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U.S. nurses say they are unprepared to handle Ebola patients

REUTERS                         Oct 3. 2014

CHICAGO (Reuters) - Nurses, the frontline care providers in U.S. hospitals, say they are untrained and unprepared to handle patients arriving in their hospital emergency departments infected with Ebola.

Many say they have gone to hospital managers, seeking training on how to best care for patients and protect themselves and their families from contracting the deadly disease....

The U.S. Centers for Disease Control and Prevention has repeatedly said that U.S. hospitals are prepared to handle such patients. Many infectious disease experts agree with that assessment.

... Texas Health Presbyterian Hospital in Dallas that is now caring for the first Ebola patient to be diagnosed in this country had completed Ebola training just before Thomas Eric Duncan arrived in their emergency department on Sept. 26. But despite being told that Duncan had recently traveled from Liberia, hospital staff failed to recognize the Ebola risk and sent him home, where he spent another two days becoming sicker and more infectious.

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Dallas Hospital Alters Account, Raising Questions on Ebola Case

NEW YORK TIMES          Oct. 3, 2014

DALLAS TEX.      

On Thursday, the hospital, Texas Health Presbyterian Hospital in Dallas, released a statement essentially blaming a flaw in its electronic health records system for its decision to send the patient — Thomas E. Duncan, a Liberian national visiting his girlfriend and relatives in the United States — home the first time he visited its emergency room, Sept. 25. It said there were separate “workflows” for doctors and nurses in the records so the doctors did not receive the information that he had come from Africa.

But on Friday evening, the hospital effectively retracted that portion of its statement, saying that “there was no flaw” in its electronic health records system. The hospital said “the patient’s travel history was documented and available to the full care team in the electronic health record (E.H.R.), including within the physician’s workflow.”

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Texas Ebola Watch Eyes 50 People, 10 at 'High Risk'

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Scrutiny in Texas to Detect Whether Ebola Spread

UPDATE

Officials: ‘About 100′ people may have had contact with the Texas Ebola patient

WASHINGTON  POST   OCTOBER 2, 2014  10:03 AM

Texas health officials said Thursday that there are "about 100" people who may have had contact with Thomas Eric Duncan, the man who is being treated in a Dallas-area hospital for Ebola.

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FIRST EBOLA CASE IN U.S. CONFIRMED BY CDC

Updated with link to CDC statement (below)

The WASHINGTON post September 30 at 5:29 PM

The Centers for Disease Control and Prevention has confirmed the first case of Ebola that's been diagnosed in the United States.

The Texas Department of Health Services said in a statement that the patient is at Texas Health Presbyterian Hospital in Dallas. The patient -- "an adult with a recent history of travel to West Africa" -- was admitted into an isolation unit at the hospital Sunday after developing Ebola-like symptoms "days after returning to Texas from West Africa."

The test, the Texas health department said, was conducted at the state public health laboratory in Austin and later confirmed by the CDC.

The state health lab got the ability to test for Ebola only last month, according to Carrie Williams, a spokeswoman with the Texas Department of State Health Services.

Link to full story

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Denton, Texas Considers Fracking Ban, Hopes To Attract Sriracha Factory

submitted by Margery Schab

          

Natural gas well holding tanks sit next to a subdivision of homes in Denton, Texas, Thursday, May 29, 2014. (AP Photo/LM Otero) | ASSOCIATED PRESS

huffingtonpost.com - by Emily Schmall - June 19, 2014

. . . For more than a decade, Denton has drawn its lifeblood from the huge gas reserves that lie beneath its streets. The gas fields have produced a billion dollars in mineral wealth and pumped more than $30 million into city bank accounts.

But this former farming center north of Dallas is considering a revolt. Unlike other communities that have embraced the lucrative drilling boom made possible by hydraulic fracturing, leaders here have temporarily halted all fracking as they consider an ordinance that could make theirs the first city in the state to permanently ban the practice.

(READ COMPLETE ARTICLE)

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U.S. Resilience Project - Priorities for America’s Preparedness: Best Practices from the Private Sector

usresilienceproject.org - October 31, 2011

U.S. Resilience Project (USRP) reports are designed to showcase how public policy can benefit from private-sector best practices in security, business continuity, risk management, and disaster preparedness.

Harness the Power of Intelligent Networks and Social Media

The focus for national preparedness should be on creating situational awareness, enhanced decision-making and rapid response; Platforms like the U.S. Resilience System, that are based upon distributed intelligent social networks and crowd-sourcing, can enable far more agility and adaptability than a highly structured, hierarchical capability with significantly better outcomes at far less cost. Exploiting U.S. leadership in this area has the potential to create significant engagement in preparedness, disaster response, and regional resilience building.

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