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Dallas hospital isolates possible Ebola patient
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K
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5 Oct ’14 - 9:02 am
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well this could be interesting

Dr. Richard Sacra, who contracted Ebola while volunteering in West Africa, but was treated for the virus last month, then released was hospitalized Saturday and is being monitored by doctors in Massachussets.

Sacra, 51, went to the emergency room at a Boston-area hospital Saturday morning to have an x-ray performed. He was exhibiting a persistent cough and a low-grade fever, and feared he might be developing pneumonia, according to a statement released by SIM USA, the missionary organization he volunteered with while in Liberia.

He was transferred to UMass Memorial Medical Center in Worcester for observation. Doctors have been in contact with health care staff at Nebraska Medical Center in Omaha, where he was treated for Ebola and released on Sept. 25.

"Because of his recent battle with the Ebola virus, his immune system is compromised," said Dr. Phil Smith, medical director of the center's biocontainment unit. "The symptoms he has are indicative of a respiratory illness and are not those of someone suffering from Ebola.

"Dr. Sacra had three CDC-confirmed blood tests before he left our unit that showed him to be virus-free, so the public shouldn't be concerned that his disease has returned."

Smith said the likelihood of Ebola returning is extremely low, but doctors will continue to run tests on Sacra. Those results will be available in several days, he said.

Sacra was the third American to be diagnosed with the Ebola virus recently. The first two, Nancy Writebol and Dr. Kent Brantly, who volunteered with the same missionary organization, were taken from West Africa and treated in an isolation unit in Atlanta. They were released in August

The fourth, Thomas Eric Duncan, was diagnosed Sept. 30 at a medical center in Dallas and is listed in critical condition.

http://www.wtsp.com/...../16760319/

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6 Oct ’14 - 7:34 am
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If this is a positive in India this could be bad

Panic gripped Manipur when a Japanese woman who had made a stop-over at Imphal was suspected of having infected with Ebola virus. The tourist, identified as Kawakubo Yuko (27), had already visited five countries. She was coming to Nagaland and had checked in at a hotel in Imphal as she was planning to visit some places in the state. She came to Manipur from Myanmar by road.

Doctors said that she had started showing symptoms of a patient suffering from Ebola. She was shifted to a private hospital in Imphal. Local tests for some common ailments proved negative.

Accordingly the doctors here collected her blood samples for testing at the National Institute of Virology, Pune.

Later she was admitted in J.N. Institute of Medical Sciences in Imphal since there are better medical facilities. Hospital sources said that she is kept in an isolation room. If she is found to be Ebola positive many other persons of the hotel, the doctors and paramedics in the government and the private hospitals are susceptible to this deadly disease. Hospital sources said that since there is no proper isolation ward in JNIMS the patient may be shifted to Regional Institute of Medical Sciences, Imphal if she is found to be Ebola positive. Sources also said that all tourists coming by road or flight to Manipur may be screened for this disease.

http://www.thehindu......475140.ece

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8 Oct ’14 - 12:04 pm
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Well the guy in Dallas no longer needs to worry about being prosecuted.

http://www.cnbc.com/...../102070648

 

Ebola patient in Dallas dies

1 Min Ago

 
Thomas Eric Duncan, the first known person to develop Ebola in the United States, died Wednesday at Texas Health Presbyterian Hospital in Dallas. He was 42.
"It is with profound sadness and heartfelt disappointment that we must inform you of the death of Thomas Eric Duncan this morning at 7:51 am. Mr. Duncan succumbed to an insidious disease, Ebola. He fought courageously in this battle," a statement from Texas Health Resources said.

"Our professionals, the doctors and nurses in the unit, as well as the entire Texas Health Presbyterian Hospital Dallas community, are also grieving his passing. We have offered the family our support and condolences at this difficult time," the statement continued.

This 2011 photo provided by Wilmot Chayee shows Thomas Eric Duncan at a wedding in Ghana.
Wilmot Chayee | AP
This 2011 photo provided by Wilmot Chayee shows Thomas Eric Duncan at a wedding in Ghana.
A day before Duncan's death, a top government official said doctors were scrambling to keep him alive.
Read MoreEbola epidemic could cost billions: World Bank

"What we've learned about Ebola is how important it is to get the patient's basic care right," said Dr. Tom Frieden, director of the Centers for Disease Control and Prevention.

