The Economic Implications Of A Potential Ebola Pandemic In The United States

Fear Of Ebola - Public DomainFor the moment, our top public health officials are quite adamant that there absolutely will not be a major Ebola outbreak in the United States.  But what if they are wrong?  Or what would happen if terrorists released a form of weaponized Ebola or weaponized smallpox in one of our major cities?  What would such an event do to our economy?  I think that we can get some clues by looking at the economic collapses that are taking place in Liberia, Guinea and Sierra Leone right now.  When an extremely deadly virus like Ebola starts spreading like wildfire, the fear that it creates can be even worse for a society than the disease.  All of a sudden people don’t want to go to work, people don’t want to go to school and people definitely don’t want to go shopping.  There are very few things that can shut down the economy of a nation faster.  Considering the fact that our big banks are being more reckless than ever, we better hope that we don’t see a “black swan event” such as a major Ebola outbreak come along and upset the apple cart.  Because if that does happen, our Ponzi scheme of an economy could implode really quick.

Right now there is just one confirmed case of Ebola in Texas.  If they isolated him before he infected anyone else, we might be okay for the moment.  But already we are being told that there may be “a possible second Ebola patient” in Dallas…

Health officials are closely monitoring a possible second Ebola patient who had close contact with the first person to be diagnosed in the U.S., the director of Dallas County’s health department said Wednesday.

All who have been in close contact with the man officially diagnosed are being monitored as a precaution, Zachary Thompson, director of Dallas County Health and Human Services, said in a morning interview with WFAA-TV, Dallas-Fort Worth.

“Let me be real frank to the Dallas County residents: The fact that we have one confirmed case, there may be another case that is a close associate with this particular patient,” he said. “So this is real. There should be a concern, but it’s contained to the specific family members and close friends at this moment.”

We have learned the name of the man that is confirmed to have Ebola.  His name is Thomas Eric Duncan and when he went to Texas Health Presbyterian Hospital last Friday, he told them that he was feeling quite ill and that he was from Liberia.  You would have thought that should have set off major alarm bells.  But instead, he got sent back home

The first Ebola patient diagnosed in the U.S. initially went to a Dallas emergency room last week but was sent home, despite telling a nurse that he had been in disease-ravaged West Africa, the hospital acknowledged Wednesday.

The decision by Texas Health Presbyterian Hospital to release him could have put many others at risk of exposure to the disease before he went back to the ER two days later, after his condition worsened.

Thomas Eric Duncan explained to a nurse Friday that he was visiting the U.S. from Liberia, but that information was not widely shared, said Dr. Mark Lester, who works for the hospital’s parent company.

So a fully contagious Duncan had the opportunity to spread the virus around for another 48 hours before he was finally admitted to the hospital for treatment.

And it wasn’t just adults that he potentially exposed to the disease.  It is being reported that he had “close contact” with five students that attend four different Dallas schools.  Local media is reporting that the names of those schools are Tasby Middle School, Hotchkiss Elementary School, Dan D. Rogers Elementary and Conrad High School.

Predictably, many parents are already pulling their kids out of school in the Dallas area.

It shall be very interesting to see how many kids actually show up for school tomorrow morning.

But this is what happens to a society when the fear of Ebola takes hold.  People almost immediately start shutting down their activities and staying home.

Over in West Africa, months of Ebola fear is starting to take a major toll on the economy.  For example, the president of Guinea says that his economy is on the verge of complete collapse

Guinea has been more successful in containing the Ebola epidemic than its immediate neighbors in West Africa, but the loss of revenue caused by the crisis has left the country in dire financial straits, President Alpha Condé said after concluding a round of meetings at the United Nations General Assembly.

Mr. Condé said Guinea would need about $100 million until December to cover its budget gap, which will grow if Ebola is not tackled by the end of the year.

“The slowing down of our economies due to Ebola requires that most of our countries get some budgetary support … it’s going to be crucial that we get that support so our economies don’t completely collapse,” he said.

