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Health Department Says Ebola Isn’t a Threat in Shelby County

The severe, and often fatal, virus known as Ebola has claimed more than 4,500 lives in West Africa. After the disease was detected in Dallas, a sense of panic spread throughout the U.S.

But Dr. Helen Morrow, health medical officer for the Shelby County Health Department, said the likelihood of Ebola spreading to the county is miniscule.

“I think people should be concerned, aware, [but] I don’t think they need to panic,” Morrow said. “We have been reaching out to the community to try to educate them about this disease and the control of it.”

Since Ebola’s most recent outbreak in March, more than 9,000 people have been diagnosed with the virus. However, the World Health Organization estimates the number of people infected is possibly 2.5 times higher than the number reported.

The virus has become an epidemic in the West African countries of Guinea, Sierra Leone, and Liberia. But on September 30th, Thomas Eric Duncan became the first Ebola patient diagnosed in the U.S.

A Liberian man visiting family in Dallas, Duncan, 42, died at the Texas Health Presbyterian Hospital on October 8th, after receiving treatment for several days. In the weeks following Duncan’s death, two Texas Health nurses, 26-year-old Nina Pham and 29-year-old Amber Vinson, tested positive for Ebola.

Since then, the amount of Ebola cases in the U.S. has risen to eight. The increase in cases have caused many to fear the virus will spread and become an epidemic in the U.S. False alarms have been reported, some flights have been cancelled, and international airports are now screening people flying into the U.S. from the West African countries impacted by Ebola.

“The risk to the general public is very, very low,” said Health Department spokeswoman Elizabeth Hart. “You’re nearly 100 times more likely to get the flu than you are Ebola.”

The health department has held conference calls with the Centers for Disease Control and Prevention regarding guidelines for personal protective equipment and infection control. And helpful information on Ebola is being provided by the Health Department via social media and its newly-formed Ebola Speakers Bureau.

Louis Goggans

County Mayor Mark Luttrell with county health department officials at an Ebola press conference

This week, Shelby County Mayor Mark Luttrell held a media briefing to discuss response methods that would be utilized if Ebola spread to Memphis.

“We know that we can control Ebola through identification and isolation of patients who have the disease. And [we would] identify and monitor contacts within 21 days,” said Yvonne Madlock, executive director of the Shelby County Health Department. “We can prevent the spread of Ebola through infection control, provision [and use] of the appropriate personal protective equipment, and by safely handling bodies of those who might have died from Ebola disease.”

Ebola is spread through direct contact with blood or bodily fluids, such as urine, saliva, semen, or vomit, from an infected person. Initial virus symptoms include fevers, headaches, muscle aches, vomiting, and diarrhea.

The average person begins to experience symptoms within two to 21 days after they’ve been exposed to the virus. If a person experiences any of the aforementioned symptoms, they’re encouraged to notify a local hospital and the Health Department.

The current Ebola outbreak in West Africa is the largest thus far. The virus was discovered in 1976. It was reportedly passed from fruit bats to primates and other wild animals. And humans seemingly transmitted the virus from hunting and eating Ebola-infected animals.

Dr. Michael Whitt, chair of the University of Tennessee Health Science Center’s Department of Microbiology, Immunology, and Biochemistry, recently co-edited the book, Biology and Pathogenesis of Rhabdo- and Filoviruses, which includes information on Ebola, how it evades the immune system, and vaccines in development to treat it. Currently, there is no vaccine for Ebola.

“This is not something that, in the U.S., is going to spread across the country like, for instance, the West Nile virus,” Whitt said. “Ebola, you can only catch from another person who has symptoms. If there are indications, it can be contained, and it’s not going to spread. We don’t have a pandemic on our hands.”

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Q&A: Helen Morrow

What if doctors could prevent cancer with a vaccine? In some cases, they can.

On June 29th, a federal panel with the Centers for Disease Control and Prevention unanimously recommended Gardasil, a vaccine manufactured by Merck & Co., for most types of cervical cancer.

The vaccine targets Human Papillomavirus (HPV), which causes cervical cancer, the second-most-common cancer in women worldwide. HPV is usually sexually transmitted and can spread even when couples use a condom. At least half of all sexually active people have acquired an HPV infection at some time.

The CDC panel recommended that females ages 11 to 26 get vaccinated, but that idea hasn’t been universally accepted. The Flyer talked with health officer Helen Morrow to find out more. — by Shea O’Rourke

Flyer: Will the Local Health Department offer the HPV vaccine?

Morrow: We don’t have it yet. We should have it soon for the “Vaccines for Children” program. For purchase immediately by the paying public, I can’t tell you — it’s a very expensive vaccine. It’s $120 per dose simply to purchase, and it’s a three-dose series. And then there are medical fees.

Why are some conservative groups protesting this vaccine?

I can only assume, having not spoken with anybody in these groups, that they’re feeling that it gives some tacit approval of sexual intercourse. I think one of the things is that they don’t want it to be a required vaccine for school.

Is there an HPV vaccine for males?

They have done some testing on it. Merck, the company that makes Gardasil, is scheduled to finish its study by 2008, so it may eventually be approved for males. Obviously, a female has to get HPV from somewhere, and it has also been related to certain cancers in men: penile, anal, and neck cancers.

When should girls get vaccinated?

The more sexual partners you have, the greater your chances of acquiring HPV. Once you become sexually active, most people have at least a 50 percent chance of getting it. Adolescents are especially vulnerable to HPV because it likes adolescent cervix. The vaccine is approved for down to age 9, and right now they’re saying to give it [to] 11- to 12-year-olds because we’re already giving other shots then. You can get the vaccine up to age 26.

Do you think this information will be presented in sex ed. programs?

I can only speculate that someone might stand up at a PTA meeting and protest it, and that has happened. You’ll have people on both sides of the fence. In 20 years, are we going to see some 50-year-old who sues her parents because she didn’t get the HPV vaccine and ended up with cervical cancer? Who knows?