Maine state police dispatched to back nurse's quarantine

Maine Gov. Paul LePage, however, said Wednesday that Hickox has been "unwilling" to follow state protocols and that he will seek legal authority to enforce the quarantine.

The governor's office said state police were stationed outside her home "for both her protection and the health of the community."

"We hoped that the healthcare worker would voluntarily comply with these protocols, but this individual has stated publicly she will not abide by the protocols," LePage said in a statement on the governor's website.

"We are very concerned about her safety and health and that of the community," he said. "We are exploring all of our options for protecting the health and well-being of the healthcare worker, anyone who comes in contact with her, the Fort Kent community and all of Maine. While we certainly respect the rights of one individual, we must be vigilant in protecting 1.3 million Mainers, as well as anyone who visits our great state."

Hickox, according to her attorney, had only agreed to remain home for two days after traveling from New Jersey on Monday.

The nurse for Doctors Without Borders was the first person pulled aside at Newark Liberty International Airport on Friday under new state regulations after her return from Sierra Leone, where she was working with Ebola patients.

After speaking out publicly, Hickox was allowed to leave for Maine, where health officials have said they expect her to agree to be quarantined for a 21-day period, The Bangor Daily News reports.

Hickox said she believes the quarantine policy is "not scientifically nor constitutionally just."

She told the Today show she will pursue legal action if Maine forces her into continued isolation.

"If the restrictions placed on me by the state of Maine are not lifted by Thursday morning, I will go to court to fight for my freedom," she says.

Her attorney, Steven Hyman, told CNN Wednesday that his client had received no mandatory orders and that "the next step is up to Maine."

"The only reason that there is a cry for quarantine is because the political side has decided that it would just be better if she stayed home and lost her civil right so we could all feel more comfortable, which is not supported by any medical evidence," Hyman said.

Without naming Hickox specifically, Department of Health and Human Services Commissioner Mary Mayhew said Tuesday evening that the state has the authority to seek a court order to compel quarantine for individuals deemed a public health risk.

"We have made the determination that out of an abundance of caution, this is a reasonable, common-sense approach to remove additional risk and guard against a public health crisis in Maine," said Mayhew, WLBZ-TV reports. She did not mention Hickox by name.

Hickox's high-profile campaign from isolation in New Jersey, including a first-personaccount in The Dallas Morning News, underscored the shifting response to the Ebola crisis by state and federal authorities.

On Friday, New York Gov. Chris Christie and New York Gov. Andrew Cuomo announced a plan of mandatory quarantine for health care workers back from Africa who had been exposed to Ebola but showed no symptoms.

It was in part a reaction to the case of Craig Spencer, a New York City physician who tested positive for Ebola, but acknowledged he had left his apartment and moved around the city just before experiencing Ebola symptoms.

Saying they couldn't rely on voluntary self-reporting, the governors pronounced themselves resolved to err on the side of caution and monitor people such as Spencer under confinement. Cuomo, however, quickly eased those rules, allowing such health care workers to self-quarantine at home.

The White House also weighed in, saying it had conveyed concerns to the governors of New York and New Jersey that their stringent quarantine policies were "not grounded in science" and would hamper efforts to recruit volunteers to fight the epidemic in Africa. Christie said he had not heard from the White House before the plan was announced.

After the uproar in New Jersey, Hickox was allowed to leave on Monday, but Christie insisted that it did not represent a change of policy.

"I didn't reverse any decision," he said Tuesday. "She hadn't had any symptoms for 24 hours. And she tested negative for Ebola. So there was no reason to keep her. The reason she was put into the hospital in the first place was because she was running a high fever and was symptomatic."

"If people are symptomatic they go into the hospital," Christie said. "If they live in New Jersey, they get quarantined at home. If they don't, and they're not symptomatic, then we set up quarantine for them out of state. But if they are symptomatic, they're going to the hospital."

Hickox told The Dallas Morning News that her brief fever spike, recorded by a forehead scanner at the airport, was the result of being flushed and angry over her confinement and that an oral temperature reading at the same time showed her to be normal.

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  • How Does The Body React To Lack Of Sleep?

