US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment - blood test negati

[AlaskaDenise]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - exposure to confirmed case in Dallas

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - exposure to confirmed case in Dallas

Second Possible Ebola Case Reported In Texas

.....Monnig?s son Logan said that Monnig had been monitoring his own temperature since last week, and had been experiencing fatigue and stomach pain symptoms.

?He spent very little time in the apartment, and he did not come in contact with Mr. Duncan or any bodily fluids,? Logan Monnig told the paper. ?We?re just waiting for the facts right now to make sure he?s OK.

----------------------------------------

He knew enough to take his temperature, thankfully.

No contact with Duncan's body fluids??? Despite Duncan's girlfriend good effort at cleaning, there could still be fomite contamination.

.

 

[Pathfinder]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - exposure to confirmed case in Dallas

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - exposure to confirmed case in Dallas

PATIENT EXHIBITING SIGNS AND SYMPTOMS OF EBOLA​

(October 8, 2014) At 12:32 p.m. today, October 8, Frisco dispatch received a call from Care Now, 301 Main Street, regarding a patient exhibiting signs and symptoms of Ebola. (This is located near the intersection of Main Street and F.M. 423 in Denton County). ​

Frisco Fire Department?s Hazardous Materials (HAZMAT) and Rescue Units, along with two ambulances, the regional Ambulance Bus responded. Frisco Police officers also responded to assist with scene control. ​

Initial reports from the urgent care facility indicated the patient had direct contact with the Dallas ?patient zero?; however, Frisco firefighter-paramedics now report the patient says he had contact with the apartment and family members related to the Dallas ?patient zero? prior to the apartment being decontaminated. ​

Frisco firefighter-paramedics are in the process of transporting the patient to Texas Health Presbyterian Hospital in Dallas. Firefighters-paramedics are also in the process of examining clinical staff and other facility patrons. The number other people potentially exposed is unknown at this time. ​

Frisco firefighters-paramedics are being decontaminated by hospital staff at Texas Health Presbyterian in Dallas in accordance with Centers for Disease Control (CDC) guidelines. ​

Frisco is working with health experts from Denton and Collin County Health Departments, as well as the Texas Department of Emergency Management. ​

?The Frisco Fire Department is prepared and equipped to handle any hazardous incident,? said Chief Mark Piland. ?The city has invested a great deal of time, training and resources to ensure our residents health and welfare. ? ​

http://us4.campaign-archive1.com/?u=33cd614c011fb86a5e16e4f59&id=35dd87c00e&e=2cc64adc47​

 

[curiosity]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - exposure to confirmed case in Dallas

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - exposure to confirmed case in Dallas

The title includes the statement "exposure to a confirmed case" and that is incorrect.

The person did not have ANY person to person contact with Duncan - the only confirmed Ebola Case in Dallas.

The family members are not considered cases, suspected cases or confirmed cases at this time - that may change, but it hasn't yet.

If the title states "exposure to Duncan's apartment and family" - that would be correct.

 

[alert]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

I have modified the thread title to reflect the information we now have.

Personally, I had been thinking of entering Duncan's apartment as an indirect exposure to Duncan.

As Duncan's family are still asymptomatic, they are unlikely to have posed any risk to the deputy. The same cannot be said about things such as sheets, towels, the carpet, etc. from the apartment itself.

 

[alert]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

http://thescoopblog.dallasnews.com/...ave-had-contact-with-thomas-eric-duncan.html/

Update: Frisco officials say risk is low that sheriff?s deputy who visited Duncan?s apartment has Ebola

 

[Pathfinder]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

News Releases

Ebola Update, Oct. 8, 3:08 p.m. CDT

10/08/2014

DALLAS — Texas Health Presbyterian Hospital Dallas can confirm today that a patient has been admitted to the Emergency Room after reporting possible exposure to the Ebola virus.

Right now, there are more questions than answers about this case.

Our professional staff of nurses and doctors is prepared to examine the patient, discuss any findings with appropriate agencies and officials. We are on alert with precautions and systems in place.

At the same time, we are caring for routine cases which are completely separate in operations.

http://www.texashealth.org/body.cfm?id=1629&action=detail&ref=1877

 

[MedStudent_18]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

I have modified the thread title to reflect the information we now have.