And things are even worse in Liberia.  The Washington Post says that Liberia is descending “into economic hell”…

Liberia, the West African nation hardest it by Ebola, has begun a frightening descent into economic hell.

That’s the import of three recent reports from international organizations that seem to bear out the worst-case scenarios of months ago: that people would abandon the fields and factories, that food and fuel would become scarce and unaffordable, and that the government’s already meager capacity to help, along with the nation’s prospects for a better future, would be severely compromised.

If thousands of people start getting Ebola in major cities all over America, the same thing will happen here too.

A major Ebola pandemic in America would mean an almost total economic shutdown and basic essentials would start disappearing from the marketplace almost immediately.  Just check out what is happening in Liberia even as you read this…

The basic necessities of survival in Liberia — food, transportation, work, money, help from the government — are rapidly being depleted, according to recent reports by the United Nations Food and Agricultural Organization, the International Monetary Fund and the World Bank.

Even though economic demand would drop through the floor for most things, prices for food and other essential supplies tend to skyrocket during a major emergency.  The IMF says that the inflation rate will hit approximately 13 percent in Liberia by the end of the year even though economic activity has declined dramatically.  It is going to become extremely challenging for most families over there to feed themselves.

And as economic activity withers, tax revenues also dry up.  Liberia, Guinea and Sierra Leone are all facing massive revenue shortfalls, and they are asking for international assistance.

But if the same thing happened in the United States, do you think the rest of the world would send us lots of money to help us pay our bills?

I don’t think so.

Needless to say, an Ebola outbreak is not good for financial markets either.  News of the confirmed case of Ebola in Texas helped push down the Dow more than 238 points on Wednesday, and airline stocks in particular declined sharply.

If there are no more confirmed cases of Ebola in Texas, things will probably get back to normal for U.S. markets.

But if Ebola does start spreading and cases start popping up all over the country, that could be just the thing to burst our massive stock market bubble.

Let us hope that this is just a false alarm.

Let us hope that our public health authorities have everything under control.

Nobody should want to see thousands (or potentially millions) of fellow Americans get sick and die.

Unfortunately, scientists tell us that it is only a matter of time before another major pandemic of some sort ravages this nation.

When that happens, will our fragile economy be able to handle the shock?

The Pure Hell At The Heart Of The Ebola Pandemic In Africa Could Soon Be Coming To America

Ebola Cases And Deaths - Photo by Leopoldo Martin RDid you know that the number of Ebola cases in Liberia and Sierra Leone is approximately doubling every 20 days?  People are dropping dead in the streets, large numbers of bodies are being dumped into the rivers, and gravediggers can hardly keep up with the the number of corpses that are being delivered to the cemeteries.  As you read this, life is pure hell in many areas of West Africa, and now the CDC is warning that things may get far, far worse in the very near future.  According to the CDC, the number of Ebola cases could potentially soar to 1.4 million by the end of January.  Of course the CDC says that this is a “worst-case scenario”, but for our health officials to even suggest that such a huge number is possible is quite chilling.  We are now being told that the fatality rate for this Ebola outbreak has risen to 71 percent, and so most of the “cases” will eventually turn into deaths.  If we do eventually see 1.4 million cases of Ebola in West Africa, it is incredibly naive to think that it will not spread to other parts of the globe as well.

The World Health Organization has been trying to document the number of cases and deaths that are happening, but at this point even the WHO admits that the official statistics “vastly underestimate the magnitude of the outbreak.

And for the first time, health officials are conceding that this crisis may never have an end point.  A study that was published this week in the New England Journal of Medicine says that Ebola could potentially become endemic to West Africa.  In other words, it could become a disease that is continually spread and that we have to deal with on a regular basis like malaria or the flu.

Hopefully this outbreak will be brought under control shortly.  But at the moment there are no signs that this is happening.  In fact, hundreds of health workers have contracted the disease themselves.  And if current trends continue, the CDC warns that we could see up to 1.4 million cases of Ebola by the end of January

Researchers say the total number of cases is vastly underreported by a factor of 2.5 in Sierra Leone and Liberia, two of the three hardest-hit countries. Using this correction factor, researchers estimate that approximately 21,000 total cases will have occurred in Liberia and Sierra Leone by Sept. 30. Reported cases in those two countries are doubling approximately every 20 days, researchers said.

