EBOLA 2nd Confirmed Ebola Case In US (Dallas #2) CDC Confirms 10/12

MtnGal

Has No Life - Lives on TB
Who is the one in guarantee/isolation? Is it a 'close contact' of the nurse, another HCW or some of Duncan'as family?
 

Possible Impact

TB Fanatic
Brian New @BrianNewCBS · 2h
Second Dallas Ebola patient is a TCU alum.
@tcu360 reporting email sent to students notified them she is a 2010 grad.
http://www.tcu360.com/campus/2014/10/32990.second-dallas-ebola-patient-tcu-alum



Jack Fink @cbs11jack · 5h
#breaking #Texas Health Presbyterian Hosp in #Dallas now says
it's diverting ambulances to other hospitals again
- w/o explanation. @cbsdfw




CBSDFW @CBSDFW · 1h
.@CleaningGuysllc: Cleaning Guys has been asked to step down
so a State contractor can take over.
CG will be here if needed!!” #Ebola
^^^ Follow the $$$
 

Lilbitsnana

On TB every waking moment
the destroyer in chief is at it again...

Come one, come all, we need more possible cases to deplete the availability of supplies, beds, HCW, etc. to expedite my goal of eliminating the US...err, I mean Ebola.

posted earlier today:

The White House @WhiteHouse · 6h 6 hours ago

Get the facts on #Ebola, and our response to the epidemic in West Africa → http://go.wh.gov/mXqr91

BzyCwcZCMAA2u9B.jpg:medium
 

Lilbitsnana

On TB every waking moment
Dallas area getting some really bad storms in a little bit and under a tornado watch until 7 AM. What could possibly go wrong?
 
Dallas area getting some really bad storms in a little bit and under a tornado watch until 7 AM. What could possibly go wrong?

I've been pondering this since last week when the storms went through. My DFW Scanner feed just keeps sending out alerts. SO say a 'Katrina' like scenario happens and this 'Virus' is blown to the 4 corners of the earth. A very real prospect in many ways no doubt.
 

Melodi

Disaster Cat
Lawyers, workers comp---that nurse is as good as disappeared or dead. Can't have precedence like that set.
Won't matter, worked in Worker's compensation for five years in Colorado (state agency) while every State is different, Federal law has some guidelines (they change over time and probably have in 30 years) but a basic one is that the heirs of someone can sue on the behalf of the Estate of the deceased ESPECIALLY if the hospital may be liable for negligence. A real on-the-job accident is a greyer area; years ago some States (including Colorado) experimented with a State compensation system but were back to mandating employers use Private insurance companies or to "Self Insure - a that time only allowed for very big companies who essentially set up their own mini-insurance pool). However, as my boss used to say, "Colorado will be paying out compensation for the next 60 to 80 years for some of the severely injured people that didn't die but require full time care under the State system."

Anyway, I don't know Texas law but I suspect hospital either has to have Worker's Compensation Insurance or be "Self Insured;" unless the Federal laws have changed (always possible) requiring States to have their own programs; the States can run them pretty much how they like within the guidelines (or could).

As I said in a post last night, this case is likely to get a lawsuit on the "fault" issue anyway, even if it is just insurance companies suing the hospital over negligence to "re-coop" the insurance pay out they are going to have to make to the nurse (bills, lost wages, etc even if she dies) from the hospital; because if the hospital is at fault in most States the insurance company can do that.

Clear as mud? Yep, its a mess and changes with every state but bottom line death does not end a Worker's Compensation case, I had lots of dead people in my files....

