http://www.cnn.com/2014/10/29/health/us-ebola/index.html?hpt=hp_t2
blogger / pomegranate / 3201 posts
I do think that the initial quarantine tent was not done well. The pictures of the "toilet" are awful. However, I don't understand why she can't just stay home for a few weeks. From what I understand, they will compensate expenses so it's like a paid vacation. Maybe it's because I'm a working parent, but I would love that, lol.
wonderful pomelo / 30692 posts
@mrs. tictactoe: Yeah, I would think staying at home would be preferable to other alternatives, so I'm not sure why she won't do it? Unless her job is saying they'll fire her or something, but I wouldn't think that would be legal since the state is telling her she HAS to stay home?
pear / 1510 posts
I think she's pissed about what happened in NJ (rightfully so) so she's going to be unreasonable going forward. A quarantine is perhaps overdoing it a bit, but given teh current fear factor, I think it's reasonable. I'd love to hang out at home for a few weeks.
blogger / pomegranate / 3201 posts
@BlueWolverine: yeah, I get that. I'd be pissed, too. It's a shame they did that to her. It's totally backfiring.
wonderful pea / 17279 posts
She's losing my sympathy by being so vocal about ignoring the home confined quarantine. I really hope she doesn't gtest positive during this 21 day incubation period because a) Ebola sucks and b) that would make the extreme quarantine seem warranted.
wonderful pear / 26210 posts
I don't understand what her reasoning is, for not staying at home for 21 days....what could she possibly have going on that is worth the fight? I wonder if her motivation really is that quarantine upon return would be a deterrant for others to go to West Africa to help.
grapefruit / 4418 posts
She's pissed about the whole NJ thing and going to be obnoxious about it all going forward. I lost all sympathy for her when she was comparing herself to a criminal or prisoner. Give me a f-ing break. She's being a total drama queen at this point and I believe she's doing it for publicity and money now.
wonderful pomelo / 30692 posts
@looch: Yeah, she mentioned that the quarantine will just make others not be willing to go help in West Africa, but it still seems like staying at home for 21 days isn't too high of a price to pay... I feel like I must be missing something!
pomelo / 5257 posts
I'm so sick of this stuff. It's not rocket science. You are not contagious when you don't have symptoms. She has not had any symptoms (despite Chris Christie's lies). Self-monitoring has worked for Doctors Without Borders for as long as they've been treating Ebola, which is LONG before people here in the U.S. gave a crap. Healthcare workers have been traveling back and forth from here to West Africa for many months. I'm pissed for her, so I'm not surprised she's pissed. And yes, I'm sure her reasoning is absolutely that it will deter healthcare workers from going to West Africa, which is basically our only form of offense against the disease spreading here in America. Isolating people here is only defense.
wonderful pear / 26210 posts
@MrsSCB: I think she's mad at Christie, which is totally fine, that is her right. But she should put her big girl panties on and sue him. Leave everyone else out of it.
I think part of the problem is that you have to have strict rules and force everyone to follow them, otherwise you open yourself up to that one person, who didn't follow the rules, like the nurse that got on a plane. Not everyone has the best judgement, including some nurses and doctors.
cantaloupe / 6206 posts
@MrsSCB: I agree. It just seems really reactionary. Nobody cared 2 months ago.
pomelo / 5257 posts
@looch: I think the nurses and doctors who have actually treated this disease in West Africa have far better judgment than the rest of us do. They know all the symptoms firsthand. They obviously care very deeply about keeping people safe from the disease, including all of us here in the U.S. I trust them more than I trust hysterical politicians. And yes, Chris Christie is the biggest bully out there, and I have no patience for his antics either...
wonderful pear / 26210 posts
@MrsSCB: You're probably right, I think as a country, we're all too wound up right now. I don't know what the solution is.
pomelo / 5257 posts
@looch: Totally, there's a lot of freaking out going on. I just wish politicians could be more responsible (lol, like that will ever happen...) I just feel like they're catering to people's fears at this point, and it's frustrating.
wonderful pear / 26210 posts
@MrsSCB: Well, it is election season, and I think that's part of the reason...a last ditch effort before the polls to be relevant.
grapefruit / 4418 posts
@MrsSCB: I totally hear what you're saying and don't necessarily disagree, but politicians are caught in between a rock and a hard place right now. If they do nothing, the public are pissed that they aren't doing enough to keep them safe. If they do something, the health care providers are pissed. It's a no-win. They need to do what they feel is right to keep the majority of people happy and safe.