“Extrapolating trends to January 20, 2015, without additional interventions or changes in community behavior,” such as much-improved safe burial practices, the researchers estimate that the number of Ebola cases in Liberia and Sierra Leone could be between approximately 550,000 to 1.4 million.

Over the past several weeks, there have been numerous reports of dead bodies lying in the streets of major cities over in West Africa.

And now even the WHO is admitting that many Ebola corpses have been dumped into nearby rivers…

“The true number of deaths will likely never be known, as bodies in the notoriously poor, filthy and overcrowded West Point slum, in the capital, Monrovia, have simply been thrown into the two nearby rivers,” WHO said in a separate statement.

No wonder Ebola is spreading so rapidly.

So far authorities have been able to keep this crisis mostly contained to just a few countries.

But what happens when we have over a million people running around with Ebola?

How in the world do we keep that contained?

There are some in the scientific community that are expressing skepticism that we will be able to…

That sort of exponential increase in cases makes it more likely that Ebola will become entrenched in West Africa, said Robert Murphy, a professor of medicine and biomedical engineering at Northwestern University.

If there are hundreds of thousands of Ebola cases, then “many more countries will have cases, and it won’t be just West Africa,” Murphy said. “There is so much mobility now, this can spread anywhere.”

If Ebola continues to spread like wildfire throughout West Africa, it is probably just a matter of time before it starts popping up in major cities in other areas of the globe.

If this were to happen in the United States, life would change for all of us almost overnight.

It is hard to put into words that kind of chaos that we are witnessing over in Liberia, Guinea and Sierra Leone right now.  Panic and fear are everywhere, and the corpses just keep piling up.  The following is an excerpt from a recent New York Times article

The Ebola epidemic is spreading rapidly in Sierra Leone’s densely packed capital – and it may already be far worse than the authorities acknowledge.

Various models of the growth of the epidemic here “all show an exponential increase,” said Peter H. Kilmarx, the head of the Centers for Disease Control and Prevention team in Sierra Leone. “The conditions are amenable to Ebola spread.”

“Since last month, it’s every day, any minute and hour, and often, they are coming” to bury the Ebola dead, said Desmond Kamara, a police officer.

A cloudy stream drains from the area of the new graves into the slum, further frightening the residents.

“We are at risk, big risk,” said Ousman Kamara, a resident. “We have made many complaints.”

But the bodies, he said, keep coming.

“Even at night,” he said. “You stand here, and you see them coming.”

Could you imagine something like that happening in America?

At this stage of the crisis in West Africa, all existing treatment facilities are absolutely overwhelmed.

Because there are no more beds, large numbers of people with Ebola are being turned away.  Many end up dying just outside of the walls of some of these clinics

A new Ebola clinic opened in Monrovia this week, but bodies lay on the ground outside its walls. Ambulances filled with Ebola patients, some that have traveled seven hours to get there, are not unloaded. Without help to get them inside, the patients fall in the dirt, mere feet away from treatment.

If things are this bad already when we only have thousands of cases, what are things going to look like when we have more than a million cases?

A representative for Samaritan’s Purse admitted the other day that “it’s too late. Nobody’s going to build 100,000 beds.

And it can be absolutely heartbreaking for health workers to turn away people that are dying.

The following is firsthand testimony from a health worker that is on the front lines of this crisis that is actually having to do this…

The first person I had to turn away was a father who had brought his sick daughter in the trunk of his car. He pleaded with me to take his teenage daughter, saying that whilst he knew we couldn’t save her life, at least we could save the rest of his family from her.

Other families just pulled up in cars, let the sick person out and then drove off, abandoning them. One mother tried to leave her baby on a chair, hoping that if she did, we would have no choice but to care for the child.

I had to turn away one couple who arrived with their young daughter. Two hours later the girl died in front of our gate, where she remained until the body removal team took her away.

