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NHS Scotland - Confirmed case of Ebola diagnosed in Glasgow - Nurse Pauline Cafferkey treated at Royal Free London hospital - free of the virus - discharged

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  • Pathfinder
    replied
    UK Ebola nurse under investigation after claims of misconduct
    ...

    Kevin Rawlinson
    Sunday 22 February 2015 18.13 EST
    Last modified on Sunday 22 February 2015 18.36 EST

    A British nurse who was diagnosed with the Ebola virus after returning from Sierra Leone is being investigated over claims of misconduct, the body that oversees nursing within the UK has confirmed.

    The Nursing and Midwifery Council (NMC) said that it had received information from Public Health England about the conduct of Pauline Cafferkey that it would look into, along with two other nurses.
    ...
    The claims reportedly centre on concerns that Cafferkey was known to be feeling unwell when she returned to Britain, but that her symptoms were obscured. The NMC refused to confirm those reports.
    ...
    An NMC spokesman said: “Following information we received from Public Health England, we can confirm that we are investigating allegations about the conduct of three nurses. It would not be appropriate to comment further at this time.”
    ...
    http://www.theguardian.com/uk-news/2...-of-misconduct

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  • Pathfinder
    replied
    SAVE THE CHILDREN PUBLISHES FINDINGS OF INDEPENDENT REPORT INTO POSSIBLE CAUSE OF HOW PAULINE CAFFERKEY CONTRACTED EBOLA


    Wednesday 4 February 2015

    Save the Children today published the summary findings and recommendations of the independent review into how volunteer NHS nurse Pauline Cafferkey may have contracted Ebola.

    Pauline Cafferkey worked at the Save the Children Ebola Treatment Centre (ETC) at Kerry Town, Sierra Leone for nearly three weeks, from 7 December 2014 until she left the country to return to the UK on 28 December.

    The independent expert panel - chaired by Professor Nick Phin, Interim Director, Centre for Infectious Disease Surveillance and Control, Public Health England - considered an extensive range of available information related to the practice and procedures of staff working at the ETC and the training given to volunteers.

    The summary findings can be found here.

    Dr Michael von Bertele, Humanitarian Director of Save the Children, said:
    I am delighted for Pauline Cafferkey and her family that she has fully recovered from Ebola. Pauline is a dedicated humanitarian who worked tirelessly and selflessly in the fight against Ebola.

    “We will never be 100 per cent sure how Pauline contracted Ebola, but the independent panel found that it is most likely, though not conclusive, she acquired her illness while working at the Ebola Treatment Centre at Kerry Town in Sierra Leone. It thought it unlikely that Pauline contracted the disease while in the local community.

    “The panel found that the Save the Children procedures, equipment and protocols at the ETC are safe and meet all required standards and that training is of a good standard.

    Working under such intense and challenging conditions, however, cannot be without risk. Although there is no conclusive evidence, the panel suggests that Pauline’s use of a visor, within a context geared to the use of goggles, was the most likely cause of her contracting Ebola.

    “Both visors - used by UK Ministry of Defence staff and recommended by the World Health Organisation - and goggles, which are used by Save the Children after consultation with Médecins Sans Frontières, are safe but there are slight differences in the clothing used with each and the protocols for putting the equipment on and taking it off.

    “The panel found that where Save the Children approved protocols may not have been followed, or where prescribed equipment was not used, they weren’t picked up immediately and therefore action might not have been taken quickly to correct them.

    “Lessons have already been learned and as a result of the findings we have further tightened our protocols and procedures. These include refresher training of the use of Personal Protective Equipment (PPE) and working within ‘risk zones’; improved logging of potential incidents; and, all changes in PPE protocol must be signed off by the ETC director.