    Adults (aged 26-64 years) need at least 7-9 hrs of sleep daily. Sleep deprivation of 18-24 hrs slows down mental and physical responses, and impairs cognition. Not sleeping for more than 48 hrs sleep reduces the number of NK cells of the immune system and spikes BP. Pushing the limit even further induces hallucinations, pain, tremors, glucose intolerance, and disruption of senses. Lack of sleep is associated with dipping alertness, weakening cognitive performance, decreased brain function and activity, and poor attention. This can lower productivity at the workplace, endanger your well-being, and even become a safety hazard.

    How Much Should You Sleep?

    Going by the National Sleep Foundation’s recommendations for an adult between 26 and 64 years, 7 to 9 hours of sleep every day is a good goal. That said, you could get away with 6 hours of sleep, but no less. The average person needs to get some sleep every 17-18 hours. Any longer without sleep and your body starts to show signs of sleep deprivation.1


    The Progressive Decline

    To understand the ramifications of staying up that little bit longer, take a look at what happens to your body with each progressive hour of sleep lost.


    18–24 hours

    This kind of sleep deprivation is fairly common in some professions and even among single parents or working parents who are also primary caregivers for their family.

    Sleep deprivation causes a decline in vigilant attention. Your responses slow down, you tend to make errors, and you take longer to do tasks.2

    According to one study, subjects who had gone 17 to 19 hours without any sleep showed performance on tests not unlike those with blood alcohol levels of 0.05 percent. These sleep-deprived individuals responded as much as 50 percent slower on some tests. Their accuracy of responses also took a hit and was significantly worse than what is associated with people with blood alcohol content (BAC) of 0.05 percent. As the hours without sleep increased, the performance was closer to those with BAC of 0.1 percent.3 The researchers concluded that sleep is a biological necessity to ensure normal brain function, keep you alert, and maintain normal cognitive performance.4

    48 hours

    This kind of extended sleep deprivation is not usual for the average person. Those in emergency services or military forces, for instance, may have to go a few days without sleep.

    Longer periods of sleep deprivation are believed to impact the immune profile of the body, making you more susceptible to diseases. One study investigated this premise in subjects who went 48 hours without sleep. The body’s natural killer cells (a type of lymphocyte or white blood cell) that are a core part of the human immune system were found to be much lower. This decrease with 48 hours of sleep deprivation could be reversed when subjects went through recovery sleep. However, if this level of sleep loss is sustained for longer spells, it could have a bearing on the body’s ability to fight tumors and viruses

    With this kind of sleep deprivation, blood pressure and heart rate also rise, putting you at greater risk of a stroke. As one study showed, sleep deprivation causes the body’s diastolic blood pressure to increase and interfere with the autonomic nervous system’s regulation of the cardiovascular system.6

    Your body tries to compensate by indulging in microsleeps where it effectively “shuts down” for spells of up to a thirty seconds. After each microsleep you return to reality a bit disoriented. This is potentially dangerous if you are driving, handling heavy machinery or hazardous materials, or are in a job that puts people’s lives in your hands. It is impossible to avoid these microsleeps that occur on their own and cannot be consciously overridden by willpower or otherwise.7

    72 hours

    As time progresses, you will see issues with higher mental processes. Motivation becomes a challenge for many. Perception also gets hampered. Hallucinations are also experienced by some people after staying up three days. Others may create false memories in their minds. Your senses (smell, sight, and even touch) get impacted adversely. Tremors and physical aches and pains also start to set in. And all this in addition to the signs you would have seen after earlier stages of sleep deprivation!8

    How Far Can You Push It?

    Chronic deprivation messes with the glucose metabolism of the body. Getting under 6.5 hours of sleep every night on a sustained basis could cause your glucose tolerance to drop by 40 percent. Poor glucose tolerance puts you at higher risk of developing type 2 diabetes.Those with total sleep deprivation fare even worse as the glucose secretion pattern changes completely compared to those experiencing normal nocturnal sleep.9

    Deprivation also decreases energy expenditure and interferes with your appetite. Researchers found that people experiencing a regular lack of sleep have a higher body mass index (BMI) than those who get their complete recommended rest. Inadequate sleep causes changes to levels of hormones responsible for controlling hunger. Appetite-reducing leptin levels dropped, and appetite-stimulant ghrelin levels were higher in those who got less sleep. Losing that sleep may actually cause you to crave calorie-rich foods, sweets, carbs, and starchy food, putting you at risk of obesity.10

    Sleep deprivation on an ongoing basis can result in long-term ailments and metabolic disorders, costing you time, money, and your health. It may be well worth reorganizing your life so you don’t miss out on this vital restorative time for your body.

