On the Origins of the 2014 EBOV Outbreak

KM
by Kali Mahrer1 view·Updated Mar 19, 2020

Audio TranscriptAuto-generated

  1. Hey, guys.
  2. I thought the best way to answer your questions would
  3. be, ah, via video again and using the power point
  4. when applicable.
  5. Ah, so thank you so much fur bearing through that
  6. presentation. I know it was a little bit rushed, and
  7. I agree.
  8. It was it was a lot of data, and I'm
  9. not great with brevity.
  10. Eso I'm gonna try to answer your questions concisely, and
  11. I will, uh, we have several videos, hopefully shorter replies
  12. instead of doing one lung, you know, 15 minute reply.
  13. Uh, so I kind of want to start with something
  14. that I just find really, really cool just because I
  15. was sad that this didn't get to make it in
  16. time. A presentation?
  17. Um, but, uh, Ebola doesn't actually kill you via via
  18. the infection.
  19. It's not the virus itself that kills you.
  20. It's your body's response to the virus.
  21. It's that site a crane storm.
  22. Um, And as the virus enters, ah, a cell, especially
  23. the incident presenting 100 excels.
  24. The cells will die, and it's it's the response to
  25. massive cell death that launches the Sadiq rainstorm.
  26. Um, in your immune system responds super firmly to Ebola
  27. and something that's actually really cool is some hemorrhaging you
  28. see is through Lee he blood vessels.
  29. And if you'll recall some of your earlier immunology class,
  30. is that I'm sure we probably have all taken at
  31. this point to get here.
  32. You have that process of Lupus, a rolling and extract
  33. ization. And, um, that's a huge part of your immune
  34. response rate.
  35. So So these cells die and they release their contents,
  36. and that triggers an immune response.
  37. And so, um, these other immune effect your souls will
  38. want to get to sites of infection.
  39. Um, and so the blood vessels become very, very young.
  40. This is just one of the many ways that the
  41. patients will possibly from a virus.
  42. Um, and I say money, ways meaning, Ah, the cider
  43. concern is really complex on.
  44. And so it's not just the process of extra visitation
  45. and, um, and hype over.
  46. We make shock that will, that will kill you.
  47. It's ah, it's amore involved process.
  48. But ah, I think are you with the cool thing
  49. about this virus is that it doesn't Ah, it doesn't
  50. till the people that get it the, uh um like
  51. the pathogen isn't responsible for death.
  52. I'm your own immune system does way more damage than
  53. the virus actually could.
  54. Uh, So I was asked about some background about the
  55. virus, which I didn't have time to cover in my
  56. presentation. Um, but we'll do it now.
  57. So, uh, just so we're all kind of aware, I'm
  58. sure that we are.
  59. We know that it's ah is a class.
  60. Probably at this point given how much this is about
  61. in the news that it's a hemorrhagic fever and that
  62. it ah has depending upon Ah, the strain of the
  63. virus has Ah, very, very high fatality rate.
  64. Um, and symptoms include headache, fever, joint pain, muscle aches
  65. And then the bleeding from the new coastal surfaces comes
  66. obviously later because Syrian system needs time to mount that
  67. say that kind of response.
  68. So and then I believe it.
  69. Waas Was it Paul that us who gets it?
  70. Thanks. Ah, yes.
  71. How it spreads from host to host.
  72. Thank you, Paul.
  73. So I will come back to this.
  74. Ah, so it's very rare, but it's endemic to regions
  75. of Africa where it soon on a coaster found so
  76. Macaws, fruit bats several other species of primate may carry
  77. Ebola virus is, uh, and anyone who comes into contact
  78. with, ah, with bodily fluids of an infected person.
  79. So sweat, mucus, blood, tears, urine lives in faeces, saliva,
  80. vomit. It's breast milk or sweat.
  81. Um, and anybody that comes into contact with the virus
  82. through those methods is at risk of of getting the
  83. virus, Um, there to sort of three Interesting, uh, elaborations
  84. I wanna I wanna make on that one is that,
  85. uh it's very easy for, ah, somebody caring for an
  86. infected person to touch a bodily fluid and then inadvertently
  87. touch a mucous membrane, their eyes, their nose or their