If the women lives, I do wonder about a slander suit against the CDC though probably not, but the CDC really blew it with trying the blame game and the public/medical community outcry has already gone into full swing.
 

marsh

On TB every waking moment
I am not understanding why there is, such a limit on facilities. I live in a remote rural area. I have toured the field tent facility we have with decontamination washing areas for hazmat suits and bed facilities for infectious disease. It even has its own heating and air. I don't understand why these types of facilities can't be employed to keep the infection out of the bricks and mortar major medical facilities that don't have level 4 facilities. At least these can be destroyed afterwards if they become contaminated. It seems like they would isolate the infectious process better.
 

frazbo

Veteran Member
I am not understanding why there is, such a limit on facilities. I live in a remote rural area. I have toured the field tent facility we have with decontamination washing areas for hazmat suits and bed facilities for infectious disease. It even has its own heating and air. I don't understand why these types of facilities can't be employed to keep the infection out of the bricks and mortar major medical facilities that don't have level 4 facilities. At least these can be destroyed afterwards if they become contaminated. It seems like they would isolate the infectious process better.


BUT...that would require "common sense", which no one seems to have at this stage of the game, so they're just gonna push this thing until "they've exhausted all efforts to contain it". Gotta look at the BIG picture. And, oh, by the way, you all need to stop thinking outside of the box...it'll upset their apple cart...LOL.
 

moldy

Veteran Member
Someone else may have already suggested this, but let's pray for this nurse and her family and co-workers. They have got to be so frightened and angry.
 

msswv123

Veteran Member
Just an observation...up until twenty hours ago frieden was tweeting like crazy on his page several per day......this was the last tweet and nothing since


Dr. Tom Frieden @DrFriedenCDC · 20h 20 hours ago
CDC lab tests confirm that the healthcare worker at Texas Presbyterian Hospital is positive for #Ebola. http://1.usa.gov/1yqQ31l
 

Mark D

Now running for Emperor.
Gotta say, if I was wealthy enough, I'd be provisioning my mega yacht for a year at sea right now.
 

bw

Fringe Ranger
Gotta say, if I was wealthy enough, I'd be provisioning my mega yacht for a year at sea right now.

It gets so crazy with the crew and all. I mean, they're safe with you on the boat, but they're always whining about their dying families back home. I'll stick with my fortified island, thanks.
 

night driver

ESFP adrift in INTJ sea
I am not understanding why there is, such a limit on facilities. I live in a remote rural area. I have toured the field tent facility we have with decontamination washing areas for hazmat suits and bed facilities for infectious disease. It even has its own heating and air. I don't understand why these types of facilities can't be employed to keep the infection out of the bricks and mortar major medical facilities that don't have level 4 facilities. At least these can be destroyed afterwards if they become contaminated. It seems like they would isolate the infectious process better.

Marsh, I SUSPECT you were touring a DMAT facility. There aren't a lot of them around, and they aren't that inexpensive.

PLUS they need a NDMS activation to be opened or deployed.


DMAT-Disaster Medical Action Team
NDMS-National Disaster Medical System (if you wear colored clothes)
NDMS-National Defense Medical System (if your shirts are all green)


NDMS has a part in the National Disaster Response Plan (or National Disaster Response Framework, which ever term they're using this month)
 

prepgirl44

Veteran Member
I am not understanding why there is, such a limit on facilities. I live in a remote rural area. I have toured the field tent facility we have with decontamination washing areas for hazmat suits and bed facilities for infectious disease. It even has its own heating and air. I don't understand why these types of facilities can't be employed to keep the infection out of the bricks and mortar major medical facilities that don't have level 4 facilities. At least these can be destroyed afterwards if they become contaminated. It seems like they would isolate the infectious process better.

That is the plan, Marsh. However that plan is based on the premise that hospitals will be overwhelmed, rather than with concern for keeping infection out of the brick and mortar hospitals.

I posted the plan and what we can expect to see days ago. They will be called Alternative Care Sites (ACS). Tents where folks will be triaged, with only a few able to be sent to the brick and mortars, the rest being treated (or provided comfort measures only) at those ACS's.

Maybe a search for ACS will turn it up as I doubt I could find it again in the hundreds of posts we have had on Ebola since that posting.

I think it is just that they are waiting for more cases to surface. It won't take much to overwhelm the acute medical system (hospitals) so if more cases pop up, as many suspect can happen, then we'll probably see them activated, at least in the Dallas area. And probably in other areas as the need arises.

Edited to add: that post was #333 on the main Ebola thread.
 
