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I started this with the purpose of adding a bit of practicality to the use of PPE kits used to protect the people involved in providing health services, or removing infected waste, in Ebola affected communities in Africa. 
 My idea is to adapt to th

I started this with the purpose of adding a bit of practicality to the use of PPE kits used to protect the people involved in providing health services, or removing infected waste, in Ebola affected communities in Africa. My idea is to adapt to th

Photo of nicolae pirlea
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Hi Mark,
Unfortunately all this Ebola outbreak situation is communicated mostly inadequately trough not very well handled media channels, and somehow along the way some very basic facts got lost.
In the first place , in the affected area there is a natural reservoir of Ebola vectors , namely those fruit bats and some primates which are a part of the food chain leading to human infections , probably during the cooking process ,so a common sense start for tackling this issue is to alter the local dietary habits or to stress the necessity to follow very strict hygiene rules while handling row meat (as for what we know, the economics of the region are not great , so it might be the case for the people to have limited choices in regards to sourcing protein rich food) , on long term this leading to a lower incidence of outbreaks.
Secondly, there is indeed an ongoing issue related with a lack of proper sanitation, a huge problem during an epidemic, so in order to be able to contain further transmission of the virus within the general population a lot of money needs to be spent on a very large number of public toilets, even as simple as large holes in the ground, with wooden platforms and safety rails, but with meanings of cleaning hands not only after using them but BEFORE as well. It is vital for the local to have access to such a basic facility.
Another important maybe the most important factor is the irrational fear and hysteria surrounding this disease. People need to know the known facts about Ebola virus: it is not airborne, it is easy to destroy it with alcohol, chlorine, and water and soap work as well for removing it of hands or contaminated surfaces. In fact it is weaker then the norovirus, for which alcohol is useless.
Now, there is of course the underlying and never ending problem of endemic corruption in those parts of the world, because this ongoing humanitarian catastrophe would not have occurred if human beings would not have been kept in that state of social and economical depravation by those I have seen the other day on CNN and BBC asking the world to do what they should have done, instead of stealing or allowing their country wealth to be stolen. And for that there is no fix yet.
However, as you pointed out, we should bring into the public opinion that there is no need for a miracle solution, because with enough MONEY, very good planning and logistics, this epidemic should be containable without any unnecessary human losses.

This is brilliant! Common sense approach, consideration for the smart use of limited resources in the affected area, a comprehensive, yet simple protocol for minimizing the spread of contamination. I believe this is the way forward !


nicolae commented on Improved PPE gear

This suit is meant to be single use . Think of it in the same white material , the common material for normal single use coverall . Because Ebola is not airborne , I find no reason for filtered breathing . The head gear should be just a cheap plastic round hat , with the ‘beekeeper’ veil around , made of the same light , cheap material , or just a very dense cotton veil . Its purpose is to provide a personal space for the wearer to use his hands freely inside the suite for having a drink of water , or scratching face , smocking , or whatever, without touching hands whit the outside of the suite . The expensive bits of the suit are the rubber boots , and the gloves , which must be glued somehow on the coverall , and must be thick and large for allowing of the hands to be taken out , at need , on the inside of the suit , something like an electrician’s gloves.The gloves and boots must be lined with cotton or something as it will be a great amount of perspiration in warm climates. The suit must be cut large , to be loose enough to allow the wearer to have free arm movement inside it . This is not an isolation gear , it is a protective gear , light , cheap and single use , must be destroyed after every single use. It seems that everyone is keen on the complete isolation of the health care provider , but in the case of ebola I think that just very basic and simple rules of workplace hygiene should apply , with the stress on avoiding touching contaminated surfaces unprotected , and then touching oneself, and carrying contaminated gear outside the isolation ward . Water , soap , chlorine , should be use for everything and by everyone leaving the isolation unit.