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

NEW YORK TIMES                                                                  Oct 15, 2014
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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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Ebola Advice From Atlanta and Nebraska Doctors Fails to Ease Fears

EMORY AND NEBRASKA UNIVERSITY MEDICAL CENTERS SHARE DETAILS OF THEIR PROCEDURES WITH OTHER HOSPITALS

TIME MAGAZINE                                                                     Oct. 14, 2014

By Alexandra Sifferlin

Physicians who are treating patients with the Ebola virus at Emory University Hospital and the University of Nebraska Medical Center shared their advice and protocols with worried hospitals and health care providers over a phone conference on Tuesday. Whether the conference really quelled these fears, however, was not exactly clear.

The intent of the conference, which was organized by the Centers for Disease Control and Prevention (CDC), was to answer health care questions related to admitting and treating a patient with Ebola. There’s growing concern among health officials that hospitals without specialized isolation units and with little experience treating serious communicable diseases may not be fully prepared to treat the disease....

Emory University Hospital in Atlanta, seen in August 2014. Jessica McGowan—Getty Images

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Dallas hospital learned its Ebola protocols while struggling to save mortally ill patient

DETAILED DESCRIPTION OF DALLAS HOPSITAL'S LEARNING ON THE FLY TO COPE WITH ITS FIRST EBOLA PATIENT.

THE WASHINGTON POST           Oct. 15, 2014
By Amy Ellis Nutt, Abby Phillip and Joel Achenbach

DALLAS — The hospital that treated Ebola victim Thomas Eric Duncan had to learn on the fly how to control the deadly virus, adding new layers of protective gearfor workers in what became a losing battle to keep the contagion from spreading, a top official with the Centers for Disease Control and Prevention said Tuesday.

“They kept adding more protective equipment as the patient [Duncan] deteriorated. They had masks first, then face shields, then the positive-pressure respirator. They added a second pair of gloves,” said Pierre Rollin, a CDC epidemiologist.

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Second Texas Health-Care Worker Tests Positive for Ebola

              

Officials work to decontaminate the apartment of the second healthcare worker diagnosed with Ebola.
(Photo: Maj. Max Geron, Dallas Police Department)

A second person involved in the care of Ebola patient Thomas Eric Duncan has contracted the disease. The news follows a scathing report by a nurses union that Texas Health Presbyterian Hospital had "no protocol" in place to care for Duncan.

usatoday.com - by Rick Jervis and Doug Stanglin - October 15, 2014

DALLAS — A second hospital worker who helped care for Ebola patient Thomas Eric Duncan has tested positive for the disease, prompting local officials to warn Wednesday that more cases "is a real possibility."

The unidentified health-care worker, who was described as a woman who lived alone without pets, reported a fever Tuesday and was immediately isolated at the Texas Health Presbyterian Hospital.

At an early morning news conference, Dallas County Judge Clay Jenkins said he could not rule out more cases among 75 other hospital staffers who cared for Duncan and were being monitored by the CDC.

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Texas dept.: 2nd health care worker tests positive for Ebola

ASSOCIATED PRESS                    Oct. 15, 2010

DALLAS — A second health care worker at a Dallas hospital who provided care for the first Ebola patient diagnosed in the U.S. has tested positive for the disease, the Texas Department of State Health Services said Wednesday.

The department said in a statement that the worker reported a fever Tuesday and was immediately isolated at Texas Health Presbyterian Hospital in Dallas. Health officials said the worker was among those who took care of Thomas Eric Duncan, who was diagnosed with Ebola after coming to the U.S. from Liberia. Duncan died Oct. 8.

The department said a preliminary Ebola test was conducted late Tuesday at a state public health laboratory in Austin, Texas, and came back positive during the night. Confirmatory testing was being conducted at the federal Centers for Disease Control and Prevention in Atlanta.

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http://www.bostonherald.com/news_opinion/national/southwest/2014/10/texas_dept_2nd_health_care_worker_tests_positive_for_ebola

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The reassuring news in the Texas Ebola cases

WASHINGTON POST

By Todd C. Frankel                         October 14

....The Dallas nurse, 26-year old Nina Pham,who helped treat Thomas Eric Duncan, the Liberian man who was the first person diagnosed with the dreaded disease in the United States became the first – and so far only – person infected by Duncan. In the wake of her infection, U.S. health officials have pledged to review how future Ebola cases are handled.

But the case is also noteworthy for another, potentially positive reason: Nearly 50 people were exposed to Ebola before the nurse, and none of them has been diagnosed with the disease.

This group of neighbors, family members and first responders are being watched carefully by health authorities. They had some degree of close contact with Duncan during the four-day period when he was contagious – from when he started showing Ebola symptoms on Sept. 24 to when the hospital finally admitted him on Sept. 28. They didn’t take any Ebola-specific precautions. They didn’t know he was infected.... Yet, so far, they have not gotten sick. And their 21-day Ebola incubation period started before Pham’s.

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Family Identifies Ebola Patient

wfaa.com - by marjorie Owens - October 13, 2014

DALLAS — A Dallas nurse diagnosed with the Ebola virus over the weekend is a former Texas Christian University student identified by a family member as 26-year-old Nina Pham.

The family reached out to News 8 Monday morning and shared an image of the nurse who grew up in Fort Worth.

A health care worker at Texas Health Presbyterian Hospital Dallas, Pham became infected while treating Thomas Eric Duncan, who died from the virus days before the nurse's diagnosis.

(READ COMPLETE ARTICLE)

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Hospitals should ‘think Ebola,’ CDC director says

CDC: U.S. has to rethink the way it addresses Ebola infection control

ASSOCIATED PRESS                                                            Oct. 13, 2014

By Connie Cass

DALLAS --Every hospital must know how to diagnose Ebola in people who have been in West Africa and be ready to isolate a suspected case, Tom Frieden, director of the Centers for Disease Control and Prevention, said Monday.

He said the CDC is working to improve protections for hospital workers after a nurse caring for an Ebola patient in Dallas became the first person to become infected with the disease inside the U.S.

‘‘We have to rethink the way we address Ebola infection control,’’ Frieden said, ‘‘because even a single infection is unacceptable.’’

The CDC is scrambling to interview all staff of the Dallas hospital who could have been exposed to the patient, a Liberian man who became sick after traveling to the United States and died at the hospital. Anyone at risk will be monitored, he said.

‘‘We need to consider the possibility that there could be additional cases, particularly among the health care workers who cared for the index patient’’ — the Liberian man — ‘‘when he was so ill,’’ Frieden said.

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