EBOLA Ebola victim in Madrid has become the first person in the world to contract outside Africa

[MichaelUK]

http://www.dailymail.co.uk/news/article-2782651/Spanish-nurse-feared-person-contract-virus-outside-Africa.html

Spanish nurse who treated Ebola victim in Madrid becomes first person in the world to contract virus outside of Africa

Unnamed nurse believed to be part of team that treated Manuel Garcia Viejo
First test on the woman has come back positive after going to hospital today
Spanish missionary was brought back from Africa last month for treatment
He died on 26 September at Madrid's Carlos III Hospital from deadly virus

By Stephanie Linning for MailOnline

Published: 18:59, 6 October 2014 | Updated: 19:49, 6 October 2014



A Spanish nurse who treated an Ebola victim in Madrid has become the first person in the world to contract the deadly virus outside of Africa.

The 44-year-old is said to have spent the last 15 years working at Madrid's Carlos III Hospital, where the two Spanish missionaries infected with Ebola died.

The woman, who was married, was part of the team that treated Spanish priest Manuel Garcia Viejo, who was brought back from Africa last month so that he could be treated for the deadly virus.

Surrounded by doctors dressed from head to toe in protective hazard suits, Mr Veijo is stretchered off the flight in Madrid. He later died on September 26 at the city's Carlos III Hospital

Two separate tests confirmed that the woman, who has yet to be named, had contracted the disease.

Colleagues tonight expressed their surprise at news that the nurse, from Galicia in northwest Spain, had died from the virus, saying that there had been 'extreme' measures in place to protect hospital staff.

One told Spanish daily El Pais that nurses were equipped with two protective overalls, two pairs of gloves and glasses.


All medics had to use a special card to access the hospital's sixth floor - where the two men were treated.

The Carlos III Hospital was evacuated before the arrival of the first missionary, Miguel Pajares, who contracted the disease in Liberia, but not for Mr Viejo as the sixth floor had already been hermetically sealed.

Mr Pajares, the first person in Europe to be treated for Ebola, died at Madrid's Carlos III Hospital in August despite receiving experimental drug ZMapp after he returned.

Mr Viejo was a member of the Hospital Order of San Juan de Dios who worked in the Western city of Lunsar

Mr Viejo died at the hospital the following month after contracting the virus in Sierra Leone.

Ebola spreads through contact with the bodily fluids of someone who has the virus and the only way to stop an outbreak is to isolate those who are infected.

The current outbreak in west Africa, the worst ever, has infected nearly 7,500 people and caused more than 3,400 deaths.

The Spanish nurse is understood to have tested positive for Ebola in a first analysis after going to hospital in Alcorcon near Madrid with a high fever early this morning.

Doctors isolated the emergency treatment room.

A Ministry of Health source told respected daily El Mundo: 'She arrived at the University Hospital Alcorcon Foundation with fever and has undergone tests. The first test has come back positive.'

Spain's Health Ministry today held a crisis meeting as they awaited for the results to be confirmed.

British nurse William Pooley, 29, who was infected with the virus while working in Sierra Leone, recovered last month after being flown back to London for treatment.

He later jetted to the US to give blood to an American battling the disease.

Thomas Duncan, the first person diagnosed in the west with the disease, contracted Ebola last month in Liberia and is now 'fighting for his life' at a hospital in Dallas after flying to the US to visit his fiancee.

Spanish nurse, Manuel Garcia Viejo, is pictured being flown home from Sierra Leone in a plastic isolation chamber. It is understood that the female Spanish nurse was part of the team that treated him

Leading charity Save the Children warned recently Ebola is spreading at a 'terrifying rate' with the number of recorded cases doubling every week.

Speaking at a conference in London co-hosted with Sierra Leone last week, UK Foreign Secretary Philip Hammond called for more financial aid, doctors and nurses.

Scientists have warned the Ebola virus could spread across the world infecting people from the US to China within three weeks.

The team of US researchers have predicted there is a 50 per cent chance a traveller carrying the disease could touch down in the UK by October 24.

