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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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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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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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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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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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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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Dallas Hospital says software flaw led to initial release of Ebola patent

Update with additional information and text of the hospital statement  (scroll down).

 

5 NBC News Chicago

 Oct 3, 2014 • Updated at 7:53 AM CDT

The Dallas Hospital that sent Ebola patient Thomas Eric Duncan home said a software flaw, and not human error, caused doctors to miss the diagnosis, NBC News is reporting.

The electronic health records (EHR) system that the hospital uses has a separate workflow for physicians and nurses. The travel history of the patient was located in the nursing portion of the workflow within the EHR, but not in the physician's workflow.

“As result of this discovery, Texas Health Dallas has relocated the travel history documentation to a portion of the EHR that is part of both workflows," the hospital said.

Link to story

Source: http://www.nbcbayarea.com/news/national-international/Texas-Hospital-Software-Blame-Ebola-Patients-Misdiagnosis-277988141.html#ixzz3F5cyR89B

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