The Patient Zero: The Story of Typhoid Mary and Her Deadly Legacy
- lyamaycampdistu
- Aug 17, 2023
- 7 min read
Gina is shown with a positive pregnancy test. Bodies of fallen soldiers are being cremated when one opens his eyes and attacks the workers and soldiers. After a one-on-one fight with Knox, he is subdued and asks to speak with Morgan specifically, who is surprised that the patient is unaffected by the music that has driven the other infected into a rage. He even lights and starts smoking a cigarette from his pocket. The team assume he's closely linked to Patient Zero. The patient reveals that he was a college professor and his school was attacked by the infected during one of his lectures. He was bitten, but still maintains most of his human abilities. The Professor tells Morgan that the infected are evolved humans, a more advanced species who are at the top of the food chain. Their debate raises Morgan's suspicions, and soon Morgan finds that another of their previous patients, nicknamed Pete Townshend, has a transmitter sewn inside his chest, revealing that the infected laid a trap to learn where the base is located.
Chinese authorities and experts are at odds about the origin of the ongoing coronavirus outbreak. More specifically, who is "patient zero" for the outbreak. Also known as an index case, patient zero is a term used to describe the first human infected by a viral or bacterial disease in an outbreak.
The Patient Zero
The 35-year-old had seen a U.S. Centers for Disease Control and Prevention alert about the virus and decided to get checked. He put on a mask in the waiting room. After learning about his travel, the clinic drew blood and took nasal and throat swabs, and called state and county health officials, who hustled the sample onto an overnight flight to the CDC lab in Atlanta. The patient was told to stay in isolation at home, and health officials checked on him the next morning.
You see, while Darrow was working on his study, someone at the CDC, or working with the CDC, referred to Darrow's letter O as the numeral zero instead. And people then started calling Dugas "Patient Zero," Darrow tells NPR.
"Gaétan Dugas is one of the most demonised patients in history, and one of a long line of individuals and groups vilified in the belief that they somehow fuelled epidemics with malicious intent," says McKay.
While his wider research traces this impulse to blame back several centuries, for the Nature paper McKay located the immediate roots of the term "Patient Zero" in an early 'cluster study' of US AIDS patients.
CDC investigators employed a coding system to identify the study's patients, numbering each city's cases linked to the cluster in the sequence their symptoms appeared (LA 1, LA 2, NY 1, NY 2, etc.). However, within the CDC, Case 057 became known as 'Out(side)-of-California' -- his new nickname abbreviated with the letter 'O.'
Case description: Here we describe the first Dutch patient with COVID-19, a 56-year-old man whose infection appeared to be related to a trip to Northern Italy one week before presentation. In the days that followed, the brother of the patient with whom he had traveled, his wife and daughter also tested positive.
Conclusion: At the moment much is still unclear and it is particularly important to quickly identify patients with an increased risk of complications and to prevent unrestrained spread in the Netherlands.
For many years, one man was named patient zero and incorrectly blamed for spreading HIV across the United States. However, more recent evidence has determined that HIV was present in the U.S. before this time. This individual was simply one of the thousands who contracted the virus early on in the epidemic.
The first verified case of HIV derives from a 1959 blood sample of an individual who lived in the Democratic Republic of Congo. However, scientists cannot say whether this person was the first human with HIV, or the first documented case, known as patient zero.
This quasi-zombie action movie eventually wanders cluelessly off track, but, as it consists mainly of yelling, sudden loud noises, and camera-shaking, it gets aggravating long before that happens. Patient Zero was shelved, delayed, and re-scheduled several times before finally being released. (Like that old Hollywood joke: It wasn't released, it escaped.) It's not clear whether there were re-shoots or it was just a rough screenplay, but the entire concept of "patient zero" -- and the entire theme of the movie -- are simply tossed away in the third act.
The Virus has taken over the entire world/country/town. Almost always, there is a patient zero. This is the person that started it all, the very first person to be infected. Perhaps they carried the virus for a while without realizing they were a Zombie Infectee. Perhaps they were the one who created the virus.
Sometimes, you have to kill patient zero to stop the virus before it spreads to anyone else. Other times, Patient Zero carries the original, unmutated virus, which the heroes need to Find the Cure!. If the Patient Zero is asymptomatic and/or doesn't know what they're carrying, they may be a Typhoid Mary or Zombie Infectee.
