3 ms·

You should consider a contribution to Doctors without Boarders. https://donate.doctorswithoutborders.org/monthly.cfm?source=AZD140001D51&utm_source=google&utm_

You should consider a contribution to Doctors without Boarders. https://donate.doctorswithoutborders.org/monthly.cfm?source=AZD140001D51&utm_source=google&utm_medium=ppc&gclid=CjwKEAjw5NihBRCZmdLkuuTHyWYSJACtCY0JW1TkLmXelo7ujAK3nakvS8uYj_zC0rTTJrCa3bsuKRoCznnw_wcB https://donate.doctorswithoutborders.org/monthly.cfm?source=...

danieltillett 12y ago
As much as I support donating to MSF as they do an amazing amount of good with a limited budget, the head of MSF has come out and said that this outbreak is beyond them to handle. Who does this leave - the WHO doesn’t build or run hospitals, the countries involved obviously can’t cope...
- x0x0 12y ago
  Perhaps nato governments, once they realize that massively destabilizing africa is one of the ways wars start? Also, is there any serious way to build 100k+ beds worth of ebola isolation wards in 2 months, baring sending essentially the entire army corps of engineers to these countries?
  - deleted 12y ago
    [deleted]
  - toomuchtodo 12y ago
    I don't believe there is any way to build 100K beds worth of ebola isolation wards in two months, no matter what your resources are.
    - danieltillett 12y ago
      If you want to serious you don’t need to build a 100,000 beds in two months to get on top of the problem. What you do is ring fence the area with hospitals and troops to stop the spread into the surrounding areas and then move into the infect areas as you bring hospital capacity online. The key here is fight Ebola where you can win and prevent further spread (i.e. get to the 70% bed number) and don’t waste resource on areas you can’t.
  - danieltillett 12y ago
    No. If this is what we need then the only way to get there is going to be full mobilisation of the military and conscription of the required health care personnel. I wish we had more good data of what was happening on the ground. The statistics we have are very poor as nobody seems to be gathering data on what is happening in the community. We need to know the R0 number - if it is 1.1 then all is fine - if it is 2.5 then it is a disaster.
    - x0x0 12y ago
      I'm not sure treating them is all that complex, or there aren't enough doctors. There appear to not be enough isolated beds, which can be fixed by the military building them. Frankly, the level of nursing required for this is probably not that high and can be staffed by locals. They just need facilities, equipment, and supplies.
      - danieltillett 12y ago
        The medical needs are pretty great with Ebola (it is nasty), but if the aim is to control the outbreak the most important thing is isolation. The hospitals can’t be seen as a death camp or else we won’t get people to come to the hospital in the first place defeating the purpose of the setting them up. Any hospital will have to offer real treatment where your chance of survival is greater in the hospital than it would be being cared for by your family at home. Even if we go down the path of training locals they will still need to be supported so we will need a lot of trained medical staff - even assuming one trained nurse per every 10 beds we would need 10,000 nurses (the norm in most hospitals is 1 nurse per bed). We might be able to reach this number with volunteers, but my feeling is people are going to be reluctant to go.

danieltillett 12y ago

As much as I support donating to MSF as they do an amazing amount of good with a limited budget, the head of MSF has come out and said that this outbreak is beyond them to handle. Who does this leave - the WHO doesn’t build or run hospitals, the countries involved obviously can’t cope...

x0x0 12y ago
Perhaps nato governments, once they realize that massively destabilizing africa is one of the ways wars start? Also, is there any serious way to build 100k+ beds worth of ebola isolation wards in 2 months, baring sending essentially the entire army corps of engineers to these countries?
- deleted 12y ago
  [deleted]
- toomuchtodo 12y ago
  I don't believe there is any way to build 100K beds worth of ebola isolation wards in two months, no matter what your resources are.
  - danieltillett 12y ago
    If you want to serious you don’t need to build a 100,000 beds in two months to get on top of the problem. What you do is ring fence the area with hospitals and troops to stop the spread into the surrounding areas and then move into the infect areas as you bring hospital capacity online. The key here is fight Ebola where you can win and prevent further spread (i.e. get to the 70% bed number) and don’t waste resource on areas you can’t.
- danieltillett 12y ago
  No. If this is what we need then the only way to get there is going to be full mobilisation of the military and conscription of the required health care personnel. I wish we had more good data of what was happening on the ground. The statistics we have are very poor as nobody seems to be gathering data on what is happening in the community. We need to know the R0 number - if it is 1.1 then all is fine - if it is 2.5 then it is a disaster.
  - x0x0 12y ago
    I'm not sure treating them is all that complex, or there aren't enough doctors. There appear to not be enough isolated beds, which can be fixed by the military building them. Frankly, the level of nursing required for this is probably not that high and can be staffed by locals. They just need facilities, equipment, and supplies.
    - danieltillett 12y ago
      The medical needs are pretty great with Ebola (it is nasty), but if the aim is to control the outbreak the most important thing is isolation. The hospitals can’t be seen as a death camp or else we won’t get people to come to the hospital in the first place defeating the purpose of the setting them up. Any hospital will have to offer real treatment where your chance of survival is greater in the hospital than it would be being cared for by your family at home. Even if we go down the path of training locals they will still need to be supported so we will need a lot of trained medical staff - even assuming one trained nurse per every 10 beds we would need 10,000 nurses (the norm in most hospitals is 1 nurse per bed). We might be able to reach this number with volunteers, but my feeling is people are going to be reluctant to go.