Personally, I had been thinking of entering Duncan's apartment as an indirect exposure to Duncan.

As Duncan's family are still asymptomatic, they are unlikely to have posed any risk to the deputy. The same cannot be said about things such as sheets, towels, the carpet, etc. from the apartment itself.

Which tells me they knew the score from the beginning.

 

[spit]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

USATODAY:

"FRISCO, Texas ? Texas Health Presbyterian Hospital Dallas received a patient Wednesday from an urgent care center amid concerns he was exhibiting Ebola symptoms.

However, federal and local officials said the patient has not exhibited complete Ebola symptoms and they have questions about his degree of potential exposure.

"Right now, there are more questions than answers about this case," the hospital said in a news release. It will take up to 48 hours to determine whether the man tests positive for Ebola.

Thomas Frieden, director of the federal Centers for Disease Control and Prevention, said the case hasn't been confirmed, with "no definite contact" with the Liberian man who died in a Texas hospital of Ebola and "no definite symptoms" clearly indicating Ebola."

...

"The deputy was ordered to go inside the unit with officials to get a quarantine order signed. No one who went inside the unit that day wore protective gear, and Monning had objected strenuously to that decision."

...

"Monnig said he was feeling sick to his stomach before his visit to the clinic, according to Christopher Dyer of the Dallas County Sheriff's Association."



http://www.usatoday.com/story/news/nation/2014/10/08/possible-ebola-patient-texas/16926553/

My own thoughts: I haven't felt through any of this like they're taking fomites very seriously as routes of transmission. Simultaneously, it sounds like the patient here was already primed to be really worried, so may possibly be overreacting to a basically pretty normal digestive problem. No way to know yet.

 

[Ray]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - exposure to confirmed case in Dallas

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - exposure to confirmed case in Dallas

It's a shame he didn't call & await instructions while still in contact with fewer people. Or at least call and forewarn them he would be arriving.

.

I think there needs to be A LOT more awareness on this. People need to call ahead to ER, urgent care, or better yet, call 911 if they have travel hx/exposure & symptoms. CDC has issued guidelines for PSAP's (public safety answering points -- 911 call-takers/dispatchers)

http://www.cdc.gov/vhf/ebola/hcp/in...t-patients-known-suspected-united-states.html

 

[AnnaLisa]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

CNN is now reporting 3 people from the Sheriff's Dept. are possibly ill. These are people that visited in the apartment or in Dept. Moning's car before it was decontaminated.

 

[Nika]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

I think the only people who over reacted here was the press.. Inch by inch OJ like helicopter live feed breaking news coverage of the ambulance as it traveled the highways to the hospital.

The system worked. We see that anyone who walks into a healthcare facility - here a satellite emergency clinic - and mentions an ebola link triggers a cascade of response protocols put in place to limit exposure to the community and HCWs.

 

[alert]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

http://www.independent.co.uk/news/w...to-hospital-amid-infection-fears-9783505.html


Ebola outbreak: Texas sheriff's deputy rushed to hospital amid infection fears

[snip]

Michael Monnig, who had also gone into the home of Thomas Duncan, who died of the disease on Wednesday, complained of stomach pain and feeling fatigued, according to the Dallas Morning News.

His son Logan Monnig told the paper that his father wanted to have his symptoms checked, but added: ?We don?t want to cause a panic. There is almost no chance my dad would have Ebola.

?He spent very little time in the apartment, and he did not come into contact with Mr Duncan or any bodily fluids.

?We?re just waiting for the facts right now to make sure he?s okay.?

Officials in Frisco, Texas, initially spoke of ?a patient exhibiting signs and symptoms of Ebola?, but later moved to play down the idea that Mr Monnig had caught the deadly disease.

Frisco?s Mayor Maher Maso said they were acting ?with an abundance of caution? and added that ?the risk is minimal?. And Fire Chief Mark Piland said Mr Moonig was ?minus a few? symptoms of Ebola, but would be watched for 48 hours.

Officials at the US Centres for Disease Control and Prevention also said the deputy did not appear to have Ebola.

[snip]

 

[spit]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

I think the only people who over reacted here was the press.. Inch by inch OJ like helicopter live feed breaking news coverage of the ambulance as it traveled the highways to the hospital.

