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Ebola: The tolling bell

60 点作者 superfx超过 10 年前

11 条评论

jostmey超过 10 年前
Stopping Ebola now could be one of the single most important decisions the world makes this century. Just imagine what would happen if Ebola emerged in lets say <i>India</i>. It doesn&#x27;t sound so far fetched now that we have seen a case in America.<p>Exponential growth tends to catch people off-guard. Just like Moore&#x27;s Law lead to a rapid emergence of the home computer, a deadly disease could reshape the world overnight.
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startupfounder超过 10 年前
“No man is an island, entire of itself; every man is a piece of the continent, a part of the main. If a clod be washed away by the sea, Europe is the less, as well as if promontory were, as well as if a manor of thy friends or thine own were. Any man’s death diminishes me, for I am involved in mankind; and therefore never send to know for whom the bell tolls; it tolls for thee.” - John Donne, Meditation XVII, Devotions upon Emergent Occasions (1624)<p>It&#x27;s important that we realize that theses people being affected by viral spread of Ebola are people just like you, me, our families and friends.
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lotsofmangos超过 10 年前
Donation pages for Médecins Sans Frontières:<p><a href="http://www.msf.org.uk/make-a-donation" rel="nofollow">http:&#x2F;&#x2F;www.msf.org.uk&#x2F;make-a-donation</a><p><a href="https://donate.doctorswithoutborders.org/" rel="nofollow">https:&#x2F;&#x2F;donate.doctorswithoutborders.org&#x2F;</a><p>Better to cough up cash now...
Alex3917超过 10 年前
I think the author is overestimating how prepared the US healthcare system is to handle a real threat if one arises:<p>- The U.S. has been advertising that we&#x27;re the ones with the cure for ebola, so where is anyone with money going to go as soon as they get exposed? And while most of the victims are among the urban poor, there will be more wealthy people who become infected as the epidemic increases in scale.<p>- Even if we have better technology, the cost of treating each victim here is exponentially higher. The cost for each patient could easily be close to a million dollars if you count 2+ weeks in the ER, licensed biohazard disposal and decontamination, network tracing, quarantining exposed contacts, etc.<p>- Nearly 50M Americans don&#x27;t have health insurance. If going into the ER risked you getting kept there while waiting for test results, possibly losing your job, and getting getting stuck with a bill for tens of thousands of dollars even if you don&#x27;t have ebola, it&#x27;s hard to imagine that many of those people aren&#x27;t going to just wait a few extra days.<p>- In the US healthcare workers are generally paid well enough that they can just leave their jobs, maybe not comfortably, but with enough money to at least feed themselves and get by. It&#x27;s hard to imagine that we won&#x27;t have large numbers of healthcare workers just taking off if this ever gets serious. Especially since US healthcare workers aren&#x27;t trained to deal with ebola, and largely aren&#x27;t interested -- notice how most of the people going to west Africa to volunteer in this crisis are missionaries, not doctors.<p>- We have all sorts of religious fundamentalists in the US who think it&#x27;s god&#x27;s will that the US be destroyed for condoning homosexuality or whatever who would be more than happy to help the process along, and more than enough people abroad who would gladly sacrifice their own lives to disrupt our foreign&#x2F;domestic policy.
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adventured超过 10 年前
&quot;The current Ebola epidemic may well become the worst human disaster in this century. And we are not doing enough about it.&quot;<p>Ok, I think anyone here generally understands how dangerous Ebola is and could become if it continues to spread.<p>That being said, already this century:<p>Smoking has killed roughly 60 million people<p>HIV &#x2F; AIDS has killed 20 to 25 million<p>Malaria has killed eight million<p>Diarrhoea has killed perhaps 15 million<p>We&#x27;re a long ways yet from Ebola competing as a worst human disaster candidate. To put it in stark perspective, it could kill a million people before it&#x27;s contained (100+ fold more than it likely currently has), and it still wouldn&#x27;t get near the health disasters I listed. I don&#x27;t really understand why people persist with inflating Ebola&#x27;s stature (or downplaying the other health disasters, however you want to look at it). The only conclusions I&#x27;ve come to, are that Ebola has been sensationalized for years by Hollywood and the media (on-going), and its mortality rate and rapid nature are obvious fear points. I still don&#x27;t see how the fear adds up when compared to millions of children dying from diarrhoea, except that these are things most people think they can&#x27;t get &#x2F; won&#x27;t die from.
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ivanca超过 10 年前
The fact that this article has been flagged (is no longer in the front page despite being way up there minutes a go) and the lack of upvotes (compared to other less important articles) makes me fear for the future of humanity. Because despite being made of fairly smart people not even the HN crowd still realizes the gravity of the situation.
Sebpereira超过 10 年前
This could become the new trend, as populations concentrate more and more in cities, creating slums, the conditions to catalyze outbreaks increase exponentially. I agree with the author that the cause of the recent epidemic has to do with the geographic location of the initial cases.
oxioxi超过 10 年前
I am sad that Ebola has become an epidemic, but worried that it might be used as a weapon by a fundamentalist. Our cavalier attitude in treating that man from Liberia who developed Ebola in the US Presents a difficult problem to prevent. That was an accidental event. What precautions can we take against intentional events?
bjornsing超过 10 年前
Does anybody know how the (immune) survivors are engaged in the health care system of the affected countries? The treatment itself doesn&#x27;t seem so advanced, it&#x27;s main challenge being not getting infected. Being immune would be a huge advantage.
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jliptzin超过 10 年前
I read somewhere about a black market for ebola survivor blood. At first I misread the title and thought it meant a black market for ebola-infected blood (or ebola-infected cadavers). Now that is a truly scary possibility - terrorists intentionally infecting themselves with ebola, then going into airports and other high density areas, infecting surfaces and as many people as they can before succumbing (or maybe even blowing themselves up with a suicide bomb - who knows). I think that&#x27;s one possibility that&#x27;s been overlooked and underscores why we really need to be funding greater vaccine&#x2F;cure research (in addition to the obvious reason of potentially saving millions of lives in Africa).
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Havoc超过 10 年前
While the situation is serious - it will be contained eventually in my view.<p>As cynical as it sounds I think there are many positive effects being overlooked here. People need a good wake-up every now and again.<p>We suddenly realized that there is zero global coordination. There is just no global immediate response mechanism in place to deal with this type of stuff. In the Hollywood movies you see the American tanks roll in as a show of force to contain an area...but where are the American tanks in Nigeria?<p>Sure eventually UN &amp; US mechanisms kicked in (which is great) but I still feel it was subpar. Not in the sense of the people under-performed (they&#x27;re great) but rather that the structures in place under-performed &#x2F; don&#x27;t exist.<p>Personally I think there should be a global response team. i.e. one group that has the ability to declare an emergency (Ebola) and then specific governments can buy in or not (and delegate power &amp; funding). Based on that buy-in the team either has power or it does not. In this case, with EU and US buy-in such a team would have vast of power over many nations - and many other nations will follow a US&#x2F;UN&#x2F;EU alliance blindly (imagine finding yourself on the wrong side of that). With THAT kind of response you can counter an epidemic.<p>Thats a bit of a pipe dream sure, but it illustrates what I mean by saying we lack a global immediate response team. Now I&#x27;m not suggesting the above should be implemented - its more of a thought experiment...the fact remains that the current model is not capable of deal with Ebola let alone other stuff (that shall remain unnamed in the interest of keeping things on track)
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