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But just to clarify, no one in NY or elsewhere has tested positive - yet. Currently, we have one Ebola patient who manifested with Ebola after arriving here. We have accepted several other patients who developed Ebola outside of the US and were transported here for treatment.
Several European countries have also had to contend with medical personnel and relief workers who tested positive and were shipped to their home country. Those are the easy ones because they know what they are dealing with up front.
This Duncan flew separate 3 flights days before he showed symptoms and therefore, in theory, was not contagious. We will know for sure within the next week.
Where would they be quarantined?
How would you know, with certainty, that someone had been in West Africa?
Quarantined in the U.S., and I'm not sure where or how. I think that could be worked out, though.
As far as knowing if they'd been in West Africa, would that information not be on one's passport? Just look at the date stamps for any entries/exits for the past month.
This map shows outbreak areas, and based on it, I would say anybody who has been through Guinea, Sierra Leone, or Liberia in the past three weeks. It's my understanding that there are already no direct flights from these areas, but I think we should look at the individuals, who are likely transferring from airports in Europe. I believe Duncan came through Amsterdam.
This map shows outbreak areas, and based on it, I would say anybody who has been through Guinea, Sierra Leone, or Liberia in the past three weeks. It's my understanding that there are already no direct flights from these areas, but I think we should look at the individuals, who are likely transferring from airports in Europe. I believe Duncan came through Amsterdam.
I think the INTERNATIONAL COMMUNITY needs to be very careful - as in do some extra screening - on anyone whose passport is stamped from any western African country within the past three weeks.
Going through customs is a hassle, but so what? If airport security can take the time and effort to find my small (forgotten) vial of olive oil in my suitcase, and confiscate that, surely they can do a little extra screening on travelers coming from West Africa.
What kind of extra screening? In the case of Duncan, we relied upon his answer to "Have you been in contact with anybody who's had ebola, in the last 21 days?" Whether he honestly didn't know he had (I think that's doubtful) or he was purposely deceitful, we were not given the answer that would have prevented his entry. I think we just need to keep all people who have been through one of those three countries out.
The hospital in Dallas was unprepared for this patient -- meaning they did not have their sh*t together. Just another black guy with symptoms of fever/flu. From intake to discharge no bells rang in any of their well trained heads. These people get bombarded in ER's with thousands of look alike symptoms. They are rushed and want to move the patient along.
NOONE took the time to look at the medical record and the 1st nurse and the 1st doctor who are trained to ask the questions about recent travel either ignored the answer or did not know about Ebola.
This falls squarely on the training offered to these employees. Infection control should be FIRED! and I am sure CDC will recommend as much. In the ER I work in we are trained. If any one like the patent in question presents via the door or ambulance we ask 4 questions. If two are yes we isolate call CDC and call the head of the hospital. We have other protocols as well for contacts.
One cannot underestimate this screw up.
Agreed.
There should have been no need to look at the record. The people involved with the first visit apparently did not understand the reason for the travel questions.
Now the entire crew and all the passengers of this plane are going to have to be monitored, and some will have to be quarantined, due to two passengers, believed to be from Liberia, one of which was vomiting on the plane. CDC officials wearing HazMat suits met the plane and escorted the sick passengers from the plane. The other passengers are now waiting to hear what joys and adventures await them for the next several days.
I bet most of those passengers didn't think "it would happen to them" when they got on that plane yesterday either.
Last edited by KathrynAragon; 10-04-2014 at 01:02 PM..
Now the entire crew and all the passengers of this plane are going to have to be monitored, and some will have to be quarantined, due to two passengers, believed to be from Liberia, one of which was vomiting on the plane. CDC officials wearing HazMat suits met the plane and escorted the sick passengers from the plane. The other passengers are now waiting to hear what joys and adventures await them for the next several days.
I bet most of those passengers didn't think "it would happen to them" when they got on that plane yesterday either.
Where the heck is the airline employee unions in all of this?
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