The system worked. We see that anyone who walks into a healthcare facility - here a satellite emergency clinic - and mentions an ebola link triggers a cascade of response protocols put in place to limit exposure to the community and HCWs.

Ultimately agreed, andmaybe "overreacting" is a poor choice of words in this context. Heightened alertness to one's own health can be a mixed bag, is more what I meant -- it's a good thing in a situation like this to be paying attention, but also probably makes every potential symptom feel much worse if you're already worried about it.

I'm glad he got checked out regardless, if he developed anything sketchy-seeming. That's exactly what we want to encourage. Just makes it hard to have any idea how likely it is (which is ultimately fine, only full testing can actually clarify.)

They have not emphasized fomites at all, and I think that will wind up being a huge communication problem if we have a case of clear fomite transmission. People will think they were lied to. They weren't, really, but the emphasis has never been on it as a risk.

And yeah, the helicopter coverage of his transport was a little over-the-top.

 

[alert]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

It's possible, but unlikely, that one deputy could have accidentally had some extraordinarily rare fomite exposure in that apartment.

If 3 deputies are ill, but no family contacts, their illness is likely something unrelated to Ebola or their exposure. Perhaps they ate something bad/spoiled yesterday? There's just no way all three of them could have had such an exposure without the family who lived in that apartment also being ill.

 

[alert]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

No fever:

http://q13fox.com/2014/10/08/person...tim-exhibiting-signs-and-symptoms-of-disease/

[snip]

FOX4 in Dallas spoke with Monnig?s son who said his father woke up with stomach pains. But the son said his father did not have a fever, was not vomiting and did not show any other signs of Ebola symptoms.

 

[AlaskaDenise]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

............ Perhaps they ate something bad/spoiled yesterday? ........

If they were working long hours (likely) perhaps some of their delivered food sat and spoiled.

.

 

[Nika]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Oh, Spit (quite a nick) i wasnt referring to you at all. Its a general feeling one gets on twitter that this was all a bit much (or that it really IS the end times and that everyone WILL get ebola from city water [eyeball rolls]).

 

[AlaskaDenise]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

........If 3 deputies are ill, ........ There's just no way all three of them could have had such an exposure without the family who lived in that apartment also being ill.

While that sounds reasonable, the reason might be genetics. People's genetic response to ebola is different - some papers saying that the difference between whether or not people survive is driven by the speed at which the immune system responds and whether it responds with an appropriate amount of certain immune substances (T-8 cells, I think). So Duncan's family (added to his girlfriend probably insisting on extensive handwashing) may have immune system genetics that means they respond better to a small amount of virus. An average of 15% of Africans in ebola-stricken areas are gaining natural immunity without getting ill.

.

 

[spit]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Oh, Spit (quite a nick) i wasnt referring to you at all. Its a general feeling one gets on twitter that this was all a bit much (or that it really IS the end times and that everyone WILL get ebola from city water [eyeball rolls]).

Ha! So hear you. Our culture is very binary about it -- we are either all going to die in a week just like in some sort of zombie film, or there is absolutely nothing to see here, it's all hype or a plot, and we're foolish dupes if we worry or take note.

It's incredibly frustrating to watch.

(I will try to stop the chatting here, apologies to the moderators -- it's hard to keep the discussion totally separate from the news on this stuff.)

 

[curiosity]

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

Re: US-Texas: Not a confirmed case - Frisco (suburb Dallas) patient exhibiting Ebola symptoms - deputy who entered Duncan's apartment

It's possible, but unlikely, that one deputy could have accidentally had some extraordinarily rare fomite exposure in that apartment.

If 3 deputies are ill, but no family contacts, their illness is likely something unrelated to Ebola or their exposure. Perhaps they ate something bad/spoiled yesterday? There's just no way all three of them could have had such an exposure without the family who lived in that apartment also being ill.

They all experienced a high anxiety situation they may or may not have felt prepared for or safe in. Stomach pain, fatigue are also common stress responses - and stress caused by life threatening situations, whether real or perceived, can produce some serious stress symptoms including abdominal pain, sweats, tachycardia, palpitations, sleeplessness, loss of appetite, etc ...Not saying that is it or discrediting the environmental concern -