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-Signs, Portents, and the Weather-
Texas Health Care Worker Tests Positive For Ebola
2014-10-12
[NPR] A health care worker at the Texas hospital who was treating the Ebola patient at Texas Health Presbyterian Hospital, has tested positive for the virus, according to a statement from the Department of State Health Services.

The worker reported a low fever Friday night and was referred for testing at the state public health laboratory in Austin. The preliminary result was released late Saturday.

Centers for Disease Control in Atlanta will perform further tests to confirm the diagnosis.

"We knew a second case could be a reality, and we've been preparing for this possibility," said Dr. David Lakey, commissioner of the Texas Department of State Health Services, in the statement. "We are broadening our team in Dallas and working with extreme diligence to prevent further spread."

Officials are identifying the patient's contacts and will monitor them based on the nature of their interactions with the patient. Ebola is spread through direct contact with bodily fluids, and is not contagious before patients show symptoms such as fever.

The worker helped care for Eric Duncan, the 42-year-old who contracted Ebola in Nigeria and flew to Texas on Sept. 20. He first developed symptoms on Sept. 24.

Duncan died at Presbyterian Hospital on Wednesday.
Posted by:Besoeker

#22  As an informed reporter (fortunate to be here writing this byline) with multiple excursions to ISO, I would like to add that it was rare to see the J-staff or roaming techs swap gowns between patients.
Posted by: Skidmark   2014-10-12 19:46  

#21  Hazmat team arrives at home of Dallas Ebola patient #2

DALLAS — Within hours after a test indicated that an employee at Texas Health Presbyterian Hospital had contracted the Ebola virus, Dallas officials knocked on doors, made automated phone calls and passed out fliers to notify people within a four-block radius of the health care worker's apartment complex about the situation, though they said there was no reason for neighbors to be concerned.

Dallas police officers stood guard outside the complex on Marquita Avenue Sunday and told people not to go inside. One said an industrial barrel outside contained hazardous waste taken from inside the building...By mid afternoon, a representative of CG Environmental spoke with reporters to say that a team of 15 hazardous materials workers would begin decontaminating the apartment of the hospital worker who fell ill.

The same company was contracted to disinfect the Dallas apartment where Thomas Eric Duncan, the nation's first Ebola patient, had stayed.
Posted by: Anguper Hupomosing9418    2014-10-12 15:59  

#20  Wearing those things for any amount of time or activity, especially in heat, is actually less fun than you think - knowing that it isn't much fun to begin with, especially as you increase your protection the more and more you end up inside a stiff ziplock bag.

Without training and a certain level of actual physical conditioning, people will get tired and make mistakes, especially under pressure.
Posted by: swksvolFF   2014-10-12 15:42  

#19  Improper removal of PPE is how that nurse in Spain got infected.
Posted by: OldSpook   2014-10-12 15:33  

#18  #9 Even if the protection gear is fully functional a simple mistake when removing contaminated protection is enough to cause an infection.

That is so true. Videotaping is a good idea to see where contamination is occurring. Some kind of decontamination/sterilization procedures may be required. The model used in the nuclear industry for PPEs, monitoring, decontamination, etc. is a good one. Get the damn pre-election politics out of this problem--they infest everything this administration does.
Posted by: JohnQC   2014-10-12 14:16  

#17  Muddled US standards for handling Ebola spreading FUD:

Public health is the purview of the states, and as the nation anticipates more Ebola cases, some experts say the way the United States handles public health is not up to the challenge.

"One of the things we have to understand is the federal, state and local public health relationships," says Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. "Public health is inherently a state issue. The state really is in charge of public health at the state and local level. It's a constitutional issue. "

Few seem to realize this.
Local, state & federal authorities assembled 30 Sept 2014 to create the Dallas Emergency Operations Center,
staffed by officials from Dallas County, the city of Dallas, the CDC, the county and state health departments and the Dallas County Sheriff's Department, among others.

This was the team that made decisions on matters such as isolating people who had been in direct contact with Duncan, including his fiancée, Louise Troh, her teenage son and two other male relatives. Because they were not sick, they couldn't technically be quarantined, Jenkins said Friday. Instead, Lakey issued a "control order" to keep them at home, where they could be monitored for signs of Ebola.


