the preparation, propagation and propagandization of this horrible weapon have permanently destroyed trust

cidrap |  Healthcare workers play a very important role in the successful containment of outbreaks of infectious diseases like Ebola. The correct type and level of personal protective equipment (PPE) ensures that healthcare workers remain healthy throughout an outbreak—and with the current rapidly expanding Ebola outbreak in West Africa, it's imperative to favor more conservative measures.

 

The precautionary principle—that any action designed to reduce risk should not await scientific certainty—compels the use of respiratory protection for a pathogen like Ebola virus that has:

• No proven pre- or post-exposure treatment modalities
• A high case-fatality rate
• Unclear modes of transmission

We believe there is scientific and epidemiologic evidence that Ebola virus has the potential to be transmitted via infectious aerosol particles both near and at a distance from infected patients, which means that healthcare workers should be wearing respirators, not facemasks.

The minimum level of protection in high-risk settings should be a respirator with an assigned protection factor greater than 10. A powered air-purifying respirator (PAPR) with a hood or helmet offers many advantages over an N95 filtering facepiece or similar respirator, being more protective, comfortable, and cost-effective in the long run.

We strongly urge the US Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) to seek funds for the purchase and transport of PAPRs to all healthcare workers currently fighting the battle against Ebola throughout Africa—and beyond.

There has been a lot of on-line and published controversy about whether Ebola virus can be transmitted via aerosols. Most scientific and medical personnel, along with public health organizations, have been unequivocal in their statements that Ebola can be transmitted only by direct contact with virus-laden fluids^2,3 and that the only modes of transmission we should be concerned with are those termed "droplet" and "contact."

These statements are based on two lines of reasoning. The first is that no one located at a distance from an infected individual has contracted the disease, or the converse, every person infected has had (or must have had) "direct" contact with the body fluids of an infected person.

This reflects an incorrect and outmoded understanding of infectious aerosols, which has been institutionalized in policies, language, culture, and approaches to infection control. We will address this below. Briefly, however, the important points are that virus-laden bodily fluids may be aerosolized and inhaled while a person is in proximity to an infectious person and that a wide range of particle sizes can be inhaled and deposited throughout the respiratory tract.

The second line of reasoning is that respirators or other control measures for infectious aerosols cannot be recommended in developing countries because the resources, time, and/or understanding for such measures are lacking.

i had no idea this is going on...,

theatlantic | Julie, an immaculately made-up woman, sits down in front of a camera. She has thick, voluminous hair that frames the high cheekbones of her conspicuously crease-free face. Her elegant, arched eyebrows and extra-long eyelashes act as a counterbalance to her plump, painted lips. She looks out of frame, as if admiring herself in a mirror, before giggling and batting her eyelids.

“Oh dear,” she purrs, tilting her head from side to side. “Another long day in a wig and a girdle.”

She reaches up and emits a light moan as she unclips her gold earrings and gently sets them aside, one by one. She considers her image a few moments longer, then places her hands just below her ears and begins to pull her blemish-free skin off and away from her jawline. It’s only now that we realize it’s not human skin, but rather a mask made of soft, flesh-like silicone rubber.

Julie is one of the most visible faces of female masking, a specific subset of cross-dressing men who wear masks, and occasionally skin-tone bodysuits, to make them look more like biological women. The videos that she uploads to YouTube have received hundreds of thousands of views, attracting both fans and detractors.

Julie is but one of scores of maskers around the globe; the most popular masking website, Dolls Pride, has almost 10,000 active members. But, until now, the subculture has remained relatively unknown outside the tight-knit community. Even the nation’s foremost experts on sexuality haven’t heard of masking (though it’s worth noting that the practice isn’t always sexually motivated).

“I just checked with Dr. Kaplan and neither one of us have heard this term before,” said Dr. Richard Krueger, who, with Dr. Meg Kaplan, heads up the Sexual Behavior Clinic at the New York State Psychiatric Institute.

underground gay network! - in the vatican?!?

slate | Pope Benedict XVI is a little more than two weeks away from beginning his retirement at the Castel Gandolfo, but his final days as head of the Catholic church don't look like they're going to be quiet ones. Unsourced reports coming out of Italy suggest that the pope decided to call it quits not because of his old age but instead to avoid the fallout that could come from a secret 300-page dossier compiled by three cardinals he tapped to look into last year's leak of confidential papers stolen from his desk.

Those papers, widely known as the "VatiLeaks," raised questions of financial impropriety and corruption at the Vatican. The investigation that followed, however, may prove even more uncomfortable for church officials.

The secret dossier allegedly details a wide range of infighting among various factions in the Vatican's governing body, known as the Curia. But the headline-ready takeaway from today's report from La Repubblica concerns the existence of one faction in particular, a network of gay church officials. Just in case that weren't enough to pique international interest, the Italian newspaper also reports that some of said officials had been blackmailed by outsiders. According to the report, the pope got his first look at the dossier—"two folders hard-bound in red" with the header "pontifical secret"—on Dec. 17, and decided that same day to retire.