Those that are working on burial teams often see things that are even worse.  Just consider the following example

Dressed from head to toe in white protective suits and thick goggles, the burial teams try to stay safe, but nothing can shield them from the unspeakable horrors they’ve seen when they make their regular rounds. On Friday, Kiyee described what he saw when he entered a home:

“I took the key and opened the door and went in and saw a 6-month-old child licking on the mother’s skin,” said Kiyee. The mother was lying on her stomach. She had died from Ebola. The baby was searching for the mother’s milk. “Right away I started shedding tears.”

This is the kind of pure hell that we could see in the United States if Ebola starts spreading here.

Just because we have a more advanced medical system and better living conditions does not mean that we will be able to stop the spread of this virus.

In fact, some medical professionals are already warning that we are not prepared for an Ebola pandemic.

If cases of Ebola do start appearing in major cities throughout America, you will want to be prepared to stay at home as much as possible.  There will not be any magic pill that you can pop that will “cure” you of this disease.  It is a brutally efficient killer that does not show any mercy.

So let us hope that global health officials know what they are doing and that this pandemic will be brought under control soon.

But it would also be foolish not to prepare for the worst.

CDC Getting Dozens Of Calls ‘About People Who Are Ill After Traveling In Africa’

Telephone - Public DomainShould we be alarmed that the CDC has received “several dozen calls” from hospitals around the country “about people who are ill after traveling in Africa”?  As you will read about below, a lot more Ebola testing has been going on around the nation than we have been hearing about in the mainstream media.  I can understand the need to keep people calm, but don’t we have a right to know what is really going on?  And the media has also been very quiet about the fact that Ebola is now potentially spreading to even more countries.  As you will read about below, a Liberian man just died from Ebola in Morocco, and a man that traveled to Saudi Arabia from Sierra Leone on Sunday night is being tested for Ebola after exhibiting “symptoms of the viral hemorrhagic fever”.  Top officials in the U.S. keep assuring us that everything is going to be just fine, but the truth is that this is a crisis that is beginning to spiral out of control. On Tuesday, the CDC told Time Magazine that it had received dozens of calls from all over the United States about people that had gotten sick after traveling to Africa…

The Centers for Disease Control and Prevention told TIME on Tuesday that it’s received several dozen calls from states and hospitals about people who are ill after traveling in Africa. “We’ve triaged those calls and about half-dozen or so resulted in specimen coming to CDC for testing and all have been negative for Ebola,” CDC spokesman Tom Skinner said, adding that the agency is expecting still more calls to come in.

Let’s certainly hope that there is nothing to be concerned about in any of those calls.  As I pointed out yesterday, the consequences of having a major Ebola outbreak in the United States could potentially be absolutely catastrophic. Meanwhile, there is a case in Saudi Arabia that has health officials over there extremely concerned.  A man that traveled to the country on Sunday night is being tested for the virus after showing symptoms of “viral hemorrhagic fever”

Saudi Arabia said Tuesday it is testing a man for the Ebola virus after he showed symptoms of the viral hemorrhagic fever following a recent trip to Sierra Leone. The Health Ministry said the symptoms appeared in the 40-year-old Saudi man at a hospital in the western city of Jiddah. He is in critical condition and being treated in a unit with advanced isolation and infection-control capabilities. Different types of viral hemorrhagic fevers have been found in the kingdom, but no case of Ebola has ever been detected there, according to the ministry.

In addition, it is being reported by international media sources that a Liberian has died of the Ebola virus in Morocco. If that is true, that is extremely troubling.  That would mean that we now have confirmed Ebola cases in five different countries. And remember, the Ebola virus can have an incubation period of up to three weeks, and Ebola victims can “look quite fit and healthy and can be walking around until shortly before their deaths“. Because of this, hospitals across America are being extremely cautions right now.  The following is from a recent NPR report

If you show up at a hospital emergency department with a high fever and you just happen to have been traveling in Africa, don’t be surprised if you get a lot of attention. Hospitals are on the lookout for people with symptoms such as a high fever, vomiting and diarrhea who had been traveling in parts of West Africa affected by Ebola, following instructions from the federal Centers for Disease Control and Prevention.

