Dallas Hospital Alters Account, Raising Questions on Ebola Case

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.”

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Why We Won't Have An Ebola Cure Or Vaccine For Years

UPDATE with comments from interviw with CDC Director Tom Frieden.   Scroll below.

 

huffingtonpost.com - October 2nd, 2014 - Jeffery Young

The world has known about Ebola for almost 40 years, yet there's no cure or vaccine on the market.

That could change amid worldwide attention to the ongoing outbreak of the virus in West Africa, which has claimed more than 3,000 lives already, and the first diagnosis of a patient with the disease in the United States. But not for a few more years -- at least.

(VIEW COMPLETE ARTICLE)

 

Update: Comments by CDC Director on Sunday TV interview

http://www.nbcnews.com/storyline/ebola-virus-outbreak/cdc-director-tom-frieden-ebola-drug-pipeline-will-be-slow-n218666


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Are Hospitals Prepared for Ebola?

cnn.com - October 1, 2014

CNN's Jake Tapper speaks to Gavin Macgregor-Skinner and Jeffery Stern. With the first Ebola diagnosis in the U.S., is the country prepared to handle a potential outbreak?

http://thelead.blogs.cnn.com/2014/10/01/only-four-u-s-hospitals-prepared-for-outbreak/

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Sequence for Putting On and Removing Personal Protective Equipment (PPE)

                                   CLICK ON THE IMAGES BELOW - TO ENLARGE (2 page .PDF file)

      

      

http://www.cdc.gov/vhf/ebola/pdf/ppe-poster.pdf

http://www.cdc.gov/vhf/ebola/resources/factsheets.html

 

     

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Germany received second Ebola patient

BBC            October 3, 2014

A hospital in the German city of Frankfurt-on-Main has taken in an Ebola patient after he was flown in during the night under tight security.

He is a Ugandan doctor who worked with Ebola patients in Sierra Leone. After arriving on a medical flight, the man was brought to Frankfurt University Hospital where he was placed in an isolation ward.

It is Germany's second case, with a man undergoing treatment in Hamburg after arriving from West Africa in August.

The Frankfurt hospital said the patient's arrival had gone well.

Hesse Minister of Social Affairs Stefan Gruettner said the patient had been working for an Italian aid organisation in Sierra Leone and had helped Ebola sufferers there before becoming infected himself.

Full Story
http://www.bbc.com/news/world-europe-29473623

Medical staff in protective equipment attend the arrival of the Ebola patient at Frankfurt University Hospital

 

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Texas Ebola Watch Eyes 50 People, 10 at 'High Risk'

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Ebola Victim's Air Journey shows weak spots in screening.

NEW YORK TIMES              October 3, 2014

MONROVIA, Liberia — The arrival in the United States of a Liberian man infected with the Ebola virus shows how difficult it is to control or restrict the disease from spreading, and how porous current procedures are in a world of globalized air travel.

Liberian officials said on Thursday that they planned to prosecute the passenger, Thomas E. Duncan, for lying on an airport questionnaire about not having contact with a person infected with Ebola before his travel — a pivotal part of the country’s screening process.

Mr. Duncan took three planes as he flew from Monrovia, the Liberian capital, to Dallas last month, connecting in Brussels and Washington.

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Why I'll risk my life for Ebola patients

Hundreds of foreign aid workers are in West Africa treating people with Ebola. One of them is Cokie van der Velde who has just flown from the UK to Liberia. She explains why she has left the safety of her home to face the deadly virus.

I was first in Liberia five weeks ago and I believe the situation is now much worse. Back then, our treatment centres had already run out of room and we were starting to put people in corridors.

In the centre, people groan and cry out - the smell of blood, diarrhoea and vomit is awful - unfortunately there is also a very pervading smell of dead bodies.

I can only leave it to your imagination to understand what a pile of bodies smells like after a week in very hot, moist surroundings - it makes you feel sick quite a lot of the time.

http://www.bbc.com/news/magazine-29245149

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NHS staff are being asked to volunteer to fight Ebola outbreak

 A World Health Organization worker trains nurses to use Ebola protective gear in Freetown, Sierra Leone, where the spread of Ebola is accelerating Photo: Michael Duff/APBy Rebecca Smith - 22 Sep 2014 - telegraph.co.uk

Medical leaders have appealed for NHS doctors, nurses and paramedics to volunteer to treat Ebola victims in Sierra Leone.

A letter signed by the four most senior NHS medical officers directly asks for volunteers to staff a new hospital.

British military experts working alongside charities are setting up a 12-bed unit to treat infected healthcare workers and an additional 50 bed unit for ordinary citizens infected with the deadly virus.

http://www.telegraph.co.uk/news/worldnews/ebola/11110090/NHS-staff-are-being-asked-to-volunteer-to-fight-Ebola-outbreak.html

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How a Winnipeg lab became an Ebola research powerhouse

Researchers with the National Microbiology Laboratory in Winnipeg say they are optimistic that a tool to combat the Ebola virus may be on the horizon. (John Woods/Canadian Press) By Helen Branswell - The Canadian Press - Sep 21, 2014

Winnipeg is half a world away from the countries in Africa where Ebola, and its viral cousin, Marburg, occasionally slip out of their animal reservoir to start infecting and killing people, as Ebola is now doing in West Africa.

