Prepping for a Pandemic: Life-Saving Supplies, Skills and Plans for Surviving an Outbreak
By Cat Ellis
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About this ebook
New viruses hop around the globe every year. In 2009–2010, it was H1N1 that infected over sixty million people around the globe. In 2014, Ebola virus had a terrifying 40% mortality rate. In 2020, COVID-19 exploded into a world-wide pandemic despite the best efforts of governments and health organizations.So, what will happen when a pathogen as easily transmitted as coronavirus and as deadly as Ebola emerges?
Prepping for a Pandemic provides all the information you need for medical self-reliance. It’s step-by-step guidance covers every important issue, including stocking food, storing water, developing contingency plans, learning first aid and nursing skills, and establishing quarantines and sick rooms.
With checklists, tips, and plans, this book outlines the necessary supplies and skills one will need to stay healthy when doctors, hospitals, and the world’s medical infrastructure become overwhelmed or unavailable during a pandemic outbreak.
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Prepping for a Pandemic - Cat Ellis
Preface
Ever since I started my website, www.HerbalPrepper.com, I have been fortunate to have an active, engaging, and inquisitive readership and podcast audience. My readers and listeners never fail to push me to investigate more and look into scenarios I might not have considered. To get their questions answered, I have had to leave my comfort zone as an herbalist and reach out to doctors, nurses, EMTs, and former combat medics to find answers. I have spent untold hours reading medical studies on various illnesses and conventional treatments, and seeking out evidence-based alternatives. I am a better herbalist today because of my audience and the friendships forged with the mainstream medical field.
While I was working on my first book, Prepper’s Natural Medicine: Lifesaving Herbs, Essential Oils, and Natural Remedies for When There Is No Doctor, the media was focused on outbreaks of two deadly diseases. The first was Middle East respiratory syndrome (MERS), a new, viral, respiratory infection with the potential for respiratory failure and a high mortality rate. It was especially deadly if the patient also suffered from a chronic illness, with diabetics having the highest risk of death.
MERS was a new disease, one that humans had never encountered before and therefore had no prior exposure or immunity to. Eventually, a doctor working in Saudi Arabia contracted the virus and got on a plane to the United States, where he attended a medical conference. Within days, another traveler came from Saudi Arabia to Florida, and that person was diagnosed with MERS. While these exposures to the deadly MERS virus were contained, they were a wake-up call for all Americans that in our modern world, the next outbreak may be only one plane ride away.
The second outbreak developed in West Africa. It was an Ebola outbreak, the likes of which no one had ever seen. Instead of burning through victims in remote villages, Ebola took hold in crowded, poverty-stricken cities with transportation links. This, plus border permeability, led to Ebola passing from Guinea to Sierra Leone to Liberia. New infections continue to cross and recross the borders, reinfecting previously cleared areas.
After our brush with MERS, surely we were ready for Ebola. Unfortunately, we were not. A man from West Africa traveled to Dallas, Texas, and began to exhibit symptoms. After initially being misdiagnosed with the flu and sent home, the man returned to the hospital and was correctly diagnosed with Ebola. We were told the virus spread to two nurses.
When I wasn’t working, I was glued to my television and Internet, waiting to hear or read the latest information on either outbreak. I cataloged article after article on both MERS and Ebola. Naturally, a high percentage of the e-mails from my audience was about these diseases and what to do in the event of a pandemic. What was the real risk of either? If Ebola came here, would it be as virulent, since our climate and environment are nothing like Africa? Our most elite hospitals could handle a few Ebola patients, but what about the local hospitals? Were protocols even in place to deal with either MERS or Ebola?
I set out to answer these questions for my readers and listeners. I looked at conventional treatments and herbal treatments of related illnesses. For example, while MERS was a new coronavirus, herbal medicines had been used successfully in another coronavirus that attacked the respiratory system, severe acute respiratory syndrome (SARS). While there’s no guarantee that the same herbs would be effective for MERS, it’s a good place from which to make a hypothesis and come up with a backup plan.
With Ebola, there’s no cure. There’s no drug, vaccine, or natural remedy. But the conventional approach of keeping the patient hydrated adequately to prevent the organ failure and shock common to Ebola fatalities goes a long way to saving that patient. This was encouraging, but Ebola was still contagious, seemingly even with loads of personal protective equipment (PPE). This led me to research the types of PPE being used, noting their differences and vulnerabilities during the decontamination process when removing PPE. The best suits are prohibitively expensive for the average person, but what, if anything, could be assembled that would provide the same level of protection? If such PPE could be assembled affordably, then it could be used for any pandemic, especially of unknown and new diseases.
Antibiotic resistance is one of several reasons I started my website. This is a viable threat, one we will all have to deal with, and we need alternatives now. There are several bacterial infections on this list because they can be fatal and have demonstrated resistance to antibiotic drugs. Some of these bacteria have strains that have already adapted and developed resistance to all known antibiotics. It’s only a matter of time before the other strains develop total drug resistance. We must have other options: soon, we’ll have a serious problem, including the potential for a pandemic.