Last edited:

prepgirl44

Veteran Member
Gotta say, if I was wealthy enough, I'd be provisioning my mega yacht for a year at sea right now.
Yep! Seems the smartest move right now. The problem is that sooner or later you'd have to come into port somewhere...

And a year from now might be REALLY ugly everywhere on the globe...
 

Adino

paradigm shaper
overwhelmed hospital systems can happen faster than most think

especially if health care workers stop coming in and/or retire
 

raven

TB Fanatic
http://abcnews.go.com/Health/dallas-nurse-ebola-identified/story?id=26160328

Nina Pham - Picture at link

The Dallas nurse who was infected with Ebola while treating a Liberian man has been identified as Nina Pham.

Pham tested positive for the disease this weekend, making her the first person to contract Ebola within the United States. Pham was identified by family members who confirmed her name to ABC News affiliate WFAA.

The family told WFAA that Pham, 26, graduated from Texas Christian University's nursing program in 2010.

It is still not known how exactly she contracted the virus since the health care workers who were tasked with treating Thomas Eric Duncan reportedly followed CDC-mandated anti-infection protocols.
 
Last edited:

msswv123

Veteran Member
Several embedded video's within the article ~


The CDC doesn’t know how many health-care workers in Dallas may have been exposed to Ebola

A health-care worker tested positive for the deadly virus.

Disposal barrels are stationed outside the Dallas apartment of a health-care worker who treated Ebola patient Thomas Eric Duncan and tested positive for the disease. Brandon Wade/AP

A day after a nurse who treated an Ebola-stricken patient in Dallas was diagnosed with the virus, public health officials are still trying to figure out how many health-care workers may have had similar exposure.

It is still unclear how, exactly, the nurse at Texas Health Presbyterian Hospital Dallas became the first person to contract the virus in the United States, said Thomas Frieden, director of the Centers for Disease Control and Prevention.

But if one health-care worker was infected, “it is possible other people could have been infected as well,” Frieden said during a briefing with reporters on Monday.

This infection “substantially” changes how public health authorities will respond to the virus in the United States, he said.

“We have to rethink the way we address Ebola infection control, because even a single infection is unacceptable,” Frieden said.


Thomas Frieden, director of the Centers for Disease Control and Prevention, provided an update Monday to the investigation into the spread of the Ebola virus to a nurse at a Dallas hospital. Frieden also apologized for his initial remarks about the nurse’s infection, which seemed to blame the nurse or other health care workers for the infection. (AP)


The nurse remains in stable condition at the same hospital that treated Thomas Eric Duncan, a Liberian man who was diagnosed with the virus and died last week. She had “one and only one contact” during the period when she may have been infectious, a person who is being monitored and has exhibited no symptoms of Ebola. In addition, the 48 people who are known to have had possible contact with Duncan before his hospitalization continue to show no symptoms, Frieden said.

Still, the uncertainty about how the nurse was infected — and the fact that she was infected while Duncan was isolated at a hospital — raises more questions about how prepared hospitals and health-care workers are to deal with the additional Ebola cases that authorities say are likely to occur.

“We need to consider the possibility that there could be additional cases, particularly among the health-care workers that cared for [Duncan] when he was so ill,” Frieden said. “We would not be surprised if we did see additional cases in the health-care workers who also provided care to [Duncan].”

Figuring out exactly what protocols need to be strengthened and who else may have been exposed is particularly difficult because it is not known how the nurse was infected. The CDC is looking at every aspect of patient treatment, ranging from what types of equipment can be used to how protective gear is placed on and off, to try and determine if the current guidelines are strong enough.


“We have not identified a specific problem that led to this infection,” Frieden said. “We have identified a series of things where we can make the care safer and easier for the health-care workers that are providing it.”

Personal protective equipment and disinfection procedures offer critical protection.

Workers have already implemented several improvements over the last day, Frieden said. Among other things, the CDC now says a “buddy system” will be in place for health-care workers removing gear. It is unclear if such a system was in place before in Dallas, as the CDC has previously recommended the buddy system.

