Saturday, December 13, 2014

Medical lesson on fevers, written by Gloria Poole, RN, artist of Missouri and Georgia

About fevers that develop suddenly
 written by Gloria Poole, Registered Nurse, artist of Missouri and Georgia

This "lesson" for the public's health is about the diagnosis and treatment of a sudden fever, and is intended as a mere guideline for anyone anywhere who develops a fever suddenly or has a family member who does; or who is expected to care for a person with a fever.  Pay attention to what other symptoms the person with a fever develops. Does shaking of body or arms and legs occur  called "chills" ? Is there a general overall feeling of not being well, called "general malaise"?  Did the person with fever lose the appetite for food? Does the person have a headache? Does the person with fever have spots or rash on face or body? Can the person swallow normally? Can the person keep down liquids? Has the person with fever lost weight? When did the fever begin? Is the fever worse at night? Does the person with a fever also have a cough? If so,, does the coughing occur in spasms? Does the coughing cause the person to spit out mucus? Are the pupils of the eyes reddened? Does the person's nose run ? Does the person have vomiting or diarrhea? Does the person have bleeding from eyes, nose, ears, rectum? 

In a normal healthy person, the normal temperature when taken by mouth varies from 96.5degrees fahrenheit [35.8  degrees Centigrade] to 99.0 degrees fahrenheit [37.2  degrees Centigrade] and usually the temperature is lowest between the hours of 2 -4 am, and highest between 6 -10pm. In very hot weather or after running, the body temperature may be 0.5 to 1.0 degrees  fahrenheit higher [03. to 0.6 degrees centigrade] temporarily. Most pharmacies sell some sort of thermometer for home use either the glass bulb sort that has mercury in it that is very durable but has to be disinfected between patients; or electronic ones which are much more expensive, have to be recalibrated at every use, and have to be replaced often.  

Infection somewhere in the body is the most likely cause of any fever. Some infections cause other symptoms within a day or two. Some fevers can persist for 3 weeks without developing other symptoms. Most common infections are viral infections including infectious mononucleosis, viral hepatitis, varicella [chicken-pox], rubeola, [measles], rubella [German measles], human immunodeficiency virus {HIV], and rickettsial infections such as Rocky Mountain spotted fever, caused by tick bites, and Q fever caused by airborne rickettsiae in dust caused by contaminated animals or by direct contact with infected animals; Lyme disease which is a spirochetal infection caused by deer ticks; and a variety of bacterial infections including infections of the pleura, biliary tract, retroperitoneum, kidney, liver, spleen; and several acute [creating a crisis] bacterial infections including acute bacterial endocarditis [bacteria affecting the outer sac of the heart] and Salmonella bacteremia [food poisoning] , and Leptospirosis caused by contact with domestic or wild animals' urine in moist soil or water.

Also, if the person with the fever has traveled to other countries that he or she does not normally live in, the diseases prevalent in those countries must be taken into consideration when arriving at a diagnosis. Some of those diseases that cause fever are malaria, dengue fever, scrub typhus, tuberculosis, ebola,  plaque caused by rodents, typhoid, tetanus.

The incubation period varies for different fevers. Incubation period means the time it takes for symptoms to develop after the person was exposed to the virus or bacteria. The incubation period for chicken-pox is 10-21 days; for German measles it is 14-21 days, for ebola it is up to 21 days after exposure, for Leptospirosis it is 4-19 days, for measles it i 9 to 11 days, for Q fever it is 14- 26 days, for Rocky Mountain Spotted fever it is 3 to 14 days.

Hypersensitivity to prescribed medicines can cause fever also, but digitalis preparations and insulin almost never are the cause of fever. Medicines that frequently cause fever because of hypersensitivity of the patient to them are: Allopurinol, Amphotericin B, antihistamines, Atropine, barbiturates, Bleomycin, Captopril, cephalosporins, Clofibrate, Ethambutol, Heparin, Hydralazine, Ibuprofen. iodides, Isoniazid, Methyldopa, Nifedipine, Nitrofurantoin, p-Aminosalicyclic acid, Penicillinamine, Penicillins, Phenolphthalein, Phenytoin, Procainamide, Propylthiouracil, Pyrazinamide, Quniidine, Salicylates, Streptomycin. Sulindac, Sulfonamides. Fever may begin [promptly with the first dose of these drugs or occur weeks later, but a person who has taken any of these for longer than 3 months' time,  is not having fever because of these drugs. A drug-induced fever may be low grade or rise to 104 degrees fahrenheit [40 degrees centigrade]. Chills do not commonly occur with drug-induced fevers. But itching, rash, eosinphilia occur in many cases. In a few cases drug induced fevers progress to serum sickness [rash, swollen lymph nodes, arthritis, nephritis, swelling . Some drugs can cause a lupus-like syndrome of fever, arthralgias, and positive anti-nuclear antibody [ANA] titers, If removing the drug causes the fever to go away, that is a definitive establishment of cause and effect. If organ damage occurred with the administration of any drug, the drug should not be taken again. Administration-related fever may occur with any medicine give by intravenous method. Some medicines cause leukopenia and fever.

Other causes of fever are vascular occlusion events such as deep vein thrombophlebitis, minor pulmonary embolus, asymptomatic myocardial  infarction [ M.I., commonly called heart attack]. Also, fever may be the only symptom of acute autoimmune hemolytic anemia or hemolytic anemia due to glucose-6-phosphate dhydrogenase [G6PD] deficiency. Some vaccines cause fever.

The people who at most at risk of developing infections are those with preexisting conditions such as lymphoma, HIV, those receiving corticosteroids, those on immuno-suppressive drugs, rheumatic valvular disease, certain congenital heart diseases, multiple myeloma, splenectomy, sickle cell disease, granulocytopenia [less than 1,000 granulocytes/mm] , advanced cirrhosis, diabetes, alcoholism, and those who use illegal substances .

Fevers lasting more than 3 weeks are usually chronic conditions such as tuberculosis, subacute bacterial endocarditis, [SBE, chronic osteomyelitis, cytomegalovirus infections, intra-abdominal abscesses, urinary tract infections, HIV, systemic lupus erythematosus, temporal arthritis, certain neoplasms especially lymphoma, acute leukemia, hypernephroma, hepatoma, pancreatic carcinoma. carcinoma of lung, bone malignancies, granulomatous hepatitis, hyperthyroidism, drug fever, inflammatory bowel disease, sarcoidosis, thyroiditis, recurrent pulmonary emboli. If fever has continued longer than 3 weeks in spite of diagnostic studies, these diseases must be considered as the possible cause of it.

To diagnose fever, start with taking a  comprehensive history from the patient. Ask the questions in paragraph one and include other questions about possible exposure to other people who have symptoms of any disease? Any travel abroad? To where, when, for how long? Are other people in the same household sick or have a fever? Does the person with a fever have any of the diseases listed in the above paragraph? Does the person with fever take any of the drugs or illegal substances listed in the paragraph about hypersensitivity ?  After the history is written see if any of it suggests a path to take to diagnose? if not, start the diagnostic work-up  to include: a chest X-ray of both lateral and posterior-anterior views, a complete blood count with differential, erythrocyte sedimentation rate, liver function tests, at least two blood cultures [aerobic and anaerobic], urinalysis, quantitative urine culture if urinalysis reveals pyuria or bacteriuria . If symptoms are severe, the patient may be hospitalized and treated with prompt anti-microbial drugs to prevent sepsis.  A physical examination should be done intermittently as long as fever persists to see if organs are being affected; and should include examination of the eyes with opthalmoscope, palpation for an enlarged or tender temporal artery, listen for a new or changing heart murmur, palpate for an enlarged  or tender thyroid gland, listen for pericardial, pleural, or hepatic friction rubs, palpate the liver, spleen, abdomen, for swelling or tenderness, examine the rectum [and prostate in men], feel for enlarged or tender lymph nodes, look at mucus membranes of mouth, eyes; look at nail beds for color and any splinter hemorrhages. Give the person with fever a PPD [Purified protein derivative test] for tuberculosis  unless there is a documented history of a positive PPD or of tuberculosis. Examine blood smears if the person has traveled to countries where malaria exists in past six months. Evaluate medicines patient takes.  If any are on the list of medicines and are not essential, discontinue them. If they are essential, change the medicine to something not on the list above that are known to cause fever.

Have patient take their own temperate twice a day for at least  two weeks and chart it so you can see if a pattern emerges? If fever persists, continue diagnostic work-up with skin tests, electrocardiogram, serum calcium level, serum titers of antistreptolysin O, rheumatoid factor, antinuclear antibody, HIV antibody, and a Monospot test and repeat the complete blood count with differential. It is important at this point to have an independent observer/ care giver to test the temperature and record it for another week. A fever of unknown origin lasting more than 3 weeks probably should be evaluated in an acute care hospital. Fevers that have other symptoms especially causing hemorrhaging or vomiting and diarrhea need to be hospitalized as quickly as possible.

It is important to note that not all fevers have to be treated. Some will run their course and the patient will get well. The use of antipyretics may not be needed but if so, aspirin is a very good anti-pyretic but may cause the patient to sweat and have shaking chills. That response can be diminished by giving the patient aspirin in dose of .03 to 0.g grams regularly at 3 to 4 hour intervals. If patient is allergic to aspirin, or at risk of bleeding,  acetaminophen may be given.  Unless the patient is acutely ill, with involvement of organs, it is considered best to hold off on treatment with antibiotics until you know what you are treating.

To prevent contamination of other persons the care taker and or medical doctor must use good handwashing technique including scrubbing under fingernails with a strong disinfectant and a nail brush and washing any part of their body that came into contact with infected person. If the virus or bacteria is airborne [spread by droplets through the breathing in and out of the infected person] then masks and covering head to toe must be  apart of the regimen of care. See the links in previous posts on how to do that. 

I referred to medical textbook, Principles of Ambulatory Medicine, edited by L. Randol Barker, MD; John R Burton,MD,;and Phillip Zieve, MD; chapter 26 to summarize and put into my own words so that average persons could understand this.



