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Texas Ebola quarantine success depended on help with daily needs: CDC

REUTERS      by Lisa Rapaport                                                                                Feb. 19, 2015

Effectively monitoring people exposed to Ebola requires more than just checking symptoms. A quarantine plan also needs to help people keep up with work and school and pay for essentials like housing and food, a U.S. report concludes.

To understand the challenges encountered by ordinary citizens exposed to Ebola, a team led by researchers at the U.S. Centers for Disease Control and Prevention reviewed concerns raised by people monitored as part of an Ebola cluster in Dallas last year.

If yet-to-be-identified contacts notice that those who come forward as Ebola contacts are shunned from society and quarantined in their homes, with no way to provide for themselves and their families, they will be less likely to come forward," said lead study author Dr. Charnetta Smith, a CDC epidemic intelligence service officer.

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http://www.reuters.com/article/2015/02/19/us-cdc-quarantine-ebola-policy-idUSKBN0LN1HI20150219

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US faces worst droughts in 1,000 years, predict scientists

Cattle roam dirt-brown fields on the outskirts of Delano, in California’s Central Valley. Scientists predict future droughts will be far worse than the one in California. Photograph: Frederic J Brown/AFP/Getty Images

Image: Cattle roam dirt-brown fields on the outskirts of Delano, in California’s Central Valley. Scientists predict future droughts will be far worse than the one in California. Photograph: Frederic J Brown/AFP/Getty Images

theguardian.com - February 12 2015 - Suzanne Goldenberg

The US south-west and the Great Plains will face decade-long droughts far worse than any experienced over the last 1,000 years because of climate change, researchers said on Thursday.

The coming drought age – caused by higher temperatures under climate change – will make it nearly impossible to carry on with current life-as-normal conditions across a vast swathe of the country.

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White House Moves to Rein In Methane Emissions

       

New EPA standards will aim to significantly cut methane emissions from oil and gas sites in the U.S.

The Obama administration makes its latest move to take on climate change.

usnews.com - by Alan Neuhauser - January 14, 2015

In the Obama administration’s latest use of executive authority to address climate change, the White House announced plans Wednesday to impose new regulations on the oil and gas industry that would nearly halve methane emissions from wells, drill sites and pipelines in 10 years.

The new standards, to be developed by the Environmental Protection Agency under the Clean Air Act, would aim by 2025 to cut methane emissions by up to 45 percent from levels recorded in 2012. They would also slash the spread of volatile organic compounds, or VOCs, key components of ground-level smog that have been linked to cancer, neurological conditions and other illnesses.

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Climate Change Threatens Health - Extreme Heat: More Intense Hot Days and Heat Waves

      

nrdc.org

Across the nation, climate change is making hot summer days hotter and stretching their numbers into heat waves that never seem to end. And the heat is causing more than just discomfort - as temperatures rise, so are the number of illnesses, emergency room visits, and deaths.

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U.S. Oil Producers Cut Rigs as Price Declines

      

Oil pump jacks at work at a drilling site in North Dakota. Producers have been cutting back.
Credit Eric Gay/Associated Press

nytimes.com - by Clifford Krauss - January 7, 2015

HOUSTON — With oil prices plunging at an ever-quickening rate, producers are beginning to slash the number of drilling rigs around the country.

The national rig count had remained surprisingly resilient over recent months even as oil prices dropped by more than 50 percent since June, and it still tops the count of a year ago as domestic production continues to surge.

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When Ebola hit U.S., CDC guidelines were weaker than those 15 years ago

THE DALLAS MORNING NEWS  by Sue Ambrose                                     Dec. 27, 2014

DALLAS, Texas --When Ebola surfaced in the U.S., federal guidelines to protect medical workers here were weaker than the ones that the Centers for Disease Control and Prevention had in place 15 years earlier, The Dallas Morning News has found.

It’s not known exactly how nurse Nina Pham contracted Ebola while caring for patient Thomas Eric Duncan. Shown here at Texas Health Presbyterian Hospital in Dallas, she was later successfully treated at a National Institutes of Health hospital in Maryland. Agence France-Presse

A review of CDC documents and archived Web pages shows that a 1998 protocol originally written for health care workers in Africa had more protective measures than the one for U.S. caregivers when Thomas Eric Duncan became the first patient diagnosed with Ebola in this country.

