Monday, August 25, 2014

ALERT! The CDC is NOT Requiring Cremation Or A Chain of Custody For Ebola Infected Bodies

In a surprising turn of events favoring aspiring biological terrorists the CDC is allowing Ebola infected bodies to be buried in hermetically sealed caskets. Use of cremation is optional.

Disposition of Remains:
  • "Remains should be cremated or buried promptly in a hermetically sealed casket. 
  • Once the bagged body is placed in the sealed casket, no additional cleaning is needed unless leakage has occurred. 
  • No PPE is needed when handling the cremated remains or the hermetically sealed closed casket."

The concerning thing about CDC's decision is that a readily field improvised bio-weapon will only be a few feet of dirt away from an aspiring terrorist. Moreover, since the CDC is also not requiring a clear chain of supervised security for the infected dead body, a slightly more enterprising terrorist could readily intercept the Ebola infected bodily fluids even prior to burial.

Edited to add Analysis:

The only way this set of handling requirements for Ebola infected bodies makes sense is if
the CDC expects such a high body count the protecting access to them is pointless


The 1st Sign Your City Was Attacked By An Ebola Bioweapon

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Guidance for Safe Handling of Human Remains of Ebola Patients in U. S. Hospitals and Mortuaries

Thursday, August 21, 2014

August 17th Photo Of Suspected Irish Ebola Victim Dessie Quinn

This appears to be a photo of Dessie Quinn the suspected Irish Ebola Fatality. The photo was taken Aug 17th. He certainty doesn't look like a guy who is going to die four days later from Ebola.

Compare the photo against this one published by the Irish Mirror

Government Contract Points to Unnatural Ebola Outbreak In West Africa; Seeks Survivors of "Natural" Ebola In The Congo

Yesterday reports surfaced of a possible Ebola outbreak in the Congo, simultaneously the US Government released a contract which specified that they want samples from people in the Congo who have survived a 'NATURAL exposure to Ebola'
"The purpose of this contract is to evaluate samples from individuals who have survived a natural exposure to Ebola virus in order to assess the specific immune responses"

This brings up the obvious question, is there such a thing as an unnatural exposure to Ebola in Africa? After all, the reported exposures are: wild creature infects a person, and then that person infects several others.

It seems the US Government is concerned that there is something UNNATURAL about the West African Ebola outbreak. It does have somewhat different symptoms than previous outbreaks. And, the outbreak has grown faster and farther than all previous outbreaks combined. IF the outbreak is man made, then obviously one source of comparison which might point to that distinction might be made by looking at differences between the current unnatural outbreak in West Africa and the previous natural outbreaks in the Congo.

Its also clear one would want to take such samples from the previous natural Ebola outbreaks in the Congo prior to the region being infected by the unnatural outbreak from West Africa. Given yesterday's the reports that West African Ebola may have spread into the Congo, it makes for a clear indication why that new may have triggered yesterday's contract for blood samples from survivors of "natural" Ebola in the Congo.


Solicitation Number: NIAID-NOI-14C-1688951

Monday, August 18, 2014

Ebola Emergency ZMAPP Production Rates & Costs

Based NIH data, the POTRBLOG team has been able to calculate that Kentucky Bioprocessing has the Rough Order of Magnitude [ROM] emergency capability to produce 97,751 courses of Ebola treatment per month. The lead time to meet this emergency production rate is approximately 5 weeks.

One very concerning bit of information, the ZMAPP treatment has components which are reported to produce one escaped mutant per every twenty non-human primates treated. And, that the escaped mutants do exhibit reversion.

Source and cost data to follow:

Filovirus Medical Countermeasures (MCM) Workshop

Kentucky Tobacco Smokes Out An Ebola Treatment; Phase 1 Clinical Trials Contracting Now

Max Alert! Ebola Bodily Fluids Readily Weaponizable Using An Ultrasonic Humidifier

The 1st Sign Your City Was Attacked By An Ebola Bioweapon

Tuesday, August 12, 2014

The 1st Sign Your City Was Attacked By An Ebola Bioweapon

The 1st sign that your city has been attacked by an Ebola bioweapon will be the reports of a suspect case with no primary or secondary ties to West Africa. When such a case does happen it does not mean with certainty a bioattack has occurred, but it does mean that things go south very rapidly.

The time line of Ebola's spread means that an attack is possible with in the 9/11/2014 time frame and should be expected. However it does not mean that such an attack is a certainty; it only means a potential attacker with the appropriate skills/knowledge would likely have ready field access to the minimal amount of equipment required to implement such an attack.

