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WBEN NewsRadio 930>Audio & Video on Demand>>Evaluating School Board Vote - Former President Lou Petrucci

Evaluating School Board Vote - Former President Lou Petrucci

May 7, 2014|

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  1. More with Dr. Brahm Segal on Ebola

    Fri, 24 Oct 2014

    The New York City doctor are receiving specialized treatment dollar billion hospital after testing positive for a bullet. WB on Tuesday Google has the latest on this confirmed case of new York and John it's significant because obviously of New York city's population density. You know the word at all right now can spread fear that it's here in New York it's. More Governor Cuomo last night joined with other health officials to address the issue Europeans against place. A lot of people on top of each other but Cuomo saying that because station Craig Spence it was a doctor and took his temperature twice today watching percent of since coming back from Africa. The risk is there for a low. New York City health commissioner Bassett says though there's another issue here. That during that time. That the patient was home before he became sick he did leave his apartment he went on a three mile jog. We know that he's ridden on the date change. The number one train the L thing we're still. Getting more information about this but we note that yesterday that he went to bowling Alley and Williamsburg. He was feeling well at that time. Or bowlers from that facility Aaron quarantine New York City as what they call it disease detectives out and about tracing his travels. And at least one of those bowlers is in quarantine with him at Bellevue the other is at home Genesis. Okay Dave thank you for that doctor brand Siegel is with us in studio this morning. Chief of infectious disease at Roswell park cancer institute and we're taking your questions for doctor Siegel under text line at 30930. And at news radio 930 and Twitter and also on her FaceBook page to. Doctor Siegel of one question has come and shouldn't this doctor has tested positive for evil and before you came back to the US even though he wasn't symptomatic. Now and that's one of limitations that would be great if we have a test. That we could administer let's say where it win win travelers come back to a US hobby airport. That would predict that they would develop. Ebola disease. It in the near future in a week or ten days. And that does not exist so the testing. That we leave that that that is done for Ebola is only once someone has become ill in a lit up the development temperature first was that the first signed. Usually fevers the first time in that first time it's a flu like illness so it kind of comes together. That fever muscle aches headaches and gastrointestinal symptoms usually kind of comes together at that time. It is possible to detect the virus. Is a test coming like that it could tell us whether or not your carrier for Ebola not. No I have heard no. No information. That there would be a test and you would be actually the ideal test. That would say you've been exposed to Ebola and here is your risk for developing over the next. Couple weeks I know of no test that can do that we have vaccines for just about everything. Doctors legal one not some one help us. After what that's done and West Africa in the past almost forty years. Well we might that we don't have there are vaccine candidates we certainly don't have one right now. But our researcher and I am pro research and add to a large extent our ability. As as a country to develop vaccines for things like Ebola. Dot and other infectious diseases or even vaccines against cancer. Which is a major interest area of interest at Roswell park. It depends on. Researchers who are committed. To doing the work and public policy that that funds the work. How soon are far far away are we from a vaccine. Have no idea about that I I know that there are. We're right now. Way we treat he'll people with the ball as what we call support of cares there's nothing specific that we use against the virus. We controlled the the illness OK so lungs failed we put them on events later the kidneys fail dialysis. In terms of specific. Mitt medications from either vaccines are antibodies. That are that that are targeted towards the virus that is the at a very early stage of development. So. It's it's nothing that could be used off the shelf right now. People are wondering. How does this virus. Mutate and that's the right or you know we know the virus was discovered some forty years ago. In West Africa in a cave. It was brought to the US the virus was brought to the USA. Almost forty years ago to a laboratory. In Reston Virginia another virus they believe that the time was cured by monkeys and bats as any of this read his research changed any of this. Is he acts yet well. I Ebola existed before forty years ago but the first recognized out operate right. Was in the Ebola river area are and key in the in the Congo. In terms of the rest then. The Reston in. Incident I believe what happened. Is that you had Ebola infected monkeys are price meats or brought. They were brought to Virginia not specifically steady ball up but they beat these animals became very ill. And Ebola can. I can in fact. Prime mates nine prime meats such as monkeys and even fruit bats that are are endemic to Africa. So when these are old world monkeys came to Virginia to evade to the surprise of the researchers they were actually diagnosed with Ebola. Mean they became very ill and for evaluation showed that they had