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Ebola's shadow extends to would-be Mecca pilgrims

 

TWO ARTICLES ON EBOLA CONCERNS DURING THE HAJJ

 

Al Jazeera                              Oct 5, 2014

Millions of pilgrims from all corners of the world traveled to Saudi Arabia for the start of the hajj in the past week, but some West African Muslims will not be able to take part in the sacred journey this year because of public health fears surrounding the Ebola outbreak.

Saudi Arabia issued a travel ban on citizens of Liberia, Guinea and Sierra Leone as what it called a “precautionary measure,” saying the risk of Ebola infection is too high for travelers from those countries to be allowed entry now.

The Ebola-stricken countries each have sizable Muslim populations... Saudi authorities have turned down about 7,000 requests for hajj visas from the three countries because of Ebola concerns, according to the United Nations.

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2014 Ebola virus cases in the United States: from Wikipedia

Wikipedia listing and background on Ebola cases in the United States    Oct. 5, 2014

Link to document

http://en.wikipedia.org/wiki/2014_Ebola_virus_cases_in_the_United_States

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High risk Ebola could reach France and UK by end-October, scientists calculate

Updated with related story

Hospitalized French Nurse Released from Hospital.  ( Scroll Below)

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LONDON, Reuters - By Kate Kelland, Health and Science Correspondent   Oct. 5, 2014

Scientists have used Ebola disease spread patterns and airline traffic data to predict a 75 percent chance the virus could be imported to France by October 24, and a 50 percent chance it could hit Britain by that date.

Those numbers are based on air traffic remaining at full capacity. Assuming an 80 percent reduction in travel to reflect that many airlines are halting flights to affected regions, France's risk is still 25 percent, and Britain's is 15 percent.

"It's really a lottery," said Derek Gatherer of Britain's Lancaster University, an expert in viruses who has been tracking the epidemic - the worst Ebola outbreak in history.

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OUT OF CONTROL: How the world’s health organizations failed to stop the Ebola Disaster

WASHINGTON POST's  detailed front page account of how the Ebola epidemic got out of control in West Africa.  Oct. 5, 2014

     by Lena Sun, Bradly Dennis, Lenny Bernstein and Joel Achenbach

The glow from a crematorium lights the sky as the bodies of people who died from Ebola are cremated last month in Monrovia

---Michel Du Cille, THE WASHINGTON POST

.... "The virus easily outran the plodding response. The WHO, an arm of the United Nations, is responsible for coordinating international action in a crisis like this, but it has suffered budget cuts, has lost many of its brightest minds and was slow to sound a global alarm on Ebola. Not until Aug. 8, 4 1 ⁄ 2 months into the epidemic, did the organization declare a global emergency. Its Africa office, which oversees the region, initially did not welcome a robust role by the CDC in the response to the outbreak.

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U.S. nurses say they are unprepared to handle Ebola patients

REUTERS                         Oct 3. 2014

CHICAGO (Reuters) - Nurses, the frontline care providers in U.S. hospitals, say they are untrained and unprepared to handle patients arriving in their hospital emergency departments infected with Ebola.

Many say they have gone to hospital managers, seeking training on how to best care for patients and protect themselves and their families from contracting the deadly disease....

The U.S. Centers for Disease Control and Prevention has repeatedly said that U.S. hospitals are prepared to handle such patients. Many infectious disease experts agree with that assessment.

... Texas Health Presbyterian Hospital in Dallas that is now caring for the first Ebola patient to be diagnosed in this country had completed Ebola training just before Thomas Eric Duncan arrived in their emergency department on Sept. 26. But despite being told that Duncan had recently traveled from Liberia, hospital staff failed to recognize the Ebola risk and sent him home, where he spent another two days becoming sicker and more infectious.

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As U.S. Ebola Fears Widen, Reports of Possible Cases Grow

NEW YORK TIMES                 OCT. 5 2014

by and

 ....Since Eobla began spreading rapidly across West Africa this summer, the C.D.C. said, it has assessed more than 100 possible cases in the United States but only the Dallas case has been confirmed.

But increased attention about the virus has jangled nerves around the country, particularly among West African immigrant communities and recent travelers to that region, and placed health care workers on a kind of high alert. “We expect that we will see more rumors, or concerns, or possibilities of cases,” Dr. Thomas R. Frieden, director of the federal C.D.C., said Saturday. “Until there is a positive laboratory test, that is what they are — rumors and concerns.”

...

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Dallas Hospital Alters Account, Raising Questions on Ebola Case

NEW YORK TIMES          Oct. 3, 2014

DALLAS TEX.      

On Thursday, the hospital, Texas Health Presbyterian Hospital in Dallas, released a statement essentially blaming a flaw in its electronic health records system for its decision to send the patient — Thomas E. Duncan, a Liberian national visiting his girlfriend and relatives in the United States — home the first time he visited its emergency room, Sept. 25. It said there were separate “workflows” for doctors and nurses in the records so the doctors did not receive the information that he had come from Africa.

But on Friday evening, the hospital effectively retracted that portion of its statement, saying that “there was no flaw” in its electronic health records system. The hospital said “the patient’s travel history was documented and available to the full care team in the electronic health record (E.H.R.), including within the physician’s workflow.”

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Germany received second Ebola patient

BBC            October 3, 2014

A hospital in the German city of Frankfurt-on-Main has taken in an Ebola patient after he was flown in during the night under tight security.

He is a Ugandan doctor who worked with Ebola patients in Sierra Leone. After arriving on a medical flight, the man was brought to Frankfurt University Hospital where he was placed in an isolation ward.

It is Germany's second case, with a man undergoing treatment in Hamburg after arriving from West Africa in August.

The Frankfurt hospital said the patient's arrival had gone well.

Hesse Minister of Social Affairs Stefan Gruettner said the patient had been working for an Italian aid organisation in Sierra Leone and had helped Ebola sufferers there before becoming infected himself.

Full Story
http://www.bbc.com/news/world-europe-29473623

Medical staff in protective equipment attend the arrival of the Ebola patient at Frankfurt University Hospital

 

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Ebola Victim's Air Journey shows weak spots in screening.

NEW YORK TIMES              October 3, 2014

MONROVIA, Liberia — The arrival in the United States of a Liberian man infected with the Ebola virus shows how difficult it is to control or restrict the disease from spreading, and how porous current procedures are in a world of globalized air travel.

Liberian officials said on Thursday that they planned to prosecute the passenger, Thomas E. Duncan, for lying on an airport questionnaire about not having contact with a person infected with Ebola before his travel — a pivotal part of the country’s screening process.

Mr. Duncan took three planes as he flew from Monrovia, the Liberian capital, to Dallas last month, connecting in Brussels and Washington.

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Dallas Hospital says software flaw led to initial release of Ebola patent

Update with additional information and text of the hospital statement  (scroll down).

 

5 NBC News Chicago

 Oct 3, 2014 • Updated at 7:53 AM CDT

The Dallas Hospital that sent Ebola patient Thomas Eric Duncan home said a software flaw, and not human error, caused doctors to miss the diagnosis, NBC News is reporting.

The electronic health records (EHR) system that the hospital uses has a separate workflow for physicians and nurses. The travel history of the patient was located in the nursing portion of the workflow within the EHR, but not in the physician's workflow.

“As result of this discovery, Texas Health Dallas has relocated the travel history documentation to a portion of the EHR that is part of both workflows," the hospital said.

Link to story

Source: http://www.nbcbayarea.com/news/national-international/Texas-Hospital-Software-Blame-Ebola-Patients-Misdiagnosis-277988141.html#ixzz3F5cyR89B

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