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You Do Not Want to See What Ebola Does. Graphic Images of the Dying. Presidential executive order details detention of suspected sick people

Posted on Tuesday, 5th August 2014 @ 12:28 PM by Text Size A | A | A

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Ebola virus disease (EVD), formerly known as Ebola hemorrhagic fever, has been reported in humans since 1976, but the current epidemic of the disease – affecting Guinea, Liberia, and Sierra Leone – is unprecedented. There is no vaccine or cure for Ebola, and in past outbreaks up to 90% of people confirmed to have the disease died (the case-fatality rate is closer to 60% this time). A WHO fact sheet gives a grim list of the symptoms:

EVD is a severe acute viral illness often characterized by the sudden onset of fever, intense weakness, muscle pain, headache and sore throat. This is followed by vomiting, diarrhoea, rash, impaired kidney and liver function, and in some cases, both internal and external bleeding.

In this epidemic, 1,323 confirmed and suspected cases have been reported, and 729 of those individuals have died – numbers far higher than in previous outbreaks. Last month Laurie Garrett, author of The Coming Plague and Council on Foreign Relations senior fellow, explained on PBS NewsHour why this epidemic is so worrisome:

This is the first time we have ever seen an urban as well as rural Ebola outbreak. It is the first time we have seen Ebola in the capital cities. It is the first time we have seen Ebola crossing borders, now in three countries. And it is the first time we are having an Ebola experience in an area rife with the tensions and the hostilities born out of two really brutal civil wars in Sierra Leone and in Liberia, with spillover into neighboring Guinea.

So these are three small, deeply impoverished West African countries where, in the best of times, they are hard-pressed to meet the public health needs of their people and now to have what is officially designated an out-of-control epidemic on their hands.

This is a horrific disease, but it is not transmitted as easily as some other viruses. Stephan Monroe, deputy director of CDC’s National Center for Emerging Zoonotic and Infectious Diseases, explained on a July 28th CDC telebriefing, “transmission is through direct contact of bodily fluids of an infected person or exposure objects like needles that have been contaminated with infected secretions.  Individuals who are not symptomatic are not contagious.” So, as long as healthcare facilities isolate any potential cases who are showing symptoms and practice correct infection control procedures, they can control the disease’s spread.

The challenge in the affected West African countries is that patients may not all arrive at healthcare facilities, and many of the healthcare facilities where patients do show up lack the resources, such as isolation rooms and protective gear, to respond appropriately. With the affected areas not having seen Ebola outbreaks before, they are less prepared to deal with them than previously affected countries are. As a result, many of the dead — 60, according to Vox’s Julia Belluz — are healthcare workers.

Last week, World Health Organization Director-General Dr. Margaret Chan announced the launch of a $100 million response plan to bring the outbreak under control. On a July 31st CDC telebriefing, CDC Director Dr. Tom Frieden announced, “Over the next 30 days we’ll be deploying another 50 Epidemic Intelligence Service officers, other epidemiologists, and health communications experts to the affected area.” (As of July 28th, 12 CDC staff members were there already.) Frieden summarized the task that awaits those responding to the epidemic:

In past outbreaks, we have been able to stop every outbreak.  But it takes meticulous work.  It’s like fighting a forest fire.  If you leave behind even one burning ember, one case undetected, it could reignite the epidemic.  Difficult as it is, it can be done.  I’m confident that as we make progress over the coming weeks and months, we will not only begin to tamp down these outbreaks, but leave behind stronger systems that will be able to find, stop before they spread and prevent more effectively Ebola and other health threats.

… We are not going to treat or vaccinate our way out of these outbreaks.  We are going to use the traditional means that work of case identification, isolation, contact tracing, health communication, good meticulous management.  That’s what has stopped every Ebola outbreak that’s ever happened before.  That’s what will stop this Ebola outbreak.

… This is a marathon, not a sprint.  This is going to take at least three to six months, even if everything goes well.  We have challenges with security and health care systems that make it not the best of conditions.

Frieden stressed that “Ebola poses very little risk to the general US population.” CDC has issued a Level 3 travel warning, urging people to cancel non-essential travel to Guinea, Liberia, and Sierra Leone. The agency has also issued a Health Alert Notice to US healthcare workers emphasizing steps to identify potential cases and prevent the spread of infections from any patients with Ebola who arrive in the US. The focus now, however, is on halting Ebola transmission in West Africa and preventing an already awful epidemic from becoming even more widespread.