I decided to take all the information that I had gathered and compile it into a single resource on what happens during a pandemic, not just with a specific illness, but also the routes of disease in transmission, how to protect against transmission, and what to expect from the authorities. What is the media’s role, what are the government’s priorities, and what are steps we take to protect our families from the pandemic illness itself while maintaining security over the supplies and resources we’ll need during such a disaster?
Sometimes, things don’t work out the way we plan. Sometimes, there’s no good answer or solution. Sometimes, there has to be some speculation and educated guessing. I’ve tried to blend the best of evidence-based approaches with some measure of speculation when necessary to arrive at what I consider the top seven threats for the next great pandemic, and an appropriate response. The research and creation of this book have been an important exercise for me to improve my own family’s level of preparedness, as well as fulfill the obligation to my audience to get these questions answered to the best of my ability. I hope that you, the reader, find it useful.
CHAPTER 1
A Learning Moment: 2014’s Deadly Ebola Outbreak
The 2014 Ebola pandemic is both a sad and ongoing catastrophe, as well as an important lesson. This outbreak has claimed more lives and lasted longer than any other Ebola outbreak. It has also provided the world with an opportunity to see what a deadly pandemic looks like and what kind of global response, or lack thereof, we can expect.
What we have seen is not good. We are poorly prepared to face such an event, both as individuals and as a nation. While this outbreak is an enormous tragedy, not learning the lessons of it would be an even greater tragedy.
The Beginnings of a Pandemic
The Ebola crisis, which officially began in December 2013, originated in the West African nation of Guinea and quickly spread to nearby Liberia and Sierra Leone. Past outbreaks had always proved so deadly that they would burn themselves out quickly. But that’s not what happened this time.
This time, instead of starting in some dark and remote part of the central African jungle, far removed from civilization, this outbreak began in a small village in Guinea, Meliandou. While Meliandou is small, it is not far from larger populations.
Unfortunately, no one recognized the early cases as Ebola. Other severe illnesses, such as cholera and malaria, which share many of the same initial symptoms as the highly infectious Ebola, are endemic to the area. Ebola spread easily to family members and caregivers. Patients began to show up at the hospital in nearby Guéckédou, and still the true cause was not recognized.
It may seem strange that Ebola was initially misdiagnosed as cholera or malaria. These diseases, however, are so prevalent in this area that seven of the early patients tested positive for cholera even though their symptoms were not exactly like cholera. Like something out of a nightmare, these poor people had both cholera and Ebola at the same time. It also meant that Ebola was permitted to fly under the radar undetected just a little longer.
Fortunately, Médecins Sans Frontières (Doctors Without Borders) was already in the area responding to a malaria outbreak. The volunteer medical organization stepped in to help support the local doctors with what they believed was a cholera outbreak. But three months into this supposed outbreak, only one thing was clear: this was not cholera.
In mid-March 2014, at its Geneva office, Doctors Without Borders in Guinea consulted with a disease detective
who suggested it was a hemorrhagic fever, either Marburg or Ebola. Guinea’s Ministry of Health then sent samples out for testing. When test results came back from Paris confirming the pathogen to be Ebola Zaire, the most deadly known strain of Ebola, everything changed.
Local doctors and hospitals were soon overwhelmed. Doctors Without Borders became the primary source of Ebola care to the region. On March 23, 2014, supplies of PPE were dispatched by the World Health Organization (WHO) to Conakry, Guinea’s capital, largest city, and transportation hub. It was a mere four days later, on March 27, 2014, when Conakry saw its own first Ebola patients, and there were more popping up in the surrounding area. It wasn’t long before cases were found in Sierra Leone and Liberia. It’s suspected that border permeability assisted movement through these countries, allowing for resurgences of Ebola weeks and months after an area had been declared clear.
Public Reaction
In the United States, the Ebola outbreak initially got little more than a raised eyebrow from most people. It was half a world away. It was depressing, but not our problem. In the beginning of the outbreak, the media gave it the standard treatment, minimal coverage with feigned concern and compassion. But in the coming months, the story took over the news. It gave the media everything they could want to drive ratings: drama, death, anguish, and the potential threat that this deadly disease might come here.
The local populations of Guinea, Sierra Leone, and Liberia, however, did not have the luxury of ignoring the outbreak. They were devastated and suffering. They were also fearful of the foreign health care workers and Ebola clinics. Their loved ones went in but didn’t come out. People were not permitted to conduct their traditional funerary and burial rituals. The health care workers were dressed unlike any other health care workers they had ever seen, covered head to toe in protective gear.
Information often calms fears. But in this case, there was little information. How did this happen? How did this virus, which had never been seen outside a very different and distant part of the continent, end up in West Africa? How did the first person in the outbreak get infected? We just don’t know.