The current outbreak has infected at least 5,335 people and killed at least 2,622. To date, there has never been a case of either viral hemorrhagic fever infections within Canadian borders.

So why then is Canada's national lab an Ebola research powerhouse? Why is a facility on the edge of the Prairies, near North America's longitudinal centre, the site from whence some of the most promising Ebola research emanates?

http://www.cbc.ca/news/canada/manitoba/how-a-winnipeg-lab-became-an-ebola-research-powerhouse-1.2773397

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MSF chief: World losing battle with Ebola now

 

rt.com - Sep 22, 2014

While the world is preoccupied with Islamic State or political games around Ukraine, there’s another threat emerging from the West Africa - where people are dying by hundreds, reaped by the deadliest Ebola epidemic to be ever known to mankind. Efforts to contain it end in a failure, and the vaccine is nonexistent yet. Are we seeing another pandemic slowly growing up to strike at mankind? What should be done to stop it? What does it mean to be a doctor in a place where death reigns? We try to find out this together with the head of the Médecins Sans Frontières - Doctors Without Borders. Dr. Joanne Liu is on Sophie&Co today.

http://rt.com/shows/sophieco/189516-west-africa-ebola-threat/

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Why Raising Money To Fight Ebola Is Hard

  Medical workers in Monrovia, Liberia, put on their protective suits before treating Ebola patients Dominique Faget/AFP/Getty ImagesBy Zoe Chace - Sep 22, 2014 - npr.org

The response to the 2010 earthquake in Haiti was massive: Billions of dollars in donations poured in.

"It had everything," says Joel Charny, who works with InterAction, a group that coordinates disaster relief. "It had this element of being an act of God in one of the poorest countries on the planet that's very close to the United States. ... And the global public just mobilized tremendously."

People haven't responded to the Ebola outbreak in the same way; it just hasn't led to that kind of philanthropic response.

From the point of view of philanthropy, the Ebola outbreak is the opposite of the Haiti earthquake. It's far from the U.S. It's hard to understand. The outbreak emerged over a period of months — not in one dramatic moment — and it wasn't initially clear how bad it was.

http://www.npr.org/blogs/money/2014/09/22/349962559/why-raising-money-to-fight-ebola-is-hard

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Doctor Recovering From Ebola Got Experimental Tekmira Drug

 

nbcnews.com

A medical missionary recovering from Ebola infection in Nebraska was given an experimental drug made by a Canadian company, his doctors said Monday. They’d already said that Dr. Rick Sacra got transfusions of serum from recovered Ebola patient Dr. Kent Brantly. They also had revealed that he got a weeklong treatment course of an experimental drug but had not said what drug it was.

http://www.nbcnews.com/storyline/ebola-virus-outbreak/doctor-recovering-ebola-got-experimental-tekmira-drug-n209191

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An Ebola treatment center

SOURCE: Doctors Without Borders, CDC, World Health Organization.By Patterson Clark - Sept. 22, 2014 - washingtonpost.com

The 10 Ebola treatment centers in West Africa are based on a design of three wards, which help separate patients suspected of having the disease from those with a confirmed diagnosis. Because there are not nearly enough such treatment centers, Liberia and the World Health Organization plan to set up much scaled-down versions, called community care centers, which will provide only rudimentary care. The community care centers would separate suspected and confirmed cases.

http://apps.washingtonpost.com/g/page/national/an-ebola-treatment-center/1333/

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The Liberian Church Stopping Ebola With Gospel and Chlorine

 Dr. Mosoka Fallah, an epidemiologist and immunologist, speaks with residents during a neighborhood Ebola training session in Monrovia, Liberia, Aug. 30, 2014. Daniel Berehulak—The New York Times/Redux Aryn Baker - Sept. 22, 2014 - time.com

The Free Pentecostal Global Mission Church in the Chickensoup Factory district of Monrovia uses the pulpit to teach about the deadly virus, one sermon at a time

“Lord,” shouts the Reverend Joseph T.S. Menjor into a microphone. “We are tired of this situation. We are calling on you to cast this abomination from our country. Jesus, we want our land to be free of Ebola. Cast out this disease!”

The pastor is leading his people in prayer, but it is not a moment of quiet reflection. No, his congregation is on its feet, swaying to a gospel hymn, eyes closed and hands raised in supplication. At Menjor’s call, the 600 or so congregants of the Free Pentecostal Global Mission Church in the Chickensoup Factory district of Monrovia, Liberia chant a chorus of amens and launch into a cacophony of individual prayers, symbolically casting the evil of Ebola to the ground with repeated downward thrusts of their hands.

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