 

 

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More developments that suggest the possibility that US biowarfare operators may be involved with Ebola research, and quite possibly the outbreak in Africa.

The Atlantic reports:

Ebola is notoriously incurable (and the strain at large its most lethal), it is overwhelming to hear that “Secret Serum Likely Saved Ebola Patients,” as we do this morning from Gupta’s every-20-minute CNN reports. He writes:

Three top secret, experimental vials stored at subzero temperatures were flown into Liberia last week in a last-ditch effort to save two American missionary workers [Drs. Kent Brantly and Nancy Writebol] who had contracted Ebola, according to a source familiar with details of the treatment.

Brantly had been working for the Christian aid organization Samaritan’s Purse as medical director of the Ebola Consolidation Case Management Center in Monrovia, Liberia. The group yesterday confirmed that he received a dose of an experimental serum before leaving the country.
In Gupta’s optimistic assessment, Brantly’s “near complete recovery” began within hours of receiving the treatment that “likely saved his life.” Writebol is also reportedly improved since receiving the treatment, known as zMapp. But to say that it was a secret implies a frigid American exceptionalism; that the people of West Africa are dying in droves while a classified cure lies in wait…
 
[T]he proprietary blend of three monoclonal antibodies known as zMapp had never been tested in humans. It had previously been tested in eight monkeys with Ebola who survived—though all received treatment within 48 hours of being infected. A monkey treated outside of that exposure window did not survive. That means very little is known about the safety and effectiveness of this treatment—so little that outside of extreme circumstances like this, it would not be legal to use. Gupta speculates that the FDA may have allowed it under the compassionate use exemption.

From the very sparse web site of the zMapp developer, Mapp Biopharmecutical:

ZMappTM is the result ofa collaboration between MappBiopharmaceutical,Inc. and LeafBio(San Diego,CA), Defyrus Inc.(Toronto, Canada),the U.S. government and thePublicHealth Agency of Canada (PHAC).

Among its partners, LeafBio lists:

 United States Army Medical Research Institute for Infectious Disease (USAMRIID) – Virology Division

and

Defence Research and Development Canada

From an August 2013  U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) report:

Scientists have successfully treated the deadly Ebola virus in infected animals following
onset of disease symptoms, according to a report published online today in Science Translational Medicine. The results show promise for developing therapies against the virus, which causes hemorrhagic fever with human case fatality rates as high as 90 percent.

According to first author James Pettitt of the U.S. Army Medical Research Institute of
Infectious Diseases (USAMRIID), the research team previously demonstrated that the
treatment—known as MB-003—protected 100 percent of non-human primates when given one hour after Ebola exposure. Two-thirds of the animals were protected when treated 48 hours after
exposure…

“By requiring both a documentable fever and a positive diagnostic assay result for Ebola
infection before initiating treatment in these animals, we were able to use MB-003 as a true
therapeutic countermeasure,” said senior author Gene Olinger, Ph.D., of USAMRIID. “These
initial results push the threshold of MB-003 from post-exposure prophylaxis to treating verified
illness.”…

USAMRIID’s mission is to protect the warfighter from biological threats and to be
prepared to investigate disease outbreaks or threats to public health. Research conducted at
USAMRIID leads to medical solutions—vaccines, drugs, diagnostics, and information—that
benefit both military personnel and civilians. The Institute plays a key role as the lead military
medical research laboratory for the Defense Threat Reduction Agency’s Joint Science and
Technology Office for Chemical and Biological Defense. USAMRIID is a subordinate
laboratory of the U.S. Army Medical Research and Materiel Command.

UPDATE:

The firm  producing (part of?) zMapp is Kentucky Bioprocessing, LLC  (KBP)

Hugh Haydon is the founding Chairman and CEO of KBP.

Prior to assuming his current role with KBP, Haydon served as Executive Vice-President of Programs for a Washington, DC based consulting group providing strategic and implementation direction to various research, development and commercialization programs for the United States Department for Homeland Security.

According to Kentucky.gov, since 2010 KBP has secured and successfully executed over $30 million in contracts with the United States Department of Defense “aimed at protecting the warfighter and general public from various biological threats.”

In 1999, Haydon was presented with the Kentucky Distinguished Service Medal for his service in support of the Kentucky Commission on Military Affairs.