     

     

  • 'Al-Qaeda' Wi-Fi connection delays plane

    The plane, an American Airlines flight bound for London, turned back to the gate in Los Angeles when the hotspot, entitled “Al-Quida Free Terror Nettwork” (sic), was spotted in a list of available connections. The passenger notified a flight attendant while the plane was taxiing.

    Flight 136 had been due to take off this past Sunday at 8pm but was held in LAX for three hours while passengers were told to turn off their electronic devices, ABC 7, an American news network, reports.

    Passengers were initially told that the delay was down to a maintenance issue rather than the discovery of the Wi-Fi network. The plane ended up being rescheduled for Monday at 1pm, with some passengers having to stay overnight in LA before they could board the next available flight.

    "After an hour, (the captain) said there was a security threat and that we didn't have clearance to take off," Elliot Del Pra, a passenger, told ABC 7.

    The flight was taken back to the gate and delayed until 1pm on Monday.

    The Los Angeles airport police said on Monday that "no crime was committed and no further action will be taken."

    An American passenger caused his fellow fliers to be detained on board a flight from Philadelphia to the Dominican Republic for an extra two hours earlier this month, after he shouted “I have Ebola!” and had been sneezing and coughing during the flight. He was removed by people in protective suits while a passenger filmed the incident.

  • CORONAVIRUS | Gov't suspends public transport
     
     

    9:00pm  |   CORONAVIRUS: Three billion under lockdown

    Let me leave you with this five-minute read that should paint for you a picture on what's happening around the world as the United Nations warns that humanity is under threat.

    This story is by AFP:

     

    More than three billion people are living under lockdown measures to stem the spread of the killer coronavirus that the United Nations warned Wednesday is threatening all of humanity.

    As the global death toll soared past 20,000 Spain joined Italy in seeing its number of fatalities overtake China, where the virus first emerged just three months ago.

    "COVID-19 is threatening the whole of humanity -– and the whole of humanity must fight back," UN Secretary General Antonio Guterres said, launching an appeal for $2 billion to help the world's poor.

    "Global action and solidarity are crucial. Individual country responses are not going to be enough."

    Markets rebounded after Washington vowed to spend $2 trillion to fend off a US economic collapse, while governments elsewhere are still taking ever more dramatic steps to contain the disease.

    India's stay-at-home order for its 1.3 billion people is now the biggest, taking the total number of people facing restrictions on their daily lives to more than three billion.

     ndian police personnel stand guard at a traffic light during the first day of a 21day governmentimposed nationwide lockdown Indian police personnel stand guard at a traffic light during the first day of a 21-day government-imposed nationwide lockdown

     

    Russia, which announced the death of two patients who tested positive for coronavirus on Wednesday, is expected to follow suit.

    President Vladimir Putin declared next week a public holiday and postponed a public vote on controversial constitutional reforms, urging people to help each other and follow instructions given by medics and the authorities.

    In Britain, heir to the throne Prince Charles became the latest high-profile figure to become infected while Prime Minister Boris Johnson praised the country's response to tackle the outbreak despite accusations it was slow to act.

    The G20 major economies will hold an emergency videoconference summit on Thursday to discuss a global response to the crisis, as will the 27 leaders of the European Union, the outbreak's new epicentre.

    China has begun to relax its own draconian restrictions on free movement in the province of Hubei -- the original epicentre of the outbreak -- after the country reported no new cases.

    Huge crowds jammed trains and buses as people in the province of 50 million people took their first opportunity to travel.

    But Spain saw the number of deaths surge to 3,434 after more than 738 people died in the past 24 hours and the government announced a 432-million-euro ($467 million) deal to buy medical supplies from Beijing.

      member of the ilitary mergencies nit  carries out a general disinfection at the panid residence for people with physical and intellectual disabilities in adrid A member of the Military Emergencies Unit (UME) carries out a general disinfection at the Apanid residence for people with physical and intellectual disabilities in Madrid

     

    'People dying alone'

    At La Paz university hospital in Madrid, accident and emergency nurse Guillen del Barrio sounded bereft as he related what happened overnight.

    "It is really hard, we had feverish people for many hours in the waiting room," the 30-year-old told AFP.

    "Many of my colleagues were crying because there were people who are dying alone, without seeing their family for the last time."

