with a proven track record of providing quality products and services. As outlined in our emergency plan it is the intention of our program to be able to house up to a one year's supply of PPE products with a local vendor within a 90 mile radius of NIH in Bethesda, Maryland."

A few near term risks that potential could make PPE unavailable for an entire year are:

1) EBOLA
2) H7N9 BirdFlu
3) MERS-CoV

The POTRBLOG team believes that this contract clearly indicates that the Government expects a protracted shortage of medical PPE, and that the window of opportunity for individuals to purchase needed PPE at reasonable prices is now at a close.

Sources:

Solicitation Number: HHS-NIH-OD-OLAO-SBSS-15-001

Aerosolizing ONE DROP of Ebola Infected Blood Can Kill 500,000 People

US ARMY Says EBOLA = FLU in Airborne Stability, Needs Winter Weather To Go Airborne


Ebola Bodily Fluids Readily Weaponizable Using An Ultrasonic Humidifier

Ebola Emergency ZMAPP Production Rates & Costs


CDC's "Lesser Of Evils" Double Standard On Health Care Worker Protection Indicates They Expect a Large Ebola Outbreak In USA


CDC Warns Hospitals On EBOLA "CONTAMINATED AIR" and Directs use of "Airborne Infection Isolation Room"s


Inhalation Ebola: Governments Ready For World War Ebola


CDC Sees AIRBORNE EBOLA Transmission, Issues Guidance For Aircraft Flight Crews, Cleaning & Cargo Crews


 CDC is already evacuating DOUBLE the number of expected Ebola infected personnel at a rate of 7 doctors per month



Friday, October 10, 2014

US Military Already Having Katrina Like Logistics Issues With Ebola "Operation United Assistance"

The headline on Drudge today is MILITARY ARRIVES IN HOT ZONE the story is mostly a puff piece devoid of any useful content. The truth of the matter is that the US Military's capability to perform this sort of a mission is merely a shadow of what it once was, it's as if they learned nothing from Hurricane Katrina.

The Department of Defense is in such poor shape logistically that they had to place an emergency solicitation seeking companies in Europe to rent them Rough Terrain forklifts. Its the functional equivalent of trying rent tanks on the open market after the war has started.

This DoD photo from Liberia captures one of the few military fork trucks available working with one of the rental fork trucks.




The sad state of affairs is that DoD actually brags about its minuscule capability in one of their own press releases, trumpeting the fact that they only have one National Guard unit ( "the only unit of its kind") with such capability.

Frankly it is shocking that DoD has let itself degrade to this point. Certainly fork trucks aren't as sexy as aircraft or tanks, but a military runs on logistics and DoD used to have the brains to know that. Fork trucks are often the primary constraint in any such sort of operation, either military or commercial. Its a lack of $10K fork trucks that keeps Billions of dollars of aircraft and goods clogged up on airfields.

Of course the USA is not alone in this mess; the reason the Australians aren't responding to Western Africa is that they remember their own Fork Truck short comings when they tried to respond to West Timor in the 1990's. The only thing more militarily emasculating then barely being able to get your troops somewhere overseas, is not being able to get them back.

Of course, this sorry state of affairs doesn't just end with fork trucks. The US Military no longer has the smaller remote strip aircraft it needs to move cargo and personnel around deep woods Africa. The military gave those planes away, many to smoke jumper fire fighter units across the country.

So what does the does the Government do when it realizes it needs back the planes it gave to Smoke Jumper units? The answer is convoluted but simple, the Government mobilizes Alaskan Smoke Jumper Units to respond to West Africa via DART (Disaster Assistance Response Team). The end result is a Command and Control Cluster Mess with little to zero insightful press coverage.

Sources:

Rough Terrain Container Handler required immediately for Ebola support Solicitation Number: SP3300-15-SS-7000

http://www.cbsnews.com/news/u-s-military-planes-arrive-in-liberia-epicenter-of-ebola-outbreak/

http://www.af.mil/News/ArticleDisplay/tabid/223/Article/504250/kentucky-ang-establishes-cargo-hub-in-senegal-for-ebola-response.aspx

USAID DART: Alaska SmokeJumpers Deploying to Liberia Ebola Crisis


Aerosolizing ONE DROP of Ebola Infected Blood Can Kill 500,000 People


Fighting Ebola: why Australia can't send troops


Thursday, October 9, 2014

US Government Seeks To Award You $100K to $1Million For Your Ideas To Fight Ebola

USAID put out a Challenge solicitation today seeking ideas to help in the fight against Ebola; the award amount is $100,000 to $1,000,000.

Submissions maybe made to:

Email: EbolaEOI@usaid.gov  prior to October 20th
or
ebolagrandchallenge.net after October 20th


Solutions Sought:

For the purposes of this Addendum USAID and partners specifically seek solutions that address the two focus areas below.2
1) STRENGTHEN HEALTHCARE CAPACITIES:

 Approaches to enhance the protective equipment, care setting and tools used in the field to empower and protect healthcare workers
• Personal Protective Equipment (PPE): Developing, testing, and scaling entirely novel PPE or modifications to current PPE that address issues of heat stress and comfort for healthcare workers
• Care Setting: Accelerating the development and scale-up of approaches to enhance the physical and procedural care environment relating to heat stress, comfort and the safety of healthcare workers and patients
• Health Care Worker Tools: Accelerating the development and scale of tools that improve the delivery of care to patients (e.g. rapid, point of care diagnostics or more efficient ways of moving samples and communicating results back to health care workers quickly)

2) CARE-SEEKING:
Approaches that ensure communities receive and respond to timely, accurate, and actionable information about Ebola prevention and treatment

• Developing and scaling behavior change approaches to encourage— and dispel myths and misconceptions that discourage—care-seeking or interacting with health care authorities
• Improved information management and communication to the community on availability of beds in community care centers or emergency treatment facilities

Sources:


The USAID Development Innovation Accelerator BAA for Fighting Ebola: A Grand Challenge for Development

https://www.fbo.gov/utils/view?id=7f57615dc2df7808cfa462ea0c04ded0

https://www.fbo.gov/utils/view?id=5e5759f2e6d0640c2987fd7610f2f984

Thursday, October 2, 2014

MAX ALERT: Carolina Hospital Connected To Texas Ebola Victim's Sister Readies 19 Ebola Beds

A Carolina hospital connected to the sister of the Texas Ebola victim is spooling up 19 Ebola Beds

  "At Carolinas Medical Center (CMC), they have 19 beds set aside in case they have to treat Ebola patients" 

Whats not being reported is that Texas Ebola victim Thomas Duncan's sister worked for Carolina Healthcare Systems in Charlotte as a health care worker. This information according to her LinkedIn page and also by photos from her Facebook page.

What her current connection is to Carolina is not completely understood, in fact it appears she may be currently working for the Texas Hospital where her brother is located. But, the actions of the Carolina Medical Center may indicate that person there did have had some sort of contact with the Texas Ebola patient.





Sources:

http://www.myfoxphilly.com/story/26692910/north-and-south-carolina-hospitals-prepare-for-ebola-threat

http://www.wsoctv.com/news/news/local/area-hospitals-prepare-potential-ebola-cases/nhZWw/

MAXIMUM ALERT: DALLAS EBOLA VICTIM MOST LIKELY ACQUIRED HIS INFECTION ON HIS FLIGHT