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Purveyor

(29,876 posts)
Mon Oct 13, 2014, 01:21 PM Oct 2014

CDC: 'Relatively Large' Number Of Health Workers At Risk For Ebola

By Elise Viebeck - 10/13/14 12:37 PM EDT

The Centers for Disease Control (CDC) on Monday said it "would not be surprised" if other healthcare workers at a Dallas hospital are diagnosed with Ebola.

CDC Director Tom Frieden said he did not know how many workers might have been exposed to the virus, but estimated it was a "relatively large number."

"We’re concerned, and unfortunately would not be surprised if we did see additional cases in healthcare workers who also provided care to the index patient," Frieden said.

--clip
The CDC said it does not know how the nurse became exposed but is working to find out.

"If we knew there was a specific incident, like a needle stick, that would narrow it down. Since we don't know what the exposure was, we have to cast the net more widely," Frieden said.

more...

http://thehill.com/policy/healthcare/220565-cdc-more-nurses-might-have-ebola

23 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
CDC: 'Relatively Large' Number Of Health Workers At Risk For Ebola (Original Post) Purveyor Oct 2014 OP
This is bad B2G Oct 2014 #1
And I'm assuming we have a whole new set of HCW B2G Oct 2014 #2
Per updated CDC guidelines, they want number of people caring for Ebola patients kept to absolute LisaL Oct 2014 #3
Hospitals will not staff appropriately unless it is mandated that they do so Horse with no Name Oct 2014 #4
To make such a statement sounds like softening the blow Yo_Mama Oct 2014 #5
Mr. Duncan had a large number of people treating him, all wearing the same type of PPEs LisaL Oct 2014 #6
That's entirely logical, but it raises a huge question about the adequacy of the CDC-recommended Yo_Mama Oct 2014 #7
I don't think the protocols are adequate. LisaL Oct 2014 #8
It raises a number of questions SickOfTheOnePct Oct 2014 #9
CDC is looking into changing the protocol. LisaL Oct 2014 #11
So this guy is saying .. dixiegrrrrl Oct 2014 #14
Yeah, but not a pleasant tingle. n/t Yo_Mama Oct 2014 #18
This is very unsettling. City Lights Oct 2014 #10
Considering how they treated him in the emergency department, and how that infectious blanket uppityperson Oct 2014 #12
We know a nurse is infected and that nurse took lovuian Oct 2014 #13
and why are hospitals not using UV light for hand sensitization? dixiegrrrrl Oct 2014 #15
I've read that someone is only contagious when they are exhibiting symptoms Beaverhausen Oct 2014 #17
There may be a serious risk of U.S. health workers refusing to care MineralMan Oct 2014 #16
Assoicated Press got the records. LisaL Oct 2014 #19
Oh boy. nt City Lights Oct 2014 #20
I've been told there's nothing to worry about scarystuffyo Oct 2014 #21
Even CDC admits there could be more infected people among those health workers. LisaL Oct 2014 #22
sorry scarystuffyo Oct 2014 #23
 

B2G

(9,766 posts)
1. This is bad
Mon Oct 13, 2014, 01:24 PM
Oct 2014

HCWs will stop coming to work....and honestly, who can blame them?

Get the nurse to a BSL 4 today. Yesterday.

 

B2G

(9,766 posts)
2. And I'm assuming we have a whole new set of HCW
Mon Oct 13, 2014, 01:30 PM
Oct 2014

caring for Ms. Pham. Potentially exposing a large number more.

LisaL

(44,973 posts)
3. Per updated CDC guidelines, they want number of people caring for Ebola patients kept to absolute
Mon Oct 13, 2014, 01:35 PM
Oct 2014

minimum.

Yo_Mama

(8,303 posts)
5. To make such a statement sounds like softening the blow
Mon Oct 13, 2014, 01:48 PM
Oct 2014

they expect. What's going on?

So they're "rethinking" their strategy. They better rethink damned fast.
http://thehill.com/policy/healthcare/220565-cdc-more-nurses-might-have-ebola

In the meantime, the hospital ER is sort of open, but maybe not very well staffed?
http://www.breitbart.com/Breitbart-Texas/2014/10/12/Hosptial-Confuses-Public-Over-Ebola-ER-Shutdown

I found the link to the direct teleconference - scroll down on this page:
http://www.cdc.gov/media/releases/2014/a1013-ebola-reponse-update.html

LisaL

(44,973 posts)
6. Mr. Duncan had a large number of people treating him, all wearing the same type of PPEs
Mon Oct 13, 2014, 01:53 PM
Oct 2014

and following the same protocol. It only stands to reason more people could have been infected.