    “Save the Children has robust and strict protocols in place to protect our staff and the communities we seek to serve. We maintain confidence in both our equipment and our protocols, as long as they are followed properly. But we keep them under constant review. Staff safety is our number one priority.
    Notes to editors

    1) The independent panel was made up of:
    • Chairman: Professor Nick Phin, Interim Director, Centre for Infectious Disease Surveillance and Control, Public Health England
    • Member: Professor John Coia, Consultant Microbiologist, NHS Greater Glasgow & Clyde
    • Member: Joanne Bosanquet, Deputy Director Nursing and Midwifery Public Health England
    • Member: David Tucker, Deputy Director Infection Prevention and Control, Guy' and St Thomas' NHS Trust
    • Member: Dr Michael von Bertele, Humanitarian Director, Save the Children
    ...
    http://www.savethechildren.net/artic...line-cafferkey



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  • Pathfinder
    replied
    Ebola patient discharged

    24 January 2015

    Pauline Cafferkey, the Scottish nurse who was admitted to the Royal Free Hospital with Ebola in December 2014, has been discharged today.

    Ms Cafferkey has made a complete recovery and is now free of the virus, which she caught while caring for patients with Ebola in Sierra Leone. She praised the staff who cared for her at the Royal Free Hospital and said she was delighted to be going home after being treated in the high level isolation unit (HLIU) for more than three weeks.

    The infectious diseases team, led by Dr Michael Jacobs, has treated Ms Cafferkey since she was admitted to the hospital on 30 December 2014.

    She said: “I am just happy to be alive. I still don’t feel 100%, I feel quite weak, but I’m looking forward to going home. I want to say a big thank you to the staff who treated me - they were amazing. They were always very reassuring and I knew I was in the best hands. They saved my life.”

    Ms Cafferkey also wanted to thank the Royal Free Charity, which donated an iPad for her to use while she was in the unit. “As I was beginning to recover, I listened to lots of music when I was in the HLIU and that was a massive help,” she said. “I also had lots of Irn Bru to help me through!”

    Dr Jacobs added: “We are delighted that Pauline has recovered and is now well enough to go home. I am very proud of the staff who have been caring for her. It is because of the skill and hard work of the entire team that she is now able to go home.”

    The Royal Free Hospital has the UK’s only HLIU, which is run by a dedicated team of medical staff.

    The unit is designed to ensure staff can safely treat a patient with a dangerous infectious disease. Access to the unit is restricted and there are a number of measures in place to ensure the virus is contained.

    Ms Cafferkey has left the hospital.

    https://www.royalfree.nhs.uk/news-me...nt-discharged/

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  • Pathfinder
    replied
    Ebola patient improving

    12 January 2015

    Updated: 2pm

    The Royal Free Hospital is pleased to announce that Pauline Cafferkey is showing signs of improvement and is no longer critically ill. She remains in isolation as she receives specialist care for the Ebola virus.


    https://www.royalfree.nhs.uk/news-me...ent-improving/

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  • Pathfinder
    replied
    Managers order NHS 24 staff not to put Ebola risk patients in call back queue

    Helen Puttick
    Health Correspondent
    Friday 9 January 2015

    Managers have sent an urgent memo to frontline NHS 24 staff ordering them not to put patients at risk from Ebola in a call back queue, just days after the case of Scottish nurse Pauline Cafferkey.

    Although it is not clear whether the Lanarkshire health worker used the NHS helpline when she returned home to Scotland, the email to the service's call operators raises questions whether she was given the priority that was essential.

    The memo has been circulated across call centres emphasising that patients who visited countries where the disease is spreading and are at high risk of suffering from Ebola, must be treated as "serious and urgent."

    In capital letters supervisors are told not to advise call handlers to list such patients among those who can wait for a nurse to ring them back later.

    Nurses are told in red ink to sign forms as confirmation they read the memo and understood its content.

    NHS 24 declined to comment on whether Pauline Cafferkey, who remains in a critical condition at the Royal Free Hospital in London, had rung the service when she fell ill on her return trip from Sierra Leone just before New Year.

    http://www.heraldscotland.com/news/h...back.115800041

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  • Pathfinder
    replied
    5 January 2015 Last updated at 12:32 ET

    UK Ebola nurse has 'stabilised'

    By James Gallagher
    Health editor, BBC News website

    A British nurse who was diagnosed with Ebola after returning from Sierra Leone is still in a critical condition, but has stabilised, Health Secretary Jeremy Hunt says.
    ...
    Speaking in the Commons, Mr Hunt said: "I have this morning spoken to Dr Mike Jacobs, an expert in infectious diseases who is leading the team of doctors and nurses caring for Pauline at the Royal Free.