While public health authorities will look at all aspects of the way patients with Ebola are cared for, Frieden stressed that they want to make sure the treatment remains safe and effective, as this will encourage anyone else with Ebola to seek care.

At the same time, on Monday afternoon — nearly two full days after the nurse in Dallas was tested — it also remained unclear exactly how many people involved in Duncan’s treatment could have been exposed.

“We do not today have a number of such exposed people or potentially exposed health-care workers,” Frieden said. “It’s a relatively large number, we think….We cast a wide net and then narrow that down.”

Frieden also apologized Monday for his initial remarks about the nurse’s infection. He had said Sunday that a “breach in protocol resulted in this infection,” a remark that was criticized for seeming to blame the nurse or other health-care workers. Frieden said he felt awful that a health-care worker was infected and was sorry if his remarks blamed the nurse or other workers.

“People on the front lines are really protecting all of us,” he said. “People on the front lines are fighting Ebola.”


A Houston hospital has been following guidelines from the Centers for Disease Control by screening all visitors for Ebola since August as a precaution. (Reuters)

National Nurses United, the largest union of registered nurses in the United States, has said that most hospitals are still not prepared to properly deal with Ebola.

Meanwhile, the enhanced screening that began at John F. Kennedy International Airport in New York on Saturday has flagged 91 travelers who came from the three West African countries where Ebola has been so prevalent. Five people were stopped for additional screening, Frieden said. None of these people had a fever or Ebola, he said.

http://www.washingtonpost.com/news/...ers-in-dallas-may-have-been-exposed-to-ebola/
 

skeptic

Contributing Member
This talk about party A suing party B over catching Ebola sounds very naive to me. If Ebola fizzles out now, maybe there will be lawsuits. How many of us expect that? If we get a major or even a minor epidemic out of this there will be so much blaming and fingerpointing going on that the legal system, if we still have one, will be totally unable to cope. I expect a nationwide "lawsuit amnesty" on all Ebola-related cases after this all shakes out.
 

helen

Panic Sex Lady
This talk about party A suing party B over catching Ebola sounds very naive to me. If Ebola fizzles out now, maybe there will be lawsuits. How many of us expect that? If we get a major or even a minor epidemic out of this there will be so much blaming and fingerpointing going on that the legal system, if we still have one, will be totally unable to cope. I expect a nationwide "lawsuit amnesty" on all Ebola-related cases after this all shakes out.

IF ... big word. Every health care system has a legal department. Liability-driven decisions will be made until something major changes that. And I hope it doesn't happen.
 

Doomer Doug

TB Fanatic
The status of the Duncan family is still unknown, since the CDC kidnapped them and put them down the memory hole. We are coming up on the first 21 day infection period from the 24th of September. The Duncan family was exposed to Ebola by Eric Duncan, and had five days to get infected. Unless some kind of medical miracle has happened, they got Ebola the exact same way that thousands of West Africans did. The CDC failure to physically have them do a live press conference feed the growing panic, especially after a nurse was infected, presumably using the CDC protocols, treating Mr. Duncan.

The reason the health care industry is seriously freaking out right now is simple. The CDC protocols for medical staff treating Ebola infected people are now open to question. It is a fact Ebola is a Level 4 pathogen. It is a fact the types of protocols and equipment needed to deal with a level four pathogen are way beyond what the nurse used. She is reported to have used latex gloves, a face mask, a plastic face shield while wearing surgical scrubs. This is what the CDC has said is sufficient to treat Ebola infected people. The CDC then says that ALL US HOSPITALS can treat Ebola infected people using these lower protocols and equipment. The fact the nurse got infected means the CDC is WRONG and therefore, you need a Level Four Pathogen facility. This means the entire US health care system is UNABLE TO TREAT EBOLA INFECTED PEOPLE!!!!!

Kris, it is now reasonable to conclude the US Health Care system is facing complete collapse in dealing with Ebola.

Reason One is the CDC Ebola protocols are not only ineffective, they are DANGEROUS to health care workers.

