After you release the pressure from the first autoclave cycle and run it through the evacuation step again come you essentially pull all of the water out of the poorest of these materials so that when you hit it with this scheme the second time theyre hot already and you dont get all this water condensing in the pores and about all of the temperature readings right up to the article of temperature within a couple of minutes. And this was borne out with the biological indicator strips. If we did this we kill all of the di strips were as in the one above we did not. So we found that the second cycle is much more effective than running a longer cycle. We also found that cutting the bags prior to autoclave improves the penetration. And separating the items improves the steam penetration. So theres limited capacity. The incinerators should use appropriate conditions to ke sure that they operate properly and there there some potential improvements could improve health and safety concerns for
Looking at one facility or multiple facilities or where the facilities will be, that is a critical issue for us to determine in the coming days. Treatment centers are important to support. Treatment centers as you point out are very important to support. I was speaking with the american from sierra leone and speaking about simple things like giving them cell phones to talk to their family or things that they can do while there was very important. And if patients dont believe that they will be well treated in the Treatment Centers they wont come in and may continue to spread it in the communities. Good quality care is important. In terms of testing you are absolutely correct. As you know, mr. Chairman, with support from the c. D. C. Has represented crowiate the african sew tiety for laboratory and that has for the First Time Ever had high Quality Laboratories established all over africa. The countries have not been the focus countries so they have limited activities in the a area scalin
Or was discovered in 1976 and has killed 90 of its victims in some past outbreaks. Since march of this year, there have been more than 1700 cases of ebola, including more than 900 fatalities in guinea, liberia, sierra leone, and nigeria. This time, the average fertility rate in this outbreak is fromated at 55 , ranging 74 in guinea 242 in sierra leone. Ratessparity in mortality are partially linked to the capacity of governments to treat and contain the disease and Capita Health expending by effective governments. There is also concern giving given modern air travel and the latency time of the disease that the virus will jump borders and threat lies elsewhere in africa and even here in the United States. ,n my own state of new jersey and a hospital just a few hundred yards from my district office, precautions were taken. A person who had traveled from west africa Begin Manifesting symptoms including a high fever. He was put in isolation. Thankfully it was not ebola and the patient has
Good morning. I and the president of the institute of medicine, and it is my great pleasure to welcome all of you to this very important meeting. I understand that as of yesterday, we have over 700 people registered. Weve limited the size to 250 in order to be manageable in the breakout conversations so a lot of people are going to be here on the webcast. We are seeing the devastating effects of the virus outside of the United States because we are seeing it entered the United States as well. Fortunately the Public Health system responds to the virus is robust and of the small handful of people with ebola in the u. S. Only one has died. In africa the picture is different. We have seen over thousands of cases and high fatality rates. We have just heard that the epidemic is still far from where we need to be. The cdc has predicted that in the worstcase scenario over many people could be affected by january, liberia and sierra leone. What went wrong . There are many lessons to be learned
Estimated 280,000 of our residents are going to be 65 and older. You said a couple years ago that the answer to saving medicare was obamacare. Rocky rollout, highly unpopular. The one thing that we have not enforced is the provision of obamacare that is 3601, and that is the statement that says any savings that is generated from medicare shall be reinvested into medicare and shall go to the reduction of premiums for the elderly and also for the provision of service. If you remember the election both mitt romney and president obama agreed to was there was a 700 billion savings attributed to medicare. But what happened to that money . People tend to put it into deficit reduction versus what it was intended to. So on the specific issue of medicare if we can hold peoples feet to the fire and make them follow the law yes the savings will then keep medicare alive. How do we do that . The 700 billion instead of looking at it for deficit reduction, if they followed the law the law says obama c