Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

[curiosity]

I hope they will share any information immediately that would support a likely cause - like a documented lapse in PPE or a reported needle stick - anything that will create a justified reason vs. an unknown and panic inducing cause for transmission.

 

[Dani]

Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

I hope they will share any information immediately that would support a likely cause - like a documented lapse in PPE or a reported needle stick - anything that will create a justified reason vs. an unknown and panic inducing cause for transmission.

It says she had been reassigned to La Paz, I wonder if they knew there might be an exposure and took her off of patient care. If she had clinical duties, it will be interesting to see how her recent patient contacts are handled.

 

[sharon sanders]

Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

The news thread is here.

I have one comment. Groan.

Like curiosity, I hope the details of how the health care worker became infected is released soon.

 

[curiosity]

Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

It says she had been reassigned to La Paz, I wonder if they knew there might be an exposure and took her off of patient care. If she had clinical duties, it will be interesting to see how her recent patient contacts are handled.

I hope they considered all HCW at minimum to be low risk exposures and kept them from clinical duty until a quarantine period was over.

Please move to discussion thread. Sorry I didn't see it before posting.

 

[sharon sanders]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

I copied curiosity's and Dani's posts here from the news thread. Great points. The software places posts chronologically when copied to another thread. Thanks everyone.

 

[Dani]

Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

I hope they considered all HCW at minimum to be low risk exposures and kept them from clinical duty until a quarantine period was over.

Please move to discussion thread. Sorry I didn't see it before posting.

Yes, that would be the logical move. However, there's been so much emphasis on the fact that Ebola is spreading through West Africa due to a shortage of supplies, lack of PPEs, overworked providers and generally poor health care infrastructure. Is there enough respect for Ebola qua deadly viral disease?

Because none of those deficiencies apply here. Perhaps they felt the risk was negligible due to superior modern medical care. I do feel the CDC may be guilty of hubris in this regard, I hope the Spanish equivalent was not.

One thing is for certain, this is going to rattle some nerves.

 

[curiosity]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

Thus brings to question: What are Spain's PPE guidelines for HCW treating an Ebola case AND what is the timeline from first and last contact with patient to symptom onset.

 

[MHSC]

Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

Because none of those deficiencies apply here. Perhaps they felt the risk was negligible due to superior modern medical care. I do feel the CDC may be guilty of hubris in this regard, I hope the Spanish equivalent was not.

One thing is for certain, this is going to rattle some nerves.

I think we are going to learn some hard lessons before this is over.

 

[Vibrant62]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

The Spanish priest who died, died on the 12th August. Correction: BBC report says this priest died on the 25th September (so has there been more than one? I am puzzled)

 

[Dani]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

There was another priest, Manuel Garcia Viejo, who was a patient from Sep. 22 through Sep. 25th. in Madrid. So exposure for this nurse was 10 to 14 days ago.

 

[Dani]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

Yes, there have been two priests from Spain, one in August and one in September. Both died, I think in the same hospital in Madrid (Carlos III?).

 

[MHSC]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

First priest was Father Miguel Pajares.

 

[Dani]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

So it appears that they are taking the newly diagnosed nurse to Madrid to be treated, where the two priests were cared for. Unfortunately, although she was on leave for the last few days, she apparently wasn't really being monitored, considering she's had symptoms for nearly a week! It sounds also like she has skin lesions, so that confirms that she's not in the very earliest stages of the illness, also.

Was there no protocols for health care givers, or did she ignore it? I am finding this all somewhat unbelievable.

I am in agreement with MHSC. We are going to learn some hard lessons before this is over.

 

[Nika]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

I think this has to do with confusing syntax .. no confirm of nurse death

[Am tracking down twitter chatter that this nurse has died - looking to confirm]

 

[Diane Morin]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

Machine translation

Health infected by Ebola entered twice in the room Viejo Manuel Garcia, one after the death of the religious, explained Antonio Alemany, CEO of Primary Care in the Community of Madrid, who appeared alongside Minister Health.

The nursing assistant took just a day after the death of Garc?a Viejo vacation, and in that situation was until today, added the high health cost. He started presenting symptoms on September 30, and went to the Service of Occupational Risks, which decided their income in yesterday. Today is stable and its only symptom is a high fever.

http://politica.elpais.com/politica/2014/10/06/actualidad/1412616871_794904.html

 

[sharon sanders]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

We are going to learn some hard lessons before this is over.

..including the Spanish MoH who avoided in the press conference a discussion about resigning....

"20.40 h Ana Mato avoids talking about a possible resignation and whether he regrets bringing Spain to both infected with Ebola in Africa religious"

 

[Gemineye]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

Evidently, HCWs (at least the nursing assistant) were using Level 2 PPE. Ebola is a Level 4 pathogen. Also, it appears they were using the same elevator for the medical waste that was used by the staff.

 

[JimO]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

This is going to require some intensive contact tracing, especially if she left her home while on holiday.

 

[curiosity]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

Evidently, HCWs (at least the nursing assistant) were using Level 2 PPE. Ebola is a Level 4 pathogen. Also, it appears they were using the same elevator for the medical waste that was used by the staff.

What does Level 2 mean in comparison to CDC? Were they wearing simple masks or N95 or full impermeable gowns or regular clothes? Eye protection?

 

[JimO]

Re: Discussion: Spain confirms 1st ebola case outside of Africa - health care worker who cared for dead ebola patient in Spain

What does Level 2 mean in comparison to CDC? Were they wearing simple masks or N95 or full impermeable gowns or regular clothes? Eye protection?

There is a photo of the PPE claimed to have been used in this post http://www.flutrackers.com/forum/showthread.php?p=549702#post549702

If this is truly what the nurse was wearing and she didn't have a high risk exposure such as a needle stick, then that is an alarming development.