Why can't American hospitals prevent Ebola?
Release date: 2014-10-17 From a Liberian who was misdiagnosed and mistreated, to an inexperienced nurse who was sick at work, and suspected infected people who traveled by plane during the observation period... As one of the best medical conditions in the world, Ebola in the United States The failure of the line of defense has caused the world to be wrong. Inadequate implementation of preventive measures After the incident of female nurses infected with Ebola, from the Centers for Disease Control and Prevention to the White House, officials at all levels admit their mistakes. The director of the US Centers for Disease Control and Prevention, Freden, said that he would "rethink" the United States' response strategy; White House spokesman Ernest said that there are "defects" that will be thoroughly investigated; US President Barack Obama also acknowledges that many medical personnel and non-professional hospitals in the United States And the clinic “does not have enough experience to deal with Ebolaâ€. When the Ebola epidemic caught the attention of the international community in August this year, the United States adopted a series of "world first" measures, including the first request for nationals not to travel to West Africa. The first request for the evacuation of the families of diplomats in Liberia and Sierra Leone. The first to adjust the level of response to the highest level, and issued a variety of guidance on airlines to prevent Ebola guidelines, hospital treatment of Ebola confirmed or suspected cases, and suspected patient sample handling guidelines. However, from the current situation, some of these measures may not be fully implemented. A survey by the National Association of Nurses found that many American hospitals lack adequate equipment, training, and procedures to deal with Ebola, and they are not “readyâ€. This is illustrated by the situation of the first Ebola patient, Duncan, discovered in the United States. After the symptoms, he went to his place of residence, a local hospital in Texas, although he volunteered to mention Liberia from the hard-hit area of ​​Ebola, but the doctor still sent him home after only taking some antibiotics. Duncan was quarantined only two days later and died on October 8. The death of Duncan was unstoppable, and he was exposed to a female nurse who was nursing him. Surprisingly, the US media survey found that the 26-year-old woman named Nina Fan was qualified for critical care in August this year. She may have been rushing to care for Duncan in the absence of proper use of protective clothing. It is. It is not surprising that Nina is infected first, and more health care workers in Duncan may be infected. But the news that was exposed on the 15th was shocking. On the same day, the second infected person, 29-year-old female nurse, Amber Vinson, flew from Texas in the southwestern United States to Ohio in the northeast during the observation period, allegedly to prepare for her wedding. Before she returned to Dallas by plane on the evening of the 13th, she measured her body temperature to 37.5 degrees Celsius and had a low fever. As Frieden said, considering her history of contact, she should not board or be allowed to board the plane anyway. Focus on strengthening medical safety The US government has also summed up the lessons of diagnosis and treatment. In terms of diagnosis, the US medical institutions currently require all doctors and nurses in the infectious or emergency department to ask patients whether they have been to West Africa in the past 21 days. If they have been there, they should be treated as Ebola patients. "treat. In terms of treatment, medical personnel are first required to use standardized protective equipment during training and work. All personnel must first learn to use protective equipment before going to work, including how to take off protective clothing and disinfection according to the steps. Secondly, set up full-time personnel 24 On-the-spot supervision of the implementation of infection control measures, including medical personnel wearing and removing protective clothing; thirdly, the number of relevant medical personnel and treatment links were minimized. At that time, there were more than 70 medical personnel who treated Duncan. The US government considered The participation of so many people increases the risk of infection; fourth, inviting experienced people to conduct one-on-one training for medical staff in relevant hospitals. The US Centers for Disease Control and Prevention also announced the establishment of the Ebola Rapid Response Team on the 14th. Once Ebola patients appear in the United States, the team will quickly go to the site to provide guidance on all aspects. The team will be composed of experts in a variety of areas, including infection control, laboratory science, personal protective equipment and environmental control. One issue that US public opinion is currently paying attention to is whether it is necessary to use a specialized infectious disease hospital to treat Ebola patients. The US Centers for Disease Control and Prevention previously stated that all hospitals with isolation conditions can treat Ebola patients, but now they have changed their minds and will consider all possibilities. There are only four hospitals in the United States that treat highly infectious diseases, and the second nurse in the United States who was infected with Ebola was sent to one of them on the 15th. Popular science promotion is not effective How to deal with items used by Ebola patients is also a problem in the United States. The items used by Duncan during his lifetime were originally sent to a hazardous waste landfill in Louisiana, but Louisiana Attorney General Badi Caldwell applied for a temporary injunction saying, "There is now Too many uncertainties, it is ridiculous to transport wastes with potential Ebola threats across states. We cannot afford this risk." Health experts believe that Ebola-related waste is no longer infectious after incineration. However, even officials like Caldwell have misunderstandings about the Ebola virus, which suggests that doing science and health prevention promotion is not an easy task. Source: Xinhua News Agency
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