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US - Texas: Mr. Duncan - Patient tests positive for Ebola in Dallas - traveled from Liberia -deceased

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

U.S. Ebola patient's partner quarantined in apartment with family members

<!--endclickprintinclude--><!--startclickprintexclude--><!--no partner-->By Michael Martinez, CNN
updated 1:02 PM EDT, Thu October 2, 2014

(CNN) -- The partner of Ebola patient Thomas Duncan is quarantined in her Dallas apartment where Duncan became sick with the virus after his trip to Liberia, the woman told CNN's Anderson Cooper.

The woman, who asked to be identified only by her first name, Louise, is quarantined with one of her children under 13 and two nephews in their 20s because they were in apartment when Duncan became ill, Cooper said.
...
"She doesn't know how she's going to get food into the apartment. She was told she said maybe the Red Cross would come by. She's still waiting for that," Cooper said.
...
Louise "does not feel that she came into any contact with any (bodily) fluids" from Duncan, Cooper said.

"She says he didn't vomit on her. She wasn't cleaning up after him. She said he was very much sort of prideful, would take care of himself, go into the bathroom when he had diarrhea," Cooper said.
...
The sheets Duncan used are still on the bed, and the Centers for Disease Control and Prevention hasn't taken away those materials, Cooper said.

CNN's Dr. Sanjay Gupta said the continuing presence of the sheets, on which Duncan may have transmitted the virus through sweating, are disturbing.
...
http://www.cnn.com/2014/10/02/us/texas-woman-quarantine-ebola-thomas-duncan/index.html
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Delay in Dallas Ebola Cleanup as Workers Balk at Task

By KEVIN SACK and MARC SANTORAOCT. 2, 2014

DALLAS ? More than a week after a Liberian man fell ill with Ebola and four days after he was placed in isolation at a hospital in Dallas, the apartment where he was staying with four other people had not been cleaned and the sheets and dirty towels he used while sick remained in the home, health officials acknowledged on Thursday afternoon.

Even as the authorities were reaching out to at least 80 people who may have had contact ? either directly or indirectly ? with the patient, Thomas E. Duncan, while he was contagious, they were scrambling to find medical workers to safely clean the apartment.

The four family members who are living there are among a handful who have been directed by the authorities to remain in isolation, following what officials said was a failure to comply with an order to stay home.
...
The Texas health commissioner, Dr. David Lakey, told reporters during an afternoon news conference that health workers should have moved more swiftly to clean the apartment but that they had had trouble finding an outside medical team to do the work. They encountered ?a little bit of hesitancy,? he said.

?We are arranging for that apartment to be cleaned,? he said. ?The house conditions need to be improved.?
...
http://www.nytimes.com/2014/10/03/us/dallas-ebola-case-thomas-duncan-contacts.html?_r=0
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

United Notifying Passengers on Ebola Patient Duncan's Flights

http://www.nbcnews.com/storyline/ebola-virus-outbreak/united-notifying-passengers-ebola-patient-duncans-flights-n217056

Quote:

...United Airlines, which flew Ebola victim Thomas Eric Duncan on two of the three flights that brought him to the U.S. last month, is trying to notify as many as 400 people who may have been on Duncan's flights, referring them to the U.S. Centers for Disease Control and Prevention, the airline told NBC News on Thursday. United said it doesn't believe any fellows passengers are at risk but that it was taking the move out of an abundance of caution...

Unquote

So they are checking passengers on the Brussels-Washington-Dallas part.

What about the Monrovia-Brussels first part that was flown with Brussels airlines? Do note that the last two flights were also code-shared with Brussels airlines. Is this another case of the right hand not knowing what the left hand is doing?
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Welcome to FT bwilde. That is a very disturbing report. I wonder if the vomit was cleaned up. If not, what if a raccoon or opposum gets into it?

It looks like it was cleaned up, but if this photo is to be believed they seem fairly unconcerned about it: https://twitter.com/wfaachannel8/status/517739906211528704
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

It looks like it was cleaned up, but if this photo is to be believed they seem fairly unconcerned about it: https://twitter.com/wfaachannel8/status/517739906211528704

Oh my, that looks like a power washer to me! WOW, I cannot believe they did that!

