Musings: Nothing At All
Nothing is catching my interest. Nothing. Social Security? Yawn. The Airbus? Yawn. Paris Hilton in bondage? Yawn. Tune in later. Perhaps a spark shall ignite some passion in me.
Nothing is catching my interest. Nothing. Social Security? Yawn. The Airbus? Yawn. Paris Hilton in bondage? Yawn. Tune in later. Perhaps a spark shall ignite some passion in me.
This report spells out some of the reasons the epidemic has been so difficult to beat.
Control operations in Uige have experienced some recent setbacks. On two occasions earlier this week, doctors at Uige�s large provincial hospital were directly exposed to blood from Marburg patients being treated on general wards, without adequate infection control. The doctors are under observation. These high-risk exposures should not have occurred.It does, however, continue to reinforce my point that such an epidemic would not be possible in the United States.Such incidents indicate that infection control procedures at the hospital have been seriously compromised. They occurred despite a system put in place, and supported by equipment and training, to safely screen new admissions for exposure history and fever and ensure the separation of possible cases from patients on the general wards.
In another recent incident, the body of a deceased patient was left, uncleaned and uncollected, on an open ward for more than eight hours, placing hospital staff and other patients at risk. In another incident, a severely ill baby admitted to the paediatric ward was placed in a cot, without disinfection, immediately after the body of another baby, who died from the disease, had been removed. In line with cultural practices, mothers are present on the paediatric ward and share the care of severely ill children, thus also sharing the exposure risk.
Under such conditions, amplification of transmission is highly likely to occur. Had safety protocols, set in place by the international team, been followed, none of these incidents would have occurred. Closing of the hospital has been considered but is not a viable option. Such a step would deprive many patients of potentially life-saving care while re-directing others to private clinics, where conditions and practices are even more unsafe and even more likely to result in additional cases.
Yesterday, the Minister of Health, accompanied by a vice-minister and the head of the WHO office in Angola, flew to Uige to investigate the situation, find solutions, and oversee their implementation. The officials have recognized that strong measures will be needed to ensure that patients admitted to the hospital for other conditions are not placed at risk of Marburg infection. The first steps to correct the situation were put in place today, and involve the collaboration of ministry officials, WHO, and M�decins Sans Fronti�res.
WHO has decided to strengthen the presence in Uige of international staff specialized in infection control. WHO welcomes the direct intervention of ministry officials. This high-level support should help ensure that containment measures, previously set in place and of proven efficacy, are restored and fully adhered to.
Investigation of several recent fatalities in Uige indicates a clear link between home-based treatments using unsafe syringes and spread of the virus. This problem is being addressed urgently. A massive door-to-door campaign, supported by banners and posters throughout Uige municipality, was launched yesterday to inform residents of the associated dangers and collect and safely destroy syringes. The campaign has continued today.
PG is some 17 days from graduation. Then a summer of wage slavery at minimum wage. Then a BIG adventure, working in a government program on the other side of our wide and beautiful nation.
She got a 97 on her Spanish final. She’s turned in all her big projects and papers. She recerted her CPR and will be running duty at the base again, April 30 with me.
I’ll get to see her in a dress or skirt for the very first time on Saturday. Her bf and and she will be attending the Corps’s dinner dance. Lovely wife and I will be there.
I remember those last weeks. It’s scary, leaving your career. School, for some 16 years, is a career, and all you know. You’ve been surrounded by people your own age, given loads of freedom, and now what? Out into the cold, cruel world. It almost explains Paris Hilton and Monica Lewinski. No, it doesn’t.
She’s up for some awards at college, and I hope she is recognized for her work at the school. The Corps will be giving her a certificate at the dance. She came to us as part of a “service scholars” program, where her college gave her a large scholarship in return for performing community service. It almost explains Paris Hilton and Monica Lewinski. No, it doesn’t. Anyway, she did the training, took on the hours, and has done a great job as an EMT and with other tasks around the Corps.
I met her Mom on Sunday, when they stopped by the base for a minute. I told her that she could be very proud of her daughter. Something that Paris Hilton’s mom and Monica Lewinski’s mom might not be able to say.
Besides getting in a few slaps at Paris and Monica, my point is this: Not every young woman is a tart. PG has the brains, the morals, the personality and the beauty to go far in this world. I’m proud of her. I wish she were my daughter.
Today marks the end of my third year of blogging. And just look at what I have accomplished:
Boy, am I tired!
Oregon Military Dept.SGT Zedwick was the driver of the third vehicle, in a four vehicle combat patrol north of Camp Taji when a vehicle borne IED hit and destroyed his HMMWV, killing his gunner and severely wounding the vehicle commander. Despite sustaining extensive wounds himself, SGT Zedwick pulled the truck commander from the flaming vehicle and immediately went back for the gunner. The burning HMMWV subsequently became the target of intense small arms fire. SGT Zedwick instinctively returned to his injured truck commander despite the increasing barrage of enemy fire and insured that he was safely behind cover. |
KPAM:Major General Pete Chiarelli, the Division Commander, after pinning the award on Zedwick, told him, “Young Sir, my father won the Silver Star in World War II, and he was my hero. I am so very honored to be in your presence. I salute you.” While it is traditional to salute the office presenting the award, MG Chiarelli raised his hand in salute to SGT Zedwick. It was very moving. The Silver Star is the third highest honor a soldier can be awarded. |
It’s irresponsible for public health authorities to use “maybe’s” in order to drum up funds for their projects. The fact of the matter is that public health is funded in all the wrong places, a place of kingdom building and shiny toys. Self promotion has become the sole reason to exist in far too many places. Billions have been spent on bioterrorism prevention, with the result that public health agencies nationwide have new labs, new computers, new departments with department heads, aides and secretaries.
As an EMT I am just as likely to discover a case of smallpox when I run duty on Sunday as I was on September 10, 2001. And I am equally as unprotected.
The powers that be in public health talk a good talk. But, as the flu vaccine shortage last year demonstrates, they are woefully unprepared to take on their original mandate, to protect the public from disease. The true public health authorities in this country are the family doctors, EMS professionals and Emergency Department staff who actually see and treat the sick.
Every single public health agency in this country has enough directors, aides, secretaries and media information staff to handle any sort of disease outbreak. What they lack, have lacked, and continue to lack, are feet on the street. Investigators, epidemiologists, people who are out in the community every single day. New computers are no more likely to resolve an outbreak of avian flu than they are to resolve the teen pregnancy problem. People will do that, feet on the street.
Avian flu has been recognized since 1997. In all that time, less than 200 people have died from it. Nearly all of those people worked directly with poultry. Person-to-person transmission is almost unknown. As of this moment, no scientist anywhere has a shred of evidence that avian flu will be the next pandemic. But, boy, they all sure do want to get a lot of money to study the situation. Venality and greed, not danger, is the name of this game.
DefenseLINKBy Samantha L. Quigley |
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U.S. ArmyFORT McCOY, Wis. (Army News Service, Feb. 28, 2005) — As the 724th Transportation Company was welcomed home from Iraq Feb. 25, the first Army Reserve Soldier in the Global War on Terrorism received a Silver Star. Pfc. Jeremy Church of the 724th was pinned during a homecoming ceremony at Fort McCoy, Wis., with the Silver Star, the Army�s third-highest medal for valor. |
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