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-Signs, Portents, and the Weather-
Black Market in Blood Serum Emerging Amid Ebola Outbreak
2014-09-14
[Bloomberg] A black market for an Ebola treatment derived from the blood of survivors is emerging in the West African countries experiencing the worst outbreak of the virus on record, the World Health Organization said.

The United Nations
...a lucrative dumping ground for the relatives of dictators and party hacks...
health agency will work with governments to stamp out the illicit trade in convalescent serum, WHO Director-General Margaret Chan told news hounds today in Geneva, where the organization is based. There is a danger that such serums could contain other infections and wouldn't be administered properly, Chan said.

The WHO is encouraging the use of properly obtained serum to treat current patients and said last week it should be a priority.

More than 300 health-care workers have been infected with the Ebola virus, and almost half of them have died, the WHO said in a situation report today.
The other half therefore survived, and could be serum donors...
The WHO is helping establish a system that can be used to safely draw blood from those who have recovered from the disease, prepare it and re-inject it into patients. Doctors at Emory and Nebraska are also working on lists of survivors by blood type who could donate.
Posted by:trailing wife

#7  So Steve, what tools and procedures can be used in a remote village to drop the rate of infection of caregivers (and the folks who bury the dead) from whatever sky-high rate it is now? They can't rely on the medical institutions, which were swamped long ago, or hope for some aid miracle. Care for the sick has to be local.
That means few resources and very little training, so whatever is tried has to be very cheap and very simple.

Random thoughts from a non-medical person:
Build a "sick hut" and if someone dies there burn it. Small place, with something relatively disposable for the roof. Most people won't have ebola. Needs elbow grease and a bit of gasoline. (It rains a lot)

Buckets with bleach water to dunk hands, utensils, clothing, everything. (They're trying to do this already for hand washing)

Only touch someone sick, or their clothes, with bleached rags over your hands, and put the rags back in the bleach water when you're done. (Needs bleach, supply of cloth, and training and a bit of indoctrination--"Never use sick rags for clothing!")

Use something disposable for the bed for the sick: a shallow trench piled full with leaves? (Always burn the contents, no matter what the disease was.)

I don't know what the caregiver infection rate is, but people write as though it was 100% for the unprotected. Could things along this line drop it enough to be useful?
Posted by: James   2014-09-14 15:18  

#6  There are a great many possible blood-borne diseases that can come along with the ride, particularly from those who have been in Africa. Therefore the necessity for proper screening and handling. The desperately ill who have the resources to pay may not be interested in all that red tape. Black market blood products will most likely cause more problems.
Posted by: Anguper Hupomosing9418    2014-09-14 14:56  

#5  "Black Market in Blood Serum Emerging Amid Ebola Outbreak"

What could go wrong?
Posted by: Barbara   2014-09-14 10:50  

#4  It's both. The anti-serum could be very useful.

The bigger problem is the lack of supportive care in West Africa. One of the reasons why the American docs survived at Emory was that they had first-class supportive care, simple things like transfusions, IV fluids, nutrition, attention to electrolyte imbalances, etc.

Ebola looks to be similar to cholera in this regard: if you can just keep the patient alive they'll usually recover on their own. West Africa can't keep any sick person alive.
Posted by: Steve White   2014-09-14 10:45  

#3  Survivors, SteveS, The theory here is that blood serum of the survivors contains anti-virus antibodies. The problem is, I'm pretty sure immunity to virus is cellular not humoral.
Posted by: g(r)omgoru   2014-09-14 07:12  

#2  The Blood Serum market is much safer than the powdered hipp'o tooth cure. Just say'n.
Posted by: Besoeker   2014-09-14 02:20  

#1  A black market for an Ebola treatment derived from the blood of survivors

Serum made from the blood of victims of a viral plague? Yeah, I'm pretty sure that's how the Zombie Apocalypse gets started.
Posted by: SteveS   2014-09-14 01:58  

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