13 Dec  2014: Copyright notice: this blog and all content on it is created by me and owned by me  Gloria Poole residing in Missouri but born in the state of Georgia, and it is covered by U S copyright law. I, Gloria Poole, own all rights to this blog and to all content on it, all words, all photos, and all art represented by photos that I photographed. I have the actual, tangible art I created and photographed.  This blog and or its individual posts may not be transferred to anyone anywhere,nor have domains forwarded to it that do not belong to me, nor be saved to disk, nor downloaded, nor printed at remote,  nor copied, nor photo-copied [screen-captured] , nor in any way with any method be reproduced. I, Gloria Poole, own all rights to all words, art and photos I create  with any method of technique or medium on any surface anywhere any location any reason or no reason, whether or not I photograph it on any camera, phone, etc, and whether or not I publicly display it anywhere. I have never signed a blanket waiver of my copyrights to art I have created and do not have an artist's rep [agent], nor literary agent to represent me, and never did.  I drew,  painted, signed, photographed and uploaded all art on this blog and on any blog of mine.

For the record and to establish provenance of art I have already created also: the art I have created and signed and posted to this blog of mine is part of an on-going series of art I created since year 1991 beginning in Atlanta, GA that "blossomed"  in year 2005 in  Aurora, Colorado when I lived there for one year [May 2006-May 2007], and art began to really become an integral part of my efforts to save the baby humans from premeditated destruction. In 2005, I began to realize I could use the art to illustrate my talking points in some cases, and to build a secondary "career' for me as artist.  In the year 2006 when I had endured and lived to tell about it a violent crash down a flight of stairs and had trauma, fractures, concussion, because my then-husband DBP tried to kill me to 'make it look like an accident" and he tried to twist off my broken leg, I had immobility for months except on crutches and walking boot after surgery to repair fractures and implant metal. As I sat with leg propped up I began to draw daily and paint to occupy the time and my mind. I also began to post art to the web on my blogs and websites, and also photographs I had photographed. I began a series of art then that is named "ethnic series by Gloria" [me] to attempt to draw and paint an art work of every ethnic group tribe, language, culture in the world and I created eight initial oil paintings in the first batch and posted them to the web on domains of mine.  I moved from Aurora to zip code 80203 for 2 and 1/2 years and then moved to Missouri on Oct 31, 2009 with the art I had in my possession at that time. I paint some of the sketches I created  in do-overs into oils on canvas and those are very visible on the web. I put many of them on my mini exhibit of art at https://mini-exhibition.blogspot.com, and also on my Picasa albums at https://picasaweb.google.com/gloriapoole.

 I, Gloria Poole, am a white, Southern Baptist Christian, brown-haired woman, single-again, twice-divorced,natural mother of only two children who are grown daughters named Jennifer and Leigh, and also a republican, personhood promoter, prolife activist-blogger, photographer, artist in all mediums, poet, author, illustrator, cartoonist, writer, University of Georgia alumna, U S citizen born in the state of Georgia [but I lived in several places including New York, UK briefly, Nebraska, South Carolina, Colorado, Virginia, North Carolina], former TV producer,tweeter, Registered Nurse licensed in Missouri [but before that in Georgia, UK, other states], owner/writer/blogger/photographer/illustrator for words that WORK, and also for Tapestry of LIFE,and also for Life Media & Publishing in years 2004-2011; and a just-for-fun-photographer, and citizen journo . Gloria Poole is my real, born with legal name and I resumed my full maiden name including my surname of Poole legally by Court order at the time of divorce from male DBP in Colorado in Oct, 2007 at Centennial, Colorado; and I also removed the Pappas name from my name forevermore at the time of final decree in Oct 2007 . I was glad to end that four year horrible marriage of multiple trauma and injuries to me caused by male DBP, [which I testified about in Court on several occasions ].  That second divorce is public record in the state of Colorado, and my first divorce is public record in the state of Georgia. I have created art regularly since 1991, and I had formal training in drawing and in mixing colors /paint and painting in oils and I post much of the art I create on blogs of mine. You can see some of that art on one of my name blogs at https://gloriapoole.blogspot.com and see the about me page of that blog for the list of art blogs I own and post art too, that are all different. .

Copyright. Gloria Poole also known as Gloria on art I create and sign and in real life since it is my real, born with first name;  and as  Gloria Poole, RN, artist and on the web as : gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; @gloriapoole; @gloria_poole; gloria0817; gpoole817; Ms. Gloria Poole; Poole.Gloria; gloriapoole-paintings; cartooning-by-gloriapoole; photo-by-gloriapoole; gloriapoole.RN; gloriapooleRN at yahoo in which the RN is standard abbreviation for Registered Nurse, and other variations of my real, born with and legal name of Gloria Poole  at my own, private apt in Missouri which is not shared with anyone, on 13 Dec 2014 at  9:12am.

Thursday, October 30, 2014

Update on Ebola situation by Gloria Poole, RN in Missouri

Ebola is in the news very much still as it seems to me to be the 21st century version of the Black Plague. Here is some of the information available on this topic that spans 3 countries in West Africa, New York, Georgia, Texas, Maine and New Jersey. I am numbering for ease of reference. 

1) Center for Disease Control 's Morbidity and Mortality Weekly Reports: 
http://www.cdc.gov/mmwr/ebola_reports.html [ all reports] and 

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6343a3.htm?s_cid=mm6343a3_w [for week of 28 Oct 2014] with quote: "The map of the cumulative incidence of Ebola, as of October 18, indicates that the highest incidence rate (>100 cases per 100,000 population) was reported by two districts in Guinea (Guéckédou and Macenta), five districts in Liberia (Bomi, Bong, Lofa, Margibi, and Montserrado), and four districts in Sierra Leone (Bombali, Kailahun, Kenema, and Port Loko) (Figure 3).

2) The latest updates on the 2014 Ebola outbreak in West Africa, including case counts, are available at http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html. 

3) The most up-to-date clinical guidelines on the 2014 Ebola outbreak in West Africa are available at http://www.cdc.gov/vhf/ebola/hcp/index.html." 

4) Surveillance and Preparedness in NYC Report [CDC MMWR]: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6341a5.htm?s_cid=mm6341a5_w/ with quote: "the NYC Department of Health and Mental Hygiene (DOHMH), in close coordination with local hospitals and clinicians, nongovernmental organizations and community groups, and city, state, and federal agencies, established systems around Ebola surveillance and management of suspected cases and contacts, and built upon existing general protocols for early recognition and management of persons with a viral hemorrhagic fever. Objectives included rapidly identifying Ebola patients in health care settings, implementing infection control precautions, and transporting ill persons to hospitals via emergency medical services, including persons arriving on international flights into John F. Kennedy International Airport. Enhanced planning began immediately after a CDC alert about Ebola on July 28, 2014. Reporting criteria and infection control guidance were developed in collaboration with local hospitals and sent to hospitals and clinicians via an electronic health alert system on August 11. Information also was shared on three citywide conference calls and in oral presentations to target audiences (1). DOHMH developed Ebola-specific data collection forms and triage protocols and trained staff to handle calls.
The guidance instructed clinicians to call DOHMH immediately after identifying any patient meeting the CDC definition for a person under investigation (PUI): a person who traveled to an Ebola-affected area within 21 days of onset of symptoms and had fever >101.5º F [38.5º C] and compatible symptoms such as severe headache, muscle pain, vomiting, diarrhea, abdominal pain, or unexplained bleeding ". ..."planning for isolation and management of PUIs or confirmed Ebola patients. DOHMH distributed posters for health care facilities to post in emergency departments to encourage patients to report recent travel history to an Ebola-affected country upon arrival.† DOHMH medical epidemiologists were available at all hours to respond to clinician and hospital questions about PUIs or other persons suspected of having Ebola, using guidance largely consistent with CDC's risk categories. Under the system, patients with high-risk or low-risk exposure to Ebola would be transferred to another hospital if there was concern about the ability of the reporting hospital to manage the patient; Ebola testing, if indicated and after consultation with CDC, could be performed at DOHMH with confirmatory testing at CDC. Patients should also undergo evaluation for alternate diagnoses. The protocol included consideration of laboratory studies such as complete blood count, coagulation studies, liver function tests, and malaria testing, to assist in determining the need for Ebola testing. Patients not needing hospitalization could remain isolated at home, with daily monitoring by telephone by medical epidemiologists until the patient's symptoms improved such that Ebola was no longer of concern, or until worsening or persistent symptoms prompted repeat evaluation for Ebola or an alternate diagnosis.
As of October 6, 2014, DOHMH had received inquiries from health care providers about 88 patients: 49 (56%) had not been in an affected area in the 21 days before symptom onset, and 28 (32%) met travel criteria but not clinical criteria. "

5) 27 Oct 2014: That ebola exposed nurse had an elevated temperature [ a symptom of #ebola] when she was discharged from quarantine in NJ  according to http://hosted.ap.org/dynamic/stories/U/US_EBOLA_US?SITE=MOCOD&SECTION=HOME&TEMPLATE=DEFAULT;

6) http://mashable.com/2014/10/27/cdc-ebola-monitoring/?utm_cid=mash-com-Tw-main-link

7) 29 Oct 2014: http://www.bbc.com/news/health-29573993#?utm_source=twitterfeed&utm_medium=twitter

8) Krauthammer says US consensus favors quarantine of health care people returning from Africa: http://htl.li/DuWNY

9) CDC new guidelines for ebola: http://www.fiercehealthcare.com/story/cdc-issues-new-ebola-guidance-ed-workers/2014-10-28?utm_medium=nl&utm_source=internal

From CDC and FierceHealthcare: "The guidelines call on ED workers to take the following steps when treating a patient who exhibits symptoms of the deadly virus:

Take the patient's exposure history to determine whether the patient lived or traveled in a country with widespread Ebola transmission or had contact with a patient with confirmed Ebola in the previous 21 days.

If the patient meets the exposure criteria, determine if they have signs or symptoms, including a fever greater than 100.4 degrees, headache, weakness, muscle pain, vomiting, diarrhea, abdominal pain or hemorrhage.

If the patient with a relevant exposure history has the signs and symptoms, the ED must isolate the patient in a private room or separate enclosed area with private bathroom or covered, bedside commode and adhere to procedures and precautions designed to prevent transmission by direct or indirect contact (e.g. dedicated equipment, hand hygiene, and restricted patient movement).

If the patient arrives by ambulance, ED workers should meet the patient in a designated area away from other patients and have a process in place for safely transporting the patient on the stretcher to the isolation area with minimal contact with non-essential healthcare workers or the public.

To minimize transmission risk, only essential healthcare workers with designated roles should provide patient care. Maintain a log of all personnel who enter the patient's room. All healthcare workers who have contact with the patient should put on appropriate PPE based on the patient's clinical status.

