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Dr. Craig Spencer was declared free of Ebola today, and now becomes the 8th patient to recover from this virus of the 9 that were treated here in the US. For those keeping score, that would be 1 death in 9 patients, or a mortality rate of 11%. It is worth noting that the Thomas Duncan, the patient who succumbed to Ebola, was not treated until late in the disease process. Here is what we can draw from this:
1.) Early diagnosis and intervention leads to excellent clinical outcomes
2.) Supportive therapy is quite effective at resolving this infection
3.) Employing rapid, early, aggressive care essentially inverts the mortality rate of Ebola Virus Disease
What does this new knowledge mean for the ongoing outbreak in Liberia, Guinea, and Sierra Leone? It indicates that low tech solutions are quite effective; however, they are quite labor intensive and require very early intervention. Perhaps the strategy should move toward recruitment and training of healthcare workers, and possibly more importantly, outreach. Reports indicate that patients and their families are still hesitant to seek treatment because it (understandably) has the reputation of being ineffective. It is critical that we change that!
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