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US-Texas: Ms. Vinson - Second Texas health worker 'tests positive' for Ebola - free of the virus

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

This is going to involve a little revolution in thinking if we are to get control of it.

It's not how sick he was. It's that if you come into contact with it, you need to take precautions, which means the action must be preventative, not remedial. Which means tracking and planning. This seat-of-the-pants stuff is no better than what they've been doing in Liberia--which people (including the CDC) have been mean-mouthing for months for its primitive character. You realize that right?

I mean I hate to be that direct, but someone needs to make that observation.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

USALady said:
This is going to involve a little revolution in thinking if we are to get control of it.

......... This seat-of-the-pants stuff is no better than what they've been doing in Liberia--that we've been mean-mouthing for months for its primitive character. You realize that right?
Click to expand...

We're in the habit of victim-blaming. It requires less thinking and responsibity than the truth.

.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Lynda said:
Since we know that this is a question of viral load, why wasn't the CDC, NIH, etc, on site during the Duncan case to make sure best protocols were followed? Considering the vast importance of the US index case, why isn't the CDC monitoring exposed HCW, instead of saying OOPS, Presbyterian lost track of someone.
Click to expand...
CDC has issued a sort of mea culpa on this. In the future, they will have a crack team of clinicians on hand to help local hospitals. My concern is that it may be that protocols were followed, but proved inadequate.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

I drove by Presbyterian a few hours ago. It's a ghost town. The parking lots of the attached medical offices are virtually empty. This is (was) a 900 bed acute-care hospital. The financial loss is incalculable, and probably unrecoverable.

The CDC had months of warning to prepare hospitals. The proper response would probably have been to be set-up to transport to a few centers with proper PPE and training.

Their current response-blaming the local hospital-is shameful.

Dani, here locally I've seen more of the blame going to the hospital, even by the nurses affected. Hopefully, the CDC will be forthcoming about what happened.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

I moved some posts to the discussion thread here.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Today we hear that although Duncan was placed in isolation at Texas Presbyterian healthcare workers did not wear protective gear until two days after his admission, when Ebola test came back positive.

Today we find out from Dr. Frieden that second nurse violated quarantine (CDC guidelines for "controlled movement" by flying on commercial aircraft from OH to TX) heard in video link below. And had a fever of 99.5 before boarding. http://www.cnn.com/2014/10/15/health/texas-ebola-outbreak/index.html

Which begs the question, are assumptions of compliance and self-monitoring in public health antiquated? If diplomats and physicians (Snyderman) and nurses are violating (plus lay people, some of Duncans family) do we need to change our assumptions? Track quarantined people? Fine? Assume non-compliance?

If hcw violate, who will comply?
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Quarantine used to mean a sign on your door, and strict no-go directions. No visitors, no going out of one's home, no wandering around. I have no idea what it might mean if it doesn't mean that.

Sometimes, people being what they are, quarantine is involuntary. Either way, it's necessary (rather obviously) to keep strict track of where these people are and what they're doing 100% of the time.

It's not like there's never been contagion before. I think we've just forgotten how this works. OR maybe we're in denial yet? I don't know.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

I believe the second HCW will be transported to Emory.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Fourth Patient with Ebola Virus Disease Will Be Transferred to Emory University Hospital

October 15, 2014, 7:31 pm By Emory Healthcare

Emory University Hospital is expecting to receive a patient from Texas Health Presbyterian Hospital in Dallas later today, Oct. 15. The patient is the second of two health care workers infected while caring for a patient at the Dallas hospital.

The Centers for Disease Control and Prevention (CDC) and Texas Health Resources specifically requested that the patient be transferred to Emory Healthcare.

The patient will be treated in the same isolation unit at Emory University Hospital in which three patients have already been treated. The first two patients were discharged in late August and a third patient is still being treated.

Emory University Hospital physicians, nurses and staff are highly trained in the specific and unique protocols and procedures necessary to treat and care for this type of patient.

Emory is bound by patient confidentiality and has no additional information regarding this patient.

http://advancingyourhealth.org/highlights/2014/10/15/emory-ebola-patient-transfer-from-dallas/
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Kent State holds press conference to address Ebola (live coverage)

KENT, Ohio ? Kent State University officials are expected to discuss the three employees who came in to direct contact with a Dallas nurse diagnosed with Ebola.

The three family members of Amber Joy Vinson were asked by the school to remain off campus for three weeks to self-monitor their health for any signs of the virus.

Kent State sent the email to the student body shortly before 3 p.m., several hours after that it was revealed Vinson, a 2008 graduate of the nursing school contracted the deadly virus.

.....Vinson visited family in Akron from Oct. 8-13, according to the Ohio Department of Health.

.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Kent State Takes Precautions as a Result of the Latest Ebola Case in Dallas

Posted on Oct. 15, 2014
Updated Oct. 15, 2014

Kent State University has informed its university community that the second confirmed Ebola patient, a nurse who helped care for Thomas Eric Duncan, is related to three Kent State employees. The patient was not showing any symptoms of the disease when she traveled to Cleveland, Ohio, on Friday, Oct. 10, and returned to Dallas, Texas, on Monday, Oct. 13. In Dallas, the patient detected a low-grade fever on Tuesday, Oct. 14, and entered a Dallas hospital for isolation and treatment. The patient was tested for Ebola, and results on Wednesday, Oct. 15, confirmed the diagnosis.

