Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission
The husband of the nursing assistant infected has no symptoms of Ebola
Health is stable and not life-threatening, her husband is also studying isolated and isolating others close
AGENCIES Madrid 10/07/2014 10:39 Updated: 07/10/2014 11:26
The husband of the nursing assistant Ebola infected no, for now, symptoms of the disease. The man is isolated, after yesterday analyzes confirmed that his wife, who had attended religious Viejo Manuel Garcia in Hospital Carlos III, had contracted Ebola . She was on vacation from the day following the death of Garc?a Viejo, September 25, and doing "normal life" until five days after the first symptoms appeared, "a little fever and asthenia" or feeling weak .
The infected nursing assistant is entered in the Carlos III Hospital La Paz, Madrid, is stable and, for now, has no "life-threatening", but is "serious illness", as reported by the center coordinator Alerts Emergencies and the Ministry of Health, Fernando Sim?n. Simon, in several radio interviews, has also claimed that the husband has been isolated and "is good and relatively quiet." Specifically, he explained that the Ministry agreed Monday with the Community of Madrid propose in hospital isolation room, according to their data and are in this situation Hospital Alcorc?n (Madrid).
He also stated that the
insulation will be proposed to the people who may have had close contact with the affected, "caution" and "social alarm" generated, and make strict monitoring during the 21 days symptoms may develop.
This manager has stressed that the urgent from the point of view of public health is to "ensure that all risks associated with this case are controlled" and there is no risk for the rest of the population, and for that we are making a list exhaustive of the people with whom the patient has had contact in the last six days. "It would be naive to think that there is transmission capacity clearly exists, although still very low," he said, and has also stated that transmission capacity is lower in the early days, so we "care more recent the first. "
According to him, the Madrid began the task of identifying contacts from the case as "highly suspicious" on 5 hours, and now have "very advanced" or finished that list was identified. However, apart from the people with whom the nurse's aide may have had contact "narrow" as her husband, this responsibility has been estimated that since wearing days feeling "some discomfort", it is normal social contact has been "more militant" and has not been as exposed as a completely healthy person.
Simon stressed that what happened "was possible but highly unlikely," and in the same way it is possible that "some of the high-risk contacts may have been infected." However, he said that the general population should be quiet, because the possibility of a "real epidemic is again possible, but highly unlikely" and because they are taking all measures to ensure that "a risk that very little likely be even lower. "
To study whether there was a failure in the protocol
Alongside the public health measures and the need to deal "properly" the sick, Simon has detailed that it is investigating the source of infection to detect whether to improve the protocol or if there was a fault in any of the steps its implementation or supervision, and has admitted that all options are possible. However, has recognized that the protocol for possible cases of Ebola (setting at 38.6 degrees fever from which one acts) is for people who "spontaneously identify as suspicious", so that before a person was already on track, since it treated the patient Viejo Manuel Garcia, they could have started testing and monitoring "any symptoms, however little."
However, he added that "
there are information gaps" in the case of the auxiliary, so he did not want to draw conclusions about whether greater zeal with this sick before they finish the investigation would have been necessary.
In this regard, he stressed that all protocols are considered "correct" and are the same that are used worldwide, but "obviously something is wrong" and, although it has "doubts" that are the protocols itself, has stressed that all will be reviewed. "The possibility that the protocol is wrong is small but is being reviewed," he assured.
Simon has ruled that the spread of this auxiliary is related to the fact that Garc?a Viejo to treat hospital not blindase Carlos III, as if I did in August with the priest Miguel Pajares -- given the disease is transmitted by contact fluids with an ill person -- and asked not to criticize "lightly" security measures.
At this point, it has been recognized that more stringent protective measures can be applied but are not "really necessary." Thus, he has detailed in some places with a level of protection "above what is necessary" to prevent contagion, for example in laboratories where cultures are called laboratories "T4 level that do not exist in Spain."
He also explained that there are "more comfortable" for staff who have to work with patients for extended periods or make them complicated maneuvers costumes because safety suits that are used normally get very hot and are uncomfortable.
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