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An American with suspected Ebola hospitalized in Prague

trophy33

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A patient admitted to the Bulovka University Hospital in Prague on Friday with a suspicion of a highly dangerous infection is in a stabilized condition. He is an American who traveled in the Congo area. The results of tests that determine the type of infection will probably be on Saturday afternoon, after the hospital sent samples to the Robert Koch Institute in Berlin.

FIT

 

Desk trauma

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Fortunately for hm, he's not in the US.
Clearly he needs to be taken out of isolation so that others can build up immunity.
 
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Laodicean60

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Fortunately for us, he's not in the US.
Sadly, we didn't start working on the vaccine until it came to the USA in 2014. It was ok as long as it was "over there". No money in the research for something that doesn't affect us, our government is reactionary instead of proactive.
I'm not sure if we have enough vaccines for smallpox if it's used as a bioweapon.
 
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MyOwnSockPuppet

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Clearly he needs to be taken out of isolation so that others can build up immunity.
If you survive Ebola then you do develop antibodies to it for about a decade.

If...
 
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ThatRobGuy

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For the people making snarky comments...

It should be noted that despite some folks having differing viewpoints on the topic of measles or covid vaccines, that's not necessarily reflective of a person's position or risk assessment for all other pathogens.

Among unvaccinated individuals in developed nations:
Disease​
Case Fatality Rate (CFR)​
Notes​
Measles
0.1% – 0.2%
Extremely contagious; higher risk in infants, pregnant women, immunocompromised.​
Ebola
30% – 50%
Even with intensive modern care; poor survival outcomes.​
COVID-19
0.5% – 1.5%
CFR was highly age-dependent; severe in elderly and those with comorbidities. Dropped over time with better treatments.​

There's quite a noticeable gap there...

So for instance, a person taking a "natural immunity is preferable" stance on covid is unlikely to take that same stance with Ebola if I had to venture a guess.
 
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trophy33

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So for instance, a person taking a "natural immunity is preferable" stance on covid is unlikely to take that same stance with Ebola if I had to venture a guess.
The stress must be enormous. Not to say falling ill in a foreign country in which you do not understand a word, being transported in biobox between hospitals, put into isolation, all people around you in hazmat suits...
 
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Nithavela

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For the people making snarky comments...

It should be noted that despite some folks having differing viewpoints on the topic of measles or covid vaccines, that's not necessarily reflective of a person's position or risk assessment for all other pathogens.

Among unvaccinated individuals in developed nations:
Disease​
Case Fatality Rate (CFR)​
Notes​
Measles
0.1% – 0.2%
Extremely contagious; higher risk in infants, pregnant women, immunocompromised.​
Ebola
30% – 50%
Even with intensive modern care; poor survival outcomes.​
COVID-19
0.5% – 1.5%
CFR was highly age-dependent; severe in elderly and those with comorbidities. Dropped over time with better treatments.​

There's quite a noticeable gap there...

So for instance, a person taking a "natural immunity is preferable" stance on covid is unlikely to take that same stance with Ebola if I had to venture a guess.
That high fatality rate of Ebola is partly because of a lack of treatment in the countries where Ebola is endemic, both because there weren't any treatments and because of lack of financial incentives for high-end care. There are treatments that have been shown to reduce the fatality rate to 10 % or less if given early (again, this demands funding that most african health care systems lack, but will likely be available for westerners).

 
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ThatRobGuy

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Fortunately for hm, he's not in the US.
Why?

Is there anything to suggest that the US hospitals have inferior supportive care compared to the Czech Republic?

If you look at case survival rates (fortunately Ebola hasn't been nearly as common in the US/Europe compared to African nations)

Of the cases that have been treated in the US:
9 out of 11 survived

Of the cases that have been treated in Europe:
6 out of 7 survived

...that doesn't really indicate that one is better than the other, only that it's way better to be treated in a country with modernized supportive care and state of the art ICU units.
 
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Nithavela

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Why?

Is there anything to suggest that the US hospitals have inferior supportive care compared to the Czech Republic?

If you look at case survival rates (fortunately Ebola hasn't been nearly as common in the US/Europe compared to African nations)

Of the cases that have been treated in the US:
9 out of 11 survived

Of the cases that have been treated in Europe:
6 out of 7 survived

...that doesn't really indicate that one is better than the other, only that it's way better to be treated in a country with modernized supportive care and state of the art ICU units.
The meaning is obviously that in the USA, the treatment would likely bankrupt him if he survives.
 
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Desk trauma

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It should be noted that despite some folks having differing viewpoints on the topic of measles or covid vaccines, that's not necessarily reflective of a person's position or risk assessment for all other pathogens.
Yes, I’m sure the anti vax and germ theory questioners restrict their bad ideas to those things.
 
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ThatRobGuy

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The meaning is obviously that in the USA, the treatment would likely bankrupt him if he survives.
I hate to be the bearer of bad news for this person, but they'll likely end up getting a bill.

Their citizens are entitled to healthcare coverage, but if the Czech Republic is like many of the other EU nations, that extends only to citizens, permanent residents who are employed there, or citizens of other nations with which they have a reciprocal healthcare agreement (which I believe is just other EU and EFTA nations (and I think Canada may have just signed a reciprocal agreement with the EU)
 
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BCP1928

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That high fatality rate of Ebola is partly because of a lack of treatment in the countries where Ebola is endemic, both because there weren't any treatments and because of lack of financial incentives for high-end care. There are treatments that have been shown to reduce the fatality rate to 10 % or less if given early (again, this demands funding that most african health care systems lack, but will likely be available for westerners).

Except in the US. That's why it's fortunate the fellow is in Prague.
 
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trophy33

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I hate to be the bearer of bad news for this person, but they'll likely end up getting a bill.

Their citizens are entitled to healthcare coverage, but if the Czech Republic is like many of the other EU nations, that extends only to citizens, permanent residents who are employed there, or citizens of other nations with which they have a reciprocal healthcare agreement (which I believe is just other EU and EFTA nations (and I think Canada may have just signed a reciprocal agreement with the EU)
I guess he might get at least the short-term health insurance for travelers. He was in the Czech Republic for a week before hospitalization, so it may be the case.

Anyway, if someone receives medical treatment in an EU hospital and then leaves for the USA without paying the hospital bill, enforcing that EU hospital debt in the USA would be too difficult. The case would be probably just frozen and later written-off as noncollectable debt.
 
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MyOwnSockPuppet

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I hate to be the bearer of bad news for this person, but they'll likely end up getting a bill.

Their citizens are entitled to healthcare coverage, but if the Czech Republic is like many of the other EU nations, that extends only to citizens, permanent residents who are employed there, or citizens of other nations with which they have a reciprocal healthcare agreement (which I believe is just other EU and EFTA nations (and I think Canada may have just signed a reciprocal agreement with the EU)
I'm not sure, there are certain conditions that the immediate concern of making sure it doesn't spread is a higher priority than anything else, and haemorrhagic fevers tend to be at the very top of that list.
 
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