    "As has been reported, Pauline's condition has deteriorated to a critical state although she stabilised yesterday and continues to receive the best possible care."
    ...
    He said screening had been enhanced: "We have also, as of last Monday, strengthened our guidance to ensure anyone from a higher risk group who feels unwell will be reassessed.

    "Advice will be immediately sought from an infectious disease specialist and the passenger will be referred for testing, if appropriate."
    ...

    http://www.bbc.com/news/health-30657485

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  • Pathfinder
    replied
    4 January 2015 Last updated at 23:54 ET

    Save the Children probe how UK nurse contracted Ebola

    The charity Save The Children has said "no stone will be left unturned" in its investigation into how a British nurse working at an Ebola treatment centre contracted the disease.

    Pauline Cafferkey, from South Lanarkshire, had been working with the charity in Kerrytown, Sierra Leone.

    Ms Cafferkey is critically ill in a north London hospital after her condition worsened in recent days.
    ...
    BBC global health correspondent Tulip Mazumdar said the part of the charity's investigation will include the use of personal protective equipment.
    ...

    http://www.bbc.com/news/uk-30677619

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  • Pathfinder
    replied

    3 January 2015 Last updated at 11:11 ET

    UK Ebola nurse Pauline Cafferkey 'in critical condition'

    A British nurse who was diagnosed with Ebola after returning from Sierra Leone is now in a critical condition, the London hospital treating her has said.


    The Royal Free Hospital said it was "sorry to announce that the condition of Pauline Cafferkey has gradually deteriorated over the past two days".

    Ms Cafferkey, from South Lanarkshire, was given an experimental anti-viral drug and blood from disease survivors. She was diagnosed in December after volunteering with Save the Children.

    Prime Minister David Cameron said on Twitter: "My thoughts and prayers are with nurse Pauline Cafferkey who is in a critical condition with Ebola." Health Secretary Jeremy Hunt also expressed his concern, adding: "I know Dr Mike Jacobs and his team at the Royal Free Hospital are working tirelessly to provide her with the best possible care."

    Scotland's First Minister Nicola Sturgeon tweeted: "My thoughts are with Pauline & her family at this extremely difficult time. Thanks to all who are caring for her."
    ...
    http://www.bbc.com/news/uk-30666265

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  • Pathfinder
    replied
    Passengers on flight with Scottish Ebola nurse have all been traced, say officials
    People who sat in rows near Pauline Cafferkey on BA flight from Heathrow to Glasgow are asked to monitor their temperatures

    Robert Booth
    Thursday 1 January 2015 12.08 EST
    ...
    The last 15 of the 70 passengers on the British Airways flight carrying the volunteer nurse, who flew home from assignment at an Ebola clinic in Sierra Leone on 28 December, were tracked down on New Year’s Eve. Eight passengers who were sitting in the two rows in front and two rows behind Cafferkey on the Heathrow to Glasgow flight BA1478 have been requested to take their temperature for 20 days.
    ...
    Cafferkey had been working at the Kerry Town treatment centre, a UK-government-backed facility built last autumn in a forest clearing an hour outside Freetown. It is staffed by locals, NHS workers and Cuban medics. Save the Children, which has run the centre since it opened on 5 November, has launched an investigation into how Cafferkey contracted the killer virus and whether she was exposed outside the treatment centre compound.

    Michael von Bertele, the charity’s humanitarian director, said: “It’s really important for us to try and understand whether it was a failure of training, of protection, of procedure, or indeed whether she contracted it in some incidental contact within the community, because our workers don’t just work inside the red zone, which is a very high-risk area, they do also have contact – although we are very, very careful in briefing people to avoid personal contact – outside of the treatment centre.”
    ...
    http://www.theguardian.com/world/201...a-nurse-traced

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  • Pathfinder
    replied
    31 December 2014 Last updated at 11:38 ET

    Experimental drug for Ebola patient Pauline Cafferkey

    Ebola patient Pauline Cafferkey is receiving an experimental anti-viral drug and blood from survivors of the disease, doctors in London have said.

    Specialists at the Royal Free Hospital in Hampstead, where the nurse is being treated, did not name the drug.