I'm in no way concerned about contracting ebola or it reaching any level for cause for concern here, however it's not outside the realm of possibility either, given the number of people we come into contact every day. It wouldn't take much for it to spread and spread quickly. The reason ebola outbreaks in Africa in the past weren't as big of a deal in the past is because they occurred in remote villages with a small population of people who didn't travel outside the village. They were essentially their own quarantine unit. So, yes I think a few ebola cases in America (if not treated appropriately) can be far more damaging then a few ebola cases in a remote village in Africa and that's why people are concerned.
I have a hard time buying the excuse it will deter health care workers. Give me a break! It's 3 weeks (I would presume paid?) in your own home. That's far from unreasonable. They're not quarantining you at Gitmo! Maybe there is a compelling reason why they don't want to have a 3 week vacation at home that I'm missing here. If there is one, I'd love to hear it.
pomelo / 5257 posts
@catomd00: Yeah, there's no way to keep everyone happy. But I wish they'd follow what the medical experts are saying rather than pandering to people's fears. I'd rather we do what's best for fighting Ebola than what will keep the most people happy. And like @looch: said, it seems like a bunch of grandstanding during election season, which is gross. But you're right, no matter what, people will be mad.
grapefruit / 4355 posts
@MrsSCB: Totally agree. The fear mongering and the lies the media has been spewing to everyone have been making people all of a sudden think that the procedures that Doctors Without Borders have used successfully for decades no longer work. If she doesn't have symptoms, she isn't contagious and should be just fine to be outside her home. And so long as she continues to monitor for her 21 days, there isn't anything to freak out about.
grapefruit / 4441 posts
I work for a School of Public Health, actually the school from which Kaci graduated, and the Dean and everyone else here is all fired up about her quarantine.
I think this is a decent read:
http://www.vox.com/2014/10/28/7079147/three-reasons-public-health-experts-think-ebola-quarantines-are-a
pomelo / 5509 posts
@looch: I think you hit the nail on the head when you said the issue is that some people don't follow the rules! I think it's less about the fear that the Doctors Without Borders protocols aren't effective, and more about the fear that not everyone will actually adhere to those protocols. For example, Vinson flying commercially, and now I'm reading that Spence initially lied about his activities in NYC before checks of his CC statements and Metrocard forced him to fess up.
I think it's really unfortunate what Hickox went through with her quarantine and the whole thing was handled very poorly. If she did, in fact, have a fever, she definitely should have been quarantined, but not under the conditions she faced. She has every right be pissed off about that.
I think the very root of the whole issue lies in trust. Do we trust that politicians/the media are telling the truth? Do we trust that people who are told to self-monitor will do it properly and report it properly? Etc, etc.
grapefruit / 4441 posts
@catomd00: I don't think it's fair to assume the 21-day quarantine would be paid. Most hospitals do not have the budget for that, so it would be up to individual states or the federal government, and I have not heard that they are offering that. (ETA: Ok, I just read that Ohio is considering such legislation, but who knows about the others). Perhaps more importantly, how many people have jobs that will allow them to miss 6+ weeks of work, and that's assuming they are only going over there for 3 weeks? I can see a lot of employers being hesitant to okay such leave, knowing that the employee is going to be out 2x as long... it's one thing for an employee with 3 weeks of vacation to say they are going to be out, it's another thing to need an additional 21 days to sit at home once they return.
Sitting at home for 21 days does not sound terrible, but what if that causes the person under quarantine to miss visiting a sick relative, going to a funeral, or attending a wedding? When they are not an actual risk to anyone... just in the name of calming irrational fears?
pomegranate / 3127 posts
This might be a dumb question because I don't know enough, but how quickly do symptoms develop? Could someone with no symptoms get on a plane/train to go wherever they're going, start to feel sick while away, and then (because they're not thinking clearly at that point) get on another plane/train when they're already starting to become contagious?