Ebola. Fortunately to my knowledge there was no monkey to T human transmission. To my knowledge it it it was caught early but he it goes to show that you know there is there's different potential reservoirs. In which. In which people can exist it's not unique to humans. It's OK another question has come in this morning we did address this a little while ago I think it's worth bringing back up. If you come in contact with bodily fluids is that enough to be infected or does it have to sign an entry into the body like on a cut or something like that. The exposure. It it doesn't have to do occur through a cut so that that's. It can occur through mucous membrane exposure. Eight again these parties. Fluid particles can be very small so it can be swallowed it could be exposure to the mouth exposure to the eyes. In terms of skin contact there could be what's called micro operations that are very tiny you don't seek. So the people who would have required. Eight people let's not as if they had an open cut during that era. If it can indeed penetrate mucous membranes. And skin exposure when there's an intensive bodily floats food exposure over skin that can that that can also be a way that it's transmitted. That's very different. That's very different than I shaking hands or cough or sneeze we're talking about someone a patient who is very ill. Who is excoriating the virus through many different ways including bleeding. You're in diarrhea and sat truck and then you have people who are in close contact with that person that is the most common way it would be transmitted to health care. Okay and more coming up with a lower in studio guest doctor brand Segal chief of infectious disease at Roswell Park Cancer Institute doctor singles also professor. In the UB department of medicine in the school of medicine and bio chemical sciences. And a doctor Siegel we were just talking about how you get people and here's another question honest to what about sweat from an arm. To another term or sweat from my hand on a subway railing to someone's hand. By itself or that second person's hand to an opening on his body like eyes nose mouth or from someone with symptoms that sneezes. And someone that nearby in hails those particles. So a lot of good questions and I would. Return to what I. Sat at the opening. Let's do a thought experiment in the imagine that Ebola was transmitted that way. Through casual contact through a CD's that person may touches person be with and touches person C. What would it look like what with the spread beat it and it would look nothing like what we're seeing right now. Casual contact easy contact likely get with common respiratory of Ireland has that infections and quote unquote stomach flu were one person gets it and lots of people get it. That. It is that where that transmission it wouldn't be confined to the three countries. Where it is affected right now. On in the Sierra Leone and Liberia and Guinea. It wouldn't have been. Controlled like it was in Nigeria when they had an important case from Liberia. At the transmission would be much more rapid. Right and it would spread it would be widespread so. Everything about the epidemiology. That we're observing with the current outbreak which is much more severe than prior ones. Over a forty year period since Ebola was first described is telling us that that casual contact is not the mode of transmission. Speaking of these countries in West Africa I think it's Liberia have I'm not mistaken just made a public statement that the country is now. Ebola. Virus free tourism and the economies of these countries must be greatly impacted. People don't want. Travel there. OK so let's make. A distinction like the area with an Al is not Ebola free it's. It's. That is a cat catastrophic. Ebola outbreak that is going in Liberia. Nigeria. With an end. That is Ebola free so what happened. In with Nigeria is that over the summer there was an up imported case that. A passenger flown from Liberia to Lagos the capital of Nigeria. He had become ELP it's spreading to others a total of money. Patience with in Nigeria. Acquired the disease they mobilized after a lapse they mobilized their public health. Resource is a again Nigeria but it it is a wealthy country with the health care infrastructure. And they were able to control the epidemic so that the last case of Ebola. In Nigeria. Occurred. More than six weeks ago so based on the known incubation period. Com Ebola that is now being called disease for you just mentioned they were able to control the virus. If they can control. The virus. To an extent why can't they develop a vaccine to prevent it. I selects a little little let me explain how they control the pain control that through infection control. They control that through our contact tracing for isolation. Not through any medicine in me would be the best thing if we had an anti viral medicine like we have for influenza. That we can give to people that does not exist so the way they control it is through. Infection control methods not through and not through a vaccine or a new anti viral agent. We're talking about the first Ebola case in New York City with doctor brand Siegel. In studio this morning chief of infectious disease at Roswell Park Cancer Institute he's also professor and UB department of medicine and the school of medicine and biomedical sciences. Doctor Segal if you were in New York City. Would you take the subway today in fact would you take the eight train which this doctor took just the other day. Absolutely yes I was. I was a med student. Several many years ago it AM