And there have been some high profile cases that have gotten a lot of attention in recent days. The woman that was being tested for Ebola in Ohio got a lot of media attention, but it turns out that she does not have the disease. We are still waiting to hear about the man that was admitted to Mount Sinai Medical Center in New York.  Officials say that he “probably does not have Ebola“, but the test results have not been released yet. In addition, Paul Joseph Watson has pointed out that CNN’s Sanjay Gupta has publicly revealed that there have actually been “about half a dozen patients” that have been tested for the virus in recent days…

During a segment concerning the admission of a potential Ebola victim at Mount Sinai Hospital in New York City, CNN’s Dr. Sanjay Gupta revealed that there have been at least six cases at the hospital which prompted doctors to test for Ebola but that the details were not divulged publicly. “There have been about a half a dozen patients who have had their blood tested because of concern, those particular patients their stories were not made public,” said Gupta, adding, “I’m not sure if that’s because of heightened concern by the hospital or what that means exactly.”

What else is going on around the nation that we have not heard about? Like I keep saying, let us hope and pray that Ebola does not start spreading here, because it can rapidly become a nightmare.  Over in Africa, nearly 900 people have already died, but one doctor told CBS News that the true number is actually significantly higher because “many cases are going unreported”…

Already, the World Health Organization says 887 people have died, but a top doctor working at the heart of the outbreak in West Africa says many cases are going unreported. The senior doctor, who works for a leading medical organization in Liberia, explained to CBS News’ Debora Patta that what has helped set this outbreak apart from previous ones is the virus’ spread in urban areas. One of the epicenters of the disease is the Liberian capital of Monrovia, home to about a million people, or almost a quarter of the country’s population. The doctor, who spoke to CBS News on condition of confidentiality, said the disease is spinning out of control in Africa partly because it is extremely difficult to contain it in a sprawling, congested city center.

And it certainly does not help that infected bodies are being dumped into the streets over in Liberia.  If that continues to happen, this epidemic could very rapidly turn into a raging inferno over there. There have been health scares in the past, but this one is very different.  If you get Ebola, you are probably going to die.  And right now the number of Ebola cases is growing at an exponential rate.  If this outbreak is not brought under control soon, we could be facing the worst health crisis that we have seen in any of our lifetimes.

What Will It Mean If The Potential Ebola Victim In New York City Actually Has The Virus?

Ebola In New York CityOn Monday, we learned that a “possible Ebola patient” was being treated at Mount Sinai Hospital in New York City.  We are being told that this individual recently returned from a country in Africa where there have been confirmed cases of Ebola.  So that would narrow it down to Sierra Leone, Guinea, Liberia and Nigeria.  The patient is being described as a male “with high fever and gastrointestinal symptoms“.  The hospital says that “necessary steps are being taken to ensure the safety of all patients, visitors and staff“.  But could you imagine the panic that is going to be created if there actually is a confirmed case of Ebola in the heart of New York City?  There is nothing in the post-World War II era that would even be comparable.  Certainly 9/11 created fear for a short period of time, but a full-blown Ebola outbreak would create a panic that could potentially last for months or even years.

And this comes on the heels of another Ebola scare in the United Kingdom.  According to a British news source, a seriously ill 72-year-old woman “collapsed and died” after getting off a plane from Sierra Leone at Gatwick Airport…

Airport staff tonight told of their fears of an Ebola outbreak after a passenger from Sierra Leone collapsed and died as she got off a plane at Gatwick.

Workers said they were terrified the virus could spread globally through the busy international hub from the West African country which is in the grip of the deadly epidemic.

The woman, said to be 72, became ill on the gangway after she left a Gambia Bird jet with 128 passengers on board. She died in hospital on Saturday.

Officials tell us that the plane was rapidly quarantined and that they were tracking down anyone that had been in contact with that woman.

I don’t know about you, but all of this is starting to remind me of some of the really bad Hollywood disaster movies that I have seen.