The big questions:

1. Was the U.S. military only doing research to find a treatment or were they attempting to also develop Ebola as a biowarfare weapon?

2. Were they conducting Ebola research in Africa, which appears to be the case? SEE: A Link Between the Ebola Outbreak and a US Bioweapons Lab?

3. Did they lose control of their research experiments in Africa which has resulted in the current Ebola outbreak?

Presidential executive order details detention of suspected sick people

(Source: Participant Media)

The powers currently claimed by the federal government conceivably allow for situations where any communicable disease — even influenza — can become the basis for a large-scale military-enforced federal quarantine in which civil rights are suspended, civilian movement is restricted, and citizens are involuntarily detained — perhaps indefinitely.

On July 31st, 2014, President Obama expanded the list of communicable diseases for which the federal government is prepared to institute a quarantine.  Together, with the expansions made by previous presidents, the list includes the widest set of potential triggers for suspending American rights that the country has yet seen.

It wasn’t always this way.  The federal government’s first role in disease control was to modestly provide assistance to state-managed efforts, limited to port entry situations.  Foreigners entering the USA could be checked for disease and temporarily held for a time, if necessary. This was arguably a function of border security and a valid role of the federal government under the U.S. Constitution.

However, like most government programs, it was followed by considerable “mission creep.” After decades of centralizing power, checks at the border evolved into the potential for mass-suspension of Americans’ rights anywhere inside the USA.  The U.S. Surgeon General now has the broad and vague ability to invent regulations that “in his judgement are necessary to prevent the introduction, transmission, or spread of communicable diseases.”  He can enforce a quarantine in a manner he sees fit, up to and including the “apprehension and detention” of individuals — whether they are suspected of being sick or not.

The powers of the federal government really began to amass following the New Deal.  In 1944, Congress passed the Public Health Service (PHS) Act, granting the extra-constitutional ability of the Executive Branch to decide, at its discretion, which health threats were worthy of issuing a large-scale quarantine of Americans, and what measures would be used in enforcing the quarantine.  From that point forward, presidents and their appointees had at their disposal a potential loophole for bypassing the constitution and detaining people without proof or due process.  While seldom utilized, the threat posed to civil liberties continues to loom, especially with the hysteria over communicable diseases.  An excerpt of the PHS Act is listed below:

The Public Health Service Act (42 U.S. Code § 264 (a-b)) (link)
Signed by President Franklin D. Roosevelt on July 1, 1944

(a) Promulgation and enforcement by Surgeon General
The Surgeon General, with the approval of the Secretary, is authorized to make and enforce such regulations as in his judgment are necessary to prevent the introduction, transmission, or spread of communicable diseases from foreign countries into the States or possessions, or from one State or possession into any other State or possession. For purposes of carrying out and enforcing such regulations, the Surgeon General may provide for such inspection, fumigation, disinfection, sanitation, pest extermination, destruction of animals or articles found to be so infected or contaminated as to be sources of dangerous infection to human beings, and other measures, as in his judgment may be necessary.

(b) Apprehension, detention, or conditional release of individuals
Regulations prescribed under this section shall not provide for the apprehension, detention, or conditional release of individuals except for the purpose of preventing the introduction, transmission, or spread of such communicable diseases as may be specified from time to time in Executive orders of the President upon the recommendation of the Secretary, in consultation with the Surgeon General, [1].

Following the Public Health Service Act, the President has periodically issued arbitrary lists of diseases for which the U.S. Surgeon General is authorized to involuntarily detain people based on their suspected illnesses.  When a quarantine is ordered, anyone violating the order can be punished by fines and a one-year prison term (42 U.S. Code § 271 (a)).

The list of diseases for which quarantine may be used has come in the form of various presidential executive orders.  Since the 1940s, the list has been defined seven times.  Each time it has been amended, the President refers to the Public Health Service Act as legal foundation.  At one point, Americans could be forcibly quarantined for having the commonly-contracted Chicken Pox virus.  After President Obama’s most recent revision, the list includes the broadest quarantine provisions to date; now including “novel or reemergent influenza viruses” and “severe acute respiratory syndromes.”