Yo_Mama

(8,303 posts)
7. That's entirely logical, but it raises a huge question about the adequacy of the CDC-recommended
Mon Oct 13, 2014, 02:13 PM
Oct 2014

protocols. Isn't that nice for the workers involved, and their families. Have an office party with Immodium AD set out in large bowls!

If CDC anticipates the possibility of further infections, are they imposing a work pause on affected staffers?

I wonder what the inpatients are thinking?

Maybe they'd better move the lady to a strong facility right now, because if the message is that if you get sick taking care of an Ebola patient, you're on your own when you have trouble breathing, I think absenteeism MIGHT BE A TAD HIGH.

LisaL

(44,973 posts)
8. I don't think the protocols are adequate.
Mon Oct 13, 2014, 02:21 PM
Oct 2014

They don't even call for full body suits like we have seen doctors/nurses wear in Africa (where doctors/nurses still get infected from time to time).
Especially when patients are close to death. At that time patients become very highly infectious because the virus in their system is very high.

I think guidelines should call for biosafety 4 level PPEs (such as full body suits, two pairs of gloves, shoe covers, head covers, etc).

SickOfTheOnePct

(7,290 posts)
9. It raises a number of questions
Mon Oct 13, 2014, 02:22 PM
Oct 2014

That need to addressed methodically, but quickly.

Were the CDC protocols adequate?
If adequate, did the hospital have everything they needed (equipment, clothing, etc.)
If the hospital had everything, did they train healthcare workers on proper use (putting it on, taking it off, etc)
If properly trained, did the nurse follow protocols to the letter?
If she didn't, was it because she didn't understand, forgot, etc?

LisaL

(44,973 posts)
11. CDC is looking into changing the protocol.
Mon Oct 13, 2014, 03:21 PM
Oct 2014

I personally think the current protocol is absolute bare minimum and not good enough for Ebola.

"Frieden said state and federal health officials are re-examining those protocols, including the removal of protective gear after contact with an Ebola patient and if it might be helpful to spray virus-killing solution on workers as they leave an isolation unit. He said Monday that the nurse is "clinically stable.""

http://www.cnn.com/2014/10/13/health/ebola-nurse-how-could-this-happen/index.html

dixiegrrrrl

(60,010 posts)
14. So this guy is saying ..
Mon Oct 13, 2014, 04:09 PM
Oct 2014

We don't know why the nurse (s) got contaminated
but
we are expecting MORE contamination.
but
we don't know why.

Makes my spidey senses tingle.

City Lights

(25,171 posts)
10. This is very unsettling.
Mon Oct 13, 2014, 03:15 PM
Oct 2014
Nearly 80 percent of registered nurses said their hospital has not explained their policies for admitting a potential Ebola patient in a new survey that the union released Monday.


uppityperson

(115,677 posts)
12. Considering how they treated him in the emergency department, and how that infectious blanket
Mon Oct 13, 2014, 03:32 PM
Oct 2014

sat on the bench for hours, it is surprising more haven't gotten sick.

Yes, they need to figure out better ways of containing this.

lovuian

(19,362 posts)
13. We know a nurse is infected and that nurse took
Mon Oct 13, 2014, 03:38 PM
Oct 2014

lunch breaks and rest room breaks....did those areas get cleaned properly and does good handwashing
stop the spread of Ebola? ......Other people use lunch rooms and rest rooms too

the hospital has a BIG PROBLEM

Beaverhausen

(24,470 posts)
17. I've read that someone is only contagious when they are exhibiting symptoms
Mon Oct 13, 2014, 04:32 PM
Oct 2014

Didn't she immediately get quarantined when her temperature went up?

MineralMan

(146,288 posts)
16. There may be a serious risk of U.S. health workers refusing to care
Mon Oct 13, 2014, 04:29 PM
Oct 2014

for Ebola patients in that case. Now, that's something to worry about. We can't force anyone to care for Ebola patients, so if there's an outbreak among healthcare workers, there might well be a problem finding workers who will take on the risk.

With luck, though, that situation will not come up.

LisaL

(44,973 posts)
19. Assoicated Press got the records.
Mon Oct 13, 2014, 07:32 PM
Oct 2014

70 people cared for Mr. Duncan.
That's a whole lot of possibly infected people.

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