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Ebola: An Evolving Story

Ebola: An Evolving Story

Lyons-weiler James

(2015)

Additional Information

Book Details

Abstract

Readership: General public, scientists, policy makers, health care workers, and politicians.

Table of Contents

Section Title Page Action Price
Contents xxiii
About the Author ix
Preface xi
1. Origins of the Epidemic 1
The Wee Beastie 7
The Molecular Battlefield 10
References 27
2. How Well Do We Understand the 2014 Ebolavirus ? 31
Phylogenies Are Not Data 40
Evolution Caught Red-handed 49
References 51
3. Ways in Which Ebola Guinea May Differ from Past Outbreaks: Evolution of Viral Phenotypes 53
“Going Airborne” 53
Shifting Other Routes of Transmission 55
Replicating More Slowly 56
Asymptomatic Transmission 57
Change in Host Tissue Virulence Patterns, and Primary Mode of Death 61
References 63
4. Biological Knowledge and Ebola Policy 65
Indirect Transmissions 69
MRSA Indirect Transmission Analogy 70
Doctors and Nurses, The First Line of Defense 74
Reverse White Coat Syndrome? 80
References 90
5. “How Cruel is That?” 93
“How Cruel is That?” 94
References 113
6. With Blinded Eyes 115
References 125
7. Are We Asking the Right Questions and Solving All the Right Problem(s)? 127
“We are Prepared to Handle an Ebola Outbreak in the United States” 129
Early Diagnosis to Protect the Public Health 131
References 133
8. Evolution is Real: Deadly Consequences of Dogma 137
References 143
9. Promising Treatments 145
Vaccine Development 146
Pharmaceutical Hopefuls 149
Managing the Spread via “Ebola-Free Zones” 154
Treating the Reservoir Hosts 154
Hemopurification (Dialysis) 155
References 156
10. Policy Analysis 159
Probabilities and Modes of Transmission 164
Self-Monitoring, Self-Quarantine, or Mandatory Quarantine? 170
No Mutations? 175
Can Humans get Ebola from Dogs? 176
Policy Assessment 177
Conclusions 177
Recommendations 178
References 179
11. A Rational Analysis of Irrational Decisions, or Don’t Fear the Reaper 183
Don’t Fear the Reaper 189
Fear and Government Policy 192
References 195
Appendix 1 197
(a) Penalties for persons violating quarantine laws 197
Appendix 2: Ebola Virus Disease (EVD) Clinical Outcomes Data Form 199
Epilogue 203
February, 2015 205
March, 2015 211
Treating Vascular Leakage 215
References 216
Index 219