I have read countless examples from US history of contacts without symptoms being quarantined. Google "Typhoid Mary" Some of these cases required special court action &/or legislation, some did not. If Judge Jenkins is correct and there is no way to enforce a quarantine on asymptomatic Ebola contacts, the law needs to be changed NOW!
Posted by: Anguper Hupomosing9418    2014-10-12 13:36  

#16  ABC health editor questions CDC Ebola guidelines
ABC News chief health and medical editor Dr. Richard Besser recently returned from the Ebola hot zone in Liberia. He said Sunday morning that if the new Ebola case reported in Dallas is confirmed, it is a "very concerning" development....Besser said he does not agree with the Centers for Disease Control, which says any U.S. hospital can safely care for an Ebola patient.

"To do it safely, health care workers need to train and practice using protective equipment like they have been doing at the Emory and Nebraska facilities," he said, referring to special biocontainment units at Emory University Hospital in Atlanta — where Fort Worth physician Kent Brantly was treated for Ebola exposure; and the Nebraska Medical Center in Omaha, where an NBC photojournalist is currently being cared for. "I would never have gone into an Ebola ward in Africa without being dressed and decontaminated by experts — health care workers here should expect no less."
Posted by: Anguper Hupomosing9418    2014-10-12 13:24  

#15  Other news:
Texas Department of State Health Services commissioner Dr. David Lakey confirmed that the new Ebola patient in Dallas was not among the 48 individuals who were initially thought to have been at potential risk of contamination from that "index patient," Thomas Eric Duncan, who died last Wednesday.

Maybe it's time to revise the CDC protocol.
Posted by: Anguper Hupomosing9418    2014-10-12 13:19  

#14  As an added precaution, Texas Health Presbyterian will not provide emergency services; instead, ambulances will be sent to other hospitals.
Their ER is probably being scrubbed down BIG TIME. Cannot do that and continue to see patients!
Other news articles this morning on this issue state there might be some staffing problems at Texas Health Presbyterian -- ? multiple no-shows by health care workers ? resignations.
Posted by: Anguper Hupomosing9418    2014-10-12 13:09  

#13  OS would large hospitals have a decom chamber? A bleach shower deal?
Posted by: Shipman   2014-10-12 12:43  

#12  where's that dickhead Judge Clay Jenkins? Anybody check his temp lately?
Posted by: Frank G   2014-10-12 12:19  

#11  Er, should be who are now quarantined...
Posted by: KBK   2014-10-12 11:33  

#10  And the people Duncan lived with in close quarantine for several days? Any update? Bueller?
Posted by: KBK   2014-10-12 11:31  

#9  Even if the protection gear is fully functional a simple mistake when removing contaminated protection is enough to cause an infection.

Doesn't the hospital keep videotape of their personnel performing highly sensitive tasks?
If so they could objectively review their procedures.

Another question:
Why aren't all persons under special surveillance generally tested for Ebola at fixed intervals?

This could both provide an early warning and help assess the sensitivity of these tests in human subjects.
Also do we actually know that there's no silent form of Ebola in humans where humans are infected and nearly asymptomatic but somewhat contagious for a time?

It looks like the 'top men' are passing on an opportunity to get actual hard data.
Posted by: Elmerert Hupens2660   2014-10-12 11:30  

#8  And of course as we all know ( well those of us with 2 functioning brain cells to rub together) we can.t close the border or ban incoming flights since, like a forest fire building a wall doesn't contain it; you need to get in the middle and splash around a lot.
Posted by: USN, Ret.   2014-10-12 11:20  

#7  As an added precaution, Texas Health Presbyterian will not provide emergency services; instead, ambulances will be sent to other hospitals.
To assure the distribution, I assume?
Posted by: Skidmark   2014-10-12 10:52  

#6  The PPEs, i.e. respirators and protective masks have to be inspected, tested and certified on a regular basis to insure proper function. I wonder if the hospital was keeping up with this aspect of their safety/hygiene program.
Posted by: JohnQC   2014-10-12 10:38  

#5  Simmons? WtF autocorrect. SCIENCE, it should have said
Posted by: OldSpook   2014-10-12 10:34  

#4  Transmission in spite of mask, face shield, gloves and gown. This is a frightening development. Either the PPE was defective or insufficient, or this may demonstrate that this strain of Ebola has become airborne.

If they were using the cheap paper gowns, that might be a problem. I've seem two types, the thicker shiney side ones, and the cheap almost see thru paper ones. Also, did they mention a glove year or similar failure? If so then that's the likely vector. If not, then we should be reexamining the Simmons on how this spreads.
Posted by: OldSpook   2014-10-12 10:31  

#3  It is being reported that this health care worker did everything right according to precautions. I think the CDC is doing some "whistling in the graveyard."
Posted by: JohnQC   2014-10-12 10:16  

#2  
Posted by: Whulet Shavins7256   2014-10-12 10:07  

#1  
Posted by: badanov   2014-10-12 09:57  

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