Police State USA has tracked down the text of each executive order since the Public Health Service Act was instituted, giving some perspective about what the lists have entailed over time.   The disease lists have been cropped out and have been published below in chronological order:

Executive Order 9708 (link)
Signed by President Harry S. Truman on March 26, 1946

Anthrax, Chancroid, Cholera, Dengue, Diphtheria, Favus, Gonorrhea, Granuloma Ingulnale, Infectious Encephalitis, Leprosy, Lymphogranuloma Venereum, Meningococcus Meningitis, Plague, Poliomyelitis, Psittacosis, Ringworm of the Scalp, Scarlet Fever, Smallpox, Streptococcic Sore Throat, Syphilis, Trachoma, Tuberculosis, Typhoid Fever, Typhus, Yellow Fever.

Executive Order 10532 (link)
Signed by President Dwight D. Eisenhower on May 28, 1954

Anthrax, Chancroid, Cholera, Dengue, Diphtheria, Favus, Gonorrhea, Granuloma, Inguinale, Infectious Encephalitis, Leprosy, Lymphogranuloma Venereum, Meningococcus Meningitis, Plague, Poliomyelitis, Psittacosis, Ringworm of the Scalp, Relapsing Fever (louse-borne), Scarlet Fever, Smallpox, Streptococcic Sore Throat, Syphilis, Trachoma, Tuberculosis, Typhoid Fever, Typhus, Yellow Fever.

Executive Order 11070 (link)
Signed by President John F. Kennedy on December 12, 1962

Anthrax, Chancroid, Chickenpox, Cholera, Dengue, Diphtheria, Favus, Gonorrhea, Granuloma, Inguinale, Hemolytic Sterptococcal Infections, Infectious Encephalitis, Leprosy, Lymphogranuloma Venereum, Meningococcus Meningitis, Plague, Poliomyelitis, Psittacosis, Relapsing Fever (louse-borne), Ringworm of the Scalp, Smallpox, Syphilis, Trachoma, Tuberculosis, Typhoid Fever, Typhus, Yellow Fever.

Executive Order 12452 (link)
Signed by President Ronald Reagan on December 22, 1983

Cholera or suspected Cholera, Diphtheria, infectious Tuberculosis, Plague, suspected Smallpox, Yellow Fever, and suspected Viral Hemorrhagic Fevers (Lassa, Marburg, Ebola, Congo-Crimean, and others not yet isolated or named).

Executive Order 13295 (link)
Signed by President George W. Bush on April 4, 2003

(a) Cholera; Diphtheria; infectious Tuberculosis; Plague; Smallpox; Yellow Fever; and Viral Hemorrhagic Fevers (Lassa, Marburg, Ebola, Crimean-Congo, South American, and others not yet isolated or named).

(b) Severe Acute Respiratory Syndrome (SARS), which is a disease associated with fever and signs and symptoms of pneumonia or other respiratory illness, is transmitted from person to person predominantly by the aerosolized or droplet route, and, if spread in the population, would have severe public health consequences.

Executive Order 13375 (link)
Signed by President George W. Bush on April 1, 2005

(a) Cholera; Diphtheria; infectious Tuberculosis; Plague; Smallpox; Yellow Fever; and Viral Hemorrhagic Fevers (Lassa, Marburg, Ebola, Crimean-Congo, South American, and others not yet isolated or named).

(b) Severe Acute Respiratory Syndrome (SARS), which is a disease associated with fever and signs and symptoms of pneumonia or other respiratory illness, is transmitted from person to person predominantly by the aerosolized or droplet route, and, if spread in the population, would have severe public health consequences.

(c) Influenza caused by novel or reemergent influenza viruses that are causing, or have the potential to cause, a pandemic.

Executive Order 13295 (link)
Signed by President Barack Obama on July 31, 2014

(a) Cholera; Diphtheria; infectious Tuberculosis; Plague; Smallpox; Yellow Fever; and Viral Hemorrhagic Fevers (Lassa, Marburg, Ebola, Crimean-Congo, South American, and others not yet isolated or named).

(b) Severe acute respiratory syndromes, which are diseases that are associated with fever and signs and symptoms of pneumonia or other respiratory illness, are capable of being transmitted from person to person, and that either are causing, or have the potential to cause, a pandemic, or, upon infection, are highly likely to cause mortality or serious morbidity if not properly controlled. This subsection does not apply to influenza.

(c) Influenza caused by novel or reemergent influenza viruses that are causing, or have the potential to cause, a pandemic.

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