This vacuum of information led to the local populations filling in the blanks on their own. Suspicion, rumors, and mistrust brewed among the locals. They began to blame the very volunteers who had come to help them for causing the disease and the deaths. Family members tried to hide and care for loved ones at home rather than risk them dying in the clinics where burial rituals would be denied. Predictably, this only helped spread both the disease and the fear.
The first attack on a volunteer Ebola clinic happened in early April in Guinea. On April 4, 2014, two local mobs attacked a clinic, claiming that Doctors Without Borders had brought Ebola to the area. The medical team serving the community had to be evacuated and the clinic was abandoned. It would not be the last attack.
On August 17, 2014, one of the most brazen attacks on an Ebola observation clinic took place in the slum area of West Point, Liberia. Fueled by fear of Ebola, foreign health care workers, and preexisting mistrust of the government, a team of armed men stormed a clinic, claiming to be liberating
the twenty-nine Ebola patients inside. The men chanted No Ebola in West Point!
They looted the clinic and stole contaminated medical equipment and bloodstained mattresses and bed linens.
Not only was this a threat to those who came in contact with the contaminated supplies, but it also raised concerns about the potential for terrorists to come into possession of these items. What could a terrorist do with such things? Could contaminated materials, such as bed linens and IV supplies, be used to spread Ebola in an attack? Would that be possible?
This came on the heels of the Centers for Disease Control and Prevention (CDC) issuing new recommendations to airlines for cleaning their cabins between flights, prohibiting the use of pressurized air. The pressurized air posed a risk of temporarily sending the virus airborne. This inspired a rumor that CDC was worried that Ebola had mutated and gone airborne.
Ebola in the United States
On August 7, 2014, CDC director Tom Frieden testified to the Committee of Foreign Affairs that it was inevitable
that international travelers would arrive in the United States after visiting the affected region and would have symptoms. Here’s the full quote from the transcript:
It is the first time we are having to deal with it here in the United States, and that is not merely because of the two people who became ill caring for Ebola patients and were brought back to the U.S. by their organization. That is primarily because we are all connected, and inevitably there will be travelers, American citizens and others, who go from these three countries, or from Lagos, if it doesn’t get it under control, and are here with symptoms. Those symptoms might be Ebola or something else. So we are having to deal with Ebola in the US in a way that we have never had to deal with it before.¹
Headlines on mainstream and alternative media alike stated in big, bold letters that the CDC director testified that the spread of Ebola to the United States was inevitable
because of modern air travel. Even though that’s not exactly what he said, Ebola’s inevitable spread to the United States was the more attention-grabbing story. Conspiracy theories were already running wild here in the United States, and Director Frieden’s comments were like pouring gasoline on a fire.
Just a few days before the director testified, two Americans who contracted Ebola while volunteering to care for Ebola patients in West Africa were evacuated to the United States for treatment in Atlanta. Having Ebola much closer to home was alarming. People wondered if the government was being too casual about the risk, or even if the government would risk such an outbreak intentionally. Others saw the risk as minimal and judged those with concerns as being heartless and alarmist. Ebola was proving to be just as divisive as every other media story.
Both patients brought to Atlanta from Liberia survived. One was a physician, Dr. Kent Brantly, who received a blood transfusion from a patient who recovered from Ebola under his care. The other was a volunteer, Nancy Writebol, who was working in Liberia decontaminating health care workers who were treating Ebola patients. Both Brantly and Writebol received an experimental drug called ZMapp.
A third patient, Dr. Rick Sacra, was evacuated from Liberia to Nebraska, where he received an experimental treatment, as well as a blood transfusion from Dr. Brantly. Sacra also survived. He had been working in Liberia for years volunteering in a maternity ward and was not there as an Ebola volunteer. Another patient evacuated from Sierra Leone to Atlanta in September was in the hospital for a month, recovered, and was discharged. That patient has chosen to remain anonymous, and all that’s known is that the patient worked for WHO.
Amid the fear, there seemed to be some hope for treatment. After all, the United States had now successfully treated three Ebola patients on US soil. With the length of this outbreak, doctors finally had a chance to see what care was most effective to help people survive long enough to fight the virus off on their own. Transfusions from those who survived helped, as did keeping patients as hydrated as possible.
The First Victim in the United States
And then, it happened. A man in Texas who came to the United States from Liberia to visit family here, Thomas Eric Duncan, was brought to the hospital by ambulance and later tested positive for Ebola.
There was anger and fear over what seemed to be Director Frieden’s warning come true. A person did indeed travel to the United States by plane and bring the Ebola virus. There was all manner of speculation on whether Duncan knew that he was ill before coming to the United States or whether he developed symptoms here. Were the safety protocols for screening passengers sufficient or even followed in Duncan’s case?
Any good feelings that people may have had about our ability to meet the challenge of Ebola went out the window with Duncan’s case. Duncan did not get to go to an elite facility, such as Atlanta or Nebraska. Instead, Duncan went to his