The CDC confirmed Sept. 30 that Duncan tested positive for Ebola, quickly announcing to the public that it would be tracking down potential contacts alongside local officials.

Since then, authorities have identified 10 people who definitely came into direct contact with Duncan, and 38 possible contacts, Frieden said Tuesday.

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8 Oct ’14 - 1:56 pm
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Sad, I read that his organs were shutting down and they figured it was just a matter of time

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8 Oct ’14 - 3:24 pm
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And so it begins . . .

 

Frisco: Sick patient claims to have had contact with Ebola victim

 

 

FRISCO, Texas - A patient exhibiting symptoms of Ebola who claims to have had contact with Thomas Eric Duncan showed up at a Care Now facility in Frisco Wednesday afternoon.

City officials confirmed a significant medical response at the clinic located in the 300 block of Main Street.

Paramedics are said to be in the process of transporting the patient, but it is unclear where.

All staff and patrons at the facility are also being examined, officials said.

The city has scheduled a news conference for 3:30 p.m. to release more information about the incident.

 
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8 Oct ’14 - 3:52 pm
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Damn

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9 Oct ’14 - 7:20 am
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seems it is a deputy who went into the house to get the quarantine order signed, if it is ebola, can someone explain how that is a direct contact with bodily fluids situation?

FRISCO — Paramedics transported a patient exhibiting "signs and symptoms of Ebola" from a Frisco CareNow clinic to Texas Health Presbyterian Hospital Dallas on Wednesday afternoon.

Hours later, Dallas County Sheriff's Department Sgt. Michael Monnig of The Colony remained in isolation, undergoing tests for Ebola and more common viruses.

"Right now, there are more questions than answers about this case," said Wendell Watson, a spokesman with the hospital.

Monnig had accompanied county health officials Zachary Thompson and Christopher Perkins into the Dallas apartment where Thomas Eric Duncan had been staying when he fell ill with Ebola.

"Initial reports from the urgent care facility indicated the patient had direct contact with the Dallas 'patient zero'; however, Frisco firefighter-paramedics now report the patient says he had contact with the apartment and family members related to the Dallas 'patient zero' prior to the apartment being decontaminated," said city of Frisco spokesperson Dana Baird.

The deputy had been ordered to go inside the unit with officials to get a quarantine order signed on October 1. No one who entered the apartment that day wore protective gear.

According to Christopher Dyer, president of the Dallas County Sheriff's Association, Monnig said he was feeling sick to his stomach before his visit to the clinic. Dyer expressed concern for Monnig and his family.

"He's doing exactly basically what we told him to do: If at any time you don't feel well, go seek some medical attention," Dyer said. "I'm being told that he's not exhibiting classic signs of the Ebola virus. It's just a matter that he doesn't feel well, and because he had contact with Mr. Duncan's apartment, they're taking every precaution."

That view was echoed by Frisco Fire Department Chief Mark Piland. "This patient was not experiencing all of those [Ebola] symptoms, just a few," he said. "Based upon screening criteria from the CDC, the treatment tends to be a little bit more conservative at first."

A staff member at CareNow, located at the corner of Main Street and FM 423 in far west Frisco, called 911 to report Monnig as a possible Ebola patient.

The facility closed early Wednesday night and CareNow officials said it would remain closed until Friday morning while it undergoes a second "comprehensive cleaning" and as officials wait for test results on Monnig.

"All of us want to understand the facts about the patient and his condition," CareNow said in a written statement Wednesday night. "This is a very difficult environment, and we understand our role as one of the first lines of defense for our patients and their loved ones."

Including staff, there were 14 people inside the CareNow clinic when Monnig arrived. The fire department released all of them to go home.

Denton County Health Department director Dr. Matt Richardson said Monnig is not currently classified as having had "contact" with Ebola patient Thomas Eric Duncan. "Because of the absence of contact to the Ebola patient or anyone symptomatic with Ebola, we see no threat to the public's health regarding this individual," Richardson said in a written statement. "We follow the guidelines from CDC when evaluating these contacts, and public health officials collectively see no risk of Ebola to the general public regarding this person, his family or any facility at this time."