Healthcare workers should follow the PPE recommendations if patients require invasive or aerosol-generating procedures, such as intubation, suctioning or active resuscitation) and use equipment dedicated to the patient in a pre-designated area.

At minimum, healthcare workers should wear a face shield, surgical face mask, impermeable gown and two pairs of gloves. Do not use the same equipment used to care for these patients on others until appropriate evaluation and decontamination.

Notify the hospital's infection control staff and report the case to local health departments." Read entire article: http://www.fiercehealthcare.com/story/cdc-issues-new-ebola-guidance-ed-workers/2014-10-28?utm_medium=nl&utm_source=internal

10) A 21 day quarantine was also imposed on U S astronauts and they didn't whine about it. Quarantine guideline for astronauts included 21 day quarantine: http://en.wikipedia.org/wiki/Mobile_Quarantine_Facility [tweeted to me by NYCCouncilWatch and Seth Barron] 

11) 30 Oct 2014: Comprehensive report on ebola: http://www.bbc.com/news/world-africa-28754546 includes "The Basics" of http://www.bbc.com/news/health-29556006. Remember getting droplets of contaminated fluid into the eye is being exposed to ebola since the mucus membrane lining of the eye will absorb the virus into bloodstream. 

 12) NEVER, NEVER, Never eat bats! They are carriers of several diseases  including rabies and ebola that infect humans.

13) Quote: ""Upon learning the healthcare worker intends to defy the protocols, the Office of the Governor [of Maine]  has been working collaboratively with the state health officials within the Department of Health and Human Services to seek legal authority to enforce the quarantine," the governor said. " From: http://www.reuters.com/article/2014/10/29/us-health-ebola-usa-idUSKBN0II1SP20141029?feedType=RSS&feedName=topNews&utm_source=twitter

14) http://www.newsmax.com/newswidget/us-ebola-military/2014/10/29/id/603835/?Dkt_nbr=16D5D-1&nmx_source=Atlanta_Journal_Constitution_Generic&nmx_medium=widget&nmx_content=109&nmx_campaign=widgetphase2

15) To start early intervention on any suspected of exposure to ebola you can follow The Rehydration Project  formula [how to make oral rehydration solutions at home] :http://rehydrate.org/solutions/homemade.htm w/ quote: "Made at home: ORS Solution A special drink for diarrhoea:

Give the child a drink made with 6 level teaspoons of sugar and 1/2 level teaspoon of salt dissolved in 1 litre of clean water. Be very careful to mix the correct amounts. Too much sugar can make the diarrhoea worse. Too much salt can be extremely harmful to the child. Making the mixture a little too diluted (with more than 1 litre of clean water) is not harmful."

Also, note that I am purposefully not linking any of these articles because someone tried to hijack my blog today and it took three tries to get the call to come through to login, because cyber-thugs tried to intercept my telephone as they broke into my telephone line.  You will have to copy and paste links into your browser.
30 Oct  2014: Copyright notice: this blog and all content on it is created by me and owned by me  Gloria Poole residing in Missouri but born in the state of Georgia, and it is covered by U S copyright law. I, Gloria Poole, own all rights to this blog and to all content on it, all words, all photos, and all art represented by photos that I photographed. I have the actual, tangible art I created and photographed.  This blog and or its individual posts may not be transferred to anyone anywhere,nor have domains forwarded to it that do not belong to me, nor be saved to disk, nor downloaded, nor printed at remote,  nor copied, nor photo-copied [screen-captured] , nor in any way with any method be reproduced. I, Gloria Poole, own all rights to all words, art and photos I create  with any method of technique or medium on any surface anywhere any location any reason or no reason, whether or not I photograph it on any camera, phone, etc, and whether or not I publicly display it anywhere. I have never signed a blanket waiver of my copyrights to art I have created and do not have an artist's rep [agent], nor literary agent to represent me, and never did.  I drew,  painted, signed, photographed and uploaded all art on this blog and on any blog of mine.

For the record and to establish provenance of art I have already created also: the art I have created and signed and posted to this blog of mine is part of an on-going series of art I created since year 1991 beginning in Atlanta, GA that "blossomed"  in year 2005 in  Aurora, Colorado when I lived there for one year [May 2006-May 2007], and art began to really become an integral part of my efforts to save the baby humans from premeditated destruction. In 2005, I began to realize I could use the art to illustrate my talking points in some cases, and to build a secondary "career' for me as artist.  In the year 2006 when I had endured and lived to tell about it a violent crash down a flight of stairs and had trauma, fractures, concussion, because my then-husband DBP tried to kill me to 'make it look like an accident" and he tried to twist off my broken leg, I had immobility for months except on crutches and walking boot after surgery to repair fractures and implant metal. As I sat with leg propped up I began to draw daily and paint to occupy the time and my mind. I also began to post art to the web on my blogs and websites, and also photographs I had photographed. I began a series of art then that is named "ethnic series by Gloria" [me] to attempt to draw and paint an art work of every ethnic group tribe, language, culture in the world and I created eight initial oil paintings in the first batch and posted them to the web on domains of mine.  I moved from Aurora to zip code 80203 for 2 and 1/2 years and then moved to Missouri on Oct 31, 2009 with the art I had in my possession at that time. I paint some of the sketches I created  in do-overs into oils on canvas and those are very visible on the web. I put many of them on my mini exhibit of art at https://mini-exhibition.blogspot.com, and also on my Picasa albums at https://picasaweb.google.com/gloriapoole. and also https://picasaweb.google.com/gloria0817. and on my fickr and Live online albums including :
https://onedrive.live.com/redir?resid=C639F79DB1F3CD87!141&authkey=!ADvZXW1HkLqT0OQ&ithint=folder%2cjpg

& https://onedrive.live.com/redir?resid=C639F79DB1F3CD87%21145.

 I, Gloria Poole, am a white, Southern Baptist Christian, brown-haired woman, single-again, twice-divorced,natural mother of only two children who are grown daughters named Jennifer and Leigh, and also a republican, personhood promoter, prolife activist-blogger, photographer, artist in all mediums, poet, author, illustrator, cartoonist, writer, University of Georgia alumna, U S citizen born in the state of Georgia [but I lived in several places including New York, UK briefly, Nebraska, South Carolina, Colorado, Virginia, North Carolina], former TV producer,tweeter, Registered Nurse licensed in Missouri [but before that in Georgia, UK, other states], owner/writer/blogger/ illustrator/photographer for words that WORK, and  also for Tapestry of LIFE and previously for Life Media 7 publishing when I owned the domains of it and was building up a publishing company [before cyber-criminals and thugs set out to kill me and annihilate me from the web in yr 2011] , photographer, and citizen journo . Gloria Poole is my real, born with legal name and I resumed my full maiden name including my surname of Poole legally by Court order at the time of divorce from male DBP in Colorado in Oct, 2007 at Centennial, Colorado; and I also removed the Pappas name from my name forevermore at the time of final decree in Oct 2007 . I was glad to end that four year horrible marriage of multiple trauma and injuries to me caused by male DBP, [which I testified about in Court on several occasions ].  That second divorce is public record in the state of Colorado, and my first divorce is public record in the state of Georgia. I have created art regularly since 1991, and I had formal training in drawing and in mixing colors /paint and painting in oils and I post much of the art I create on blogs of mine. You can see some of that art on one of my name blogs at https://gloriapoole.blogspot.com and see the about me page of that blog for the list of art blogs I own and post art too, that are all different. .

Copyright. Gloria Poole also known as Gloria on art I create and sign and in real life since it is my real, born with first name;  and as  Gloria Poole, RN, artist and on the web as : gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; @gloriapoole; @gloria_poole; gloria0817; gpoole817; Ms. Gloria Poole; Poole.Gloria; gloriapoole-paintings; cartooning-by-gloriapoole; photo-by-gloriapoole; gloriapoole.RN; gloriapooleRN at yahoo in which the RN is standard abbreviation for Registered Nurse, and other variations of my real, born with and legal name of Gloria Poole, at my own, private apt in Missouri which is not shared with anyone, on 30 Oct 2014 at  1:18pm.

Friday, October 24, 2014

Ebola is in New York now.

The ebola virus arrived in New York today according to the news with the arrival of a medical doctor who had worked with ebola patients in West Africa. I am making an effort as a conscientious Registered Nurse [of  26 year career but not employed in it now] for the sake of the publics' health.

There is much in the news in every mainstream news about this so I am going to post links to the articles here so anyone can read them all together in one place. Also, remember that this is the third post on this topic and that there is more information on the previous 2 posts about ebola so scroll back to read those.

20 Oct 2014: ebola articles:

How ebola spreads : http://hosted.ap.org/dynamic/stories/U/US_MED_EBOLA_HOW_IT_SPREADS?SITE=MOCOD&SECTION=HOME&TEMPLATE=DEFAULT

Center for Disease Control issues new guidelines:
http://www.nytimes.com/2014/10/21/us/cdc-issues-new-guidelines-for-ebola-care.html?partner=rss&emc=rss&smid=tw-nytimes&_r=0

23 Oct 2014: "the Missouri State Public Health Laboratory had been designated as an Ebola testing laboratory by the Centers for Disease Control and Prevention." http://www.columbiatribune.com/news/politics/senators-urge-travel-restrictions-stronger-state-response-to-ebola/article_7a262a81-e3d5-5b08-a84c-41987db40f93.html

"Ebola, a Category A bioterrorism agent. "... "could potentially be used as bioweapons. " From http://time.com/3532057/ebola-bioweapon-terrorism/

http://www.usatoday.com/story/opinion/2014/10/23/cdc-ebola-gamble-public-confidence-trust-truth-not-clueless-czar-column/17800077/ w/ quote; "First, the CDC insisted that Ebola is very difficult to transmit from person to person. But, that is clearly not true. This particular Ebola strain appears to be more infectious than others." and it suggests it may be airborne since it is amongst animals.

