Well, that didn’t last long:
The New Jersey Department of Health issued a statement this morning that Hickox has been “symptom free for the last 24 hours,” and that it decided to discharge her after consulting with the Centers for Disease Control and Prevention.
“After consulting with her, she has requested transport to Maine, and that transport will be arranged via a private carrier not via mass transit or commercial aircraft,” the department said.
Senior officials in the Christie administration said she will be driven in a car and escorted by officials from the state and Doctors Without Borders, the agency the Hickox worked for in West Africa.
“Health officials in Maine have been notified of her arrangements and will make a determination under their own laws on her treatment when she arrives,” the New Jersey statement said.
So New Jersey has passed the buck to Maine. I wonder what pressure was brought to bear on Christie? Of one thing I’m pretty sure: this is not a popular decision, if blogs are any indication. I’m not just talking about blogs on the right, either; even the few I’ve looked at on the left seem to have more than half the commenters siding against the nurse and with Christie, at least prior to today’s announcement.
Last night I noticed a rather strange statement from Hickox. If this is a bona fide quote, it’s scary that she’s working as a nurse:
“To quarantine everyone, in case, you know, when you cannot predict who may develop Ebola or not, and to make me stay for 21 days, to not be with my family, to put me through this emotional and physical stress, is completely unacceptable,” Hickox told Crowley. She added, “I feel like my basic human rights have been violated.”
Now, I’m all for treating people decently when they’re in quarantine, especially those who’ve just come back from working in Africa. That takes guts and sacrifice. So give them steak, nice movies on their widescreen TVs, hot fudge sundaes, whatever. If the authorities really did treat her badly, they need to improve things. For example, the article’s got a photo of a port-a-potty they provided her. That seems pretty yucky, but I wonder whether it has something to do with disposing of her wastes as biohazards rather than letting them go into the general sewage system? I’d like to hear their side, but so far I haven’t seen a word from them.
However, more importantly, how could she have missed learning what a quarantine actually is? Once more, with feeing, “To quarantine everyone, in case, you know, when you cannot predict who may develop Ebola or not…”
Does Ms. Hickox believe you must know that a person will definitely develop an illness in order to justify quarantining that person? I’m really, really curious, because of course one purpose of a quarantine is to separate a person who has been exposed to a dangerous illness from contact with the public until the time is up when they might get that illness. Preventive quarantines must cast a wide net compared to those who will actually come down with the disease. Of course, the term “quarantine” is sometimes used to refer to a person who is already ill, but that’s erroneous. The correct term for that is “isolation.”
My best guess is that Ms. Hickox, who is young, actually has no idea what quarantine is, it’s been so long since these things have been instituted, and she is actually confusing it with isolation, with which she would be familiar. Ah, but she’s the medical expert, and we’re not, right? The term “quarantine,” by the way, is from the Italian, and originated with the forty-day quarantine period instituted for plague.
I’ve noticed that, since Cuomo and Christie made their quarantine announcement, those who disagree and feel that quarantine is not necessary fall back on the old “we are the public health authorities, and we know that no one can catch ebola from someone who doesn’t have symptoms” routine. I’d love to see some scientific backup for an absolute statement like that, because forgive me if I don’t trust the CDC anymore on this sort of thing.
Seems to me that it can’t be a binary, either/or situation, but a continuum. Early on, the chance of contagion is likely to be very low but not zero, and then it increases exponentially. Since somehow the disease managed to get out of control in Africa despite the efforts of medical pepole, I really don’t think we know enough about this particular strain to make statements like the pronouncements I’ve been hearing. The risk with someone in Hickox’s situation may not be high, person by person, but the dangerous possibilities are, and it would be better to err on the side of caution in order to protect this country from what could turn into a conflagration. Make quarantine more pleasant, and most reasonable people (not Ms. Hickox) will consider it part of the deal they take on when they go to Africa to fight it and then return home.
I’ve also gotten sick and tired of people saying we can’t do this here and we can’t do that here because we must eradicate ebola in Africa. This is not an either/or proposition. We need to fight it in Africa and prevent its spread here—what is so hard to understand about that? Oh, I think most people do understand it, but the authorities put it out anyway because they think it sounds good, even though it doesn’t.
One thing I keep wondering is how this epidemic get so of hand in Africa, when previous ones had not? I’ve read that it might be because it spread to cities this time instead of remaining in more isolated rural villages. But why has it spread to cities? Was it just a matter of time? It’s also the first ebola epidemic in Liberia, Sierra Leone, and Guinea; previous outbreaks were mainly in the Republic of the Congo, Sudan, and Zaire, a very different part of Africa. That seems significant, but of what I don’t know.
Here’s a National Geographic piece I found that I thought might answer some of my questions but really doesn’t, although it’s interesting in other ways:
The virus probably will not go airborne, but it could conceivably increase its Darwinian fitness in other ways, becoming more subtle and elusive.
The genetic study by Gire and his colleagues (five of whom were dead of Ebola by the time their study appeared) found 341 mutations as of late August, some of which are significant enough to change the bug’s functional identity. The higher the case count in West Africa goes, the more chances for further mutations, and therefore the greater possibility that the virus might adapt somehow to become more transmissible-perhaps by becoming less pathogenic, sickening or killing its victims more slowly and thereby leaving them more time to infect others.
That’s why, the Gire group wrote, we need to stop this thing everywhere as soon as possible.
Note that word “everywhere.”
Our health care authorities are guilty of a combination of stupidity and hubris. They indicate that they believe they know everything there is to know about the science of the way this disease is transmitted, and are arrogant about it. But they don’t even know what they don’t know (such as, for example, that a temperature as high as 101.5 should not be the threshold for an ebola diagnosis, as we’ve learned to our sorrow recently). And yet they—with the full cooperation and urging of the Obama administration and many on the left—continue to say, “Trust us; we know best.” Meanwhile, they’ve acted in ways that make it clear there’s no reason to trust them at all.