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FIVE ITEMS ON EFFORTS TO IMPROVE TRAINING FOR HEALTH WORKERS

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CDC TAKES NEW STEPS TO IMPROVE TRAINING FOR HOSPITAL WORKERS

NEW YORK TIMES                   Oct. 13, 2014
By Pam Belluck

The Centers for Disease Control and Prevention is taking new steps to help hospital workers protect themselves, providing more training and urging hospitals to run drills to practice dealing with potential Ebola patients.

In response to the news that a health care worker in Dallas had contracted Ebola, a spokeswoman said the agency would also issue more specific instructions and explanations for putting on and removing protective equipment and would urge nurses and doctors to enlist a co-worker or “buddy” to watch them do so....

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Obama orders CDC probe in 2nd Dallas Ebola case to move ‘as expeditiously as possible’

WASHINGTON POST

                                    October 12, 014 

President Obama received two briefings on the diagnosis of a second Ebola case in Dallas, according to White House officials, and Sen. John McCain (R-Ariz.) urged the president to appoint a "czar" to coordinate the administration's response to the disease.

Obama was briefed Sunday morning by Lisa Monaco, who serves as assistant to the president for homeland security and counterterrorism and is overseeing the interagency response to the disease. Later, according to White House officials, Obama also discussed the situation with Health and Human Services Secretary Sylvia Burwell.

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Ebola Protocol Was Likely Breached In Texas, Medical Officials Say

HUFFINGTON  POST                     Oct.12, 2014      11:08 AM
By

The Texas health care worker who contracted Ebola after providing care for an infected patient likely breached safety protocols, health officials said Sunday.

"Certainly there has to have been an inadvertent, innocent breach of the protocol of taking care of the patient within the personal protective equipment -- that extremely rarely happens," Dr. Anthony Fauci, the head of the National Institute of Allergy and Infectious Diseases, told Martha Raddatz on ABC's "This Week" Sunday. "We've been taking care of Ebola patients since 1976. Groups like Doctors Without Borders who do that almost never have an infection, because of the experience of doing this."

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Extra caution amid Ebola screening at NYC airport

USA  TODAY                    Oct. 12, 2014

Melanie Eversley and Marisol Bello,

NEW YORK — As federal officials at New York's Kennedy International Airport stepped up efforts to stop the spread of the deadly Ebola virus with extensive screening of passengers arriving from countries hit hardest by the outbreak, passengers and employees were taking their own precautions.

Maria Uruchimadecriollo cleans a bathroom JFK Terminal 4 international arrivals in Jamaica, NY. Uruchimadecriollo is wearing a mask that her husband bought for her yesterday, with the hope that it would keep her safe from the Ebola virus. This is the first day that the airport will begin screening passengers for Ebola coming in from the affected areas in Africa.(Photo: Jennifer S. Altman, for USA TODAY)

Agents with the Department of Homeland Security's Customs and Border Protection screened travelers from Guinea, Liberia and Sierra Leone, taking their temperature and observing them for other Ebola symptoms.

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U.S. lacks a single standard for Ebola response

USA TODAY                                   Oct. 12, 2014

by Larry Copeland

ATLANTA — As Thomas Eric Duncan's family mourns the USA's first Ebola death in Dallas, one question reverberates over a series of apparent missteps in the case: Who is in charge of the response to Ebola?

The answer seems to be — there really isn't one person or agency. There is not a single national response.

The Atlanta-based Centers for Disease Control and Prevention has emerged as the standard-bearer — and sometimes the scapegoat — on Ebola.

Public health is the purview of the states, and as the nation anticipates more Ebola cases, some experts say the way the United States handles public health is not up to the challenge.

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http://www.usatoday.com/story/news/nation/2014/10/12/examining-the-natio...

CDC workers analyze Ebola details in the CDC's Emergency Operations Center in Atlanta.(Photo: David Tulis for USA TODAY)


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Dallas health worker who tested positive for Ebola wore ‘full’ protective gear

WASHINGTON POST                                                      OCT 12, 2014

DALLAS, TEX--  In the first apparent case of Ebola transmission in the United States, a Texas hospital worker who treated an Ebola-stricken Liberian man has tested positive for the deadly virus.

A police car drives past the entrance to the Texas Health Presbyterian Hospital in Dallas. (LM Otero/AP)

The preliminary test result was announced early Sunday, four days after the death of Ebola patient Thomas Eric Duncan in Dallas; the diagnosis has not been confirmed by the Centers for Disease Control and Prevention.

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Texas Patient Tests Positive for Ebola

                                                             

dshs.state.tx.us - News Release - October 12, 2014

A health care worker at Texas Health Presbyterian Hospital who provided care for the Ebola patient hospitalized there has tested positive for Ebola in a preliminary test at the state public health laboratory in Austin. Confirmatory testing will be conducted by the Centers for Disease Control and Prevention in Atlanta.

The health care worker reported a low grade fever Friday night and was isolated and referred for testing. The preliminary ​test result was received late Saturday.

"We knew a second case could be a reality, and we've been preparing for this possibility," said Dr. David Lakey, commissioner of the Texas Department of State Health Services. "We are broadening our team in Dallas and working with extreme diligence to prevent further spread."

Health officials have interviewed the patient and are identifying any contacts or potential exposures. People who had contact with the health care worker after symptoms emerged will be monitored based on the nature of their interactions and the potential they were exposed to the virus.

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The Problem With Ebola In The Media

MEDIA AND SOCIAL MEDIA      THREE PERSPECTIVES

FORBES                                       Oc. 11, 2014

By Alic G. Walton

The Ebola situation in West Africa is clearly not good. The death toll is rising, and people continue to become infected.....

But the reality is that for people in America and other places outside of West Africa, the risk is still quite low. Caution is important, obviously, and airports and hospitals are taking measures to screen people and protect the public.

 The real issue is a different one: Our fear of Ebola has become many times worse than the problem.

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http://www.forbes.com/sites/alicegwalton/2014/10/11/the-problem-with-ebo...

Mobile Phones, Social Media Aiding Ebola Fight

 U.S. NEWS AND WORLD REPORT         Oct. 20, 2014

By Tim Risen

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Fighting Ebola with Data, Satellites and Drones

Healthcare workers in Sierra Leone spray disinfectant to prevent the spread of the Ebola virus in Kenema, on September 24, 2014.

Image: Healthcare workers in Sierra Leone spray disinfectant to prevent the spread of the Ebola virus in Kenema, on September 24, 2014.

defenseone.com - September 25th, 2014 - Patrick Tucker

Current Centers of Disease Control estimates suggest that the disease could infect more than 1.4 million people by January. To limit Ebola’s spread, researchers need better on-the-ground intelligence about where it’s moving. But the virus’s deadly mortality rate, 70 percent for this strain, makes up-close observation as difficult as gathering data on a deadly human adversary. 

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Structural Adaptivity Facilitation Examples - Part III

Here are my last three Facilitation Examples, proposed activities by planners and others to influence the development of the built environment toward structural adaptivity and resilience as we progress into an ever more uncertain and unpredictable future. 

 

Rethinking Homeownership.  Conventional owner-occupied land and buildings in the US many times tie the owners into long-term tenures.  It makes moves, to other locations, overly cumbersome even when such moves are in the occupants’ best interests.  Adaptivity requires the ability to make quicker changes than in the past, including the self-initiated movement of people and businesses to other locations when beneficial.  Alternative types of ownership or tenure must be facilitated, types which are more adaptable to quick change.

 

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