Second Ebola Infected Nurse is Being Flown to Emory Today.

[RiffRandell]

Just heard this on MSNBC. Good.

They are far better equipped to handle Ebola than Texas Health Presbyterian, but Emory can't be the only hospital we rely on.

No link yet.

[joeglow3]

1. They haven't been. UNMC is equipped and did just fine with an ebola patient.

[RiffRandell]

30. Yeah, so that's 2 plus the ones who handled the potential

cases that were negative.

I'm not panicking, but it would be helpful to know which ones are/aren't.

[Baitball Blogger]

7. Because of that boneheaded move, I bet they will change rules at TSA.

People who are in contact of an Ebola patient within 21 days should probably not fly. Or, at least this information needs to be communicated.

[In_The_Wind]

13. Now the incubation time is known to be as long as 42 days.

http://www.topworldheadlines.com/2014/10/unexpected-42-days-ebola-incubation.html

[In_The_Wind]

19. Indeed ...

This may be the single most important -- and blatantly honest -- research report released by any official body since the beginning of the Ebola outbreak. The WHO's "Ebola situation assessment" report, found here, explains that only 95% of Ebola infections experience incubation within the widely-reported 21-day period. Here's the actual language from the report:

95% of confirmed cases have an incubation period in the range of 1 to 21 days; 98% have an incubation period that falls within the 1 to 42 day interval.

Unless the sentence structure is somehow misleading, this passage appears to indicate the following:

• 95% of Ebola incubations occur from 1 - 21 days
• 3% of Ebola incubations occur from 21 - 42 days
• 2% of Ebola incubations are not explained (why?)

If this interpretation of the WHO's statistics are correct, it would mean that:

• 1 in 20 Ebola infections may result in incubations lasting significantly longer than 21 days

• The 21-day quarantine currently being enforced by the CDC is entirely insufficient to halt an outbreak

• People who are released from observation or self-quarantine after 21 days may still become full-blown Ebola patients in the subsequent three weeks, even if they have shown no symptoms of infection during the first 21 days. (Yes, read that again...)

Any declaration that an outbreak is over requires 42 days with no new infections

[840high]

29. Thank you for this.

[In_The_Wind]

39. You're welcome.

I have always been a news junkie. Now, I tape the news and fast forward through stuff that doesn't interest me.

[HereSince1628]

47. 2% can't be determined...why? Because the patient can't be connected to a specific exposure

You can look at that in several ways, a person could have multiple exposures and no one knows which one should be the reference to prepatency, or a person may not be able to be connected to a known exposure.

[In_The_Wind]

51. The unknown is scary stuff. How can new Ebola cases be stopped in the 2%?

[HereSince1628]

52. Really, that 2% may not be different than any others...

It's certainly a matter of the requirements for counting days from an exposure, you have to have a known starting date.

If that isn't known, for any reason, that person is going to show up in the dataset as a prepatent period of unknown duration.

[In_The_Wind]

53. That explanation sounds a whole lot better than simply Unknown.

[RiffRandell]

8. No kidding...wtf?

They had former SG Richard Carmona on saying pretty much that.

She may have been told, but now the CDC is going to make certain that anyone being monitored will not fly.

What a freaking mess.

[LisaL]

10. She wasn't supposed to have been flying commercial airline.

But apparently nobody is checking to see if Mr. Duncan's contacts are traveling all over the place?

[Ms. Toad]

45. Yeah...listening to a local press conference now

because she decided to visit my county and everyone is freaking out.

[City Lights]

3. Good. nt

[ecstatic]

4. Good. THP has failed miserably.

[B2G]

5. About fucking time

Presbyterian isn't prepared and isn't going to be able to staff for any more patients.

Get Pham out of there while you're at it.

[TwilightGardener]

6. Good--TX Presbyterian is a clusterfuck.

[KeepItReal]

33. How can that be when their CEO made over $5.7 million a year?

https://www.google.com/fusiontables/DataSource?dsrcid=1345377#rows:id=1

Check out Douglass Hawthorne, CEO of Texas Health Resources, Inc. (parent non-profit company for the hospital).