    Dr Michael Jacobs said Ms Cafferkey was in isolation and was sitting up in bed, talking and reading.
    ...

    http://www.bbc.com/news/uk-30644986
    -------------------------------------------------------------------------------------------------------------------------------------------------------------------

    Ebola contact tracing underway

    From:Public Health England, Department of Health and NHS England

    First published:30 December 2014
    Last updated:31 December 2014

    Public Health England is contacting plane passengers following the recent UK case of Ebola.

    Public Health England (PHE) is undertaking contact tracing following the confirmed case of Ebola in a healthcare worker returning from Sierra Leone, and as of 4pm on 31 December 2014, has spoken to 85 passengers.

    The person had left Sierra Leone on 28 December and had been a passenger on flight AT596 from Freetown to Casablanca, flight AT0800 from Casablanca to London, and transferred at Heathrow to flight BA1478 for onward travel to Glasgow.

    Although the risk of infection to other passengers on the flights is considered extremely low, PHE is contacting 100 passengers, and the crew on the flight from Casablanca to Heathrow. An additional 32 international passengers are being contacted by international public health authorities. Health Protection Scotland is carrying out a similar exercise for the 71 passengers on the Heathrow to Glasgow flight, speaking with 56 to date.
    ...

    https://www.gov.uk/government/news/e...acing-underway

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  • Pathfinder
    replied
    UPDATE 7-

    Nurse becomes first Ebola victim diagnosed in Britain

    Tue Dec 30, 2014 6:34pm EST
    ...
    "The latest update we have on the condition of the patient is that she is doing as well as can be expected in the circumstances," Scottish First Minister Nicola Sturgeon said.
    ...
    Officials said three other patients were being tested for Ebola in Britain.

    One of them, who was described by Sturgeon as a "low probability" case in Scotland, has tested negative for the disease. The health service said the second possible case was in Cornwall, England, and details were not available on the third.
    ...
    Local media said she had been working in the Kerry Town Ebola treatment centre outside Sierra Leone's capital, Freetown.

    A Reuters journalist who visited the centre last week said it was a huge, pristine facility built by British army engineers, with around 80 beds and stringent cleansing procedures far superior to those of a nearby Sierra Leonean treatment centre.
    ...

    http://www.reuters.com/article/2014/...0UE0QJ20141230

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  • Pathfinder
    replied
    Ebola contact tracing underway

    From: Public Health England, Department of Health and NHS England First published: 30 December 2014 Part of: Ebola virus: UK government response and Public health

    Public Health England is contacting plane passengers following the recent UK case of Ebola.





    Public Health England (PHE) is undertaking contact tracing following the confirmed case of Ebola in a healthcare worker returning from Sierra Leone, and as of 6pm on 30 December 2014, has spoken to 63 passengers.
    The person had left Sierra Leone on 28 December and had been a passenger on flight AT596 from Freetown to Casablanca, flight AT0800 from Casablanca to London, and transferred at Heathrow to flight BA1478 for onward travel to Glasgow.

    Although the risk of infection to other passengers on the flights is considered extremely low, PHE is contacting 132 passengers, and the crew on the flight from Casablanca to Heathrow. Health Protection Scotland is carrying out a similar exercise for the 71 passengers on the Heathrow to Glasgow flight, speaking with 56 to date.
    People contacted by Public Health England will be made aware that a person on their flight was confirmed with Ebola after they returned to the UK, although the person would have been in the very early stages of disease and extremely unlikely to be infectious.

    Even though the risk is considered extremely low, as a precaution we inform people sitting directly of the vicinity of the passenger (2 rows adjacent, ahead and behind, comprising 21 passengers) to take their temperature twice daily until the 18 January 2015. If their temperature is 37.5°C or higher, or they begin to feel unwell in any way, they are advised to call a dedicated Public Health England contact immediately for advice.

    Other passengers and crew on board will be advised to call NHS111 with their flight details, if they begin to feel unwell.

    The period between exposure and when symptoms might develop (the incubation period) for Ebola is currently considered to be up to 21 days. Any illness that passengers might experience beyond that point would not be considered to be related.

    This process is currently under-way, and follows other recent successful Public Health England contact tracing efforts for UK incidents involving Middle Eastern Respiratory Syndrome and Congo Crimean Haemorrhagic Fever.

