@FuncOfT: How high was his temperature when he was sent home after that first trip to the hospital? If a person doesn't have insurance, hospitals send them home -- and this was his very first time in the USA... maybe more about money than race, but I know your concern.
This is just an hour's drive from me:
CLINTON, Ark. -- The Ozark Health Medical Center in Clinton, Arkansas is on a precautionary lockdown amid concerns over a patient.
With hospitals across the country on high alert amid the ebola scare, officials say the situation is due to a patient's travel history and symptoms, no further details have been released.
The Arkansas Department of Health confirms via email, saying the following:
"We are aware of that situation. From what we understand, the situation appears to be very low risk for Ebola. The hospital has implemented these measures out of an abundance of caution until further tests/medical information can be gathered."
No need to panic. This is common sense, imho. Avoid it like the plague...
Center for Infectious Disease Research and Policy (CIDRAP) at the University of Minnesota just advised the U.S. Centers for Disease Control (CDC) and World Health Organization (WHO)...
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 face-masks.
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 fluids2,3 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.
Early aerobiologists were not able to measure small particles near an infectious person and thus assumed such particles existed only far from the source. They concluded that organisms capable of aerosol transmission (termed "airborne") can only do so at around 3 feet (CDC's "direct contact" perimeter...) or more from the source. Because they thought that only larger particles would be present near the source, they believed people would be exposed only via large "droplets" on their face, eyes, or nose.
Modern research, using more sensitive instruments and analytic methods, has shown that aerosols emitted from the respiratory tract contain a wide distribution of particle sizes — including many that are small enough to be inhaled. Thus, both small and large particles will be present near an infectious person.
- Patients and procedures generate aerosols, and Ebola virus remains viable in aerosols for up to 90 minutes.
- All sizes of aerosol particles are easily inhaled both near to and far from the patient.
- Crowding, limited air exchange, and close interactions with patients all contribute to the probability that healthcare workers will be exposed to high concentrations of very toxic infectious aerosols.
- Ebola targets immune response cells found in all epithelial tissues, including in the respiratory and gastrointestinal system.
- Experimental data support aerosols as a mode of disease transmission in non-human primates.
@dahat: Of course they have a manifest. It's just easier and maybe faster to have those already beside themselves with worry to call.
It's amateur hour. Reminds me of the TV Show detective farce "Sledge Hammer" who's main character never failed to say "Trust me" -- and of course that never worked out well and was the point at which everything went askew...
@dahat: The government and CDC have botched this responsibility. It's pretty much the most important thing they've ever attempted to do, the CDC, and they're pretty much terribly failing on an ongoing basis.
We should have never de-funded the NIH, the federal government is OURS, not some enemies'. It's supposed to be there for this type of event, not run off and into the dust by political minimalists.
And the CDC is showing itself to be a clown circus act.
An official close to the situation says that in hindsight, Duncan should have been transferred immediately to either Emory University Hospital in Atlanta or Nebraska Medical Center in Omaha.
Those hospitals are among only four in the country that have biocontainment units and have been preparing for years to treat a highly infectious disease like Ebola.
"Nurses were forced to use medical tape to secure openings in their flimsy garments, worried that their necks and heads were exposed as they cared for a patient with explosive diarrhea and projectile vomiting, said Deborah Burger of National Nurses United."
"...the Ebola patient's lab samples were allowed to travel through the hospital's pneumatic tubes, opening the possibility of contaminating the specimen delivery system. The nurses also alleged that hazardous waste was allowed to pile up to the ceiling."
-- This is a complete failure of our government and the CDC. This second nurse was on a Frontier airline flight from Cleveland on the 13th, she went to the hospital with Ebola symptoms the next morning.
"CDC also says woman who went to Ohio should not have been travelling after having contact with Ebola patient."
"Because of the proximity in time between the evening flight and first report of illness the following morning, CDC is reaching out to passengers who flew on Frontier Airlines flight 1143 Cleveland to Dallas/Fort Worth Oct. 13," the CDC said in a statement. The flight landed Monday at 8:16 p.m. CT. - she boarded the plane with a temperature of 99.5 F... was she REALLY told not to fly or is that BS cover-up after the fact?
I hope Ebola is not loose in Dallas.
The nurses alleged that:
— Duncan was kept in a non-isolated area of the emergency department for several hours, potentially exposing up to seven other patients to Ebola;
— Patients who may have been exposed to Duncan were kept in isolation only for a day before being moved to areas where there were other patients;
— Nurses treating Duncan were also caring for other patients in the hospital;
— Preparation for Ebola at the hospital amounted to little more than an optional seminar for staff;
— In the face of constantly shifting guidelines, nurses were allowed to follow whichever ones they chose.
"There was no advance preparedness on what to do with the patient, there was no protocol, there was no system," Burger said.
Even today, Burger said, some hospital staff at the Dallas hospital do not have proper equipment to handle the outbreak.
"Hospital managers have assured nurses that proper equipment has been ordered but it has not arrived yet," she said.
The nurses' statement said they had to "interact with Mr. Duncan with whatever protective equipment was available," even as he produced "a lot of contagious fluids." Duncan's medical records, which his family shared with The Associated Press, underscore some of those concerns.
Almost 12 hours after he arrived in the emergency room by ambulance, his hospital chart says Duncan "continues to have explosive diarrhea, abdominal pain, nausea and projectile vomiting." He was feverish and in pain.
When Ebola was suspected but unconfirmed, a doctor wrote "using the disposable shoe covers should also be considered." At that point, by all protocols, those shoe covers should have been mandatory to prevent anyone from tracking contagious body fluids around the hospital.
A few days later, however, entries in the hospital charts suggest that protection was improving.
"Right now, we have two confirmed cases at this time," Thompson said. "I don't know if there will be additional cases but not let's be surprised."
Since roughly 12% of those with Ebola never have a fever, that's not enough of a litmus test to trust. I should have invested in Tyvek suits...
This is the Surgeon/Welder fashion recommended by the CDC. Note that the protective shoe booties and paper pants are not indicated -- they're optional...
This is the required garb for workers who directly contact Ebola patients. Compare to the guys who simply spray down apartments and door handles below. It seems arrogantly stupid to require less protection by protocol of those who have to expose themselves to body fluids - health care workers - than for those who are there to sterilize possibly contagious surfaces only.
THESE PHOTOS LOOK GREAT IN EDIT MODE BUT ARE BROKEN IN THE POST???
@GoddersUK: One day we will be asked to 'voluntarily' allow electronic implants under our skin for homeland security.
@Proton2: You made me laugh. Thanks.
Arrogance in this instance is contemptible. I guess Dr. Snyderman can fend off Ebola with the sheer force of her ego consciousness - like any great scientific mind is trained to do. The public should be able to sue her for that breach of public trust as a licensed medical professional - she should have her license revoked for a year.