Resilience

NEW YORK TIMES, 6 octobre 2014

New York Times décrit en détail comment ont retardé la réponse non-métropolitain désorganisé, demandes d'expédition des paiements de taxes et peut-être même politique, déchargement médical fournitures assis sur les quais en Sierra Lone.

Par Adam Nossiter

, Freetown, Sierra Leone--une expédition conteneur rempli de robes de protection, gants, civières, matelas et autres fournitures médicales nécessaires pour lutter contre la Sierra Leone qui explose l'épidémie d'Ebola a été... enfermé dans un conteneur bosselé au port depuis le 9 août.

< classe p = « contenu histoire histoire-corps de texte » données-para-count = « 211 » données-total-count = « 915 » > "nous sommes toujours juste dans l'espoir (!) — qui ressemble à la mendicité — que ce conteneur doit être effacé, « un fonctionnaire a écrit dans un e-mail frénétique à ses supérieurs, quelques semaines après le conteneur arrive.

à bien des égards, le retard reflète ce que certains dans les rangs de plus en plus international fonctionnaires versant dans cette nation pour lutter contre le virus Ebola décrivent en réponse à l'épidémie de gouvernement chaotique, désorganisé.

REUTERS                         Oct 3. 2014

By Julie Steenhuysen

CHICAGO (Reuters) - Nurses, the frontline care providers in U.S. hospitals, say they are untrained and unprepared to handle patients arriving in their hospital emergency departments infected with Ebola.

Many say they have gone to hospital managers, seeking training on how to best care for patients and protect themselves and their families from contracting the deadly disease....

The U.S. Centers for Disease Control and Prevention has repeatedly said that U.S. hospitals are prepared to handle such patients. Many infectious disease experts agree with that assessment.

... Texas Health Presbyterian Hospital in Dallas that is now caring for the first Ebola patient to be diagnosed in this country had completed Ebola training just before Thomas Eric Duncan arrived in their emergency department on Sept. 26. But despite being told that Duncan had recently traveled from Liberia, hospital staff failed to recognize the Ebola risk and sent him home, where he spent another two days becoming sicker and more infectious.

NEW YORK TIMES          Oct. 3, 2014

DALLAS TEX.      

On Thursday, the hospital, Texas Health Presbyterian Hospital in Dallas, released a statement essentially blaming a flaw in its electronic health records system for its decision to send the patient — Thomas E. Duncan, a Liberian national visiting his girlfriend and relatives in the United States — home the first time he visited its emergency room, Sept. 25. It said there were separate “workflows” for doctors and nurses in the records so the doctors did not receive the information that he had come from Africa.

But on Friday evening, the hospital effectively retracted that portion of its statement, saying that “there was no flaw” in its electronic health records system. The hospital said “the patient’s travel history was documented and available to the full care team in the electronic health record (E.H.R.), including within the physician’s workflow.”