Read more: http://www.dailymail.co.uk/news/art...tract-virus-outside-Africa.html#ixzz3FORv9evW
Follow us: @MailOnline on Twitter | DailyMail on Facebook

 

[BertaBurtonLake]

http://www.dailymail.co.uk/news/article-2782651/Spanish-nurse-feared-person-contract-virus-outside-Africa.html

Spanish nurse who treated Ebola victim in Madrid becomes first person in the world to contract virus outside of Africa

Unnamed nurse believed to be part of team that treated Manuel Garcia Viejo
First test on the woman has come back positive after going to hospital today
Spanish missionary was brought back from Africa last month for treatment
He died on 26 September at Madrid's Carlos III Hospital from deadly virus

By Stephanie Linning for MailOnline

Published: 18:59, 6 October 2014 | Updated: 19:49, 6 October 2014



A Spanish nurse who treated an Ebola victim in Madrid has become the first person in the world to contract the deadly virus outside of Africa.

The 44-year-old is said to have spent the last 15 years working at Madrid's Carlos III Hospital, where the two Spanish missionaries infected with Ebola died.

The woman, who was married, was part of the team that treated Spanish priest Manuel Garcia Viejo, who was brought back from Africa last month so that he could be treated for the deadly virus.

Surrounded by doctors dressed from head to toe in protective hazard suits, Mr Veijo is stretchered off the flight in Madrid. He later died on September 26 at the city's Carlos III Hospital

Two separate tests confirmed that the woman, who has yet to be named, had contracted the disease.

Colleagues tonight expressed their surprise at news that the nurse, from Galicia in northwest Spain, had died from the virus, saying that there had been 'extreme' measures in place to protect hospital staff.

One told Spanish daily El Pais that nurses were equipped with two protective overalls, two pairs of gloves and glasses.


All medics had to use a special card to access the hospital's sixth floor - where the two men were treated.

The Carlos III Hospital was evacuated before the arrival of the first missionary, Miguel Pajares, who contracted the disease in Liberia, but not for Mr Viejo as the sixth floor had already been hermetically sealed.

Mr Pajares, the first person in Europe to be treated for Ebola, died at Madrid's Carlos III Hospital in August despite receiving experimental drug ZMapp after he returned.

Mr Viejo was a member of the Hospital Order of San Juan de Dios who worked in the Western city of Lunsar

Mr Viejo died at the hospital the following month after contracting the virus in Sierra Leone.

Ebola spreads through contact with the bodily fluids of someone who has the virus and the only way to stop an outbreak is to isolate those who are infected.

The current outbreak in west Africa, the worst ever, has infected nearly 7,500 people and caused more than 3,400 deaths.

The Spanish nurse is understood to have tested positive for Ebola in a first analysis after going to hospital in Alcorcon near Madrid with a high fever early this morning.

Doctors isolated the emergency treatment room.

A Ministry of Health source told respected daily El Mundo: 'She arrived at the University Hospital Alcorcon Foundation with fever and has undergone tests. The first test has come back positive.'

Spain's Health Ministry today held a crisis meeting as they awaited for the results to be confirmed.

British nurse William Pooley, 29, who was infected with the virus while working in Sierra Leone, recovered last month after being flown back to London for treatment.

He later jetted to the US to give blood to an American battling the disease.

Thomas Duncan, the first person diagnosed in the west with the disease, contracted Ebola last month in Liberia and is now 'fighting for his life' at a hospital in Dallas after flying to the US to visit his fiancee.

Spanish nurse, Manuel Garcia Viejo, is pictured being flown home from Sierra Leone in a plastic isolation chamber. It is understood that the female Spanish nurse was part of the team that treated him

Leading charity Save the Children warned recently Ebola is spreading at a 'terrifying rate' with the number of recorded cases doubling every week.

Speaking at a conference in London co-hosted with Sierra Leone last week, UK Foreign Secretary Philip Hammond called for more financial aid, doctors and nurses.

Scientists have warned the Ebola virus could spread across the world infecting people from the US to China within three weeks.

The team of US researchers have predicted there is a 50 per cent chance a traveller carrying the disease could touch down in the UK by October 24.

Read more: http://www.dailymail.co.uk/news/art...tract-virus-outside-Africa.html#ixzz3FORv9evW
Follow us: @MailOnline on Twitter | DailyMail on Facebook

But the CDC says there is nothing to worry about....

 

[MichaelUK]

Nurse in Spain tests positive for Ebola in first infection outside west Africa
Nurse was part of medical team that treated Sierra Leone priest who died in hospital last month after being flown to Madrid

Madrid hospital The Madrid hospital where a priest with Ebola was admitted last month. Photograph: Luca Piergiovanni/EPA

A nurse in Spain has tested positive for the Ebola virus after treating a patient repatriated to Madrid from Sierra Leone, according to sources within the country’s health authorities.

