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Comments on: No, American Doctors, You Don’t Need Tyvek In Case of Ebola https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/ "the hardest thing in this world is to live in it" Thu, 13 Nov 2014 03:05:23 +0000 hourly 1 https://wordpress.org/?v=6.1.6 By: Kelly https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/#comment-466966 Thu, 13 Nov 2014 03:05:23 +0000 http://www.kellyhills.com/blog/?p=80622#comment-466966 In reply to Buzz.

This is not a new variant, the disease it not airborne, and safety is utilizing standard precautions and proper PPE. Which, in the case of America and other Developed Nations, and as seen in the last month, is simple glove and gown protection.

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By: Kelly https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/#comment-466959 Thu, 13 Nov 2014 02:59:50 +0000 http://www.kellyhills.com/blog/?p=80622#comment-466959 In reply to cool blue sku.

Rather than look at du Pont—a company that has a vested interest in selling supplies—I think I’ll go with actual BSL-3 & -4 researchers. For example, Stephen Goldstein points out in The Atlantic that

In reality, the gold standard for clinical Ebola PPE, recommended by Doctors Without Borders and now the CDC, is something less than that. This entails full skin coverage with an impermeable gown or suit, use of a respirator to protect the worker during procedures like intubation, double gloves, and show covers. This all sounds a lot like what we wear to work with SARS or MERS, two viruses that require BSL-3 containment and procedures.

The specialized facilities we have to treat diseases like Ebola do reflect this. None of the hospitals that have safely treated Ebola patients, Emory, University of Nebraska, the NIH, or Bellevue have BSL-4 medical suites. What they have are contained-isolation rooms and the rigorous and careful use of BSL-3-like PPE by highly trained staff.

How Ebola is handled in laboratory research environments is a complete different thing than real-world scenarios. Please do your best to avoid propaganda by those who want to sell things, and instead rely on science.

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By: cool blue sku https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/#comment-421034 Tue, 28 Oct 2014 04:23:15 +0000 http://www.kellyhills.com/blog/?p=80622#comment-421034 In reply to Kelly.

Ebola is a BSL-4 biosafety hazard and a class A biowarfare agent. That is science, not speculation.

People who are using <BSL-4 appropriate (ie, substandard) protective gear should not consider themselves safe with respect to the ebola virus.

They maybe lucky, but they are rolling the dice.

The reality is that the WHO recommends sub-standard PPE so they don't scare or offens local populations who need to fight this disease under duress and in backcountry settings.

In other words, the WHO and (nov revised) "safety guidelines" are pure political propoganda on the front line of this disease.

Frankly, common Tyvek and similar (eg, 1441 type) fabrics may not really be appropriate without additional precautions. They are micro-porus its possible to wet them through under field-conditions.

The appropriate fabric is actually something else.
So, its safe to say this essay (however meaningful) is adjectly wrong both in its fundamental assumtions ("tyvek is overkill") and its conclusions as a result (Tyvek is actually not enough–you need something better).

(Pleas see du Pont's website if you doubt this).

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By: Kelly https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/#comment-403637 Wed, 22 Oct 2014 19:08:33 +0000 http://www.kellyhills.com/blog/?p=80622#comment-403637 In reply to Luke.

Because the presumption that PPE makes people safer is, in a word, wrong. As a matter of fact, quite the opposite: repeated studies show us that people who use PPE who are not frequently using it and accustomed to it make more mistakes than those following basic barrier practice protocols.

Comfort for aid workers isn’t an issue in American hospitals, unless, of course, you think it’s common for American hospitals to not have basic HVAC equipment.

The difference in society—and yes, extreme poverty vs. one of the wealthiest nations on Earth—is extremely important when discussing Ebola. Pretending otherwise is ignorant; it’s up to you if it’s willful or not.

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By: Kelly https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/#comment-403629 Wed, 22 Oct 2014 19:02:56 +0000 http://www.kellyhills.com/blog/?p=80622#comment-403629 In reply to Harold Stambaugh.