Washington Post wrote and illustrated protocol for preventive gear for ebola: http://apps.washingtonpost.com/g/page/national/protection-from-ebola-a-complicated-procedure/1374/?Post+generic=%3Ftid%3Dsm_twitter_washingtonpost

"All three modules will be available for free on the CDC's website in the coming weeks and later available to the millions of iOS users on iTunes U."http://hub.jhu.edu/2014/10/24/cdc-ebola-training-module

http://www.forbes.com/sites/elaineschattner/2014/10/23/doctors-ebola-case-points-to-need-for-a-frank-assessment-of-risk-to-the-community/?utm_campaign=techtwittersf&utm_source=twitter&utm_medium=social

7 Oct 2014 at 1:50pm
L A times' article on ebola indicates many researchers are very uncertain about its transmission: http://www.latimes.com/nation/la-na-ebola-questions-20141007-story.html#page=1

Also Discussion of travel ban of west African countries of Sierra Leone; Liberia and  Guinea :
Discussion travel ban on 3 west African countries: http://online.wsj.com/articles/travel-ban-over-ebola-may-bring-other-troubles-1413748220?tesla=y&mod=djemITP_h&mg=reno64-wsj&url=http://online.wsj.com/article/SB10800882878353264346304580220670732365144.html?mod=djemITP_h

Associated Press article  "
US health providers expand their Ebola precautions " on precautions being implemented  by health care professionals to quarantine ebola; including asking if patients have traveled to West Africa and teaching cab drivers, first responders how to contain the body fluids of anyone who has traveled to West Africa :http://hosted.ap.org/dynamic/stories/U/US_EBOLA_PREPARATIONS?SITE=MOCOD&SECTION=HOME&TEMPLATE=DEFAULT

 NY Times op-ed suggesting screening at all airports in US for signs/symptoms of ebola: http://www.nytimes.com/2014/10/07/opinion/stopping-ebola-in-america.html?hp&action=click&pgtype=Homepage&module=c-column-top-span-region&region=c-column-top-span-region&WT.nav=c-column-top-span-region&_r=0

The numbers have changed but this article contains some important information: 
Quote: "Ebola has killed more than 3,400 people in West Africa, with more than 7,400 suspected, probable and confirmed cases." And: "The virus is transmitted through close and direct physical contact with infected bodily fluids, the most infectious being blood, faeces and vomit. The incubation period from time of infection to symptoms is two to 21 days."  From CNN article that says ebola has been transmitted to Spain and that EU is holding conference to plan a strategy.  From :http://www.cnn.com/2014/10/07/world/europe/ebola-spain/index.html?hpt=hp_t2

 Article on experimental drugs being used to treat ebola: http://www.cnn.com/2014/10/06/health/ebola-drugs-in-the-works/index.html

7 Oct 2014: I published the post I created yesterday and today as one post to google documents on topic of ebola: https://docs.google.com/document/d/1DWXvFw8rW3qrEAo04BXULU6pIpLYo8Dwwb4-ZIUylag/pub

Also remember that every crisis produces attempts by some to defraud to get dollars for creating fake vaccines .
24 Oct 2014:   "Federal prosecutors accuse Korean-born researcher Dr. Dong Pyou-Han of deliberately falsifying key blood research into a possible vaccine for HIV."..." the NIH has given about $58 million in funds to science that turned out to be phony over the past 22 years."http://www.cnn.com/2014/10/20/us/ac-alleged-science-fraud-investigation/index.html?hpt=ju_c2

My profile for this blog: 

 I also write and create these other prolife /personhood blogs:
https://prolife-nurse.blogspot.com
https://publishing-life.blogspot.com
https://save-the-baby-humans.blogspot.com
https://real-women-have-babies.blogspot.com
https://tapestry-of-life-LLP.blogspot.com
https://sites.google.com/site/OptimumHealthisAchievable
https://sites.google.com/site/wordslife
https://sites.google.com/site/wordslife2 {It's all about ending abortion}
http://gloriapoole.livejournal.com
http://gloriapoole-UK.livejournal.com
Remember each is different.

Ownership and copyright information of this blog: 

You can follow me on twitter on these twitter accounts of mine: @ProlifeNurse; @personhood1; @gloriapoole; @gloria_poole @Tartan_Bliss and @tweetie0817. I categorize my tweets somewhat and usually put prolife, personhood, medical news, news that pertains to human life on my @ProlifeNurse and @personhood1 twitter accounts.  I put tweets about art I create, photos I photograph and my personal life on my @gloriapoole and @gloria_poole. I put tweets and news that concerns other countries, Royals, [Monarchs] and retweet the photos sent to me often on all of my accounts but to a much greater degree on @Tartan_Bliss and @tweetie0817. 

24 Oct  2014: Copyright notice: this blog and all content on it is created by me and owned by me  Gloria Poole residing in Missouri but born in the state of Georgia, and it is covered by U S copyright law. I, Gloria Poole, own all rights to this blog and to all content on it, all words, all photos, and all art represented by photos that I photographed. I have the actual, tangible art I created and photographed.  This blog and or its individual posts may not be transferred to anyone anywhere, nor have domains forwarded to it that do not belong to me, and the art, words and photos I create may not be saved to disk, nor downloaded, nor printed at remote,  nor copied, nor photo-copied [screen-captured] , nor in any way with any method be reproduced. I, Gloria Poole, own all rights to all words, art and photos I create  with any method of technique or medium on any surface anywhere any location any reason or no reason, whether or not I photograph it on any camera, phone, etc, and whether or not I publicly display it anywhere. I have never signed a blanket waiver of my copyrights to art I have created and do not have an artist's rep [agent], nor literary agent to represent me, and never did.  I drew,  painted, signed, photographed and uploaded all art on this blog and on any blog of mine.

For the record and to establish provenance of art and photos and words I have already created : the art I have created and signed and posted to this blog of mine is part of an on-going series of art I created since year 1991 beginning in Atlanta, GA that "blossomed"  in year 2005 in  Aurora, Colorado when I lived there for one year [May 2006-May 2007], and art began to really become an integral part of my efforts to save the baby humans from premeditated destruction. In 2005, I began to realize I could use the art to illustrate my talking points in some cases, and to build a secondary "career' for me as artist.  In the year 2006 when I had endured and lived to tell about it a violent crash down a flight of stairs and had trauma, fractures, concussion, because my then-husband DBP tried to kill me to 'make it look like an accident" and he tried to twist off my broken leg, I had immobility for months except on crutches and walking boot after surgery to repair fractures and implant metal. As I sat with leg propped up I began to draw daily and paint to occupy the time and my mind. I also began to post art to the web on my blogs and websites, and also photographs I had photographed. I began a series of art then that is named "ethnic series by Gloria" [me] to attempt to draw and paint an art work of every ethnic group tribe, language, culture in the world and I created eight initial oil paintings in the first batch and posted them to the web on domains of mine.  I moved from Aurora to zip code 80203 for 2 and 1/2 years and then moved to Missouri on Oct 31, 2009 with the art I had in my possession at that time. I paint some of the sketches I created  in do-overs into oils on canvas and those are very visible on the web. I put many of them on my mini exhibit of art at https://mini-exhibition.blogspot.com, and also on my Picasa albums at https://picasaweb.google.com/gloriapoole.

 I, Gloria Poole, am a white, Southern Baptist Christian, brown-haired woman, single-again, twice-divorced,natural mother of only two children who are grown daughters named Jennifer and Leigh, and also a republican, personhood promoter, prolife activist-blogger, photographer, artist in all mediums, poet, author, illustrator, cartoonist, writer, University of Georgia alumna, U S citizen born in the state of Georgia [but I lived in several places including New York, UK briefly, Nebraska, South Carolina, Colorado, Virginia, North Carolina], former TV producer,tweeter, Registered Nurse licensed in Missouri [but before that in Georgia, UK, other states], owner/writer/illustrator/blogger/photographer for words that WORK, and  also for Tapestry of LIFE, photographer, and citizen journo . Gloria Poole is my real, born with legal name and I resumed my full maiden name including my surname of Poole legally by Court order at the time of divorce from male DBP in Colorado in Oct, 2007 at Centennial, Colorado; and I also removed the Pappas name from my name forevermore at the time of final decree in Oct 2007 . I was glad to end that four year horrible marriage of multiple trauma and injuries to me caused by male DBP, [which I testified about in Court on several occasions ].  That second divorce is public record in the state of Colorado, and my first divorce is public record in the state of Georgia. I have created art regularly since 1991, and I had formal training in drawing and in mixing colors /paint and painting in oils and I post much of the art I create on blogs of mine. You can see some of that art on one of my name blogs at https://gloriapoole.blogspot.com and see the about me page of that blog for the list of art blogs I own and post art too, that are all different. .

Copyright. Gloria Poole also known as Gloria on art I create and sign and in real life since it is my real, born with first name;  and as  Gloria Poole, RN, artist and on the web as : gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; @gloriapoole; @gloria_poole; gloria0817; gpoole817; Ms. Gloria Poole; Poole.Gloria; gloriapoole-paintings; cartooning-by-gloriapoole; photo-by-gloriapoole; gloriapoole.RN; gloriapooleRN at yahoo in which the RN is standard abbreviation for Registered Nurse,  and other variations of my real, born with, legal name of Gloria Poole, at my own, private apt in Missouri which is not shared with anyone, on 24 Oct 2014 at  4:05pm.

Monday, October 13, 2014

The ebola virus is in U S, now what? : Update2

 Ebola is in the news much as some epidemiologists think it has the potential to become pandemic. And it is in the U S since patients with it have been admitted to Emory University Hospital in Atlanta, GA, and in Texas and in Nebraska. Remember it is a contagious disease and is carried through blood and body secretions of infected persons. I am posting some links to very well-written articles on this subject and also on the subject of sepsis which is bacteria in the bloodstream throughout the body. Ebola is a virus but some of the same emergency measures are used in any critical situation so I am including the American Journal of Nursing guidelines for  sepsis. 