?It?s important to note that the patient was not on the Kent State campus,? said Kent State President Beverly Warren. ?She stayed with her family at their home in Summit County and did not step foot on our campus. We want to assure our university community that we are taking this information seriously, taking steps to communicate what we know.?

?We?re coordinating with local public health authorities to ensure all precautions are taken,? said Dr. Angela DeJulius, director of University Health Services at Kent State. ?Under the guidance of the Centers for Disease Control and Prevention, patients infected with the Ebola virus are not considered contagious until they show symptoms, such as fever, muscle aches and headaches.

?Out of an abundance of caution, we?re asking the patient?s family members to remain off campus for the next 21 days and self-monitor per CDC protocol,? DeJulius continued.

The patient is a graduate of Kent State, receiving degrees in 2006 and 2008.

For more information about Ebola, visit the Centers for Disease Control and Prevention website at www.cdc.gov.

For more information about Kent State, visit www.kent.edu.

http://www.kent.edu/news/kent-state-takes-precautions-result-latest-ebola-case-dallas
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Ebola Contact Tracing, Dallas, Texas

Date: 10/15/2014
Confirmed Cases: 3
Contacts*: 11
Possible Contacts**: 107
Total: 118

*Contacts ? Definite exposure
**Possible Contacts ? Possible exposure

Note: The number of possible contacts increased significantly Oct. 14 to account for a group of healthcare workers who were previously self-monitoring and are now being actively monitored following a healthcare worker's Ebola diagnosis over the weekend. Another case was diagnosed Oct. 15, which also impacted the numbers.

Contacts are defined as people who had definite exposure to an Ebola patient.

Updates: Numbers are accurate as of 5 p.m. the previous day and are updated at approximately noon each day. Public health officials attempt to reach all contacts/possible contacts every day to check for fever and other symptoms. Daily follow-up with contacts/possible contacts will continue for 21 days from the date of each person?s exposure.

http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/united-states-imported-case.html
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Dani said:
CDC has issued a sort of mea culpa on this. In the future, they will have a crack team of clinicians on hand to help local hospitals. My concern is that it may be that protocols were followed, but proved inadequate.
Click to expand...

I hope they have a lot of teams.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Uuuggghhh!

UPDATE 10-New Texas nurse with Ebola had slight fever on airliner

Oct 15 (Reuters) - A second Texas nurse who contracted Ebola flew on a commercial flight from Ohio to Texas with a slight temperature the day before she was diagnosed, health officials said on Wednesday, raising new concerns about U.S. efforts to control the disease.

-snip-

Frieden said Vinson had been monitoring herself for symptoms of Ebola and failed to report that her temperature had risen to 99.5 degrees Fahrenheit (37.5 degrees Celsius) before she left for Dallas.

more...

http://www.reuters.com/article/2014/10/15/health-ebola-usa-idUSL2N0SA2MV20141015
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

News article: Amber Vinson, Dallas Ebola Patient, Says CDC Gave Her Green Light To Fly

http://www.huffingtonpost.com/2014/10/15/amber-vinson-cdc-ebola_n_5993486.html

Another one: Ebola nurse got CDC OK for Cleveland trip

http://www.wfaa.com/story/news/heal...las-hospital-worker-diagnosed-ebola/17290677/

And yet, the CDC says "she never should have gotten on the plane." So which is it? Make up your mind, CDC.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

ok seriously losing trust in cdc at this point, they appear WAY too blase about this whole crap...hence the whole no flight ban is looking like a very scary overestimation of over abilities...
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Cleveland nurses on flight with Ebola patient

WKYC Staff, WKYC 7:52 p.m. EDT October 15, 2014
...
The Cleveland Clinic and MetroHealth Medical Center had employees on the Oct. 10 flight from Dallas to Cleveland that a nurse who was later diagnosed with Ebola was on, according to the hospitals.

The employees, eight from Metro and five from the Clinic, were in Dallas attending a conference.

The are believed to be at low risk of Ebola but are being put on paid leave and monitored for 21 days.
...
http://www.wkyc.com/story/news/local/2014/10/15/cleveland-nurses/17329277/
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

http://www.wpxi.com/ap/ap/ohio/1-isolated-in-ohio-after-nurses-ebola-diagnosis/nhj3k/

Wednesday, Oct. 15, 2014

1 isolated in Ohio after nurse's Ebola diagnosis

Quote:

The Associated Press
AKRON, Ohio ? Health officials say one person in Ohio has been voluntarily quarantined after having household contact with the Texas nurse who recently visited Ohio and was later diagnosed with Ebola.
 
Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

Re: US-Texas: Second Texas health worker 'tests positive' for Ebola

USALady said:
News article: Amber Vinson, Dallas Ebola Patient, Says CDC Gave Her Green Light To Fly

http://www.huffingtonpost.com/2014/10/15/amber-vinson-cdc-ebola_n_5993486.html

Another one: Ebola nurse got CDC OK for Cleveland trip

http://www.wfaa.com/story/news/heal...las-hospital-worker-diagnosed-ebola/17290677/

And yet, the CDC says "she never should have gotten on the plane." So which is it? Make up your mind, CDC.
Click to expand...

Ok, they seriously have to get their act together quickly, or it might take high level resignations and a much more transparent leadership to restore public faith in the CDC.
 
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