That said... yes, there is way too much fear mongering going on. I did not realize at first that she wrote her initial complaint while she was still cooped up in that tent, even though by then it was clear she doesn't have a fever. No wonder she's mad...
cantaloupe / 6206 posts
@Mama Bird: Yeah, that's basically what happened with one of the nurses from Dallas. She felt mostly fine because her fever was low (I think 100.3 or something) so traveled anyway.. but seeing as how she was in contact with a real case, that was a dumb decision and a dumb call by the CDC to okay it.
grapefruit / 4441 posts
@JoJoGirl: I agree that it was a dumb decision by the CDC to okay her travel given the fever, but I still get the sense that viral load isn't all that high when someone just starts getting symptoms. I mean, Duncan's family cared for him at home for several days while he was quite symptomatic and they didn't contract it.
I think as long as the high-some risk individuals are being directly monitored on a daily basis (per the new CDC guidelines, where someone observes them and takes their temp), that should be sufficient.
grapefruit / 4800 posts
The quarantine sounds like overkill but that doesn't solve the pay situation. Doctors without borders discourages return to work during the incubation period.
pomelo / 5257 posts
@78h2o: Agreed, I feel like that's a thing a lot of people are either forgetting or not really thinking about -- no one, not even Duncan's family, got Ebola -- except the nurses caring for him. Ebola is always most dangerous for healthcare workers because they're all up in there with the bodily fluids.
Also, slight tangent, but I actually think the NYC doctor is an example of Doctors Without Borders' system working as it's supposed to. He self-monitored, taking his own temperature, and, yes, he went out while not symptomatic. But as soon as he exhibited any sign of illness, a very low-grade fever of 100.3, he shut himself off and called for help. That's exactly what's supposed to happen. And again, I do trust that doctors and nurses who have been to West Africa are knowledgable enough to handle that responsibility and also will do it correctly because they're already dedicating so much more than any of us to making sure we stop Ebola.
grapefruit / 4441 posts
@MrsSCB: Agree. I can't imagine that they would witness what the disease can do first hand and be nonchalant about it. Not only are healthcare workers exposed to way more bodily fluids, but there also doing so when the patient's viral load is at it's very highest.
@Maysprout: It would be nice if we could do more as a country to facilitate healthcare workers going over there, including paying for them to be away from work during the incubation period if it's deemed necessary due to high-some risk exposure.
pomegranate / 3759 posts
I haven't read much about this. But taking all other considerations aside. How about just use some common sense? Take the 3 weeks off, take care of yourself and don't potentially infect others. Seems pretty simple to me.
wonderful pomelo / 30692 posts
The article has been updated with more information. It even says this:
"Hickox saying she is open to travel restrictions like barring her from public transportation and limiting her to the Fort Kent area."
That seems totally reasonable to me. It sounds like she's willing to do what's necessary to keep others safe and she just knows that being restricted to her home isn't necessary.
pomelo / 5257 posts
@Adira: I just got an AP Alert sent to my phone that literally says, "Nurse defies state's forced quarantine, goes for bike ride with her boyfriend in Maine." Are they seriously sending out text alerts for that? It's not an emergency! I read that and thought it seemed like an Onion post or something haha. Like thank you AP, please keep me apprised of her whereabouts AT ALL TIMES.
pomelo / 5257 posts
@looch: Especially since they were apparently followed on their bikes by police officers. I'm surprised the officers weren't in full hazmat gear since she's so dangerous... This morning on the news, they dramatically said, "Nurse DEFIES quarantine order!!!" and then literally showed her taking two steps onto her porch. What a circus!
blogger / pomegranate / 3044 posts
@78h2o: thanks for posting that article! I initially thought the nurse was being careless but now I understand her reasons better. I also am reassured that none of Duncan's family wereinfected even though he was obviously symptomatic at home.
pomegranate / 3127 posts
@MrsSCB: a bike ride? really? that does sound like something from the Onion.
Come on, she can't be the only nurse / doctor who came back to the U.S. in the last week. This is turning into a ridiculous media circus.
hostess / wonderful watermelon / 39513 posts
I just saw the headline about her bike ride with her bf!
clementine / 849 posts
Yes, I think the quarantine orders are extreme. I do think that self monitoring is okay.
My concern is this though - if she can't obey a home quarantine order for 48 hours, what makes me think she's going to self monitor and take her temperature regularly? She's already shown that she's hot-headed, disobedient, and determined that she doesn't have an infection. I'm afraid that she won't be taking her temps, because she is "feeling perfectly fine".
And yes, she's said she would be okay with a ban saying she shouldn't take public transportation, but what about when she said she should be quarantine at home, which was broken?
IDK. I don't trust her. Not a bit.
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