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CDC Chief Announces New Shift In Ebola Protocols

WASHINGTON--The  Centers for Disease Control and Prevention leader Dr. Tom Frieden announced changes to the U.S. response to Ebola and the guidance federal agencies are giving to state and local governments.

The new protocol stops short of the mandatory 21-day quarantines that some states have begun requiring. Instead, Frieden said, it relies on individual assessment and close monitoring. He also detailed several categories of risk among both airline passengers and the medical volunteers who he said have been doing "heroic work" in West Africa.

"High risk" individuals, Frieden said, include those who have cared for an Ebola patient and were accidentally poked by a needle or lacked protective gear. Those people, Frieden said, should isolate themselves in their homes and avoid all forms of mass transit and large gatherings.

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The Flu, TB and Now Ebola: A Rare Legal Remedy Returns

Discussion of the legal and civil liberties issues involved in quarantines

NEW YORK TIMES                                  Oct. 27, 2014

By and N

It was nearly 100 years ago that an influenza pandemic led to sweeping quarantines in American cities, and it was more than two decades ago that patients in New York were forced into isolation after an outbreak of tuberculosis.

In modern America, public health actions of such gravity are remarkably rare. So the decisions by New York and New Jersey on Friday to quarantine some travelers returning from the Ebola zone in West Africa have taken public officials into unfamiliar legal and medical territory...

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Quarantined Ebola Nurse Kaci Hickox to Be Released by New Jersey

ABC NEWS                                          Oct. 27, 2014

by Josh Margolin

 

NEWARK --New Jersey has decided to release a nurse who was fighting an order that forcibly quarantined her after she returned from Africa where she treated Ebola patients.

The release was announced this morning after Kaci Hickox, hired a lawyer to sue over her mandatory 21-day quarantine. Shortly before the decision by the New Jersey Health Department, the nurse said she hopes "this nightmare of mine and the fight that I’ve undertaken is not in vain.”

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As Ebola Spread in Dallas, New York Honed Protocol

Health workers at Bellevue Hospital in New York on Oct. 8 demonstrated the gear that staff would wear to treat patients with Ebola. Credit Adrees Latif/Reuters

NEW YORK TIMES                                                                        Oct. 25, 2014

Detailed description of the differences in the way the Dallas Presbyterian Hospital and New York's Bellevue hospital handled their Ebola patients:.

"When Craig Spencer, a young doctor just back from treating patients with Ebola in Guinea, fell ill with the virus in New York on Thursday, the paramedics who went to get him were dressed in protective suits. He entered Bellevue Hospital through a rear door, far from the busy emergency room, and was taken to a state-of-the-art isolation ward that was locked and guarded.

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Dozens Declared Free of Ebola Risk in Texas

UPDATE   Ebola fear ends for dozens on U.S. watch lists                        

DALLAS--Weeks of worry about Ebola infection ended on Monday for several dozen people who came off watch lists in the United States, but more than 260 others were still being monitored for symptoms as the U.S. government ramped up its response to the virus.

In Texas, 43 people who had contact with Liberian Thomas Eric Duncan, the first person diagnosed with the disease in the United States, were cleared of twice-daily monitoring after showing no symptoms during a 21-day incubation period. The Texas health department said they included four people who shared an apartment with Duncan and had been in quarantine. It said 120 people in Texas were still being monitored.

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Dallas hospital tried to repair reputation after a series of mishaps.

Dallas Health Presbyterian Hospital: Two stories on the aftermath of the treatment of Thomas Eric Duncan the first person to die in the U.S. of Ebola and the infection of two nurses.

Dallas hospital tried to repair reputation after a series of mishaps.

WASHINGTON POST               Oct. 18, 2014
By Lena H. Sun

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http://www.washingtonpost.com/national/health-science/dallas-hospital-tries-to-repair-its-reputation/2014/10/17/dfb62dc4-55fa-11e4-809b-8cc0a295c773_story.html

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Ebola lapses persisted for days at Dallas hospital

ASSOCIATED PRESS                                  Oct. 18, 2014

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http://www.washingtonpost.com/national/health-science/ebola-lapses-persisted-for-days-at-dallas-hospital/2014/10/18/8f9bf97a-56dd-11e4-b86d-184ac281388d_story.html

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Nurse Nina Pham To Be Transferred To NIH For Ebola Treatment

NPR                           Oct. 16, 2014

WASHINGTON --A top government health official confirms that Nina Pham, the 26-year-old nurse who became infected with Ebola after treating a patient with the disease at a Dallas hospital, will be transferred to a high-level containment facility at the National Institutes of Health in Bethesda, Md.

Dr. Anthony Fauci, the director of the National Institutes of Health National Institute of Allergy and Infectious Disease, said in testimony before a House committee that Pham will be admitted to the NIH tonight.

There she will will be given "state of the art care" in a high-level containment facility, he says.

Officials have said Pham's condition is good. Another nurse, Amber Vinson, who also cared for index patient Thomas Eric Duncan has also contracted the disease. Duncan died from the disease last week.

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http://www.npr.org/blogs/thetwo-way/2014/10/16/356594638/house-panel-hearing-to-examine-public-health-response-to-ebola-outbreak

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Lax U.S. Guidelines on Ebola Led to Poor Hospital Training, Experts Say

NEW YORK TIMES                                                                  Oct 15, 2014
By

A dummy depicting an Ebola patient was part of a C.D.C. training session for health care workers Wednesday in Anniston, Ala. Credit Erik S. Lesser/European Pressphoto Agency

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New Texas nurse with Ebola had slight fever on airliner

REUTERS                                                          Wed Oct 15, 2014 5:10pm EDT

By Lisa Maria Garza and Terry Wade 

DALLAS  A second Texas nurse who had contracted Ebola flew on a commercial flight from Ohio to Texas with a slight temperature the day before she was diagnosed, health officials said on Wednesday, raising new concerns about U.S. efforts to control the disease.

Chances that other passengers on the plane were infected were very low, but the nurse should not have been traveling on the flight, U.S. Centers for Disease Control and Prevention (CDC) Director Dr. Thomas Frieden told reporters.

The woman, Amber Vinson, 29, was isolated immediately after reporting a fever on Tuesday, Texas Department of State Health Services officials said. She had treated Liberian patient Thomas Eric Duncan, who died of Ebola and was the first patient diagnosed with the virus in the United States.

Vinson, a worker at Texas Health Presbyterian Hospital in Dallas, had taken a Frontier Airlines flight from Cleveland, Ohio to Dallas/Fort Worth International Airport on Monday, officials said.

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Second health worker infected with Ebola flew the day before reporting symptoms

WASHINGTON POST                           Oct. 15, 2014

By Abby Phillip and Fred Barbash

A second Texas Health Presbyterian Hospital worker who tested positive for Ebola flew on a commercial flightfrom Cleveland to Dallas on Monday, the day before she reported symptoms of the virus, the Centers for Disease Control and Prevention said.

The health worker, who has not been named, cared for an Ebola-stricken Liberian man at the hospital, then tested positive for the disease in a preliminary test, Texas health officials announced Wednesday morning.

She flew on Frontier Airlines Flight 1143 at around 6 p.m. on Oct. 13. There were 132 passengers on board, according to the airline and health officials. The CDC said it is working to reach out those passengers and is also asking them to call a hotline.

The agency and the airline also said that the health-care worker did not exhibit any symptoms while on the flight. A person infected with Ebola is only contagious once the person becomes symptomatic.

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