Officials are now waiting for the results of a second test, which if positive would make the nurse the first patient to have been infected with the virus outside west Africa.

The nurse was part of the team attending to a Spanish missionary with Ebola who was repatriated two weeks ago. The 69-year-old missionary, Manuel García Viejo, died just four days after being brought to Madrid’s Carlos III hospital.

The nurse arrived at a hospital in Alcorcón with high fever on Monday, said authorities, and the first round of tests tested positive for the deadly virus. Ebola protocol has been put in place while officials wait for the results of a second round of testing.

In August, 75-year-old Spanish missionary Miguel Pajares died in Madrid after being repatriated from Liberia five days earlier. He was the first patient in the current, fast-spreading outbreak to be evacuated to Europe for treatment.

Pajares’ repatriation to Madrid prompted concern among health professionals who said that Spanish hospitals were not adequately equipped to handle the Ebola outbreak. Amyts, a trade union that represents physicians, called the repatriation risky, and its president, Daniel Bernabéu, asked Spanish news agency Efe if “anyone could guarantee 100% that the virus wouldn’t escape”.

Bernabéu compared Spain to the US and pointed out that the Americans have 10 hospitals with the highest level of biosafety possible. Spain, in contrast, has just one suitable hospital with biosafety levels that are much lower.

 

[BertaBurtonLake]

So, just as happened in SL and Liberia, healthcare workers employing proper procedure and PPE have become infected. This is especially notable considering the lengths to which the Spanish hospital went to prohibit contamination and is not a 3rd world sh*thole.

 

[Tristan]

So, just as happened in SL and Liberia, healthcare workers employing proper procedure and PPE have become infected. This is especially notable considering the lengths to which the Spanish hospital went to prohibit contamination and is not a 3rd world sh*thole.

+100


From the OP:

"Colleagues tonight expressed their surprise at news that the nurse, from Galicia in northwest Spain, had died from the virus, saying that there had been 'extreme' measures in place to protect hospital staff. "

I find it interesting that the news of her infection has not happened until after her demise, as it would be fairly big news that a caregiver in a modern western country with all available PPE had still been infected.

The article seems to downplay the fact that she actually has died from the disease!

 

[Sacajawea]

Awww CRAP.

 

[library lady]

What will be even more interesting is if she has transmitted to someone else before her death. Family, friends, coworkers...

 

[Slatewiper]

U

+100


From the OP:

"Colleagues tonight expressed their surprise at news that the nurse, from Galicia in northwest Spain, had died from the virus, saying that there had been 'extreme' measures in place to protect hospital staff. "

I find it interesting that the news of her infection has not happened until after her demise, as it would be fairly big news that a caregiver in a modern western country with all available PPE had still been infected.

The article seems to downplay the fact that she actually has died from the disease!

Read the article again, she is not dead.

 

[minnie mouse]

But the CDC says there is nothing to worry about....

Right.....

Just like with Dr. Brantley. I understand that he still isn't sure how he got it since he believed that he was following all procedures to the letter.

 

[Marthanoir]

So, just as happened in SL and Liberia, healthcare workers employing proper procedure and PPE have become infected. This is especially notable considering the lengths to which the Spanish hospital went to prohibit contamination and is not a 3rd world sh*thole.

If you were a doctor, nurse or one of the paramedics in Dallas you'd be crapping yourself right now, I wound how that Judge is feeling after going into the apartment without any protection at all

 

[summerthyme]

Well, she's either dead... or not. GREAT reporting, as usual. Also..> "WAS married"? Until when? The minute she tested positive? Ten years ago. Still is? Damn... where do they find these reporters these days, anyway?!!! (and presuming she still IS married, is her spouse under quarantine- I hope!)

The woman, who was married, was part of the team that treated Spanish priest Manuel Garcia Viejo, who was brought back from Africa last month so that he could be treated for the deadly virus.

Surrounded by doctors dressed from head to toe in protective hazard suits, Mr Veijo is stretchered off the flight in Madrid. He later died on September 26 at the city's Carlos III Hospital

Two separate tests confirmed that the woman, who has yet to be named, had contracted the disease.

Colleagues tonight expressed their surprise at news that the nurse, from Galicia in northwest Spain, had died from the virus, saying that there had been 'extreme' measures in place to protect hospital staff.