Very good audio -visual of ebola infection: 
http://www.washingtonpost.com/wp-srv/special/health/ebola-effect-on-body/?Post+generic=%3Ftid%3Dsm_twitter_washingtonpost;


And on the subject of what the U S containment of ebola might involve [quarantine] :  http://www.forbes.com/sites/scottgottlieb/2014/08/12/if-ebola-arrives-in-america-some-controversial-tools-could-be-used-to-stop-it

CDC Offers Ebola Guidance for Health Care Providers : http://www.nursingcenter.com/lnc/HealthdayArticle?Article_id=692307

Associated Press article  :
"US health providers expand their Ebola precautions " on precautions being implemented  by health care professionals In US to quarantine ebola; including asking if patients have traveled to West Africa and teaching cab drivers, first responders, how to contain the body fluids of anyone who has traveled to West Africa :http://hosted.ap.org/dynamic/stories/U/US_EBOLA_PREPARATIONS?SITE=MOCOD&SECTION=HOME&TEMPLATE=DEFAULT

 NY Times op-ed suggesting screening at all airports in US for signs/symptoms of ebola: http://www.nytimes.com/2014/10/07/opinion/stopping-ebola-in-america.html?hp&action=click&pgtype=Homepage&module=c-column-top-span-region&region=c-column-top-span-region&WT.nav=c-column-top-span-region&_r=0


 Quote: "Ebola has killed more than 3,400 people in West Africa, with more than 7,400 suspected, probable and confirmed cases." And: "The virus is transmitted through close and direct physical contact with infected bodily fluids, the most infectious being blood, faeces and vomit. The incubation period from time of infection to symptoms is two to 21 days."  From CNN article that says ebola has been transmitted to Spain and that EU is holding conference to plan a strategy located at http://www.cnn.com/2014/10/07/world/europe/ebola-spain/index.html?hpt=hp_t2

 Article on experimental drugs being used to treat ebola: http://www.cnn.com/2014/10/06/health/ebola-drugs-in-the-works/index.html

Washington Post wrote and illustrated recommended CDC protocol for preventive gear for ebola: http://apps.washingtonpost.com/g/page/national/protection-from-ebola-a-complicated-procedure/1374/?Post+generic=%3Ftid%3Dsm_twitter_washingtonpost

How ebola spreads : http://hosted.ap.org/dynamic/stories/U/US_MED_EBOLA_HOW_IT_SPREADS?SITE=MOCOD&SECTION=HOME&TEMPLATE=DEFAULT

 Recognizing sepsis in the adult patient: http://journals.lww.com/ajnonline/Fulltext/2009/03000/Recognizing_Sepsis_in_the_Adult_Patient.34.aspx

Sepsis Awareness and Guidelines: 
http://ajnoffthecharts.com/2014/10/06/as-sepsis-awareness-increases-and-guidelines-change-timing-remains-crucial/

My profile for gloriapoole-RN-artist: 
https://profiles.google.com/106271267621391694994/about

My about me page as a web page: 
https://www.blogger.com/blogger.g?blogID=1772968733286158440#editor/target=page;pageID=1556774469034784766;onPublishedMenu=pages;onClosedMenu=pages;postNum=0;src=link

You may find more of the blogs I own and write on the prolife cause at; and remember each is unique with different content:
https://save-the-baby-humans.blogspot.com
https://real-women-have-babies.blogspot.com
https://prolife-nurse.blogspot.com
https://publishing-life.blogspot.com
https://words-that-work-LLP.blogspot.com
https://tapestry-of-life-LLP.blogspot.com
http://gloriapoole.livejournal.com
https://gloriapoole-UK.livejournal.com
https://news-for-life.blogspot.com
https://salvation-is-free.blogspot.com


You may find more of the blogs I own and write and post art I create too :

https://gloriapoole.blogspot.com
https://artist-gloriapoole.blogspot.com
https://gloriapoole-paintings.blogspot.com
https://artist-gloriapoole.blogspot.com
https://words-that-work-LLP.blogspot.com
https://tapestry-of-life-LLP.blogspot.com
http://gloriapoole.wordpress.com
https://gloriapoole1749.wordpress.com
https://gloria0817.blogspot.com
https://gpoole817.blogspot.com

Also, I, Gloria Poole, have a Registered Nurse license in Missouri, and I also draw, sketch, paint, tweet, blog on many topics including health care and public health.  Doing what I can do to help improve the worlds' public health is a "labor of love" --it is not something I get paid to do. 

Because I have had an on-going [for nearly 10 years] battle to try to hold onto my NAME and my identity on the web, I am also posting a lengthy Copyright notice to make it clear who owns this blog and who owns the copyright to my words and art [me] and who writes this blog.


6 Oct  2014: Copyright notice: this blog and all content on it is created by me and owned by me  Gloria Poole residing in Missouri but born in the state of Georgia, and it is covered by U S copyright law. I, Gloria Poole, own all rights to this blog and to all content on it, all words, all photos, and all art represented by photos that I photographed. I have the actual, tangible art I created and photographed.  This blog and or its individual posts may not be transferred to anyone anywhere,nor have domains forwarded to it that do not belong to me, nor be saved to disk, nor downloaded, nor printed at remote,  nor copied, nor photo-copied [screen-captured] , nor in any way with any method be reproduced. I, Gloria Poole, own all rights to all words, art and photos I create  with any method of technique or medium on any surface anywhere any location any reason or no reason, whether or not I photograph it on any camera, phone, etc, and whether or not I publicly display it anywhere. I have never signed a blanket waiver of my copyrights to art I have created and do not have an artist's rep [agent], nor literary agent to represent me, and never did.  I drew,  painted, signed, photographed and uploaded all art on this blog and on any blog of mine.

For the record and to establish provenance of art I have already created also: the art I have created and signed and posted to this blog of mine is part of an on-going series of art I created since year 1991 beginning in Atlanta, GA that "blossomed"  in year 2005 in  Aurora, Colorado when I lived there for one year [May 2006-May 2007], and art began to really become an integral part of my efforts to save the baby humans from premeditated destruction. In 2005, I began to realize I could use the art to illustrate my talking points in some cases, and to build a secondary "career' for me as artist.  In the year 2006 when I had endured and lived to tell about it a violent crash down a flight of stairs and had trauma, fractures, concussion, because my then-husband DBP tried to kill me to 'make it look like an accident" and he tried to twist off my broken leg, I had immobility for months except on crutches and walking boot after surgery to repair fractures and implant metal. As I sat with leg propped up I began to draw daily and paint to occupy the time and my mind. I also began to post art to the web on my blogs and websites, and also photographs I had photographed. I began a series of art then that is named "ethnic series by Gloria" [me] to attempt to draw and paint an art work of every ethnic group tribe, language, culture in the world and I created eight initial oil paintings in the first batch and posted them to the web on domains of mine.  I moved from Aurora to zip code 80203 for 2 and 1/2 years and then moved to Missouri on Oct 31, 2009 with the art I had in my possession at that time. I paint some of the sketches I created  in do-overs into oils on canvas and those are very visible on the web. I put many of them on my mini exhibit of art at https://mini-exhibition.blogspot.com, and also on my Picasa albums at https://picasaweb.google.com/gloriapoole.

 I, Gloria Poole, am a white, Southern Baptist Christian, brown-haired woman, single-again, twice-divorced,natural mother of only two children who are grown daughters named Jennifer and Leigh, and also a republican, personhood promoter, prolife activist-blogger, photographer, artist in all mediums, poet, author, illustrator, cartoonist, writer, University of Georgia alumna, U S citizen born in the state of Georgia [but I lived in several places including New York, UK briefly, Nebraska, South Carolina, Colorado, Virginia, North Carolina], former TV producer,tweeter, Registered Nurse licensed in Missouri [but before that in Georgia, UK, other states], owner/writer for words that WORK, and Tapestry of LIFE, photographer, and citizen journo . Gloria Poole is my real, born with legal name and I resumed my full maiden name including my surname of Poole legally by Court order at the time of divorce from male DBP in Colorado in Oct, 2007 at Centennial, Colorado; and I also removed the Pappas name from my name forevermore at the time of final decree in Oct 2007 . I was glad to end that four year horrible marriage of multiple trauma and injuries to me caused by male DBP, [which I testified about in Court on several occasions ].  That second divorce is public record in the state of Colorado, and my first divorce is public record in the state of Georgia. I have created art regularly since 1991, and I had formal training in drawing and in mixing colors /paint and painting in oils and I post much of the art I create on blogs of mine. You can see some of that art on one of my name blogs at https://gloriapoole.blogspot.com and see the about me page of that blog for the list of art blogs I own and post art too, that are all different. .

Copyright. Gloria Poole also known as Gloria on art I create and sign and in real life since it is my real, born with first name;  and as  Gloria Poole, RN, artist and on the web as : gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; @gloriapoole; @gloria_poole; gloria0817; gpoole817; Ms. Gloria Poole; Poole.Gloria; gloriapoole-paintings; cartooning-by-gloriapoole; photo-by-gloriapoole; gloriapoole.RN; gloriapooleRN at yahoo in which the RN is standard abbreviation for Registered Nurse, and other variations of my real, born with, legal name of Gloria Poole, at my own, private apt in Missouri which is not shared with anyone, on 6 Oct 2014 at  1:27pm. Updated by me Gloria Poole, RN, artist  of Missouri on 7 Oct 2014 at 6:58 am to add four more links to articles in the news that might be helpful to countries abroad [and of course the U S too] in diagnosing, treating and preventing the spread of ebola. My thanks to all news agencies for their help. Update by me Gloria on 13 oct 2014 to add the AP and Washington Post articles to add to the database of information available to world on topic of ebola.

Friday, October 3, 2014

The origins of mental illness is evil , written by Gloria Poole, RN, artist of Missouri; Update

This post is inspired by my thinking on this  lovely, lilting prolife chant I read about in Missouri news about over-riding Gov's veto:
"“We love babies, yes we do. We love babies, how about you? "
And as I thought about how true that is for me and for all prolife true believers. Then I also realized that it is not true for those with defiled minds. The prodeathers defined as those who think the solution to any human conflict is killing the " unwanted" whether they are of so-called "wrong" skin color, or  "wrong"national origin, or "wrong" beliefs, or their location of in the womb, or in refugee camps, or political opponents of the  regime in power. I put the word wrong in quotes on purpose. ONLY GOD can define good and evil and HIS definition of those words stands the test of time and The Bible very clearly differentiates between the two promising in Deuteronomy chapter 28 blessings for those who obey GOD [good] and curses for those who disobey GOD [evil.] . However, wicked regimes through history have distorted the meanings of words to fool most of the people for a period of time and to declare whatever does not suit the tyrant in power as 'wrong". Some examples of that are these words that were used by wicked governments in history to make allowances for genocidal killing:  slave; Jew; choice; Hebrew; ethnic cleansing; and in this 21st century the wicked regimes added the word Christian and "mass of tissue" as justification for slaughter,  Of course that does not make it right in GOD's eyes. Propaganda is the very tool of evil. Propaganda is the mass media planned program to implant false ideas into the minds of the people, using a variety of methods , tools and techniques. The techniques were first recorded in Nazi Germany during Hitler's regime as he persuaded the German people that the Jews were poisoning their land, as his "justification" for killing them with poisonous gas. In the United States, since Roe v Wade usurpation of authority by the U S Supreme Court.*  history books have been re-written; TV broadcast channels have been hijacked  by the killing democratic party in the U S; the words of the U S Constitution were omitted from schools and  the mantras and slogans of the wicked were substituted; and words to dehumanize humans are put into every text on every subject in all schools; and the idea that humans have the so-called "right" to kill is repeated over and over and over again by the wicked and their paid lawyer teams that make money off the blood of human beings. This blog post is my effort to undo the propaganda, and that has been a  goal of mine since 1991, when I first began writing as a Registered Nurse on the prolife cause and how that the U Sis  being shifted to a prodeath philosophy in hospitals, insurers, government agencies, culture, entertainment , TV; and the current administration in office.

