WHO Declares Ebola Outbreak a Global Health Emergency
85 points
1 hour ago
| 8 comments
| nytimes.com
| HN
thrownthatway
45 minutes ago
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The headline from the WHO reads:

Ebola outbreak in the Democratic Republic of the Congo declared a Public Health Emergency of International Concern

https://www.who.int/news/item/17-07-2019-ebola-outbreak-in-t...

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thinkcontext
57 minutes ago
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I read elsewhere that this strain is less deadly than previous strains. I'm no epidemiologist but being less deadly could allow it to spread further, which is obviously concerning.

Also, the article says surveillance picked up the spread late. I wonder if the US's pulling back from the WHO and other international functions had anything to do with this, it used to make up a big chunk of its resources and staff.

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BLKNSLVR
36 minutes ago
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I was wondering about that with the hantavirus, whereby if it's got a higher fatality rate then it's less likely to be easily transmitted.

Is that like a general rule, or pure bunk? (I'd probably assume the answer 'depends').

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fpaf
30 seconds ago
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From COVID-era discussions (when virologists were briefly the stars of every talk show) I remember one explaining that it was less about fatality rates per se and more about the length of time you could carry the virus around and be nearly asymptomatic while still able to infect others.

I understand the jury is still out on whether a virus can be considered "alive", but like us it is an organism that is capable of replicating itself and in that sense, it benefits from the same evolution strategies as more complex beings: a strain that gets its host very sick very quickly gets a lower chance to spread to a new host and multiply.

This creates an evolutive advantage for strains of that virus that are less aggressive or at least develop the worst symptoms more slowly and more covertly.

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RobotToaster
22 minutes ago
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I don't think it's just fatality rate, but also how long it takes to kill you. HIV is a great example of a disease that (untreated) has near 100% mortality rate, but can spread because it takes years to kill you.
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mlinhares
5 minutes ago
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The real issue with HIV is that you can easily spread it before being symptomatic, so far we haven’t seen hantavirus spreading before folks become symptomatic. The strain that spreads through humans has been active in south America for a while as well and hasn’t really gone anywhere yet.
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alamortsubite
10 minutes ago
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Definitely, but the hantavirus incubation period ranges from 1-8 weeks after exposure.
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microtonal
43 minutes ago
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Also worrying that the existing approved vaccine does not protect against this variant.

That said I'm quite hopeful, since there is a vaccine for other strains.

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lanyard-textile
58 minutes ago
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Notably (from NPR):

>However WHO Director-General Tedros Adhanom Ghebreyesus stressed in a statement it "does not meet the criteria of pandemic emergency" and advised countries against closing their borders.

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rob_c
7 minutes ago
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and let's not forget "no evidence of human to human transmission"...
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asah
23 minutes ago
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seems like an abuse of the word "global"
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plombe
1 hour ago
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jmyeet
49 minutes ago
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First hantavirus now this. Look, there's valid reason to be concerned here but people who are fearing a repeat of the Covid-19 pandemic are seemingly missing why Covid was a pandemic. Covid spread so much for four main reasons:

1. It could spread airborne;

2. It spread relatively easily. Not quite measles-level of contagiousness but still, pretty good;

3. Unlike something like the flu, there really wasn't any kind of natural resistance. What we now call the modern flu is a descendant of the Spanish flu that killed tends of millions in 1919-1920 in its first outbreak and it becamse less lethal for a variety of reasons; and

4. (This is the big one) It would spread when the carrier was asymptomatic. The flu can also spread asymptomatically but AFAIK it's less common. People with the flu tend to self-isolate showing symptoms.

Still, what's probably most concerning about Covid is the number of people who truly believe it was and is fake. The public health implications of that as well as the societal and psychological impacts is something we're going to be studying for decades to come.

The exact contagion mechanism for hantavirus isn't confirmed. Previously it's been from, say, rat to human. It's believed there was human-to-human transmission with the plague cruise ship of doom but whatever the case, it's simply not as contagious.

Ebola generally requires contact to spread. How it's spread in a lot of these African regions has historically been from funeral rites. Family of the deceased would touch the body and this contact would spread the disease. So while it was quite contagious, it didn't spread airborne (as far as we know). It's also quite lethal, which naturally tends to limit spread. The king of long-dormant viruses is of course HIV.

But at least we aren't dealing with cordyceps [1] so we've got that going for us at least.

[1]: https://thelastofus.fandom.com/wiki/Cordyceps_brain_infectio...

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trvz
34 minutes ago
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> People with the flu tend to self-isolate showing symptoms.

Do you have any other fantasy tales you’d like to tell?

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gib444
1 minute ago
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[delayed]
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pixl97
20 minutes ago
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Yea, I recently caught flu from someone else that "could not miss their work". So these things don't really apply well to the US at all.
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radu_floricica
13 minutes ago
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2, 3 and 4 apply to the hantavirus as well.
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ticulatedspline
35 minutes ago
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forgot 5. Covid was exactly the right amount of deadly, 0.5-1% which made it easy to "roll the dice" on making containment harder.
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BLKNSLVR
33 minutes ago
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Just finished watching the last episode of season 2 with my daughter this morning. Now biting my nails for another 6-12 months awaiting season 3... Dammit.
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soupspaces
37 minutes ago
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adding it to my list of apocalypses to prepare for
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MontagFTB
1 hour ago
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Multiple articles mention a vaccine for the Zaire strain but not this one. Is it possible to use one for the other? Does the existence of one make it easier to develop another?
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Insanity
1 hour ago
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Technically (nitpicking) it mentions no _approved_ vaccine. There can be vaccines without being approved for use in said countries.

But I have no clue how far along vaccines are, and even if they exist how feasible it would be to use in e.g Congo. Similar to how we can treat tuberculosis, yet many people keep dying of it.

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