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Dallas hospital learned its Ebola protocols while struggling to save mortally ill patient

DETAILED DESCRIPTION OF DALLAS HOPSITAL'S LEARNING ON THE FLY TO COPE WITH ITS FIRST EBOLA PATIENT.

THE WASHINGTON POST           Oct. 15, 2014
By Amy Ellis Nutt, Abby Phillip and Joel Achenbach

DALLAS — The hospital that treated Ebola victim Thomas Eric Duncan had to learn on the fly how to control the deadly virus, adding new layers of protective gearfor workers in what became a losing battle to keep the contagion from spreading, a top official with the Centers for Disease Control and Prevention said Tuesday.

“They kept adding more protective equipment as the patient [Duncan] deteriorated. They had masks first, then face shields, then the positive-pressure respirator. They added a second pair of gloves,” said Pierre Rollin, a CDC epidemiologist.

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Second Texas Health-Care Worker Tests Positive for Ebola

              

Officials work to decontaminate the apartment of the second healthcare worker diagnosed with Ebola.
(Photo: Maj. Max Geron, Dallas Police Department)

A second person involved in the care of Ebola patient Thomas Eric Duncan has contracted the disease. The news follows a scathing report by a nurses union that Texas Health Presbyterian Hospital had "no protocol" in place to care for Duncan.

usatoday.com - by Rick Jervis and Doug Stanglin - October 15, 2014

DALLAS — A second hospital worker who helped care for Ebola patient Thomas Eric Duncan has tested positive for the disease, prompting local officials to warn Wednesday that more cases "is a real possibility."

The unidentified health-care worker, who was described as a woman who lived alone without pets, reported a fever Tuesday and was immediately isolated at the Texas Health Presbyterian Hospital.

At an early morning news conference, Dallas County Judge Clay Jenkins said he could not rule out more cases among 75 other hospital staffers who cared for Duncan and were being monitored by the CDC.

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CDC Creates “Ebola Response Team” For New Cases

      

dfw.cbslocal.com - October 14, 2014

DALLAS (CBSDFW.COM) - Two weeks after the first Ebola diagnosis on American soil, the Centers for Disease Control Director Dr. Thomas Frieden says the organization should have sent a larger response team to insure the virus did not spread to anyone else.

Learning from past mistakes, the CDC has now established an “Ebola response team” that will travel to any place where Ebola is diagnosed, should there be another case identified in the country.  Such a team is now on the ground in Dallas, said Frieden.

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CDC Changes Ebola Care Guidelines for U.S. Hospitals After Dallas Case

      

Environmental-Cleaning Guys sprayed disinfectant Sunday outside the apartment complex on Marquita Street where the nurse who contracted Ebola lives. The hospital parking lot she uses and her car were also decontaminated, officials said.  Jim Tuttle/Staff Photographer

dallasnews.com - by Jeffrey Weiss - October 14, 2014

Ebola care instructions at a Dallas hospital and across the country were changed by federal officials on Monday — a tacit admission that training and procedures used for America’s first case of the disease had come up short.

The changes were prompted by the discovery that a nurse at Texas Health Presbyterian Hospital Dallas had become infected while treating Thomas Eric Duncan, the Liberian man who died of Ebola in the hospital last Wednesday.

The transmission of the deadly virus to the nurse “doesn’t change the fact that it’s possible to take care of Ebola safely. But it does change substantially how we approach it,” said Dr. Tom Frieden, director of the Centers for Disease Control and Prevention. “We have to rethink the way we address Ebola infection control, because even a single infection is unacceptable.”

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The reassuring news in the Texas Ebola cases

WASHINGTON POST

By Todd C. Frankel                         October 14

....The Dallas nurse, 26-year old Nina Pham,who helped treat Thomas Eric Duncan, the Liberian man who was the first person diagnosed with the dreaded disease in the United States became the first – and so far only – person infected by Duncan. In the wake of her infection, U.S. health officials have pledged to review how future Ebola cases are handled.

But the case is also noteworthy for another, potentially positive reason: Nearly 50 people were exposed to Ebola before the nurse, and none of them has been diagnosed with the disease.

This group of neighbors, family members and first responders are being watched carefully by health authorities. They had some degree of close contact with Duncan during the four-day period when he was contagious – from when he started showing Ebola symptoms on Sept. 24 to when the hospital finally admitted him on Sept. 28. They didn’t take any Ebola-specific precautions. They didn’t know he was infected.... Yet, so far, they have not gotten sick. And their 21-day Ebola incubation period started before Pham’s.

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Ebola outbreak threatens peace, security, WHO chief says

GENEVA — The Ebola outbreak in West Africa is “unquestionably the most severe acute public health emergency in modern times,” Dr. Margaret Chan, the director general of the World Health Organization, said Monday.

Chan, who dealt with the 2009 avian flu pandemic and the SARS outbreaks of 2002-03, said the Ebola outbreak had progressed from a public health crisis to “a crisis for international peace and security.”

“I have never seen a health event threaten the very survival of societies and governments in already very poor countries,” she said in a statement delivered on her behalf to a conference in Manila, Philippines, and released by her office in Geneva. “I have never seen an infectious disease contribute so strongly to potential state failure.”

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Tweets About Ebola - NowTrending.HHS.gov

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Family Identifies Ebola Patient

wfaa.com - by marjorie Owens - October 13, 2014

DALLAS — A Dallas nurse diagnosed with the Ebola virus over the weekend is a former Texas Christian University student identified by a family member as 26-year-old Nina Pham.

The family reached out to News 8 Monday morning and shared an image of the nurse who grew up in Fort Worth.

A health care worker at Texas Health Presbyterian Hospital Dallas, Pham became infected while treating Thomas Eric Duncan, who died from the virus days before the nurse's diagnosis.

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Ebola Vaccine Would Likely Have Been Found By Now If Not For Budget Cuts: NIH Director

HUFFINGTON POST

By Sam Stein                                                              Updated Oct. 13 ,2014

BETHESDA, Md. -- As the federal government frantically works to combat the Ebola outbreak in West Africa, and as it responds to a second diagnosis of the disease at home, one of the country's top health officials says a vaccine likely would have already been discovered were it not for budget cuts.

Dr. Francis Collins, the head of the National Institutes of Health, said that a decade of stagnant spending has "slowed down" research on all items, including vaccinations for infectious diseases. As a result, he said, the international community has been left playing catch-up on a potentially avoidable humanitarian catastrophe.

"NIH has been working on Ebola vaccines since 2001. It's not like we suddenly woke up and thought, 'Oh my gosh, we should have something ready here,'" Collins told The Huffington Post on Friday. "Frankly, if we had not gone through our 10-year slide in research support, we probably would have had a vaccine in time for this that would've gone through clinical trials and would have been ready."

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