Education can Empower in Fighting Ebola – Commercial Appeal


Charlotte Missionaries


If an ill patient, who unexpectedly has Ebola, landed in Memphis, it is likely that my partner or I would see him. We work as infectious disease doctors at the hospital closest to the airport.

The Ebola patient would present with fever, nausea and vomiting, indistinguishable from a flu or a viral illness that hundreds of patients present with each day at our hospitals. But over a few days of the illness, the Ebola virus would take a devastating toll on my patient’s body.

Rather than being destroyed by his immune cells, the Ebola virus would cause my patient’s immune cells, namely the white blood cells, to undergo self destruction. This would lead to leakage of inflammatory mediators into the blood stream causing bleeding, and the most feared and fatal complication of Ebola, hemorrhagic fever. Over a course of a week my patient would develop bruising, a rash and uncontrolled bleeding from the ear, nose and rectum.

Ultimately, what distinguishes Ebola from all other viruses is its fatality rate; that is 75 of every 100 patients with Ebola in Guinea have died within 3 weeks. Compare this with the flu where 15 in 100,000 infected died within a few months; or even HIV, where before the “cocktail medications” became available, death occurred over 10 years.

So all in all, there is a legitimate reason to fear Ebola and its complications. Yet, there is an equally strong reason not to be panicked: It is within our ability to contain the virus.

The short term solution to the Ebola epidemic and most epidemics is not a new medicine or vaccine or an advanced technological treatment; rather it is basic and meticulous infection control practices. This means washing hands, wearing proper gear, isolation and quarantining infected or potentially infected individuals, limiting travel of individuals in infected areas and being vigilant with surveillance in uninfected areas.

Ebola thrives in West Africa because the basic health and sanitary conditions like running water or gloves are often lacking in homes and hospitals. This allows the Ebola virus, which is only transmissible by body fluid contact of blood, urine and stools — not transmissible by air — to spread from person to person.

As much as we would like to think that we are isolated and immune from the diseases in far away countries in Africa or Asia, we are not. Just as global warming pollutants and economic upturns and downturns that occur in China or India impact America and Memphis, likewise, a virus can impact us on the banks of the Mississippi, where Memphis is the second largest cargo hub in the world.

The question I often get asked is, “Where does the Ebola virus come from?” The Ebola outbreaks occurs intermittently because bats or primates carry a reservoir of the virus; when a human comes into contact with the animal meat or with an infected animal, he contracts the disease and then passes it on to others at home or among health workers, including doctors and nurses who do not use proper infection control.

So I asked Yvonne Madlock, director of the Shelby County Health Department, “What if a patient with Ebola virus landed in Memphis — are we prepared?”

She was optimistic about our preparedness effort, yet cautioned: “This is a wake up call for hospitals and providers to make sure they are following all the precautions recommended by CDC.”

The bigger question I have is, is the general population in Memphis prepared for a potential patient?

As for many health professionals and me, the thought of a patient landing in Memphis and us having to treat him does not keep us up at night. Rather, the knowledge we have of the disease and how it spreads, and the support we have from the health department and Centers for Disease Control and Prevention, is empowering.

Oftentimes people do not realize that our fear overwhelms us because ignorance overtakes us. Often, others — maybe the media — play on our fears to get our attention about a disease, but do not do a good enough job to educate and empower us.



I am Dr. Manoj Jain, and I am running for Shelby County Commissioner for District 13, which includes portions of Midtown and East Memphis stretching to Germantown. I am a medical doctor and live with my family in East Memphis. My parents immigrated … [Continue reading]

Denying employment could be powerful disincentive for smokers – Commercial Appeal

As I walk into the hospital each day, I notice patients and families sitting outside on benches that are surrounded by large signs prohibiting smoking on hospital grounds. For over five years, a collaborative and concerted effort by Memphis hospitals … [Continue reading]

Doctors struggling over role in treating childhood obesity – Commercial Appeal

Lying in a hospital bed, my seriously obese patient can barely see her swollen and odorous right foot over her abdominal fat. The foot is soon to be amputated, the result of an untreatable infection exacerbated by diabetes and kidney failure, which … [Continue reading]

Sinusitis among most mistreated illnesses – Commercial Appeal

Over the past month my daughter, my aunt, my father-in-law and sister-in-law all have been taking antibiotics for a sinus or an upper respiratory infection. As the infectious disease doctor in the family, I feel partly responsible for all … [Continue reading]

Flu complications come on fast – Vaccine can save time, money, lives

The night before I was leaving for a three-week medical mission trip, I was called urgently to the ICU to see a patient I’ll call Rachel, a previously healthy woman in her late 40s, slightly overweight. She had started a new job as a customer service … [Continue reading]

Vaccine can prevent deadly flu complications – Commercial Appeal

The night before I was leaving for a three-week medical mission trip, I was called urgently to the ICU to see Rachel (name altered), a previously healthy woman in her late 40s. She had started a new job as a customer service agent. Rachel was the … [Continue reading]

Obamacare’s Upheaval of the Insurance Market – Huffington Post

Some years ago, driving through an end of town where pawn shops and boarded up homes are common, I saw a small placard sign nailed on a telephone pole. "Buy Health Insurance," it touted with premiums as low as $25 a month. I was tempted. … [Continue reading]

Challenges for Sebelius and Obamacare – Huffington Post

Last Friday, I was among a dozen people who sat privately to talk about the Affordable Care Act (ACA), aka Obamacare, with the embattled Health and Human Services Secretary, Kathleen Sebelius. Dressed in a light green blazer, sitting alongside … [Continue reading]

Closing the Medicaid doughnut hole – Commercial Appeal

A patient, a burly black man in his 40s who works as a cook, is in the hospital wincing in pain from a staph infection on his leg. He has no health insurance and earns about $15,000 a year. You would think that the Affordable Care Act (ACA), aka … [Continue reading]