Summerthyme

 

[naturallysweet]

I have it on good authority from a doctor on Fox News that it's okay to kiss an Ebola patient. How can this woman die unless she was sharing body fluids with him? (sarcasm)

I wonder how many millions will have to die until those in charge start speaking the truth. Ebola is a category 4 virus that is extremely easy to get and extremely hard to survive.

 

[SusieSunshine]

Right.....

Just like with Dr. Brantley. I understand that he still isn't sure how he got it since he believed that he was following all procedures to the letter.

I heard Dr. Brantley interview on Fox awhile back. He said that he believed that he got the disease from his mailman delivering mail.

 

[Wise Owl]

After re-reading the article, it plainly says she is dead. DOA. No longer with us. It has shocked her co-workers.

Reading comprehension is wonderful. I am guilty of speed reading myself from time to time if I am in a hurry.

 

[Possible Impact]

Looks like this will be the "European" thread, so another copy of this:
Spanish Ebola-Infected Nurse Is First Case Of Contagion
Out Of Africa; Salzburg Activates Ebola Emergency Response


Submitted by Tyler Durden on 10/06/2014 14:47 -0400
http://www.zerohedge.com/news/2014-...-contagion-out-africa-salzburg-activates-ebol



By now it should be clear to everyone that any myth that the Ebola epidemic, which
has clearly gone global, is contained is about as real as the S&P 500 at 2000. And if
it isn't, the latest confirmation came moments ago from BBC which reports that a
Spanish nurse who treated an Ebola victim in Madrid has contracted the
virus herself in the first case of contagion outside Africa, health officials say.
What is different about this case is that the nurse contracted the virus in Madrid
while she was part of the team that treated Spanish priest Manuel Garcia Viejo, who
died of Ebola on 25 September, despite being treated with the same drug regiment
that previous is said to have worked on US Ebola patients.

The priest died in the hospital Carlos III de Madrid after catching Ebola in Sierra
Leone. He was the second: another Spanish priest, Miguel Pajares, died in August
after contracting the virus in Liberia.

The nurse was admitted to hospital on Monday morning with a high fever, Spanish
newspaper El Pais said. Doctors isolated the emergency treatment room, the report
said.

Once again questions emerge just how the virus is transmitted, because if the
nurse, who obviously took every possible precation against the world's most
dangerous virus that is supposedly non-airborne, contracted it, then it clearly leads
to speculation that Ebola may be transmitted by means other than what the
population is being told.

And while the media will surely try to downplay the seriousness of this latest
contagion, it will likely fail:

• SPANISH HEALTH OFFICIAL SAYS HEALTH WORKER WITH EBOLA
STARTED TO FEEL SICK ON SEPT. 30

• SPAIN MONITORING 30 MED STAFF WHO WORKED WITH EBOLA PATIENT

• SPANISH EBOLA PATIENT ENTERED ORIGINAL PATIENT'S ROOM TWICE

• SPAIN EBOLA PATIENT POSS HAD CONTACT W/OTHERS BEFORE SYMPTOMS
​

But the punchline:

SPANISH HEALTH OFFICIAL SAYS HEALTH WORKER WITH
EBOLA WENT ON HOLIDAY THE DAY AFTER SPANISH PRIEST
DIED AND HAS BEEN ON HOLIDAY EVER SINCE
​

Well, good luck finding everyone she interacted with.

And if that wasn't enough, perhaps the safest and sleepiest city in the world,
Mozart's birthplace, Salzburg, hours ago activated its emergency Ebola response
after a 15 year old refugee from Liberia was exhibiting Ebola-like signs. From
German ORF google-translated:

In the Salzburg State Hospital, a 15-year-old from Liberia is examined
for the Ebola virus infection. The young man was picked up on Monday
night at the Wals. He claimed to have escaped alone.

In the Salzburg Federal Clinics (SALK) Monday had therefore first the
existing emergency plan for the handling of a suspected Ebola are
capitalized: The young refugee from Liberia had been taken up in a
Flachgauer community. Since Liberia is a country affected by Ebola area,
the young man was admitted immediately for evaluation in the country's
hospitals. This was confirmed in the evening Salzburg hospital and
health speaker Governor Deputy Governor Christian Stöckl (ÖVP).

