Texas

Resilience System


You are here

Problem

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....

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

US Health Care Unprepared for Ebola

      

The U.S. health care apparatus is so unprepared and short on resources to deal with the deadly Ebola virus that even small clusters of cases could overwhelm parts of the system, according to an Associated Press review of readiness at hospitals and other components of the emergency medical network.

Country / Region Tags: 
General Topic Tags: 
Problem, Solution, SitRep, or ?: 

Seeking Unity, U.S. Revises Ebola Monitoring Rules

UPDATE WITH DETAILS OF MARYLAND AND VIRGINIA MONITORING  (Scroll down)

ROUNDUP OF DEVELOPMENTS IN THE QUARANTINE  DISPUTE
NEW YORK TIMES                        Oct. 28, 2014

By , and

The federal government on Monday tried to take charge of an increasingly acrimonious national debate over how to treat people in contact with Ebola patients by announcing guidelines that stopped short of tough measures in New York and New Jersey and were carefully devised, officials said, not to harm the effort to recruit badly needed medical workers to West Africa.

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

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

Read full story 

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

-0-

Ebola lapses persisted for days at Dallas hospital

ASSOCIATED PRESS                                  Oct. 18, 2014

Read full story

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

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

Staff in Texas Ebola Case Is Asked to Avoid Public Spaces

NEW YORK TIMES                                

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

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

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

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.

Problem, Solution, SitRep, or ?: 

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.

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

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."

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

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)


Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

Pages

Subscribe to Problem
howdy folks