    The patient was on the returning worker scheme and was screened at Heathrow Airport on arrival, in line with standard procedures. At this point they did not have any symptoms of a fever, stated they had been well in the previous 24 hours and were cleared to travel home as per the protocol. This process was overseen by a medical consultant.

    PHE is leading the screening process and is providing clinical staff on a rota in all of the ports identified for the enhanced screening. Since October 2014, we have screened over 1,700 people returning from Sierra Leone, Guinea and Liberia.
    Professor Paul Cosford, director for health protection and medical director at PHE, said:
    For Ebola to be transmitted from one person to another contact with blood or other body fluids is needed. The individual involved did not experience any symptoms consistent with the transmission of Ebola, and as such, the risk that this infection will have been passed from the affected individual to others is extremely unlikely.

    However as a precaution, PHE is contacting all passengers on the flight to the UK and providing a further level of follow-up for all those in the vicinity of the passenger to ensure anyone who feels unwell undergoes a medical assessment rapidly. Our colleagues at Health Protection Scotland are carrying out a similar exercise for the passengers on the Heathrow to Glasgow flight.

    https://www.gov.uk/government/news/e...acing-underway

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  • Pathfinder
    replied
    Ebola test negative

    30/12/2014 22:32

    A patient at Aberdeen Royal Infirmary has tested negative for Ebola.

    The individual was transferred to the hospital by the Scottish Ambulance Service today (30th December) after falling ill while visiting Torridon in the Scottish Highlands.

    As a returning health care worker who had recently been in west Africa, they were tested for Ebola as a precaution, although they had not been in contact with anyone who had the disease. A blood sample was taken to the testing facility in Edinburgh and has been confirmed as negative for Ebola.

    http://news.scotland.gov.uk/News/Ebo...tive-1421.aspx

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  • Pathfinder
    replied
    Ebola nurse 'should not have left Heathrow', says chief medical officer
    ...
    By Matthew Holehouse4:57PM GMT 30 Dec 2014
    ...
    Pauline Cafferkey complained of a temperature after leaving a screening area and was retested, but allowed to fly onwards to Glasgow.
    ...
    The nurse was tested in total seven times after landed at Heathrow airport within the space of two hours - once as part of a routine screening, and six more times after complaining of a high temperature around an hour later.

    She was allowed to fly after no unusual temperature was detected, Professor Paul Cosford, Director for Health Protection and Medical Director of PHE, told a press conference in London.
    ...
    Miss Cafferkey, from Fife, had volunteered at a Save the Children treatment centre near Free Town, Sierra Leone, in November.

    She was one of 30 NHS volunteers to fly from Sierra Leone to Heathrow airport via Casablanca in Morocco on Sunday, before she flew on to Glasgow.
    ...
    Health officials have traced 45 out of the 133 people on the Royal Air Maroc flight AT0800 from Casablana to Heathrow Terminal 4.

    They have also traced 56 out of 72 people on British Airways flight BA1478 from Heathrow to Glasgow Airport, which landed at 11.30pm on Sunday night.

    It means just 101 out of 205 people have been traced. Prof Cosford said the process was being delayed because flights had been booked through travel agents, making it slow to trace contact details.

    The eight people sat immediately surrounding Miss Cafferkey are being sought as a priority, and they will be told to take their temperatures regularly until January 18.
    ...
    Two more people are being tested as reporting potential symptoms of Ebola: one at the Aberdeen Royal Infirmary and one at the Royal Cornwall hospital in Truro.
    ...
    Full text:
    http://www.telegraph.co.uk/news/ukne...l-officer.html

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  • Pathfinder
    replied
    30 December 2014 Last updated at 12:29 ET

    Ebola nurse to be treated with recovered patients' plasma

    Nurse Pauline Cafferkey, who is battling Ebola at a London hospital, is to be treated with plasma from patients who have survived the virus.

    The plasma comes from a European network of recovered patients.

    The network includes British nurse William Pooley, Chief Medical Officer Dame Sally Davies confirmed.

    Mr Pooley recovered from Ebola in September after being treated at the Royal Free Hospital, where Ms Cafferkey is currently being cared for.

    He was treated with the experimental drug ZMapp, but supplies of the medication have now run out.
    ...

    http://www.bbc.com/news/uk-30637199

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