New York City so I'm used to be a train and if I were there. I would not hesitate to do so again would you troubled West Africa to help this year. Very good question so. I have a full time job but Russell park right now so I I don't have I don't have a plan and don't have a plan to. Go to the West African areas that are affected. When we is a term West Africa it it's three countries that are effective so we we shouldn't even West Africa is very very big. So I it's the three countries that of that that are affected. I I personally I don't have a plan needs to go to. West Africa. As it as an aid worker I would say that. Might my expertise as an infectious disease specialist would would not be of great value. Because we don't have specific antibiotics. Anti viral to give. The people who are most suited to help are those that have experience working in the field out there. Web experience working in in our. More resource challenged countries are poor countries that lack the infrastructure. And basically giving the support of care so Doctors Without Borders where this doctor had. Had joined the day and other organizations. Are really the ones where best qualified to deliver care fight decide to go there. I would need to be trained by them. And terms of giving the support of care with out the infrastructure that I'm used to it Roswell park. And that makes sense but here's another question of which I think is an interest in Gary interest in question. You say asymptomatic people do not need to be quarantined. Then why is this doctors fiance to friends and a bowler now quarantined wired they'd just been told the monitor their temperatures what's the difference. Very good questions of the first I would say when the term quarantine is news I am not sure it's being used sort of loosely. Or in a strictly when I think of scoring team it means. You are at home so we were going to be quarantined in this studio room means we're staying here. And I I don't know if that level of of quarantine is being applied or is it's it's a term that's being used a little bit more. More loosely in the press. I can tell you that from federal. Guidelines. Popcorn team is. It is what we would not be advice for people. Who are are asymptomatic even with a known. In bowl exposure and then if we look at the if bola exposes that occur. Obviously the greatest storm would be his girlfriend. I would make a distinction between household member a close friend like a girlfriend. First is someone bowling in the next Alley. But the bowler is beyond me I can't understand why our enough that's a self imposed quarantine or. Or or whether the local or state officials are going way beyond federal guidelines. You may have heard Governor Cuomo whose warnings say just the mention. Of the workable. Frightens a lot of people. Two people in buffalo right now have anything to worry about. People in buffalo should be concerned about global. Crises. Like Ebola global met. You know medical catastrophes. Whether it's an Ebola outbreak or tsunami. Or at an earthquake we should absolutely be concerned in terms of our own risk for infection which is a separate question. As I said before. I do expect cases of Ebola to be sporadic Lee imported to the United States at. More so when in the major cities like New York City that than buffalo but. We can have people in buffalo. Who may want to go to an Ebola affected area and offer their services right. Scioscia was in association with Doctors Without Borders or other groups. We can imagine that it's this that there can be imported cases of Ebola. Anywhere throughout the country and but again I'm I mentioned the word sporadic several times sporadic meaning isolated. Not that this is gonna lead to to an outbreak here in the United States but we have to have an infrastructure that we recognize. Early cases of Ebola that we're monitoring cases that are imported. And that we have reasonable infection control precautions so that they remain. Isolated another great question the infected patients. Must be having gastrointestinal symptoms at home before entering hospitals. With that said is the water treatment system in the US equipped to filter the Ebola Virus in the patients flashed waste. Yes say it would be. The ability for Ebola to survive outside. The body is is is limited under. Ideal laboratory conditions we're actually. Intentionally. Create the conditions where the virus can survive outside the body it can survive a number of days but. When you wouldn't we are going through way a eight develop. System of of of waste removal like we have here in buffalo that is not present. In corps air ate it in in the rural areas of Liberia and Guinea. The air we have the ability that it it it's actually quite a frat child virus. And that it would be destroyed very quickly and I would have zero concern about tap water use. Where it's being transmit turns me in that fashion contrast that to assess the situation where the sewage system. He is rudimentary. Horror basically nonexistent. That is the situations we get in the poorest countries where. You can have Ebola. Being transmitted in that fashion what we call fecal oral or. You know contaminated waste that then can be transmitted. To someone else doctor we've learned a great deal from you I'm sure our listeners have to and we're grateful for you commend and thank you so much from right in our studio guest doctor brown Segal chief of infectious disease that Roswell Park Cancer Institute doctor Siegel. Also professor Liu B department of medicine in the school of medicine and biomedical sciences.

