Contagion 2014

I believe it's time to conclude that technological ability has finally and completely outstripped logic and common sense.  Exactly when clinical calm is needed, we go a little crazy in an overly-confident-in-our-own-abilities sort of way. 

I mean, we've recently proven we can't even keep track of deadly smallpox samples from the 70's, vials of which turned up in some sort of forgotten government lab storage room within spitting distance of Congress.  So what makes us think we are capable of safely transporting Ebola-infected patients from Central Africa all the way to Atlanta? Think of all the things that could go wrong.  Look at the people falling ill with the disease in Nigeria, spread from an infected patient who had been (supposedly) isolated.  Are we so blind to think we are infallible (queue the tape on those smallpox vials)?

It's hard to imagine it being better to bring these patients all the way to the US rather than transporting a medical team and appropriate equipment to Africa.  Or do we have tools we can't or don't want to share?  There have been reports of an experimental medicine being given to the two patients in Atlanta - a medicine which has not yet been approved and is in vanishingly short supply (or so we are told).  I guess we don't want the thousands at risk in Africa to get the idea we can save them.

One of the core principles of epidemiology formulated since the late 1800s tells us that at a minimum you absolutely do not move sick people to unaffected population areas.  It is ethically unforgivable to expose unsuspecting people and risk a widening of the outbreak.

But then again this is 2014, and US Scientists have been working on Ebola since the late 80s.  In the mid-1990s they discovered the lethal factor in Ebola, and this new miracle medicine was devised by generating antibodies to cloned components of the virus.  Its clear somebody's been driving research into a very rare, geographically isolated (well, it was) virus with some clear purpose in mind; and that purpose was not making money in the clinic (with so few outbreaks normally you'd never sell enough).

Maybe in that light this is a golden opportunity for all those people who've worked all these years to show what they can do.  Epidemiology (and logic) be damned!