Emergency Management

Hospitals Improvise Ebola Defenses, at a Cost

ASSOCIATED PRESS                                                                                         Nov. 18, 2014

By David Caruso

NEW YORK ---What does it take to Ebola-proof a hospital?

Over the past few months, U.S. medical centers have spent millions of dollars putting together a plan to treat patients with the scary, but extremely rare disease.

To a large extent, it has been an exercise in improvisation.

A medical worker stands outside a patient care room in a new custom-built bio-containment unit for potential Ebola cases at Mount Sinai Hospital, in New York. The unit, built over two weeks, is completely separate from the main medical buildings and can house three patients simultaneously. (AP Photo/John Minchillo

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U.S. was ill-equipped to handle Ebola rescues, State Dept. contract reveals

      

For now, the world has to rely on a small, Georgia-based flight company for Ebola evacuations. (AP)

Life-saving gear needed to fly sick patients was in storage as epidemic grew

news.yahoo.com - by Jason Sickles - November 11, 2014

The air ambulance operation tasked with rescuing U.S. Ebola victims from West Africa was initially slowed by bureaucratic bungling and is now at risk of being overburdened as thousands of American troops deploy to fight the deadly disease.

Yahoo News has learned the U.S. government spent millions last decade to develop and build two of the world’s only isolation chambers for flying contagious patients — but as the epidemic raged in West Africa this summer and American aid workers there needed evacuating, the medical inventions were packed away in a small-town Georgia warehouse.

The troubling lack of preparedness by federal agencies forced the State Department to put up $4.9 million as part of a rushed contract to employ a commercial aviator to safely evacuate Ebola-infected Americans from West Africa.

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No Time for a Learning Curve: Nigeria’s Crucial Success against Ebola


AFRICA CENTER FOR STRATEGIC STUDIES, Washington D.C.                        Nov. 12, 2014

Summary of lessons learned from Nigeria and Uganda in containing outbreaks of Ebola

“If a country like Nigeria, hampered by serious security problems, can do this – that is, make significant progress towards interrupting polio transmission, eradicate guinea-worm disease and contain Ebola, all at the same time,” said WHO Director-General Margaret Chan, “any country in the world experiencing an imported case can hold onward transmission to just a handful of cases....”

"Numerous African states have identified and refined the best ways of containing the disease."

Read complete report

http://africacenter.org/2014/11/no-time-for-a-learning-curve-nigerias-crucial-success-against-ebola/?utm_source=November+14++2014+EN&utm_campaign=11%2F14%2F2014&utm_medium=email

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7 Key Insights in Using ICT to Improve Ebola Response

Image: A billboard that reads 'Stop the Ebola Virus'

Image: A billboard that reads 'Stop the Ebola Virus'

ictworks.org - October 31st 2014 - Wayan Vota

Yesterday, we had the 85th Technology Salon in Washington, DC, this one focused on How Can ICTs Improve Our Ebola Response? Be sure to sign up to get invited to our next event.

In the lively morning-long discussion with 35 key thought leaders and decision makers from across the technology and development sectors, we came to several interesting conclusions.

(VIEW COMPLETE ARTICLE)

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Statement by RN’s at Texas Health Presbyterian Hospital as provided to National Nurses United

Logo that states 'Statement from the Nurses at Texas Health Presbyterian Hospital Dallas'

Image: Logo that states 'Statement from the Nurses at Texas Health Presbyterian Hospital Dallas'

nationalnursesunited.org - October 15th, 2014

This is an inside story from some registered nurses at Texas Health Presbyterian Hospital in Dallas who have familiarity with what occurred at the hospital following the positive Ebola infection of first the late Thomas Eric Duncan and then a registered nurse who cared for him Nina Pham.

The RNs contacted National Nurses United out of frustration with a lack of training and preparation. They are choosing to remain anonymous out of fear of retaliation.

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CDC Develops Ebola Modeling Tool While WHO Trains Health Workers

HOMELAND SECURITY TODAY               Oct. 9, 2014

 By Kylie Bull, Managing Editor

The Centers for Disease Control and Prevention (CDC) has developed a dynamic modeling tool called Ebola Response that allows for estimations of projected cases over time in Liberia and Sierra Leone.

 The Ebola Response modeling tool can construct scenarios to illustrate how control and prevention interventions can slow and eventually stop the Ebola epidemic. Importantly, it can help public health and other planners make more informed decisions about emergency response resources to help bring the outbreak under control. The new tool allows input of data reflective of the current situation on the ground in affected countries and communities.

 The Ebola Response modeling tool is intended to help local governments and international responders generate short-term estimates of the Ebola situations in countries, districts and villages. The tool, in the form of a Microsoft Excel spreadsheet, is to be made freely available online.

Meanwhile, in Liberia, the World Health Organization (WHO) has established a new training program for health workers on Ebola care.

 Read full story

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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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U.S. Hospitals Unprepared to Handle Ebola waste, Experts Say

      

As Emory was treating two US missionaries who were evacuated from West Africa in August, their waste hauler, Stericycle, initially refused to handle it. Photograph: Michael Duff/AP

REUTERS      September 24, 2014

CHICAGO (Reuters) - U.S. hospitals may be unprepared to safely dispose of the infectious waste generated by any Ebola virus disease patient to arrive unannounced in the country, potentially putting the wider community at risk, biosafety experts said.

Waste management companies are refusing to haul away the soiled sheets and virus-spattered protective gear associated with treating the disease, citing federal guidelines that require Ebola-related waste to be handled in special packaging by people with hazardous materials training, infectious disease and biosafety experts told Reuters.

...

Dr. Gavin Macgregor-Skinner, an expert on public health preparedness at Pennsylvania State University, said there's "no way in the world" that U.S. hospitals are ready to treat patients with highly infectious diseases like Ebola.

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CDC RELEASES ESTIMATES OF EBOLA CASES, COULD REACH 1.4 MILLION

 

New York Times

CDC  releases report on worst and best case estimates for Ebola cases. 

Estimates cover Liberia and Sierra Leone, based on computer modeling. Guinea not included because data  "cannot be reliably modeled."

Best case-model, which assures the dead are buried safely and 70 per cent of the patients are treated in settings that reduce the risk of transmission, suggest the epidemic could almost be ended by Jan. 20.

http://www.nytimes.com/2014/09/24/health/ebola-cases-could-reach-14-million-in-4-months-cdc-estimates.html?emc=edit_na_20140923&nlid=12644555&_r=0

 

LINK TO THE CDC REPORT TEXT

http://apps.washingtonpost.com/g/page/national/ebola-cases-could-skyrocket-by-2015-says-cdc/1337/

CDC RELEASES ESTIMATES OF EBOLA CASES, COULD REACH 1.4 MILLION
http://www.cdc.gov/mmwr/preview/mmwrhtml/su6303a1.htm?s_cid=su6303a1_w

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Obama: U.S. military to provide equipment, resources to battle Ebola epidemic in Africa

- Sep 7 - The Washington Post

President Obama said Sunday that the U.S. military will begin aiding what has been a chaotic and ineffective response to the Ebola epidemic in West Africa, arguing that it represents a serious national security concern.

The move significantly ramps up the U.S. response and comes as the already strained military is likely to be called upon further to address militant threats in the Middle East. The decision to involve the military in providing equipment and other assistance for international health workers in Africa comes after mounting calls from some unlikely groups — most prominently the international medical organization Doctors Without Borders — demonstrating to the White House the urgency of the issue.

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