[deutsey]

41. It's mind boggling...

...allegations of the nurses on what actually happened in the days when Thomas Eric Duncan was at the Texas hospital. They talk about the fact that he came in an ambulance—this is the second time he had come to the hospital—with his family saying that they believed he had Ebola, and yet he was kept for hours in the emergency room among other patients, not isolated immediately. And even when a nurse supervisor complained and said he has to be put in isolation, that there was resistance from her supervisors to that. They talk about hospital supervisors coming in and out of the isolation unit without proper protection. They mention that the specimens for Mr. Duncan were sent through the tube system of the hospital to the labs, rather than being properly sealed and delivered, hand-delivered to the lab, which could possibly contaminate the entire tube system of the hospital. And also, what you mentioned about training, they say that the only training that was offered to them prior to this was a voluntary training, not even a required training, and it was largely just a seminar like any other seminar that they’re given at the hospital.

http://www.democracynow.org/2014/10/15/as_second_dallas_nurse_diagnosed_with

[LisaL]

9. Closing the barn doors after the horse is already gone?

The genie is out of the bottle?
How many of those infected nurses are running around the country now?

[morningfog]

21. There are two showing symptoms, and they are each isolated.

There are 74 checking their temps twice daily. No one, other than those now treating the two, are at risk of infection from these 76. No matter where they are around the country.

[LisaL]

23. One of those two flew to another state just before showing in the hospital with symptoms.

How do you know what the other 74 are doing?
They could be running around all over the place, if this one was traveling commercial airline.
I have no confidence whatsoever other 74 stayed put.

[morningfog]

24. And she was not infectious at that time. No one was infected by that travel.

[LisaL]

25. There you are, making statements you can not possibly have any evidence for.

[morningfog]

27. There you are sowing idiotic fear. You think you would have learned by now.

[LisaL]

28. Aren't you the one who claimed nobody got infected by Mr. Duncan?

Or am I confusing you with somebody else, equally clueless?

[boston bean]

49. Am I wrong or are they have 4 others on a real tight watch

for fear they have been infected.

I thought I saw that in the scroll on CNN.

[Ms. Toad]

46. That is not consistent with the information from the CDC.

The second Dallas health care worker who was found to have the Ebola virus should not have boarded a commercial jet Monday, health officials say.

Because she had helped care for Ebola patient Thomas Eric Duncan, and because another health worker who cared for Duncan had been diagnosed with Ebola, the worker was not allowed to travel on a commercial plane with other people, said Dr. Tom Frieden, director of the Centers for Disease Control and Prevention.

The worker had a temperature of 99.5 Fahrenheit (37.5 Celsius) before she boarded her flight, he added.

Health care workers who had been exposed to Duncan were undergoing self-monitoring. They were allowed to travel but not on a commercial plane with other people, Frieden said.

Moving forward, the CDC will ensure that no one else in such a situation travels outside of a closed environment, he said.

http://www.cnn.com/2014/10/15/health/texas-ebola-outbreak/index.html

Fever = contagious.

[HereSince1628]

54. Well, I certainly don't want them to give up in frustration.

The hospital in Texas is quickly becoming a manual on how NOT to deal with an emerging deadly infectious pathogen.

But, I don't want people in charge to stick to beliefs that subsequently are clearly flawed.

Officials in positions of responsibility have to assess what contributed to bad outcomes and adapt to reduce preventable risks in light of what they learn.

[adigal]

11. And this nurse flew the day before being diagnosed

I think we should stop all flights in and out of Texas. Maybe put a fence around it too. </snark on the fence part>

[LisaL]

18. Add OH to that list.

Considering she flew from OH to TX.
And GA.
Since they are moving her there.
And who knows what other states, since these infected people are apparently free to travel where the please.

[morningfog]

26. LOL.

You have no idea what you are talking about. Why do you so desperately want to spread unfounded fear? There is no public outbreak.

[LisaL]

31. You are clueless.

She already had fever on the plane. So she was already symptomatic.

"DALLAS -- There are now two Dallas nurses being treated for the Ebola virus, and News 8 has learned that the second patient flew on an airplane Monday with a low-grade fever of 99.5 degrees."

http://www.wfaa.com/story/news/health/2014/10/15/second-dallas-hospital-worker-diagnosed-ebola/17290677/

[RiffRandell]

32. I just heard that. Unbelieveable.

Apparently, you couldn't fly if your temp was 100.4 or higher.

Now it's been lowered to 100.

[LisaL]

34. For known contacts of Ebola patients, she shouldn't have been flying at all.

The she flew with a fever is mind boggling.

[RiffRandell]

35. Oh, I agree.

I wonder if she told the person who took her temp?

[morningfog]

38. And I promise you, no one on that plane was infected by her.

You should really educate yourself on how the virus works.

Remember, there were people living in the same home with Duncan for 4 days while he had a fever. Not one of them have yet to show symptoms and it is unlikely any of them will.