You are, of course, welcome to your opinion. Thirty-eight years of history, however, prove that opinions are not facts.

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By: Kelly https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/#comment-403621 Wed, 22 Oct 2014 18:59:47 +0000 http://www.kellyhills.com/blog/?p=80622#comment-403621 In reply to Aaron.

Actually, the CDC nurses were infected because they weren’t following the protocols suggested by the CDC. The new CDC protocols still are not the same as the ones used in Africa, so yes, my “viewpoint still holds merit,” in that it’s still correct.

Basic barrier control is all that’s needed to control an Ebola outbreak. It’s a pretty sad day when that’s difficult to achieve in America. (Then again, basic barrier control also involves other simple things we’ve been unable to get the majority of the medical community to consistently do,… like wash their hands.)

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By: Aaron https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/#comment-402376 Wed, 22 Oct 2014 07:51:31 +0000 http://www.kellyhills.com/blog/?p=80622#comment-402376 Do you believe your viewpoint still holds merit after 2 nurses in Dallas were infected, and the CDC now updated their guidlines to be more stringent?

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By: Harold Stambaugh https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/#comment-388089 Tue, 14 Oct 2014 21:47:54 +0000 http://www.kellyhills.com/blog/?p=80622#comment-388089 As someone who received a unit of counterterrorism training specifically related to Ebola (Pre-9/11 I might add), I can tell you that you are wrong. Tyvek C should be minimum. The “Extra Margin” is worth it. Frankly I wouldn’t go into an Ebola ward without a positive pressure suit. Just ask the Nurse in Dallas and her boyfriend. The CDC was wrong to contradict the original FEMA guidelines. The “New Research” the media is parroting is information my dumb, uneducated, first-responder mind has known for 15 years now. A Tyvek C suit costs around 8-10 dollars. Add booties, a proper respirator filter, proper gloves and you still come in well under $40.00 for PPE.

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By: Luke https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/#comment-366298 Fri, 03 Oct 2014 13:02:45 +0000 http://www.kellyhills.com/blog/?p=80622#comment-366298 It seems you are more interested in pointing out the difference between poor and wealthy people in this write up.
The picture of Dr. Piot appears to show the equivalent tech 1976 had to offer. If they had tyvek I am sure they would have used it. I bet tyvek is cheaper now than a rubberized gown is. We can buy Tyvek suits at Home Depot for under $10. Far superior face protection and filtration is available for the comfort of workers. Why not use it, since comfort can increase a workers duration which will increase the number of patients they can treat. Forget about the fatigue of equipment which always needs adjusted creating risk to the worker. This is a high intensity exposure, risk is extremely high. Dr Piot worked at great risk and that is a testament to this persons empathy for others. Please don’t underestimate how minor slip ups can cause great harm.
I work in a technical environment supervising a crew who work regularly with extreme toxins/chemicals. We work 12 hour shifts in gear that is hot, doing maintenance that can be grueling. It’s the PPE (Personal Protective Equipment) which is generally overkill that keeps them safe, particularly when mistakes are made. I would guess Doctors and Nurses helping Ebola victims could relate except we don’t fix people. The bottom line for PPE is it keeps the person safe and truly is not that expensive when you think of how it protects from further spread as we are seeing in Africa and now into the US.
It’s rather cheap so why not be safer for everyone’s sake.

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By: Buzz https://www.kellyhills.com/no-american-doctors-you-dont-need-tyvek-in-case-of-ebola/#comment-322499 Mon, 18 Aug 2014 13:00:22 +0000 http://www.kellyhills.com/blog/?p=80622#comment-322499 WHAT IF: This is a 6th variant (a new version of the virus) and is air born. This is being discussed across the globe. It has been stated it is air born in animals by facilities in Canada. WHAT IF…lets be safe, not sorry!!!

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