​

And cue panic prevention mode:

"It is absolutely too early to speak of a suspected case. The patient must
first be examined for possible symptoms throughout. However, the
emergency plan has been activated as a precaution in the Salzburg
Regional Hospital, and the case is treated as a suspected case. It has
paid off, that a meticulous contingency plan for the entire country and in
the state hospital in an Ebola-Team was established in the fall of last
year by the Regional Health Directorate. The probability that there is an
Ebola patient in the refugee may be small, but we have taken all
measures to be fully prepared. The crisis team has gathered in a short
time and will advise the next steps, resulting from the initial
examination of the patient, "said Stoeckl.

​

Finally, all this is happening as America's own Ebola patient, Thomas Duncan, is in
deteriorating, critical condition.

 

[summerthyme]

Well, you've got to admit, NOT stating that she had died anywhere in the first sentences (and saying they were still running tests) makes it pretty unclear. I think she has died... hence the past tense of "was married". But that's TERRIBLE writing, if so.

Summerthyme

 

[Possible Impact]

First Ebola infection in EU confirmed
as fears virus could spread north


Published 06/10/2014 | 20:19
http://www.independent.ie/world-new...-fears-virus-could-spread-north-30643593.html

Spanish health officials this evening said that a Spanish nurse who treated a priest
repatriated to Madrid with Ebola last month, and who died of the disease, had also
been infected.

The female nurse was part of the medical team that treated a 69-year-old priest who
died in a hospital last month after being flown to Madrid from Africa.

Spanish health workers load Spanish Ebola patient


The woman went to the Alcorcon hospital in the Madrid suburbs with a high fever
and was placed in isolation.

The Health Ministry will give a news conference later.

A Spanish health worker looks at Ebola patient


Meanwhile Scientists have claimed the Ebola virus could reach the UK and France by
the end of the month.

Following an analysis of disease spread patterns and airline traffic data, experts
have predicted there is a 75 per cent chance the virus could be imported to France
by October 24, while there is a 50pc chance it could have also hit Britain.

The deadly epidemic has killed more than 3,400 people since it began in West Africa
in March and has now started to spread faster, infecting almost 7,200 people so far.

The estimates have been based on air traffic remaining at full capacity. An 80pc
reduction in travel however would see France's risk remain at 25pc, while Britain's
risk would still be at 15pc.

Spanish health workers load Spanish Ebola patient

Nigeria, Senegal and the US, where the first case was diagnosed on Tuesday in a
man who flew in from Liberia, have all seen people carrying the Ebola haemorrhagic
fever virus, apparently unwittingly, arrive on their shores.

France and Britain have each treated one national who was brought home with the
disease before being cured.

The scientists' study suggests that more may bring it to Europe not knowing they
are infected.

France is believed to be among the countries most likely to be hit next because the
worst affected countries - Guinea, Sierra Leone and Liberia - include French
speakers and have busy travel routes back.

Heathrow airport meanwhile is one of the world's biggest travel hubs.

Belgium has a 40pc chance of seeing the disease imported, while Spain and
Switzerland have lower risks of 14pc each, according to the study first published in
the journal PLoS Current Outbreaks. The study is also being updated at MoBS Lab.

The World Health Organisation (WHO) has not placed any restrictions on travel and
has encouraged airlines to keep flying to the worst-hit countries. British Airways and
Emirates airlines have suspended some flights.

But Alex Vespignani, a professor at the Laboratory for the Modeling of Biological and
Socio-Technical Systems at Northeastern University in Boston who led the research,
said the risks change every day the epidemic continues.

He told Reuters: "This is not a deterministic list, it's about probabilities - but those
probabilities are growing for everyone.

"It's just a matter of who gets lucky and who gets unlucky."

The latest calculations used data from October 1.

"Air traffic is the driver," Mr Vespignani said. "But there are also differences in
connections with the affected countries (Guinea, Liberia and Sierra Leone), as well
as different numbers of cases in these three countries - so depending on that, the
probability numbers change."

 

[summerthyme]

So, is she dead- or not?

One article has colleagues expressing "surprise that she had died"... this one above has her "placed in isolation". Man, I wish we still had JOURNALISTS...

Summerthyme

 

[Bubble Head]

So, is she dead- or not?

One article has colleagues expressing "surprise that she had died"... this one above has her "placed in isolation". Man, I wish we still had JOURNALISTS...

