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Ebola Protocol Was Likely Breached In Texas, Medical Officials Say

HUFFINGTON  POST                     Oct.12, 2014      11:08 AM
By

The Texas health care worker who contracted Ebola after providing care for an infected patient likely breached safety protocols, health officials said Sunday.

"Certainly there has to have been an inadvertent, innocent breach of the protocol of taking care of the patient within the personal protective equipment -- that extremely rarely happens," Dr. Anthony Fauci, the head of the National Institute of Allergy and Infectious Diseases, told Martha Raddatz on ABC's "This Week" Sunday. "We've been taking care of Ebola patients since 1976. Groups like Doctors Without Borders who do that almost never have an infection, because of the experience of doing this."

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U.S. lacks a single standard for Ebola response

USA TODAY                                   Oct. 12, 2014

by Larry Copeland

ATLANTA — As Thomas Eric Duncan's family mourns the USA's first Ebola death in Dallas, one question reverberates over a series of apparent missteps in the case: Who is in charge of the response to Ebola?

The answer seems to be — there really isn't one person or agency. There is not a single national response.

The Atlanta-based Centers for Disease Control and Prevention has emerged as the standard-bearer — and sometimes the scapegoat — on Ebola.

Public health is the purview of the states, and as the nation anticipates more Ebola cases, some experts say the way the United States handles public health is not up to the challenge.

Read Full Story
http://www.usatoday.com/story/news/nation/2014/10/12/examining-the-nations-ebola-response/17059283/

CDC workers analyze Ebola details in the CDC's Emergency Operations Center in Atlanta.(Photo: David Tulis for USA TODAY)


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Dallas health worker who tested positive for Ebola wore ‘full’ protective gear

WASHINGTON POST                                                      OCT 12, 2014

DALLAS, TEX--  In the first apparent case of Ebola transmission in the United States, a Texas hospital worker who treated an Ebola-stricken Liberian man has tested positive for the deadly virus.

A police car drives past the entrance to the Texas Health Presbyterian Hospital in Dallas. (LM Otero/AP)

The preliminary test result was announced early Sunday, four days after the death of Ebola patient Thomas Eric Duncan in Dallas; the diagnosis has not been confirmed by the Centers for Disease Control and Prevention.

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Texas Patient Tests Positive for Ebola

                                                             

dshs.state.tx.us - News Release - October 12, 2014

A health care worker at Texas Health Presbyterian Hospital who provided care for the Ebola patient hospitalized there has tested positive for Ebola in a preliminary test at the state public health laboratory in Austin. Confirmatory testing will be conducted by the Centers for Disease Control and Prevention in Atlanta.

The health care worker reported a low grade fever Friday night and was isolated and referred for testing. The preliminary ​test result was received late Saturday.

"We knew a second case could be a reality, and we've been preparing for this possibility," said Dr. David Lakey, commissioner of the Texas Department of State Health Services. "We are broadening our team in Dallas and working with extreme diligence to prevent further spread."

Health officials have interviewed the patient and are identifying any contacts or potential exposures. People who had contact with the health care worker after symptoms emerged will be monitored based on the nature of their interactions and the potential they were exposed to the virus.

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As Ebola patient in Texas fights for his life, his family copes with stigma and isolation

EBOLA VICTIM IN DALLAS IS IN CRITICAL CONDITION WHILE FAMILY MEMBERS SUFFER FROM STIGMA AND ISOLATION

WASHINGTON POST

By DeNeen L. Brown, Abby Phillip and Sean Sullivan October 5 at 8:05 PM

DALLAS — As a Liberian man diagnosed with Ebola was fighting to survive Sunday in a Texas hospital, his worried family members and others who were in contact with him said they are being ostracized by the local Liberian community, which is struggling to cope with fear, isolation and the stigma associated with the deadly disease.