  2. Bills Preview with Murph & Kelso

    Audio

    Fri, 24 Oct 2014

     

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Automatically Generated Transcript (may not be 100% accurate)

Let's get some analysis now on the school board vote former buffalo school board president -- trick she is with us on the WB Ian lifeline Lou good morning thank you for the time. What do you make of their results Quinn pierce and never called winning -- at large seat yesterday. Yeah there's going to be a different dynamic and the -- lecture. Well as a former school board member. Alou what was your impulse reaction to the results of these three people. While I. I mean you can see what happened there -- very hard push in a minute shall also -- get. Mr. -- in the hours elected and there are successful. But it definitely you can see where. The donor to the board and the voting bloc if it is true that you are sorting out some way. Do you think superintendent Brown's days are numbered. It depends what the board or -- and that's going to be they're -- I know that that was what -- -- one of their. Campaign -- was the locals doctor -- I would say that when you remove the superintendent is very costly and time consuming process in our search for. You put out a national -- seeing it and advertisements and and and from new superintendent and he can take twelve months you can take eighteen months and during that time -- what happens in the district. So that's interesting to outlaw these things are going on in your deployment in terms. It's very difficult accomplishment in which it like you. Terms -- the district for. Well while we're looking for a new superintendent. Will the old superintendents day or will -- -- -- removal process first they were talking with the mother former school board member of this morning. A hotel's most like you say -- getting rid of the school administrator is not as easy as it's announcer contracts to honor. We need to make sure the person -- -- firing is not libeled him anyway and may have difficulty getting new employment -- are all sorts of legal hurdles. I corrected the military does that. Majority of urban school districts. Urban schools superintendent tour last more than three years because the district to which they serve or change we want change happen quickly. It's very difficult to make change happen quickly. For a variety of different reasons -- budgetary policy. You know -- -- staff members of programs and getting the community to and and that that takes a little bit at times it's very very difficult it's something country. You're on the boards for the removal of superintendent James Williams is their right correct it was there anything unique in that. -- There are -- many different unique. Our processes is because then you know I would say the one thing that once -- speculation that the superintendent Williams is going to be removed. Suddenly she hired -- of the board -- -- hire an attorney and then we don't with the attorneys to try to negotiate. It's government. An agreement. Or -- doctor -- to -- -- next phase of the life. But it's good move very quickly and there are many attorneys involved and it's it's it's not because superintendent syntax so much that district. -- their -- really. Are throughout all the different feelings and operations. And that takes a little awhile grappled with something new place. Our treasury call was it was Lee shuttle -- doctor Williams ever mentioned a publicly what the wind up walking away. From. I'd be hard pressed play here at this point. And didn't think it is certainly wasn't hundreds of thousands of dollars and -- I took a tribute here I'd be very hard pressed. I don't remember a couple of indoor tournament speaks. But the you know I think Tuesday -- -- returner in the sport -- some very. So grave financial. Matter that they need to deal with they've been there and -- -- They only do that for so long. They have to you know rebuild some relationships with some of the community stakeholders that are out there bring more people to the table. Afterward that the district court also purchased the trying to bring everybody the table whether there's mr. block clubs or the British community groups. Appearance organization and the state Education Department. All those people need to review proxy table it is -- -- -- be -- -- It'll -- at the superintendent issue has -- that the top issue during this voting season for the sport but. You know with Kelly -- having a working majority what else -- think he might be able to accomplish. Well. The big changes have to be with I'd -- one of the network into the early in his neighborhood schools. Our neighborhood schools some great but the problem is where our schools have been reconstructed. Is necessary aware at the highest percentage ever people with these states so that's in the deal it's difficult. I'm never schools do makes sense that trying to let a well our policy that will address all the needs of the citizens of -- and take a little bit of ordered their work to get along that line. Again. What it is looming fiscal crisis but but there are some serious. Choices we're going to have inmates he the outstanding Egypt contract that would need to be resolved. That's so -- almost a decade now that's unresolved. -- move forward and need to. These and additional changes with respect to personal do you know -- -- -- put your superintendent also is one that point. Associate superintendent for almost. Individuals and that's something else that we're gonna have to work with -- you -- in charge or whether it's in place that are tendon or achievements. All the various aspects of the district. -- we're glad you could join us this morning thank you. Recorder that's Luc -- chief former buffalo school board president.

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