I realized after reading in the book of Revelation yesterday that the United States has endured a massive propaganda brain-washing in the decades since that infamous decision of Roe v Wade hijacked the "right to life" as guaranteed by our U S Constitution and Amendments, to create a FAKE right to kill one's offspring in the womb. Righteous people cannot think the way wicked people think; and wicked people cannot think the way righteous people think. There was a piece of the "puzzle" missing until this morning when I read an alert in which a prodeath group was trying to hijack the prolife cause by saying that if people are really prolife they would oppose the death penalty. But that is not correct Biblically since GOD told all righteous people to not tolerate killing of innocents, and HE defined which crimes should be punished by death of the guilty murderer, and how guilt should be established. Read the Old Testament cover to cover for yourself and you will read that info for yourself.

The prodeathers equate the death penalty for heinous crimes with the murder of an innocent tiny defenseless baby. There is a verse in the Bible that says the minds of the wicked are distorted and reprobate. Romans 1: 28, KJV : "and even as they did not like to retain GOD in their knowledge, God gave them over to a reprobate mind, to do those things which are not convenient [footnote says debased]. " And also these verses: " but to us [believers] there is but one GOD , The Father, of whom are all things, and we in him; and one Lord JESUS Christ, by whom are all thing, and we by Him. Howbeit there is not in every man that knowledge ; for some with conscience of the idol unto this hour , eat it as a thing offered unto an idol; and their conscience being weak, is defiled. " I Corinthians 8:6-7, KJV. And this scripture: " unto the pure all things are pure; but unto them that are defiled and and unbelieving is nothing pure; but even their mind and conscience is defiled. " Titus 1:15.  " A double-minded man is unstable in all his ways. " James 1:8, KJV. I am convinced this condition is what the world labels "mental illness" of a deranged, unstable, reprobate, abominable mind that causes the to lust after blood and evil. And here is GOD's decision about those sort: " and there shall in no wise enter into it [heaven] any thing that defileth, neither whatsoever worketh abomination, or maketh a lie; but they which are written in The Lamb's Book of Life. " Revelation 21:27, KJV

This verse :"So, ye shall not pollute the land wherein ye are; for the blood it defileth the land; and the land cannot be cleansed of the blood that is shed therein, but by the blood of him that shed it. " Numbers 35:33, KJV, is what GOD said about the shedding of innocent blood and the 'cure" for it. It is only one of the verses on this topic. I put many of the scriptures about human life on another blog of mine at https://publishing-life.blogspot.com. And I also put many scriptures on all topics on my https://salvation-is-free-blogspot.com blog. 

What the righteous should remember is that it is written in Holy Bible: "he that justifieth the wicked and he that condemneth the just, even they both are abomination to The Lord". Proverbs 17:15, KJV. those who condemn the innocent creations of GOD in the womb to death for the sins orf the mother or the father are abomination to GOD. Those who vilify and attempt to demonize prolifers who promote the right to life, and publish the commandment "thou shalt not kill", are abomination to The Lord. 

My profile for this blog is : https://profiles.google.com/106271267621391694994/about?hl=en

23 Sept 2014: Copyright notice: this blog and all content on it is created by me and owned by me  Gloria Poole residing in Missouri but born in the state of Georgia, and it is covered by U S copyright law. I, Gloria Poole, own all rights to this blog and to all content on it, all words, all photos, and all art represented by photos that I photographed. I have the actual, tangible art I created and photographed.  This blog and or its individual posts may not be transferred to anyone anywhere,nor have domains forwarded to it that do not belong to me, nor be saved to disk, nor downloaded, nor printed at remote,  nor copied, nor photo-copied [screen-captured] , nor in any way with any method be reproduced. I, Gloria Poole, own all rights to all words, art and photos I create  with any method of technique or medium on any surface anywhere any location any reason or no reason, whether or not I photograph it on any camera, phone, etc, and whether or not I publicly display it anywhere. I have never signed a blanket waiver of my copyrights to art I have created and do not have an artist's rep [agent], nor literary agent to represent me, and never did.  I drew,  painted, signed, photographed and uploaded all art on this blog and on any blog of mine.

For the record and to establish provenance of art I have already created also: the art I have created and signed and posted to this blog of mine is part of an on-going series of art I created since year 1991 beginning in Atlanta, GA that "blossomed"  in year 2005 in  Aurora, Colorado when I lived there for one year [May 2006-May 2007], and art began to really become an integral part of my efforts to save the baby humans from premeditated destruction. In 2005, I began to realize I could use the art to illustrate my talking points in some cases, and to build a secondary "career' for me as artist.  In the year 2006 when I had endured and lived to tell about it a violent crash down a flight of stairs and had trauma, fractures, concussion, because my then-husband DBP tried to kill me to 'make it look like an accident" and he tried to twist off my broken leg, I had immobility for months except on crutches and walking boot after surgery to repair fractures and implant metal. As I sat with leg propped up I began to draw daily and paint to occupy the time and my mind. I also began to post art to the web on my blogs and websites, and also photographs I had photographed. I began a series of art then that is named "ethnic series by Gloria" [me] to attempt to draw and paint an art work of every ethnic group tribe, language, culture in the world and I created eight initial oil paintings in the first batch and posted them to the web on domains of mine.  I moved from Aurora to zip code 80203 for 2 and 1/2 years and then moved to Missouri on Oct 31, 2009 with the art I had in my possession at that time. I paint some of the sketches I created  in do-overs into oils on canvas and those are very visible on the web. I put many of them on my mini exhibit of art at https://mini-exhibition.blogspot.com, and also on my Picasa albums at https://picasaweb.google.com/gloriapoole.

 I, Gloria Poole, am a white, Southern Baptist Christian, woman, single-again, twice-divorced,natural mother of only two children who are grown daughters named Jennifer and Leigh, and also a republican, personhood promoter, prolife activist-blogger, photographer, artist in all mediums, poet, author, illustrator, cartoonist, writer, University of Georgia alumna, U S citizen born in the state of Georgia [but I lived in several places including New York, UK briefly, Nebraska, South Carolina, Colorado, Virginia, North Carolina], former TV producer,tweeter, Registered Nurse licensed in Missouri [but before that in Georgia, UK, other states], owner/writer for words that WORK, and Tapestry of LIFE, photographer, and citizen journo . Gloria Poole is my real, born with legal name and I resumed my full maiden name including my surname of Poole legally by Court order at the time of divorce from male DBP in Colorado in Oct, 2007 at Centennial, Colorado; and I also removed the Pappas name from my name forevermore at the time of final decree in Oct 2007 . I was glad to end that four year horrible marriage of multiple trauma and injuries to me caused by male DBP, [which I testified about in Court on several occasions ].  That second divorce is public record in the state of Colorado, and my first divorce is public record in the state of Georgia. I have created art regularly since 1991, and I had formal training in drawing and in mixing colors /paint and painting in oils and I post much of the art I create on blogs of mine. You can see some of that art on one of my name blogs at https://gloriapoole.blogspot.com and see the about me page of that blog for the list of art blogs I own and post art too, that are all different. .
*Footnote: The United States Supreme Court was never at any time authorized to create new laws or new rights. Read the U S Constitution for yourself. Some of the relevant chapters are posted on some of my blogs including my official blog for Tapestry of LIFE at:

Copyright. Gloria Poole also known as Gloria on art I create and sign and in real life since it is my real, born with first name;  and as  Gloria Poole, RN, artist and on the web as : gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; @gloriapoole; @gloria_poole; gloria0817; gpoole817; Ms. Gloria Poole; Poole.Gloria; gloriapoole-paintings; cartooning-by-gloriapoole; photo-by-gloriapoole; gloriapoole.RN; gloriapooleRN at yahoo in which the RN is standard abbreviation for Registered Nurse, and other varitaions of my real name of Gloria Poole at my own, private apt in Missouri which is not shared with anyone, on 23 Sept 2014 at 9:28m. Update by me Gloria on 3 Oct 2014 at 9:29am to add this: I put scriptures about eternal life, and the end of time on these blogs of mine:
https://salvation-is-free.blogspot.com
https://tapestry-of-life-LLP.blogspot.com
https://words-that-work-LLP.blogspot.com
and put new sketches I drew, painted and signed on these blogs of mine:
https://mini-exhibition.blogspot.com
https://artist-gloriapoole.blogspot.com
https://gloriapoole-paintings.blogspot.com
https://gloria0817.blogspot.com
https://gpoole817.blogspot.com
https://lifes-entertainment.blogspot.com ; with video I made of fishes swimming
All else on this post remains the same. Gloria Poole, RN artist at my own apt in Missouri on 3 Oct 2014 at 9:35am.

Sunday, August 24, 2014

De-romanticizing smoking with sketch and medical info, created by Gloria Poole, RN, artist

"A smoker" sketch by Gloria Poole , RN, artist of Missouri and Georgia; mixed media, 24 August 2014
I, Gloria Poole, RN, artist, drew, painted, signed, photographed and uploaded this sketch today 24 August 2014 as part of my 2 decades as a Registered Nurse long battle against smoking [by others-- I never smoked]  trying to effect change by publicizing the truth about smoking. I worked on med-surg units of acute care hospitals for 26 years in my career as Registered Nurse. In that experience, I had patients to care for who had cancer  that originated in many parts of their bodies, but today I am addressing the lung cancer .  Those patients develop a sick appearance of not a normal healthy color, ad heavy smokers are usually very wrinkled and old looking.  I drew this to discourage smoking and to warn people that if they smoke they lose their health and also their appearance.  Yes, of course, I dramatized this. Cancer patients don't turn green, but they do develop a grey-ashen color of death appearance. I painted smoke into the background of this sketch. This sketch is watercolors and acrylics on 8 x 11 paper. 