    Spain and Italy were joined by France and six more EU countries in urging Germany and the Netherlands to allow the issue of joint European bonds to cut borrowing costs and stabilise the eurozone economy.

    This is likely to fall on deaf ears when the 27 leaders talk on Thursday -- with northern members wary of pooling debt with big spenders -- but they will sign off on an "unprecedented" recovery plan.

     olice officers control motorists during an antidrug  operation in arseille southern rance Police officers control motorists during an anti-drug operation in Marseille, southern France

     

    Coronavirus cases are also spreading in the Middle East, where Iran's death toll topped 2,000, and in Africa, where Mali declaring its first case and several nations announced states of emergency.

    And in Japan, which has postponed this year's Olympic Games, Tokyo's governor urged residents to stay home this weekend, warning of a possible "explosion" of the coronavirus.

    The impact of the pandemic is also hitting European football in a big way, with top-flight leagues and tournaments cancelled.

     

    'Wartime level of investment'

    The economic damage of the virus -- and the lockdowns -- could also be devastating, with fears of a worldwide recession worse than the financial meltdown more than a decade ago.

    But financial markets rose after US leaders agreed a stimulus package worth roughly 10 percent of their economy, an injection Senate Majority Leader Mitch McConnell said represented a "wartime level of investment".

    The US Senate was poised to pass the massive relief package for Americans and businesses ravaged by the pandemic as New York hospitals braced for a wave of virus patients,

    Meanwhile, nearly 130 million Americans, or 40 percent of the population, are under or will soon come under some lockdown order, including in the largest state of California.

    President Donald Trump has voiced hope the US will be "raring to go" by mid-April, but his optimism appeared to stand almost alone among world leaders.

     

    Anxious Indians raced for supplies after the government ordered the world's second-biggest population to stay at home for three weeks from Wednesday.

    "To save India, to save its every citizen, you, your family... every street, every neighbourhood is being put under lockdown," Prime Minister Narendra Modi said.

    Whether the order will be obeyed in full remained to be seen. Mumbai vegetable trader Rafiq Ansari said his customers were getting angry over shortages and price hikes.

    "I don't understand what's going on," the 35-year-old told AFP. "We are going to face major shortages in the days ahead."

    Iran announced it would ban intercity travel as it finally got tough with the virus that has killed more than 2,000 people in one of the world's deadliest outbreaks.

    Many governments are listening to health experts who warn the only way to slow the epidemic -- and save the lives of the elderly and vulnerable -- is by imposing "social isolation" measures.

     riest on resimir usic holds a crucifix and prays with a woman in anta near uneo iedmont as part of a countryside procession to bless houses against the coronavirus pandemic Priest Don Kresimir Busic holds a crucifix and prays with a woman in Manta, near Cuneo, Piedmont, as part of a countryside procession to bless houses against the coronavirus pandemic

     

    ______________________________


    8:43pm  |   The President has spoken

    President Yoweri Museveni's message is clear, and key among the additional measures are the following:

    - Public transport has been suspended for the next two weeks.

    - Markets have been limited to selling only foodstuffs.

    - Only essential staff to be allowed in government offices.

     

    ______________________________


    8:39pm  |   'What we are dealing with has been handled before'


    While concluding his speech, the President makes a biblical allusion (Isaiah 26:20) to contexualize what the world is going through at the moment in the face of the coronavirus pandemic.

    The scriptural extraction says (depending on the version of the Bible you are using): "Go, my people, enter your rooms and shut the doors behind you; hide yourselves for a little while until his wrath has passed by."

    "What we are dealing with have been there before and have been handled," says Museveni.

    He wraps up his speech by reminded the public that eight of the original nine coronavirus cases in Uganda are recovering steadily. The other one is not steady yet.

    "I wish you good luck, I wish you God's protection. Thank you very much," he signs off.

     

    ______________________________


    8:35pm  |   Government vehicles to be stationed at district headquarters

    Museveni says: "Now that we have got cases in other parts of the country (beyond Kampala and Entebbe), we have a system of getting samples from suspected people all the way to Entebbe for testing. There are teams near villages who do surveillance.

    "These inform people who are at the 100 hubs across the country, who in turn take samples [from the suspected people] and send them to Entebbe aboard Posta Buses."

    To ease this countrywide surveillance, the President says: "I am directing that all govenrment vehicles in the districts (except the ones for the army and Police) should be centralised at the district headquarters under the command of the district health officer, aided by a Police officer.