A cleanup crew on Sunday sanitizes the apartment where Ebola patient Thomas Eric Duncan was staying before being admitted to a hospital in Dallas. (Joe Raedle/Getty Images)

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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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Are Hospitals Prepared for Ebola?

cnn.com - October 1, 2014

CNN's Jake Tapper speaks to Gavin Macgregor-Skinner and Jeffery Stern. With the first Ebola diagnosis in the U.S., is the country prepared to handle a potential outbreak?

http://thelead.blogs.cnn.com/2014/10/01/only-four-u-s-hospitals-prepared-for-outbreak/

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

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Class from International Baccalaureate School in Houston Seeks Ebola Education from Global Resilience System

Pictured here are the students in
Ms. Appel’s class in Houston, gathering information on the Ebola virus
from a Global Resilience System volunteer, Kathy Gilbeaux, with their website shown in the background. 
Photo Credit: Emma Goerges

On Thursday, a fifth grade class from an International Baccalaureate school in Houston sought answers to their questions regarding the Ebola virus. After a short period of investigating its symptoms, spread, and severity, the students were left with several unanswered questions. Specifically, the students continued to inquire about the origin of Ebola, details of its spread to Texas, in what ways the United States is helping, and Ebola treatment options.

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Dallas Hospital says software flaw led to initial release of Ebola patent

Update with additional information and text of the hospital statement  (scroll down).

 

5 NBC News Chicago

 Oct 3, 2014 • Updated at 7:53 AM CDT

The Dallas Hospital that sent Ebola patient Thomas Eric Duncan home said a software flaw, and not human error, caused doctors to miss the diagnosis, NBC News is reporting.

The electronic health records (EHR) system that the hospital uses has a separate workflow for physicians and nurses. The travel history of the patient was located in the nursing portion of the workflow within the EHR, but not in the physician's workflow.

“As result of this discovery, Texas Health Dallas has relocated the travel history documentation to a portion of the EHR that is part of both workflows," the hospital said.

Link to story

Source: http://www.nbcbayarea.com/news/national-international/Texas-Hospital-Software-Blame-Ebola-Patients-Misdiagnosis-277988141.html#ixzz3F5cyR89B

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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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Information Relay Failure Admitted In Texas Ebola Victim Case

A patient was diagnosed with Ebola on Sept. 30 at Texas Health Presbyterian Hospital Dallas.(Photo: Mike Stone, Getty Images)

THE WASHINGTON POST

By Mark Berman October 1 at 3:15 PM

The man in Texas who tested positive for Ebola told hospital officials he had traveled from West Africa when he sought treatment on Friday, but that information was not relayed to everyone treating him at that time, authorities said Wednesday.

As a result, the man was diagnosed with a “low-grade, common viral disease” and sent home that day, said Mark C. Lester, executive vice president of the health-care system that includes Texas Health Presbyterian Hospital, the Dallas facility treating the Ebola patient.

“Regretfully, that information was not fully communicated throughout the full team,” Lester said during a news conference Wednesday. “As a result, the full import of that information wasn’t factored into the clinical decision-making.”

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CNN Source: Travel History of U.S. Ebola Patient Not Checked


Atlanta (CNN) -- Some school-age children have been in contact with the U.S. Ebola patient being treated in Dallas, Texas Gov. Rick Perry said Wednesday. The children have been identified and are being monitored for symptoms, he said. Perry spoke at a news conference a day after the Centers for Disease Control and Prevention announced that, for the first time, a person with the killer disease has been diagnosed on American soil.

The patient, a man, walked into a Dallas emergency room September 26. Although his symptoms could have indicated Ebola, among other diseases, no one at the hospital asked him if he had recently traveled to countries where the virus is present, a source close to the case told CNN.

The man, who had just flown from Liberia to the United States, didn't offer the information either, the source said, and he then left the hospital. A spokesman for Texas Health Presbyterian Hospital says it's investigating whether the patient was questioned about his travels.

Link to Full Story

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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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