I tweeted that I was creating tis sketch yesterday and that another site of mine has been on web for years to promote healthy lifestyles at :
https://sites.google.com/site/optimumhealthisachievable and it may also be located at :
https://sites.google.com/site/gloriapooleRN/optimumhealthisachievable. I had two urls  up for it because it was often attacked by Big Tobacco. 

Also, I saw in the New York Times at : http://www.nytimes.com/2014/08/24/business/international/michael-bloombergs-harder-sell.html  today an article "Michael Bloomberg's Harder Sell" with a very good photo of him and Turkey,  about his personal goals for Bloomberg Philanthropies to make a difference globally to end smoking. I was thrilled to read that article because Michael Bloomberg has the personal power and the financial clout to effect change around the world in the marketing of tobacco products. That article also makes the point that Turkey's new President Erdogan is also an anti-smoking crusader and I say welcome to the mission of ending tobacco usage to him and to Michael Bloomberg @MikeBloomberg; #MikeBloomberg. Also, for those high-powered people Mike Bloomberg and President of Turkey Erdogan if you gave grant money to individual artists to create art deglamourizing tobacco, you would see a bigger change in the culture faster than approaching it from a marketing angle only. In other words, some of the best contemporary artists in world are not incorporated, are not LLPs; are not charities and if you want subway art  or train art or or airport art to deglamourize tobacco, the best results might be to become art patrons/ benefactors for private artists and commission specific anti-smoking "art" . [Similar to the poster art campaigns  of U S government at times but a lot less expensive to your charitable foundations. ]

Here are some medical facts about smoking:

Quote: " Lung cancer is the leading cause of visceral cancer and of cancer-related deaths in the United States. ...Eighty to ninety percent of these cancers are caused by tobacco smoke , most importantly from cigarettes but also from pipes and cigars....For smokers the major determinant of risk of lung cancer is the number of cigarettes smoked per day. The relative risk rises from 5.5 for those who smoke 1 to 10 cigarettes a day, to 14.2 for 20 cigarettes a day, and to 20.4  for those who smoke 21-30 cigarettes a day. ...Ninety percent of patients with lung cancer have symptoms at the time of diagnosis and most of these symptoms are respiratory. They include cough, dyspnea [ difficulty breathing] chest pain, hemoptysis [coughing up blood] and symptoms related to postobstructive pneumonia... The appearance of a chronic cough with or without expectoration [coughing up phlegm or blood ] in an older smoker should raise a suspicion of lung cancer. " From medical textbook, "Principles of Ambulatory Medicine" edited by L Randol Barker, John R Burton and Philip  Zieve, pg 678-679

From the CDC Morbidity and Mortality report for year 2013 : Quote: "During 2012–2013, an estimated one in five U.S. adults (50 million persons) currently used any tobacco product every day or some days, and an estimated one in four (60 million persons) used tobacco products every day, some days, or rarely." And "The 50th anniversary Surgeon General's report on the health consequences of smoking concluded that disease and deaths from tobacco use are overwhelmingly caused by cigarettes and other combusted products, and that rapid elimination of their use will dramatically reduce this burden (1). Additionally, the use of emerging tobacco products (e.g., e-cigarettes and water pipes/hookahs) was also evident and could be attributed to lower price relative to cigarettes; an increase in marketing, availability, and visibility; and the perception that they might be safer alternatives to cigarettes (1). Taken together, these findings underscore the importance of continued implementation of proven population-based interventions to address all forms of tobacco use, especially combustible products that currently account for the greatest public health burden."


From : http://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html :
Quote: "Tobacco use remains the single largest preventable cause of death and disease in the United States. Cigarette smoking kills more than 480,000 Americans each year, with more than 41,000 of these deaths from exposure to secondhand smoke. In addition, smoking-related illness in the United States costs more than $289 billion a year, including at least $133 billion in direct medical care for adults and $156 billion in lost productivity.1

From : http://www.surgeongeneral.gov/library/reports/50-years-of-progress/index.html has a download of full report of U S Surgeon General and a consumer booklet that is available.

http://www.cdc.gov/tobacco/data_statistics/sgr/2004/index.htm has downloads for how smoking causes or exacerbates other diseases including cancer, coronary heart disease, and stroke and is a virtual library on the subject.

This is not a comprehensive report by any stretch of imagination on the risks and dangers of using tobacco products. Indeed, whole books are written on the treatment of lung cancer and entire hospitals are dedicated to the treatment of cancer. This is intended to be an introduction to the public at large of the dangers of smoking, the symptoms of lung cancer and the resources available. 

Copyright notice: this blog and all content on it belongs exclusively to me Gloria Poole, Registered Nurse licensed in Missouri [but before that in other states including Georgia for most of my life]; and artist in all mediums, residing in Missouri and it is covered by U S Copyright law and it may not be transferred to anyone anywhere, nor be re-published, nor printed at remote, nor have domains forwarded to it that do not belong to me, nor be downloaded, nor saved to disk. I, Gloria Poole, own all rights to this blog, to this account and to all content on it. Also see https://gloriapoole.blogspot.com for more information about me and more of the art I create. 

Also, for the record: I, Gloria Poole, am a  white Southern Baptist Christian woman, single-again twice-divorced, and the natural mother of only two "children' who are grown daughters, named Jennifer and Leigh. I, Gloria Poole, am also a citizen journo, personhood amendment promoter, prolife activist, republican, author, poet ,photographer, cartoonist , illustrator, writer, blogger, U S citizen born in the state of Georgia, University of Georgia alumna, a former TV producer; and I was or am in the International Who's Who . I am not an employee of anyone and draw, sketch, paint, blog, photograph, tweet from my own apt for my own purposes.  You can follow me on twitter on the prolife / personhood causes on these twitter accounts of mine: @ProlifeNurse; @personhood1; and on my name twitter accounts at : @gloriapoole; @gloria_poole; and @Tartan_Bliss. I categorize the topics I tweet on by subject matter so they are not conformed tweets. My twitter accounts @gloriapoole and @gloria_poole tend to be about art I create and or commentary or news to distribute. the two prolife twitters are to promote the protection of human life by all governments and people. And my @Tartan_Bliss and 1 other twitter that I do not advertise as mine, are for global efforts of mine to teach public health, build an artist's reputation for myself, and promote any cause worthwhile to improve the human race, including publishing relevant scriptures at times.  

 I removed the Pappas surname from my name forevermore at the time of final divorce decree from male DBP of Colorado in Oct 2007, and I resumed my full maiden name including my born with surname of Poole at the same time and that is public record. You can read more of those years I lived in Colorado on my blog in my former married name [second marriage that ended in divorce in Oct 2007 ] at https;//gloriapoolepappas.blogspot.com.
Gloria Poole, RN, artist; gloriapoole.RN; gloriapooleRN in which the RN is standard abbreviation for Registered Nurse; gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; photo-by-gloriapoole; cartooning-by-gloriapoole; @gloriapoole gloriapoole.RN; gloriapoole_RN; gloria0817; gpoole817; and other variations of my real born with, legal name of Gloria Poole; at my own private apt in Missouri which is not shared with anyone,[meaning no one is authorized to login to any account of mine but me]  on 24 August 2014, at 8:11am. Update by me Gloria  same day at 8:59 am to add link to article for public and to correct/ clarify typos and words in wrong places. 


Thursday, July 31, 2014

Prevention of contagious diseases medical information written by Gloria Poole,RN

Practical help for those traveling abroad and to help prevent disease anywhere:

In the news is the ebola outbreak in Africa that has the potential to become pandemic and that has killed about 800 people so far. I am including a link to the BBC article about that :
W.H.O. plan to curtail ebola, 31 July 2014:
http://www.bbc.com/news/world-africa-28593987.
I am updating this that I wrote yesterday [31 July] to add information that is available today on ebola, [virus]  from The New York Times: Quote: "The C.D.C. advised Americans to avoid all nonessential travel to the three countries hardest hit by the virus: Guinea, Sierra Leone and Liberia. The agency issued a Level 3 travel warning, reserved for grave situations. It was also used for the outbreak of the highly contagious respiratory disease SARS." And : "The virus causes high fever, vomiting, diarrhea and, in some cases, bleeding. In the current outbreak, about 60 percent of the cases have been fatal. It is transmitted by contact with bodily fluids from someone who is ill."  And :
 "There is no vaccine to prevent the illness, and no specific treatment for it, only care to try to nurse people through the worst of the fevers, bleeding and other symptoms. The only way to stop an outbreak is to isolate each infected patient, trace all their contacts, isolate the ones who get sick and repeat the process until, finally, there are no more cases." And :
"In New York, Dr. Jay Varma, the deputy commissioner for disease control at the city’s health department, said that someone at an area airport with symptoms that could be from Ebola would immediately be isolated and tested, briefly quarantined at the airport and quickly taken to a hospital where the department has standing arrangements for just such an event."
From http://www.nytimes.com/2014/08/01/world/africa/sierra-leone-declares-health-emergency-over-ebola.html?

 I logged back in this afternoon 1 August, at 3:24pm to add this info :
Very good article about ebola with visuals of how it affects humans:
http://www.businessinsider.com/how-the-ebola-virus-affects-the-body-2014-7

And also to remind all readers that hand washing is the NUMBER ONE thing they can and should do to prevent the spread of any disease. You should wash your hands with good soap for at least 5 minutes using a fingernail brush to get soap under nails and to remove debris when you come into contact with anybody's body fluids, excrement, sneezes, coughs, including your own because fingernails harbor bacteria and viruses under them. So, for any person working in any capacity with infected [with any disease ] persons handwashing is essential. Also, for diseases transmitted via droplets of moisture [such as tuberculosis] covering your nose and mouth is also essential [ the reason for wearing masks over those in the operating room and disinfecting centers]. Any time you sneeze or cough you should cover your nose and mouth with something that can either be disposed of, or washed thoroughly, to prevent the spread of "germs" from you to others.  Nurses and doctors are taught to wash their hands between patients and usually you do not see them do that because they wash up at nurse's station or restricted area.  But if you are in a situation where you do see a medical doctor, nurse, technician, technologist of any department go from one patient to another without washing hands, you should call them on it--insist they wash their hands to not spread the diseases around to others. They know to do that and get in hurry and forget. WE, who are trained in the health care disciplines, KNOW to do this and KNOW why to do it but we are all after only human.  This is critical when the diseases are infectious. Not all diseases are infectious but I have touched on some of the main points of the ones that are in the words below.  However, it is best practice to wash your hands after toileting, after putting on or off shoes, before eating or drinking, after touching another person because skin also harbors bacteria.  And it goes without saying do NOT share food or drink with infected persons. in other words, do not eat off their plate or drink from their cup. They get microscopic saliva on the rim of the cup and on their plate and it takes only a tiny amount of contaminant to infect you. So tiny in fact that you do not see it with the naked eye. That means that the virus or bacteria can only be seen under a microscope unless it has multiplied so much it is making colonies on an agar plate.