Reason Two is there is going to be, quoting Ross Perot on NAFTA, a giant sucking sound as health care professionals run away from hospitals as fast as they can. This is a documented case showing the total collapse of CDC guidelines. The type of thing we saw in West Africa and Nigeria, with the health worker strikes, call offs and no shows is going to start happening here in the USA once the full implications of this infected nurse sinks in.

How can you treat an Ebola infected person with inferior techniques? How can you treat them if health workers REFUSE TO DO SO SINCE THEY ARE CERTAIN THEY DO NOT HAVE THE TYPE OF TRAINING, PROTOCOLS AND EQUIPMENT THEY NEED TO DEAL WITH A LEVEL FOUR PATHOGEN? We are going to see a total collapse in health care due to a staffing crisis.
 

msswv123

Veteran Member
The status of the Duncan family is still unknown, since the CDC kidnapped them and put them down the memory hole.

Does isolation mean you can have NO contact with outside world at all?? No phone, cell phone, skype etc. Is the daughter now with the others? No word or interviews with her.

I wish someone in the MSM would follow up on this and get a real update. Are they invisible by their own choice or are they invisible by legal action?

It does seem they have been kidnapped.

Just adds to the doubt and uncertainty in my opinion.


eta:

CNN going to speak to someone about the spanish nurse,,wrote a letter very upset that she was blamed. Said she only had 30 minutes of training by a coworker on putting on equpt. ( I thought it was the dallas nurse husband)
 

aliens7

Contributing Member
The status of the Duncan family is still unknown, since the CDC kidnapped them and put them down the memory hole. We are coming up on the first 21 day infection period from the 24th of September. The Duncan family was exposed to Ebola by Eric Duncan, and had five days to get infected. Unless some kind of medical miracle has happened, they got Ebola the exact same way that thousands of West Africans did. The CDC failure to physically have them do a live press conference feed the growing panic, especially after a nurse was infected, presumably using the CDC protocols, treating Mr. Duncan.

The reason the health care industry is seriously freaking out right now is simple. The CDC protocols for medical staff treating Ebola infected people are now open to question. It is a fact Ebola is a Level 4 pathogen. It is a fact the types of protocols and equipment needed to deal with a level four pathogen are way beyond what the nurse used. She is reported to have used latex gloves, a face mask, a plastic face shield while wearing surgical scrubs. This is what the CDC has said is sufficient to treat Ebola infected people. The CDC then says that ALL US HOSPITALS can treat Ebola infected people using these lower protocols and equipment. The fact the nurse got infected means the CDC is WRONG and therefore, you need a Level Four Pathogen facility. This means the entire US health care system is UNABLE TO TREAT EBOLA INFECTED PEOPLE!!!!!

Kris, it is now reasonable to conclude the US Health Care system is facing complete collapse in dealing with Ebola.

Reason One is the CDC Ebola protocols are not only ineffective, they are DANGEROUS to health care workers.

Reason Two is there is going to be, quoting Ross Perot on NAFTA, a giant sucking sound as health care professionals run away from hospitals as fast as they can. This is a documented case showing the total collapse of CDC guidelines. The type of thing we saw in West Africa and Nigeria, with the health worker strikes, call offs and no shows is going to start happening here in the USA once the full implications of this infected nurse sinks in.

How can you treat an Ebola infected person with inferior techniques? How can you treat them if health workers REFUSE TO DO SO SINCE THEY ARE CERTAIN THEY DO NOT HAVE THE TYPE OF TRAINING, PROTOCOLS AND EQUIPMENT THEY NEED TO DEAL WITH A LEVEL FOUR PATHOGEN? We are going to see a total collapse in health care due to a staffing crisis.

Not sure they will let them... if it truely gets out of hand, will we get a Reagan manuver maybe...