It is not airborne and it is not easy to catch when caught early.

[LisaL]

40. You can not possibly promise me something that you haven't got a faintest clue about.

[morningfog]

42. I absolutely assure you.

[LisaL]

43. Your assurances are worth nothing to me.

[morningfog]

44. I guarantee it.

[Ms. Toad]

50. It is unlikely that anyone was infected,

because of the means of transmission. But the nurse did have a low grade fever before she boarded the plane. Once you have a fever you are infectious.

Patients who have Ebola typically become contagious only when their fever symptoms begin, according to National Institute of Allergy and Infectious Diseases head Dr. Anthony Fauci. “Almost invariably, fever is the thing that signals the onset,” Fauci said last week.

http://dailycaller.com/2014/10/13/report-not-all-ebola-patients-will-display-a-fever/

[LisaL]

55. She shouldn't have been flying at all, while she was being monitored as Mr. Duncan's contact.

Let alone with a fever.

[Ms. Toad]

57. I agree completely.

I'm just countering the person who insists that she was absolutely not contagious when she flew.

While the risk is extremely low, it is not non-zero. The risk is too serious to pretend there was NO risk. That rationale would encourage anyone who was on that flight, who starts running a low grade fever 18 days from now, to say it can't be ebola because there was NO risk of contagion.

While panic is not helpful, it is even more unhelpful for a person to ignore symptoms 18 days from now, or write it off as the flu, because they have been told (1) she had no symptoms and (2) she could not possibly have been infectious during the flight.

[LisaL]

61. She was already symptomatic.

Fever is a symptom. CDC knows that full well.
So she could very well have been contagious.

[jwirr]

12. I think Emory is one of the 4 units in the states that are equipped for this severe a problem.

[amandabeech]

36. There's one here in Maryland. I believe that it is Bethesda Naval Hospital, which is literally

across the street from NIH. The other possibilities here would be Walter Reed, Univ. of Maryland or Johns Hopkins up in Baltimore.

University of Nebraska has three patients, and I believe there's another in Montana that was originally set up for Rocky Mountain Spotted Fever.

[Little Star]

14. It's about time they started doing this. Not all hospitals are equal....

especially when it comes to Ebola.

Seems there are only four hospitals in the US equipped to handle Ebola, the National Institutes of Health in Maryland, Emory University Hospital in Atlanta, the University of Nebraska Medical Center, and St. Patrick Hospital in Montana.

[kestrel91316]

15. Emory, Nebraska somewhere, and two others have the biosafety units set up for

UNKNOWN infectious diseases, the most dangerous kind.

The fallout from this clusterfuck could be huge, though. CDC needs to be picking several other top tier hospitals with infectious disease competence for extra training and special equipment. Because we're gonna need a bigger boat.

[LisaL]

22. Could be?

It already is.
The woman who was supposed to have been monitored instead flew commercial airline to another state and back.
The day before she showed up in the hospital with fever.

[Earth_First]

17. Perhaps she could get a sight-seeing tour while she's in town...

Take in some cultural highlights, a sporting event or maybe a children's museum.

There's a plenty to do while visiting Atlanta!

[LisaL]

20. Yep.

Sounds like fun.

[mfcorey1]

37. Finally! Something makes sense!

[Lurker Deluxe]

56. I see no info on this

And their website says they are flying nurses FROM Emery to Dallas to assist.


http://www.emoryhealthcare.org/

[City Lights]

58. First item from your link:

Dallas patient with Ebola virus disease will be transferred to Emory University Hospital

Woodruff Health Sciences Center | Oct. 15, 2014

Emory University Hospital anticipates the transfer of a patient from Texas Health Presbyterian Hospital in Dallas later today. The patient is the second of two health care workers infected while caring for a patient at the Dallas hospital.

The Centers for Disease Control and Prevention (CDC) and Texas Health Resources specifically requested that the patient be transferred to Emory Healthcare.

The patient will be treated in the same isolation unit at Emory University Hospital in which three patients have already been treated. The first two patients were discharged in late August and a third patient is still being treated.

Emory is bound by patient confidentiality and has no additional information regarding this patient.

http://news.emory.edu/stories/2014/10/ehc_ebola_patient_from_texas_health_presbyterian/campus.html

[kestrel91316]

59. Has Dr. Brantly donated plasma for HER yet?

I love that guy. He's freaking SUPERMAN!

[LisaL]

60. Quite possibly he isn't a match for her.

He wasn't for Mr. Duncan.