I know as Registered Nurse licensed in Missouri but whose main career was in state of Georgia, that contagious diseases have a set of practices that can help contain it, including quarantine of those infected. I am sure they need to do that in Africa and possibly burn the bodies of those who died from it to prevent contamination of mortuaries  and personnel handling them. I cannot add much to the BBC article as it shows the protective covering of health care workers to prevent contamination.

However, I am going to write here some practical advice using a medical  textbook as a reference that will help international travelers stay healthy. Three  to five million people travel from countries where they are not likely to be exposed to contagious disease, to countries where contagious diseases are common. And then they travel back, potentially exposing their family and friends and co-workers to anything they acquired that is infectious or contagious. Only a few contagious diseases have mandatory reporting of them to public health authorities. The diseases that must be reported are malaria, Lassa fever,  and African trypanosomiasis. The risk of contracting a contagious disease is not as great if a traveler is staying in a city hotel with clean drinking water. However, if staying in remote villages with spotty sanitation and non-potable drinking water, a traveler becomes a high risk of disease.

There are two recognized medical sources of information that are updated yearly to provide practical advice to international travelers:
1)  "Health Information for International Travel" published by the U.S. Public Health Service and available from the Center for Disease Control in Atlanta, GA, 30333; and
2) "Vaccination Requirements for International Travel and Advice to Travelers," published by the World Health Organization, available from WHO Publication Center, 49 Sheridan Ave, Albany, NY 12210, USA.
There are two other resources for international travelers:
1) International Association for Medical Assistance to Travelers [IAMAT] at 417 Center St. Lewistown, NY, 14092 which has info on tropical diseases & a list of English speaking medical doctors in other countries.
2) Center for Disease Control Traveler's information hotline  +1(404)3324559 and they will fax it to all regions of world.

As of the writing of the medical textbook I am using as reference, the only two legally required vaccinations to travel abroad are cholera and yellow fever. Yellow fever is endemic in Africa. And cholera is endemic in South and Central Americas. Typhoid fever is a danger for travelers since 60 percent of the cases of it occurred after international travel. The greatest risk of typhoid fever is in Peru, Chile, and the Indian sub-continent; although the risk is present in almost all developing countries. Typhoid vaccination is recommended for travelers who will stay in small villages and eat local food and drink local water. In developing countries, polio is still uncontrolled . For those who had the initial vaccinations against polio a booster vaccinate is recommended for those whose last vaccination was more than 10 years before. Also, tetanus is a worldwide problem especially in the tropics. A vaccination and or booster is recommended if traveling to those countries. Hepatitis A is an "important risk"  in many areas of the developing world. Immune globulin gives immediate resistance to Hepatitis A and is strongly recommended for travelers to the developing countries of the world. For travelers who will be in a country more than six months, in sub-Saharan Africa or Southeast Asia including China and Indonesia, North Africa, South Central Asia and Southern Europe  it is also recommended that they  be vaccinated for Hepatitis B.  Since rabies exists in many undeveloped countries, anyone who will be in presence of animals [ veterinarians, safari travelers, animal handlers, laboratory workers] should have the rabies prophylaxis which is three injections on days 0, 7, 21 and 28 before they travel. Tuberculosis is an airborne contagious disease caused by mycobacterium tuberculosis that are either inhaled or present in unpasteurized milk. The BCG vaccination is controversial and most U S experts do not recommend it but do recommend frequent skin testing for exposure to it for travelers in areas where it is known to be a problem [worldwide].

 Japanese encephalitis [abbrev JE] s a mosquito-borne encephalitis [inflammation of brain] that occurs in much of Asia including China and the tropical areas of Southeast Asia. There is a vaccination {JE-vax] manufactured by Research Foundation for Microbiological Diseases of Osaka University and distributed by Connaught Laboratories, that is a series of three injections.
Plague exists in certain rural parts of Africa, Asia, North  and South America. If any contact with rodents is a risk, then vaccination is recommended.
For travelers to New Delhi, Northern India, Sahel [sub-Sahara Africa], Saudi Arabia, Nepal, Tanzania and Burundi pre-travel vaccination for meningococcoal meningitis is recommended.

Malaria is a potentially fatal parasitic disease caused by infection of red blood cells with Plasmodium species and is usually transmitted by the anopheles mosquitoes but can be acquired from blood transfusions and intravenous drug use. Malaria is worldwide. The aim is to prevent it by sleeping in mosquito-netting during the anopheles feeding time of dusk to dawn. Travelers outside mosquito netting during those times should cover all body parts with clothing and use insect repellent. Mosquito repellent with N, N-diethylmetatoluamide [DEET] should be applied to expose skin including the face. Best to avoid night time activities in malaria prone countries. People die from malaria every year. In high risk areas, chemical prophylaxis is recommended to begin 1-2 weeks BEFORE traveling to the area and continue until four weeks after return from the area. There are six different medicines [chemicals ] used to prevent infection with malaria. 
Even with chemical prevention attempts, it is possible to contract malaria. The CDC maintains an up-to-date database on malaria and and it is available by calling +1(404) 639-1610. In seeking what chemical to use to prevent malaria, the traveler has to be assessed for risk of developing chloroquine-resistant Plasmodium falciparum [CRPF] malaria. The counties where CRPF have been reported are eastern Thailand and rural Cambodia. Travelers in those areas are advised to take with them Fansidar and to take it promptly if they develop a fever and can't get to medical care immediately. Some of the chemicals have serious side effects so a medical doctor prescribing those would need to know a complete history of any traveler.

The more minor infectious diseases international travelers can be exposed to abroad are : measles, mumps, rubella, influenza [flu] though some influenzas are deadly.

Food and water are the most common methods of introduction of infectious agents into the body.  It is best for international travelers to the developing or undeveloped world to consider all local food and drink as potentially contaminated and use extreme caution [boil water , cook food thoroughly] . Avoid eating raw fresh water fish and crustaceans. Avoid unrefrigerated creamy products and salads since leafy vegetables are hard to clean and often harbor parasites and eggs and bacteria. If purified water is not available, order beverages that require boiling water such as tea or coffee; drink bottled or canned beverages commercially available, soft drinks . Remember that ice may also be contaminated . The best thing to do is use bottled or canned drinking water and also for brushing teeth.  If you doubt the water, boil it vigorously for ten minutes and let it cool. If you see any sediment in it strain it somehow before you boil it. If you plan to be in an area where you cannot boil water, buy tincture of iodine or tetraglycine hydroperiodide tablets  before you travel and use them to disinfect water by putting 5 drops of Tincture of Iodine in a quart or liter of clean looking water and ten drops in cloudy looking water. If the water looks clean let is stand with the iodine for 30 minutes before drinking it. If the water looks cloudy let it stand several hours with the iodine before drinking it. The water purification tablets can be bought at a pharmacy or sporting goods store and you must follow the instructions with them. 
Infection with e.coli [escherichia coli bacteria] is the cause of 50 percent of diarrhea in travelers. For the general population, prophylaxis against e.coli is not recommended ; but in certain people it is recommended . Those people for whom even a mild case of dehydration would be serious [such as those taking diuretics , or with cardiovascular disease, or very young and very old] treatment to prevent infection with e.coli is recommended.

For travelers to Ethiopia and Kenya, the risk of Schistosomiasis is  a major problem. Three predominate species exist: Schistosoma mansoni; Schistosoma haematobium, and Schistosoma japonicum.
It is contracted by wading or swimming in fresh or estuary water that harbors the snail vector of the trematode parasite. It can penetrate the skin and get into the bloodstream without causing any problems at the time, then after about six months it can cause liver or urinary tract disease. To prevent this it is best to avoid rafting or swimming in fresh water in Ethiopia or Kenya.  It is treatable with the drug praziquantel [Biltricide] .

For people who have HIV+ blood there are risks of developing tuberculosis, malaria, and fungal infections and other infections are greater in international travel.

Other precautions is to avoid blood transfusions abroad since blood is not routinely screened for HIV or  Hepatitis B in many countries. And sterilization of equipment may not be adequate in undeveloped countries.

This is not an exhaustive report on the risks of contagious diseases nor on the methods to prevent them. It is only intended to provide some basic information to prompt any person planning to travel abroad to tell their doctor about it beforehand, and to educate people on some of the risks and some of the preventions and treatments that are known.

Copyright notice: since I put this in my own words I am copyrighting this . I, Gloria Poole, residing in Missouri but born in the state of Georgia, own all rights to this blog and to all content of it and it may not be transferred to anyone anywhere, nor have domains forwarded to it that do not belong to me, nor be re-published, nor printed at remote. It may be read as many times as you need too however. I do not track viewers in any way or require login or registration on any blog or site of mine. This is an effort to help improve the worlds' public health by teaching how to prevent contagious and or infectious diseases. Also, for the record: I am a white, single again, Southern Baptist Christian woman, and the natural mother of two grown daughters who are Jennifer and Leigh. I am also an artist in all mediums, a poet, author, republican, Registered Nurse licensed in Missouri, a writer, blogger, citizen journo, photographer, prolife activist and personhood amendment promoter. I have another site in this account at: https://sites.google.com/site/webmaamgloriapoole/ and it is quite different from this site. But all sites and blogs I own and create are moral and decent and intended to better the world.

Gloria Poole, RN [and artist in all mediums] licensed in Missouri, and using as reference but not quoting the medical textbook Principles of Ambulatory Surgery edited by L. Randol Barker, John R Burton and Philip Zieve;  ch 32. I am also known on the web as : gloriapoole; gloria0817 ; gpoole0817 ; gloriapoole.RN ; gloriapooleRN at yahoo where RN is standard abbreviation for Registered Nurse;  gloria-poole ;  gloria.poole ;  artist-gloriapoole ; Gloria.Poole ; and other variations of my real, born with, legal name of Gloria Poole; at my own, private apt in Missouri; 31, July 2014 at 8:01pm. Updated by me Gloria  twice on 1 August with info on ebola from NY Times and Business Insider .