Terrorist seeking to maximize the death toll would leave the attack unannounced as to increase victim to subsequent victims spread. Alternatively an unskilled terrorist would likely make the attack public as to spread fear & uncertainty. The former case is likely the most dangerous and the one most likely to result in the Government ordering people to shelter in place. It would potentially be preceded by a period of denial or calming action on the Government's part, for the purpose of buying time to position resources and to control traffic points prior to panic.

The key thing to remember about Ebola is that it can take as little as ONE nanoparticle sized Ebola viron contacting your body to infect you. Using hand sanitizer on exposed skin AFTER exposure is unlikely to prevent Ebola infection (as documented in the 1976 Lab case).

Assuming reports of an Ebola case with no direct ties to West Africa is made public, a wise risk mitigation action would be near fully time use of surgical gloves combined with frequent use of hand sanitizer on those gloves. Note that using hand sanitizer directly on skin could result in skin disruption / drying which could increase the risks of infection with Ebola if exposed.

Prior to such an outbreak and needed use of gloves, the proper use of Hibiclens (Chlorhexidine Gluconate) as a skin lotion could provide prophylactic protection against infection as it continues to invisibly kill enveloped viruses for hours after application. We believe Hibiclens offers a Darwinian advantage to those who know of its existence, use it properly, and have it on hand before it becomes unavailable. We believe Amazon is the most cost effective source for Hibiclens (CHG)

In that regard, a key item to note is that once things become public there will very little time to react in either gathering supplies or reuniting with loved ones before travel restrictions are imposed. Key to have on hand at that point are disposable medical gloves, and hand sanitizer to keep the gloves clean. One should expect protective disposable exam gloves to become unavailable. Currently such gloves are readily available at Sam's Club at half the price available elsewhere.


Saturday, August 9, 2014

South Carolina Is Directing Universities to Examine ALL West African Students & Faculty For Ebola Exposure

The South Carolina Department of Health has released guidance directing Colleges and Universities to examine all West African students and faculty for signs of current or previous Ebola infections.

Wisely the South Carolina health department is seeking to avoid the spread of sexually transmitted Ebola from people who may have been unknowingly exposed and recovered from Ebola.


Thursday, August 7, 2014

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

CDC apparently has made a "lesser of evils" choice to direct Doctor's and healthcare workers to risk their lives using only  minimal Personal Protective Equipment [PPE] when treating Ebola patients. Prior to the outbreak, Ebola Biosafey Level 4 [BSL-4] regulations limited treatment of Ebola patients to only 22 hospital beds across the country which had the required BSL-4 treatment rooms and 'space suits'.

Those regulations meant that if a non BSL-4 hospital had been exposed to an Ebola patient, the hospital would have to shutdown the affect areas until they could be sterilized. It also meant that Doctors and healthcare workers exposed would be held under quarantine. Obviously, that methodology is not sustainable for a large Ebola outbreak as the medical system would collapse.

Our analysis indicates that the CDC sees a real risk of the medical system collapsing from the adherence to strict Ebola BSL-4 regulations. And as such, it is better to risk the collapse of the medical system from an actual spate of healthcare worker Ebola infections at BSL1 facilities than it is to risk Ebola patients having no access to medical oversight.

In short, CDC's guidance that Ebola Biosafety Level 4 [BSL-4] Space Suits aren't required for non-CDC personnel is because the risk of Ebola's spread is INITIALLY better reduced by getting Ebola victims into BSL-1 facilities as opposed to leaving them with unfettered access to the public.

While it appears that most medical personnel don't have a clue why the CDC would make such a double standard in healthcare worker protection given that the cost of failure is death, it was very obvious on CDC's August 5th teleconference "What U.S. Hospitals Need to Know to Prepare for Ebola Virus Disease" that multiple represented Hospitals and Doctors understand that there is a clear double standard in  CDC's Personnel Protective Equipment requirements: see the question below from B. Russell to the CDC.

"Barbara Russell:.... I had that concern about that double standard. It’s very hard to convince emergency room staff and others that we just have to wear a gown, and gloves and mask.
And then we see on TV with them in all their suits head to toe in this room where they say they’re going to burn everything that comes out of it.
So is there anything that can be done to correct what Emory is doing and what is Emory wearing when they go in the rooms?"

In the end we are left with one of two options concerning CDC's PPE guidance:

1) either we must believe that the CDC is willing to risk the lives of medical personnel out of sheer incompetence, or

2) that the CDC must risk the lives of medical personnel because its a lesser of evils which serves to reduce the speed, but likely not the size of the Ebola outbreak.


What U.S. Hospitals Need to Know to Prepare for Ebola Virus Disease

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US Licensing LIVE Rabies Based EBOLA Vaccine, Preps Pandemic Quarantine Stations & Injury Fund