In my article yesterday, I included the following chart which shows how this Ebola outbreak is beginning to grow at an exponential pace…

Ebola Outbreak - Photo by Leopoldo Martin R

Well, today the World Health Organization says that the total number of cases has risen to 1,663 and the total number of deaths has risen to 887.  So just imagine what that chart would look like now.  Yes, it is definitely not an exaggeration to use the word “exponential” to describe what is happening.

If Ebola does start spreading inside the United States, it would be incredibly disruptive to our way of life.

In areas where there were confirmed cases of Ebola, it is inevitable that schools would be shut down and large gatherings of people such as concerts and sporting events would be cancelled.  In addition, due to fear of catching the virus, foot traffic at grocery stores and shopping malls would drop off dramatically.  If the panic lasted for multiple months, our economy would essentially grind to a halt.  Most economic activity still involves face to face interaction, and if people are afraid that if they go out in public they might catch a disease that will kill them, it would create an economic disaster of unprecedented proportions.

And what happens if strict travel restrictions (to prevent the spread of the disease) or plain old fear cause massive interruptions in our transportation system?  Almost all economic activity involves moving something from one location to another, and if we are not able to move stuff around because of an Ebola pandemic, that would create nightmarish problems almost immediately.  For example, the following is an excerpt from a report released by the American Trucker Associations that I discussed in a previous article

*****

A Timeline Showing the Deterioration of Major Industries Following a Truck Stoppage

The first 24 hours

• Delivery of medical supplies to the affected area will cease.
• Hospitals will run out of basic supplies such as syringes and catheters within hours. Radiopharmaceuticals will deteriorate and become unusable.
• Service stations will begin to run out of fuel.
• Manufacturers using just-in-time manufacturing will develop component shortages.
• U.S. mail and other package delivery will cease.

Within one day

• Food shortages will begin to develop.
• Automobile fuel availability and delivery will dwindle, leading to skyrocketing prices and long lines at the gas pumps.
• Without manufacturing components and trucks for product delivery,
assembly lines will shut down, putting thousands out of work.

Within two to three days

• Food shortages will escalate, especially in the face of hoarding and consumer panic.
• Supplies of essentials—such as bottled water, powdered milk, and
canned meat—at major retailers will disappear.
• ATMs will run out of cash and banks will be unable to process
transactions.
• Service stations will completely run out of fuel for autos and trucks.
• Garbage will start piling up in urban and suburban areas.
• Container ships will sit idle in ports and rail transport will be disrupted, eventually coming to a standstill.

Within a week

• Automobile travel will cease due to the lack of fuel. Without autos and busses, many people will not be able to get to work, shop for groceries, or access medical care.
• Hospitals will begin to exhaust oxygen supplies.

Within two weeks

• The nation’s clean water supply will begin to run dry.

Within four weeks

• The nation will exhaust its clean water supply and water will be safe for drinking only after boiling. As a result gastrointestinal illnesses will increase, further taxing an already weakened health care system.

This timeline presents only the primary effects of a freeze on truck travel. Secondary effects must be considered as well, such as inability to maintain telecommunications service, reduced law enforcement, increased crime, increased illness and injury, higher death rates, and likely, civil unrest.

*****

Are you starting to get the picture?

A major transportation disruption would not just result in an economic downturn.  Many Americans would start running out of food and basic supplies very rapidly.  Without the ability to constantly resupply at the grocery store, a lot of people would start giving in to panic in just a matter of days.

And needless to say, a full-blown Ebola outbreak would wreak havoc on our financial system.  The stock market would almost certainly collapse and we would witness a credit crunch that would be absolutely unprecedented.  Nobody would want to lend to anybody in the midst of an Ebola pandemic.  The flow of money through our system would come to a screeching halt, and we would be facing an economic nightmare that would make 2008 look like a Sunday picnic.

So let us hope and pray that this crisis goes away and that Ebola does not start spreading across the country.

Because if it does, it could potentially kill millions of people, destroy our economy and plunge this nation into utter madness.