Two Dallas nurses were infected with the deadly virus while treating Duncan at Texas Health Presbyterian Hospital Dallas, where he died in early October....

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COMMENTARY: When the next shoe drops — Ebola crisis communication lessons from October

CENTER FOR INFECTIOUS DISEASE AND POLICY                                                                   Dec. 9, 2014          
By  Peter M. Sandman, PhD, and Jody Lanard, MD  

In contrast to the Ebola crisis in West Africa, which started in late 2013 and will last well into 2015 or longer, the US "Ebola crisis" was encapsulated in a single month, October 2014. But there may well be US Ebola cases to come, brought here by travelers or returning volunteers. And other emerging infectious diseases will surely reach the United States in the months and years ahead.

So now is a propitious time to harvest some crisis communication lessons from the brief US Ebola "crisis."

We're putting "crisis" in quotation marks because there was never an Ebola public health crisis in the United States, nor was there a significant threat of one. But there was a crisis of confidence, a period of several weeks during which many Americans came to see the official response to domestic Ebola as insufficiently cautious, competent, and candid—and therefore felt compelled to implement or demand additional responses of their own devising....

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ER doctor discusses role in Ebola patient’s initial misdiagnosis

DALLAS MORNING NEWS 

The Dallas emergency-room doctor who missed signs of Ebola in a Liberian man who later became the first to die of the disease in the U.S. describes the fateful night for the first time.

Dr. Joseph Howard Meier told The Dallas Morning News that when he treated Thomas Eric Duncan in the early morning hours of Sept. 26, he was unaware that Duncan had recently arrived from a country ravaged by the Ebola outbreak in West Africa. He also said he did not realize Duncan had such a high fever.

"I was unaware of a 103-degree fever," Meier said in written answers to questions from the paper, released by his attorney. "It appears in the chart, but I did not see it...."

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New CDC report offers insight into Dallas County Ebola outbreak

THE DALLAS MORNING NEWS                                                                               Nov. 15, 2014

By Sherry Jacobson

The “Ebola cluster” in Dallas County is the subject of the Morbidity and Mortality Weekly Report published Friday by the Centers for Disease Control and Prevention.

...the report offers a detailed timeline of what happened, starting with Thomas Eric Duncan’s arrival in Dallas from Liberia on Sept. 20. His Ebola symptoms were misdiagnosed Sept. 25 at Texas Health Presbyterian Hospital Dallas as sinusitis and he was sent home with antibiotics. He returned to the hospital Sept. 28, underwent 10 days of treatment and died Oct. 8.

Two of Duncan’s caretakers, both registered nurses, were also infected and were treated successfully for the disease. Protocols required public health workers to monitor 177 people who had contact with the three Ebola patients.

A dozen people in that group, however, were tested for Ebola after developing fever or other symptoms compatible with the disease during the monitoring period. None were found to have Ebola. By last Friday, all contacts had cleared 21 days of monitoring and the county’s outbreak was declared over.

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Military names 5 U.S. bases for troop Ebola quarantines

ASSOCIATED PRESS                                              Nov. 7, 2014
WASHINGTON -- The top U.S. military officer has designated five U.S. bases where American troops would be housed and isolated for 21 days upon returning from Africa after serving in the Ebolaresponse mission, U.S. officials said Friday.

Army Gen. Martin Dempsey, the chairman of the Joint Chiefs of Staff, signed a plan that lists Fort Hood and Fort Bliss, Texas; Fort Bragg, North Carolina; Joint Base Lewis-McChord, Washington; and Joint Base Langley-Eustis, Virginia, as bases where troops would be quarantined.

The U.S. also will use two bases in Italy and Germany for returning troops based in that region....

The plan exempts military personnel who travel to Africa for short-term visits and have very limited contact with people there, such as military staff traveling with a senior official who only stops in the country for a day or two...

In a related announcement, U.S. Northern Command has decided to train 30 more medical support personnel who will be available to help U.S. hospitals with any future Ebola cases. The personnel will begin training in San Antonio, Texas, later this month and will supplement a 30-member team that has already been trained and is ready to respond.

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