Talk about potential splash back and aerosolization! We have a log home and we use a power washer to clean it and our deck that surrounds the house, so I am very familiar with how they work. The misting and potential for inhalation and spread to those vehicles is tremendous, not to mention it's all over their clothes and shoes. :confused::confused::confused:
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

CNN is showing a video of how it was cleaned up and it's disturbing. They show a man in no protective gear hosing down the area. I'm concerned for him and droplet spread. They didn't say how fast the guy went out there to clean this, but, it wasn't done properly. I assume by now they sprayed the area with disinfectant, but that man clearly exposed himself. I too, hope this wasn't a power washer, but it almost looks like it was. Sigh....

I just looked at the picture and noticed the woman in the floor length flowing skirt, and sandals.
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

CNN is showing a video of how it was cleaned up and it's disturbing. They show a man in no protective gear hosing down the area. I'm concerned for him and droplet spread. They didn't say how fast the guy went out there to clean this, but, it wasn't done properly. I assume by now they sprayed the area with disinfectant, but that man clearly exposed himself.

I had hoped we dodged the bullet with this one, now I'm wondering... I hope they are handling the rest of this situation better, but I'm losing faith quickly.
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

CNN is showing a video of how it was cleaned up and it's disturbing. They show a man in no protective gear hosing down the area. I'm concerned for him and droplet spread. They didn't say how fast the guy went out there to clean this, but, it wasn't done properly. I assume by now they sprayed the area with disinfectant, but that man clearly exposed himself. I too, hope this wasn't a power washer, but it almost looks like it was. Sigh....

I just looked at the picture and noticed the woman in the floor length flowing skirt, and sandals.

Where the heck is the prof. Hazardous Materials Response Special Teams in this matter :confused: :( :confused:
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

CNN is showing a video of how it was cleaned up and it's disturbing. They show a man in no protective gear hosing down the area. I'm concerned for him and droplet spread. They didn't say how fast the guy went out there to clean this, but, it wasn't done properly. I assume by now they sprayed the area with disinfectant, but that man clearly exposed himself. I too, hope this wasn't a power washer, but it almost looks like it was. Sigh....

I just looked at the picture and noticed the woman in the floor length flowing skirt, and sandals.

Definitely a power washer.
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Definitely a power washer.

Without a doubt. Here's the CNN video on YouTube. Shouldn't these people now be quarantined?

http://m.youtube.com/watch?v=Lg3mFdVYDu4


Here's a photo of volunteers in Liberia disinfecting:

ebola02_2992935b.jpg

Volunteers with the Guinea Red Cross disinfect the Ratoma hospital in Tahouay, suburb of Conakry Photo: Caters News
http://www.telegraph.co.uk/news/wor...s-evacuated-as-death-toll-approaches-750.html
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Question: how many days prior to this clean up did the vomiting occur?

If its several days, then the chances of viable virus remaining must be small.

A greater concern would be if anyone walked through it in the 24hours after it happened. I would include all people in contract tracing who entered or left the apartment block and could have walked through the vomit (assuming it was not on a communal thoroughfare, which means you might need to extend this), and get them to temperature monitor for the next 21 days

Certainly prudent to monitor the clean up crew though... and better practices (full hazmat etc) needed in the event this happens again...

From http://www.phac-aspc.gc.ca/lab-bio/res/psds-ftss/ebola-eng.php

INFECTIOUS DOSE: Viral hemorrhagic fevers have an infectious dose of 1 - 10 organisms by aerosol in non-human primates Footnote 41.

SUSCEPTIBILITY TO DISINFECTANTS: Ebolavirus is susceptible to 3% acetic acid, 1% glutaraldehyde, alcohol-based products, and dilutions (1:10-1:100 for ≥10 minutes) of 5.25% household bleach (sodium hypochlorite), and calcium hypochlorite (bleach powder) Footnote 48 Footnote 49 Footnote 50 Footnote 62 Footnote 63. The WHO recommendations for cleaning up spills of blood or body fluids suggest flooding the area with a 1:10 dilutions of 5.25% household bleach for 10 minutes for surfaces that can tolerate stronger bleach solutions (e.g., cement, metal) Footnote 62. For surfaces that may corrode or discolour, they recommend careful cleaning to remove visible stains followed by contact with a 1:100 dilution of 5.25% household bleach for more than 10 minutes.

PHYSICAL INACTIVATION: Ebola are moderately thermolabile and can be inactivated by heating for 30 minutes to 60 minutes at 60°C, boiling for 5 minutes, or gamma irradiation (1.2 x106 rads to 1.27 x106 rads) combined with 1% glutaraldehyde Footnote 10 Footnote 48 Footnote 50. Ebolavirus has also been determined to be moderately sensitive to UVC radiation Footnote 51.