In the case of our patient zero, we will focus on the first step - the initial compromise - which is usually performed using social engineering and spear phishing over email (with a zero-day malicious attachment) or a website that employees of the target organisation are likely to visit.
Gaetan Dugas, the flight attendant from Quebec who came to be labeled Patient Zero and died in 1984, reported approximately 250 different sexual partners a year between 1979 and 1981. Epidemiologists trying to understand the then-unknown virus and its transmission in the early 1980s interviewed symptomatic patients including Dugas and discovered that he or his partners had sexual contact with multiple other patients who later reported similar sets of symptoms. Armed with that information, investigators at the U.S. Centers for Disease Control and Prevention created diagrams with arrows and circles that pointed to Dugas as a likely source of disease transmission. Of the 72 sexual partners whose names Dugas shared with the CDC, a total of eight in southern California and New York City were found to have AIDS.
Detection of patient zero can give new insights to epidemiologists about the nature of first transmissions into a population. In this Letter, we study the statistical inference problem of detecting the source of epidemics from a snapshot of spreading on an arbitrary network structure. By using exact analytic calculations and Monte Carlo estimators, we demonstrate the detectability limits for the susceptible-infected-recovered model, which primarily depend on the spreading process characteristics. Finally, we demonstrate the applicability of the approach in a case of a simulated sexually transmitted infection spreading over an empirical temporal network of sexual interactions.
In the early days of sandboxing technology, customers used it to detect unknown malware missed by traditional signature-based technologies. It worked well for many instances of unknown malware. But one of its gaps was the ability to stop patient-zero infections: by the time the sandbox detected an emerging threat, the first instance had already arrived at the endpoint.
To solve the patient-zero challenge, Zscaler reinvented malware analysis a few years ago by adding the ability to quarantine suspicious content inline, which is only possible due to our unique proxy architecture. With this capability, customers could prevent "patient-zero" incidents when using the quarantine policy on files going through the Zscaler cloud. However, quarantining can introduce a delay in the delivery of legitimate files, and we are always striving to improve the user experience.
As the Co-founder/CEO of TrustPath, acquired by Zscaler two years ago, the productization of inline intelligent patient-zero prevention in the Zscaler Cloud Sandbox marks the second integration milestone within the Zscaler family. It is a truly special and proud moment for my team and myself.
Countries in the region have reacted to this shock, but the adoption of measures to foster flexibility and equity in health systems has remained low. According to the same pulse survey, 59% of countries highlighted the need to triage patients and leverage community health, or move toward home-based care. And less than 40% have reported using telemedicine, extending prescription validity, or recruiting additional staff.
A pandemic, coupled with political and financial instability, is perhaps not the best time to start implementing structural health systems reforms. Yet, the shock of COVID-19 demonstrates the need for improving the equity, flexibility, and resiliency of health systems. An example of a country that is seizing the moment to reform its health system is Morocco, where a set of ambitious reforms announced in July 2020 are currently being implemented. The reforms include the consolidation of fragmented health insurance schemes, the extension of financial coverage to over 11 million additional people in need, as well as moving towards a patient-centered, family medicine model. These reforms will assist Morocco in strengthening the resiliency of its health system in combatting future pandemics and reaching universal health coverage.
Originally patient O (standing for out of California), referring to Gaëtan Dugas, a superspreader of AIDS who was at the time erroneously believed to have introduced the virus to the United States. The letter O was later misinterpreted as a zero.
Coronaviruses are a large family of viruses, some causing respiratory illness in people and others circulating among animals including camels, cats and bats. Rarely, animal coronaviruses can evolve and infect people and then spread between people, such as has been seen with Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). When person-to-person spread has occurred with SARS and MERS, it is thought to happen via respiratory droplets with close contacts, similar to how influenza and other respiratory pathogens spread. The situation with regard to 2019-nCoV is still unclear. While severe illness, including illness resulting in several deaths, has been reported in China, other patients have had milder illness and been discharged. Symptoms associated with this virus have included fever, cough and trouble breathing. The confirmation that some limited person-to-person spread with this virus is occurring in Asia raises the level of concern about this virus, but CDC continues to believe the risk of 2019-nCoV to the American public at large remains low at this time. 2ff7e9595c
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