  88. mouth. I'm sure that we're all aware by this point
  89. is we're trying to avoid transmission of of Cove in
  90. 19 of the Corona virus to ourselves.
  91. That it's it's very hard not to touch your eyes,
  92. your nose, your mouth and you do it almost unconsciously.
  93. So, um, you know, it seems like when I say
  94. that like, it's simple, just don't hurt your mucous membranes.
  95. But we all know I think by now that that's
  96. very tough.
  97. Additionally. Ah, you can get micro abrasions and your skin
  98. just by scratching or shaving.
  99. Or there's there's lots of small ways to get their
  100. small micro abrasions, um, that you can generate, and then
  101. the virus can enter through those those micro abrasions.
  102. Sorry, my cat is interrupting.
  103. Uh, so, uh, I think that's really interesting, because you,
  104. that's the disease.
  105. Has to get through that one of those in need
  106. barriers with just the skin.
  107. Right? It has license.
  108. I'm on it.
  109. The skin is very acidic.
  110. Ah, your mucous membranes have license.
  111. I'm but, um, but the virus can get through these
  112. defenses through through just micro abrasions.
  113. Um, and enter Enter the body that way.
  114. Ah, so that's, uh, something that I didn't really know,
  115. I guess when I thought about when I was thinking
  116. about cuts in our skin, I was thinking also then
  117. that you could see.
  118. But I started thinking about this a lot when he
  119. realized that there were a lot of micro abrasions that
  120. you could obtain that you would have have no idea,
  121. uh, that you have.
  122. So that's how the disease is transmitted.
  123. Just that's for Paul.
  124. And then I believe you asked Ah, how the virus
  125. is classified.
  126. Yeah, so um, it's ah, single stranded Arnie virus.
  127. So minus.
  128. Is this iron A virus?
  129. And Lacey.
  130. So you asked me.
  131. Ah, how What was the question here?
  132. So do I think that Ebola cases that are seen
  133. today would be another subsection, or do I think they
  134. would be closely related to the 2014 Ebola outbreak type?
  135. Um, so there are a couple of things I want
  136. to mention, uh, one is that it's maybe see if
  137. we can get to this file.
  138. A genetic tricks.
  139. I think that'll answer your question pretty well.
  140. So this is a rooted tree.
  141. Oh, I wish I could zoom in on that a
  142. little more.
  143. Oh, I can't.
  144. Okay, um, so if we take a look, we see
  145. the outbreaks in Jenny and Sierra Leone, which are?
  146. We're related, uh, stump from Ah, the 2004 outbreak.
  147. It's that in this Oh, I don't think you can
  148. see it.
  149. Which is a bummer.
  150. But there was a 2004 outbreak.
  151. Let me see if there's another tree.
  152. Ah, here we go.
  153. Um, you can see that the most, uh, reason common
  154. ancestor for this virus was was the 2004 outbreak on.
  155. And so there's a very didn't direct connection that these
  156. researchers have established between recent outbreaks and recent prior outbreaks.
  157. So while I can't answer your question definitively without data,
  158. right, because just because something originates closely in time, you
  159. would think that the most parsimonious explanation would be the
  160. most applicable on Dhe, something that's emerged relatively recently following
  161. a lot of personality would would require a few issues
  162. like changes and be the more likely candidate.
  163. Uh, but that's not always the case, so I can't
  164. answer the questions definitively, but, um, but I can say
  165. that you can see here in this graph that ah,
  166. in 2004 that was sort of the most recent common
  167. ancestor for ah, this 2014 outbreak.
  168. Um, and so it's very possible.
  169. And if I remember correctly in the news, it it
  170. appears that, um, the very shortly after being declared outbreak
  171. free, ah, more outbreaks of Ebola cropped up.
  172. So ah, depending on where they originated, they very well
  173. could have had a common ancestor come.
  174. But it's important to note that, um, that it's transmitted
  175. zoona tickly initially to human hosts.
  176. So That doesn't necessarily mean it's the case.
  177. I think that it's possible, but to answer your question,
  178. I can't know for sure.