SURVIVAL OUTSIDE HOST: Filoviruses have been reported capable to survive for weeks in blood and can also survive on contaminated surfaces, particularly at low temperatures (4°C) Footnote 52 Footnote 61. One study could not recover any Ebolavirus from experimentally contaminated surfaces (plastic, metal or glass) at room temperature Footnote 61. In another study, Ebolavirus dried onto glass, polymeric silicone rubber, or painted aluminum alloy is able to survive in the dark for several hours under ambient conditions (between 20 and 250C and 30–40% relative humidity) (amount of virus reduced to 37% after 15.4 hours), but is less stable than some other viral hemorrhagic fevers (Lassa) Footnote 53. When dried in tissue culture media onto glass and stored at 4 °C, Zaire ebolavirus survived for over 50 days Footnote 61. This information is based on experimental findings only and not based on observations in nature. This information is intended to be used to support local risk assessments in a laboratory setting.

A study on transmission of ebolavirus from fomites in an isolation ward concludes that the risk of transmission is low when recommended infection control guidelines for viral hemorrhagic fevers are followed Footnote 64. Infection control protocols included decontamination of floors with 0.5% bleach daily and decontamination of visibly contaminated surfaces with 0.05% bleach as necessary.
 
Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

Hawkeye

Here is your answer, 3:32 today they quarantined them.

The city of Dallas also activated its Emergency Operations Center and is on Level 2: High Readiness after the person was confirmed to have the virus at 3:32 p.m. Tuesday, according to a release. The Dallas Fire-Rescue EMS crew that transported the patient Sunday as well as the ambulance were quarantined, Mayor Mike Rawlings said. None are showing symptoms.

http://thescoopblog.dallasnews.com/...t-hospital-continuing-normal-operations.html/


MHSC-

?All the people in the back of the ambulance 48 hours later before they finally took the ambulance out of service,? said Dallas Paramedic Geoffrey Aklinski in a discussion on Facebook, ?none of them have been contacted. None of the paramedics that were on that shift and went in the ambulance were contacted. I?ve been off three days now. No one contacted me and I was in and drove that ambulance after it was infected.?

Aklinski said he was going to a doctor on his own initiative to be tested for the Ebola virus. ?This is definitely a concern and exposed workers have not been contacted or tested? like me,? he explained. ?I had to call into control in Dallas at 8 pm and complain to get evaluated.?

?Three days after the fact,? an exasperated Aklinski stated, ?I had to demand exposure testing and they are reporting following up with all the people in the ambulance??? Bull crap!!! They haven?t even followed up with the ten firefighters that were on duty Sunday.

Aklinski went further in explaining the frustration he and most likely, other firefighters, are feeling. ?How do you not test and contact the firefighters at the station on Sunday!!! Only the two medics and the intern on the ambulance? I was freaking in that ambulance hours later driving it!!! No one bothered to contact me about it?!!!?

http://www.breitbart.com/Breitbart-...cted-After-Working-in-Ebola-Exposed-Ambulance
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

... snip ...

"...The ambulance used by the Fire Station 37 crew has also been cordoned off - but there are concerns because it was used for two days after the patient was transported but before Ebola was confirmed.​

So, evidently, someone official must have been tracing the people who were carried in this ambulance? Yes? In what condition are these sick people? Have they been placed in some sort of isolation? Have the care people who subsequently looked after these people been put in observation? Family members of these sick people?

In addition, of course, to the already mentioned crew in quarantine. I hope?


Read more: http://www.dailymail.co.uk/news/article-2775608/CDC-confirms-Dallas-patient-isolation-testing-returning-region-plagued-Ebola-HAS-deadly-virus.html
Follow us: @MailOnline on Twitter | DailyMail on Facebook...


If the following article tells the truth, there are more hard questions to be asked. Below a few short quotes, but it's best to read the full article at the link.

http://www.breitbart.com/Breitbart-Texas/2014/10/2/Dallas-Paramedic-We-Werent-Contacted-After-Working-in-Ebola-Exposed-Ambulance

Quote:

...A Dallas paramedic claimed he drove the ambulance that the US Ebola patient was transported in and that he was not contacted by anyone about the potential exposure. He claims he drove the ambulance sometime after the patient was transported...