Air traffic controllers' strikeMain article: Professional Air Traffic Controllers Organization (1968)
In summer 1981 PATCO, the union of federal air traffic controllers went on strike, violating a federal law prohibiting government unions from striking.[117] Declaring the situation an emergency as described in the 1947 Taft–Hartley Act, Reagan stated that if the air traffic controllers "do not report for work within 48 hours, they have forfeited their jobs and will be terminated".[118] They did not return and on August 5, Reagan fired 11,345 striking air traffic controllers who had ignored his order, and used supervisors and military controllers to handle the nation's commercial air traffic until new controllers could be hired and trained.[119] A leading reference work on public administration concluded, "The firing of PATCO employees not only demonstrated a clear resolve by the president to take control of the bureaucracy, but it also sent a clear message to the private sector that unions no longer needed to be feared".[120]


And replace them with Miliary, who, if they do not do what are told, will be shot???

We have to think bigger I think, nothing will be beyond them if it gets out of hand that far...
 

SusieSunshine

Veteran Member
Does isolation mean you can have NO contact with outside world at all?? No phone, cell phone, skype etc. Is the daughter now with the others? No word or interviews with her.

I wish someone in the MSM would follow up on this and get a real update. Are they invisible by their own choice or are they invisible by legal action?

It does seem they have been kidnapped.

Just adds to the doubt and uncertainty in my opinion.


eta:

CNN going to speak to someone about the spanish nurse,,wrote a letter very upset that she was blamed. Said she only had 30 minutes of training by a coworker on putting on equpt. ( I thought it was the dallas nurse husband)

The sister (?) in North Carolina had a FB page. Has anyone checked it lately? I don't remember her name.....
 

aliens7

Contributing Member
Sorry, forgot source... Wikipedia Ronald Reagan...

http://en.wikipedia.org/wiki/Ronald_Regan




Not sure they will let them... if it truely gets out of hand, will we get a Reagan manuver maybe...

Air traffic controllers' strikeMain article: Professional Air Traffic Controllers Organization (1968)
In summer 1981 PATCO, the union of federal air traffic controllers went on strike, violating a federal law prohibiting government unions from striking.[117] Declaring the situation an emergency as described in the 1947 Taft–Hartley Act, Reagan stated that if the air traffic controllers "do not report for work within 48 hours, they have forfeited their jobs and will be terminated".[118] They did not return and on August 5, Reagan fired 11,345 striking air traffic controllers who had ignored his order, and used supervisors and military controllers to handle the nation's commercial air traffic until new controllers could be hired and trained.[119] A leading reference work on public administration concluded, "The firing of PATCO employees not only demonstrated a clear resolve by the president to take control of the bureaucracy, but it also sent a clear message to the private sector that unions no longer needed to be feared".[120]


And replace them with Miliary, who, if they do not do what are told, will be shot???

We have to think bigger I think, nothing will be beyond them if it gets out of hand that far...
 

bw

Fringe Ranger
And replace them with Miliary, who, if they do not do what are told, will be shot???

We have to think bigger I think, nothing will be beyond them if it gets out of hand that far...

Instant draft, two weeks of basic training, two weeks of medic training, and Shazam! you're a nurse. Wonder how that would work out. I'd have some doubts about the work ethic ...
 

Lilbitsnana

On TB every waking moment
Gotta say, if I was wealthy enough, I'd be provisioning my mega yacht for a year at sea right now.

Might want to make it two, just to be safe.

I said a long time ago, that I thought if we had to go into lockdown, it would have to be for a year or two. My original estimation had been 6 mo - 1 yr.
 

Wise Owl

Deceased
Listening to Michael Rivera right now and he just said that the sheriff deputy thought to have ebola last week is still in the hospital. Hasn't been released yet. Maybe a second test said he was infected and they are covering it up?
 

Betty_Rose

Veteran Member
I hope the nurse LIVES and sues the hell out of Frieden.

I suspect he's "un-suable" due to Sovereign immunity.

It's an old concept of English law that the "king can do no wrong."

Maybe she can sue Thomas Duncan's estate, right after those cretins sue the hospital that struggled so to save his life.
 

moldy

Veteran Member
I can foresee being ordered to work and being criminally prosecuted if I fail to show. Then having a cop show up and forcibly take me to work. DH last night asked at what point I would think of quitting.... I still don't know.
 
Top