    "We are going to ensure that [these vehicles] have enough fuel."


    ______________________________


    8:27pm  |   Business of boda bodas

    "In Kampala, companies will be identified to start doing this business of bodabodas. I hope there won't be corruption and bribery," says Museveni.



    ______________________________


    8:27pm  |   Government offices should be rid of non-essential staff

    "Each ministry and government department should work out a plan of the essential staff that need to remain on duty," says the President.

    This can be done on rotational basis.

    "At district level, district officials can identify boda bodas who can deliver food and other cargo to wherever it is needed. This  crisis will teach us other methods of doing business," adds the President.

     

    ______________________________


    8:23pm  |   Markets to sell only food - nothing else

    After dealing with public transport, the President says the other big problem are the markets, as they bring together many people.

    He, however, says he is happy to learn that the people in these markets have tried to adhere to hygiene measures - washing of hands with soap and water. But that is not enough.

    Therefore, the  second new additional measure is that the markets should be for selling only food - matooke, sweet potatoes, caassava, rice, beans, peas, chicken, meat, etc.

    Save for food, the selling of other items has been suspended.

    "We think this will reduce numbers and then they can maintain social distance. We think by removing the non-food items and sellers, it will reduce the numbers," says Museveni.


    ______________________________


    8:18pm  |   Ambulances allowed to move

    The only other vehicles allowed to move are ambulances, vehicles of security agencies and some institutions as well as vehicles for sanitary services (like KCCA garbage collection trucks).

    "This is to cause people to postpone their unsafe journeys from one point to another point. The only people who can move safely are those moving using private cars," says the President.

     

    ______________________________


    8:13pm  |   Government suspends public transport

    In its latest measures, the government has decided to suspend all public transport - that includes taxis, coasters/minibuses, buses, passenger trains, auto rickshaw (tuk tuks) and all boda bodas.

    The suspension is for 14 days.

    Why this suspension?

    "Because we want to limit movement. The only vehicles to move should be private vehicles, which should carry no more than three people, including the driver," says the President.

    But there are a few exceptions.

    Trucks and lorries delivering cargo (food and other essentials) are allowed to continue moving.

    The President says that boda bodas and tuk tuks can move only if they are carrying cargo. He says boda boda riders should not simply sit back and sulk over the suspension of their services - instead, they should think about using their bikes to transport cargo.


    ______________________________


    8:09pm  |   President begins address

    The president is speaking to the nation.

    He says the original nine cases are in "good condition" and their temperatures are going down - save for one, whose temperature keeps flactuating.

    "We are going to get scattered cases across the country. Therefore, we are happy that we took the other big steps in the past - we closed the schools in time and we closed the churches and mosques."

    With more coronavirus cases coming up, the President says the country needs to take additional measures.

     

    ______________________________


    7:47pm  |   Coronavirus in Uganda: Graphical illustration

    To get an idea of what is happening in the country in light of the new coronavirus, this map below from the government information portal shows where the confirmed cases are located and where alerts to the ministry are coming from.

     

    ______________________________


    7:43pm  |   'Nothing has caused prices of food to be hiked'

    In his fourth address on Tuesday, President Museveni reiterated his call to Ugandans to adhere to his and the health ministry's directives aimed at arresting the spread of the new coronavirus within the population.

    In his message, he mentioned that he may call a ban on the usage of public transport in case the situation worsens. In doing so, he would also promote using bicycles as an ideal alternative.

    The President also warned "crooks" against hiking the prices of especially foodstuffs, saying he would use spies to catch anyone taking advantage of the situation. If found, a culprit will be arrested and their license revoked.

    "Nothing has caused prices of foodstuffs to be hiked. The bananas we had yesterday are the same today, the maize is the same. So the crooks who are taking advantage of coronavirus to hike prices of foodstuffs anywhere in this country will be arrested and their licenses revoked," he reechoed his warning in a tweet.

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    ______________________________


    7:25pm  |   'It is a tough job during such a difficult time'

    Also called Ma Yun, the 55-year-old Chinese tycoon sent out a message of thanks to Ethiopian Prime Miniter Abiy Ahmed for "helping us distribute supplies throughout Africa".

    The large packages were delivered to the recipient nations using Ethiopian Airlines.

    Source: The New Vision

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