Frisco Mayor Maher Maso said "risk is minimal" from the new potential Ebola case. Frisco Fire Chief Mark Piland said the patient was transported because he had "a few" symptoms that matched those in the CDC guidelines, but not all of the symptoms.

"Public safety is our top priority," Maso said, adding that he was proud of the response of public safety officials in his city.

"At this point, I think we need to take every precaution," Dyer said. "The hospital will get his blood work tested and we will know whether he is positive or negative for it, so until we know precisely whether he has it or not, we need to take every precaution."

It will take up to 48 hours to get test results back to determine if Monnig tests positive for the Ebola virus.

Frisco's fire chief said he was still figuring out how to decontaminate the department's people and gear. "We have calls in to the Centers for Disease Control," Piland said. "We're also working with our public health officials here in Denton County. We're going to get their recommendations on the proper decontamination procedures for the ambulances."

Health officials said the transportation of the patient was done out of an abundance of caution.

"We are being very cautious and are in contact with the health department to ensure we follow proper protocol," said Vicki Johns, with CareNow. "Our concern is for the safety and well being of everyone in our clinic."

News 8's Jason Whitely spoke to Chuck Moreno, who had gone into the CareNow facility with his 15-year-old son to get a flu shot Wednesday. Moreno said he saw a patient, whose skin was flushed and who was hunched over but walking, enter the clinic with his wife.

Within minutes, police and fire units surrounded the facility, taped off a gray SUV, and isolated other patients at the facility.

Moreno asked a CareNow employee if it was related to Ebola, and he said the employee nodded her head "yes."

Moreno said he and his son quarantined themselves into an examination room, put on surgical masks they found in the room and sprayed disinfectant on themselves. Moreno said staff told them he and his son couldn't leave the clinic and would be transferred to a major medical center, but he was unsure which one at the time.

Dallas County Sheriff's Association President Christopher Dyer has repeatedly said that he did not believe that deputies should have been sent inside the quarantined apartment.

"This is a federal issue," he said. "The CDC should have come in and taken care of this. A local department is not equipped to deal with a virus that is potentially this deadly."

Monnig had planned to come back to work Wednesday, Dyer said. A couple of the other deputies have returned to work, he said.

http://www.wfaa.com/story/news/health/2014/10/08/patient-frisco-ebola-suspect/16922477/

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9 Oct ’14 - 7:23 am
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That's a scary scenario

Kelly: Southcom Keeps Watch on Ebola Situation

By Jim Garamone
DoD News, Defense Media Activity

WASHINGTON, Oct. 8, 2014 – The potential spread of Ebola into Central and Southern America is a real possibility, the commander of U.S. Southern Command told an audience at the National Defense University here yesterday.

“By the end of the year, there’s supposed to be 1.4 million people infected with Ebola and 62 percent of them dying, according to the [Centers for Disease Control and Prevention],” Marine Corps Gen. John F. Kelly said. “That’s horrific. And there is no way we can keep Ebola [contained] in West Africa.”

If it comes to the Western Hemisphere, many countries have little ability to deal with an outbreak of the disease, the general said.

“So, much like West Africa, it will rage for a period of time,” Kelly said.

This is a particularly possible scenario if the disease gets to Haiti or Central America, he said. If the disease gets to countries like Guatemala, Honduras or El Salvador, it will cause a panic and people will flee the region, the general said.

“If it breaks out, it’s literally, ‘Katie bar the door,’ and there will be mass migration into the United States,” Kelly said. “They will run away from Ebola, or if they suspect they are infected, they will try to get to the United States for treatment.”

Also, transnational criminal networks smuggle people and those people can be carrying Ebola, the general said. Kelly spoke of visiting the border of Costa Rica and Nicaragua with U.S. embassy personnel. At that time, a group of men “were waiting in line to pass into Nicaragua and then on their way north,” he recalled.

“The embassy person walked over and asked who they were and they told him they were from Liberia and they had been on the road about a week,” Kelly continued. “They met up with the network in Trinidad and now they were on their way to the United States -- illegally, of course.”

Those men, he said, “could have made it to New York City and still be within the incubation period for Ebola.”

Kelly said his command is in close contact with U.S. Africa Command to see what works and what does not as it prepares for a possible outbreak in the area of operations.

http://www.defense.gov/news//newsarticle.aspx?id=123359

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