...?All the people in the back of the ambulance 48 hours later before they finally took the ambulance out of service,? said Dallas Paramedic Geoffrey Aklinski in a discussion on Facebook, ?none of them have been contacted...

...he was going to a doctor on his own initiative to be tested for the Ebola virus...

Unquote
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Question: how many days prior to this clean up did the vomiting occur?

If its several days, then the chances of viable virus remaining must be small.

A greater concern would be if anyone walked through it in the 24hours after it happened. I would include all people in contract tracing who entered or left the apartment block and could have walked through the vomit (assuming it was not on a communal thoroughfare, which means you might need to extend this), and get them to temperature monitor for the next 21 days

Certainly prudent to monitor the clean up crew though... and better practices (full hazmat etc) needed in the event this happens again...

From http://www.phac-aspc.gc.ca/lab-bio/res/psds-ftss/ebola-eng.php

For the record the the Ivy Apartments accept cats and dogs:
http://www.umovefree.com/Apartment/ivy-apartments-dallas-tx/
 
Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

Re: Discussion - 1st ebola case in US (excluding health care worker transfer) Dallas, Texas

MHSC-
?I had to demand exposure testing

I'm shaking my head right now. EMS/Fire is often forgotten when it comes to informing crews that the patient they did procedures on was contagious and they have a potential exposure. But this is too much, there is no excuse for this and to have to demand to be tested and monitored is ridiculous!

Here's a little known fact, often the EMS/Fire crews are required to use their vacation days if they have to take time off due to an exposure, otherwise they go unpaid.
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

3 Richardson Elementary Students Pulled From Class Over Ebola
...

By Frank Heinz
AP Thursday, Oct 2, 2014 ? Updated at 5:48 PM CDT

Three children were removed from a Richardson elementary school after health officials say they may have been in contact with Dallas Ebola patient Thomas Eric Duncan.

Dallas County Health and Human Services notified the Richardson Independent School District Thursday that three sibling students at Wallace Elementary needed to be evaluated for symptoms of Ebola and interviewed by authorities.

The students, who are all said to be healthy and are showing no symptoms of Ebola, were removed from school to be monitored.

Officials have not said how the three children came into contact with Duncan.
...
http://www.nbcdfw.com/news/health/3...s-Pulled-From-Class-Over-Ebola-277938821.html
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

http://leadinghotelstrategy.com/2014/10/02/united-will-provide-ebola-tests-to-flight-crews-exposed-to-patient/?utm_medium=twitter&utm_source=twitterfeed

United Continental Holdings Inc. is offering tests for the Ebola virus to flight attendants who staffed the two trips taken last month by the first patient diagnosed with the disease in the U.S.

But... we don't know if the Brussels Airlines crews that flew the part from Monrovia to Brussels will be offered such tests.
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

3 Richardson Elementary Students Pulled From Class Over Ebola
...

By Frank Heinz
AP Thursday, Oct 2, 2014 • Updated at 5:48 PM CDT

Three children were removed from a Richardson elementary school after health officials say they may have been in contact with Dallas Ebola patient Thomas Eric Duncan.

Dallas County Health and Human Services notified the Richardson Independent School District Thursday that three sibling students at Wallace Elementary needed to be evaluated for symptoms of Ebola and interviewed by authorities.

The students, who are all said to be healthy and are showing no symptoms of Ebola, were removed from school to be monitored.

Officials have not said how the three children came into contact with Duncan.
...
http://www.nbcdfw.com/news/health/3...s-Pulled-From-Class-Over-Ebola-277938821.html

That's 1 of 4 schools. Capitalization is from the article for emphasis:

Texas governor Rick Perry reveals children from FOUR different schools have been exposed and 18 Americans could be infected

Read more: http://www.dailymail.co.uk/news/art...a-scare-patient-named-Thomas-Eric-Duncan.html
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Given the sidewalk washing, the disinterest in the later shift ambulance driver and lack of concern regarding the flights Mr. Duncan took, it seems as though the health authorities are really quite sure there is no significant transfer from surfaces. I hope they are right.
 
Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

Re: US - Texas: Patient tests positive for Ebola in Dallas - traveled from Liberia

If they haven't bothered to contact the crews, they sure haven't contacted the potential 50 patients that rode on the same stretcher and potentially used the same bp cuff, the same pulse oximeter as the patient.
 
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