Summerthyme

I am also confused. It plainly states a nurse is dead from Ebola and it later gives dates and times for symptoms and beginning treatment. Poor journalism or they had two people at the hospital come down with Ebola and one is still alive and one died. That makes just as much sense as any of this story. Please note the pictures of the sealed plastic container to handle Ebola patient with handlers suited up. So how do we justify what happened in Dallas with this Looney Tune Judge?

 

[Be Well]

This is on the Main Ebola thread:

https://twitter.com/L0gg0l


Gregor Peter @L0gg0l · 38m 38 minutes ago
Fears a second nurse could have caught Ebola at Madrid hospital, Spanish radio reports

 

[VesperSparrow]

Quoted from another forum:http://www.avianflutalk.com/nurse-in-madrid-tests-positive-for-ebola_topic32370.html

She had fever since sept 30th but only today went to the hospital, she was on vacation since the patient she looked after died...

Wow. Does that buck the trend? If she had fever since the 30th Sept but only went to the hospital on the 6th Oct, that's 7 days of being actively contagious. Where did she go on holiday? Don't tell me she has been travelling by public transport around Spain to see the sights! LOL.

Is it normal for Ebola patients to have a fever for so long before they feel the need to get treatment. I thought they developed a fever, then almost immediately were stricken with other awful symptoms. I wonder if she is fighting it off?

so now they are focused on 30 nurses related to the preist and the question is.. are they forgetting that the first nurse was outside 10 days and the latest 7 days moving around with simptoms? how many unknown contacts could she had in all this time...

we are getting back to the sindrome.. oh i am i health care personel... "it cannot happen to me .. it is just a flu or a cold".. this very stupid way of denial will bring the most of humans that will get it to the grave.. and their closest relations. And if this nurse who still tried not to get infected managed to get it.. just think what the chances are in the case of the family in dallas and to all those relatives and secondary contacts.. wellcome ebola in the first world.. you wil do many many things here... as the most humans are much to stupid.....

 

[Melodi]

If you were a doctor, nurse or one of the paramedics in Dallas you'd be crapping yourself right now, I wound how that Judge is feeling after going into the apartment without any protection at all

As I said on the other thread, husband in Medical School in Dublin isn't too happy either because he said pretty much this is the first VERIFIED case where there wasn't really any logical chance of the person getting it by walking down the street, eating bush meat by accident, having their extremely hot suit become contaminated in the African heat etc.

This was 99.9 percent certainly an infection from a highly publicized patient, flown in by a special medical airlift and widely touted as being in a special "secured" quarantine unit using the highest level of Western precautions; so in theory was "no threat" to the public or the medical staff.

He also said that in Europe, (the more modern parts at least) an accident like a needle stick or other failure (which can happen to anyone) would have been reported at the time and given the situation the proper "protocol" would have been quarantine moments after the accident for at least 21 days of observation.

It is now obvious that either this virus IS easier to spread (at least in some circumstances) then was believed and/or there was a serious unreported breach of medical procedures and now that we have them happening outside of Africa it is getting harder and harder to believe in so many failures of proper precautions being taken, on the part of so many highly trained people who know their lives are at risk by breaking them.

 

[FireDance]

And when healthcare workers begin to look after their own interests then whatcha got?

 

[Be Well]

And when healthcare workers begin to look after their own interests then whatcha got?

Live HCW vs dead HCW. Live ones take better care of patients.

 

[NINER]

the "she" that IS dead is the nun who gave it to the man who gave it to this current woman. This infected woman out of Spain is still alive. That is my understanding at this time.

 

[LSV]

This is on the Main Ebola thread:

https://twitter.com/L0gg0l

Gregor Peter @L0gg0l · 38m 38 minutes ago
Fears a second nurse could have caught Ebola at Madrid hospital, Spanish radio reports

Has anyone seen this anywhere else yet besides twitter? A second nurse is REALLY scary! I keep looking at the photos and how well the medical staff protected themselves
Lisa

 

[Possible Impact]

Spanish Ebola case requires rapid response
to allay western fears

It is important to ascertain exactly how Madrid nurse was infected
to prevent inaccurate scare stories circulating on internet



Sarah Boseley, health editor
The Guardian, Monday 6 October 2014 14.37 EDT
http://www.theguardian.com/world/2014/oct/06/spanish-ebola-case-rapid-response-allay-western-fears

Spanish health workers move Ebola patient Manuel Garcia Viejo
into an ambulance on his arrival from Sierra Leone. A Spanish nurse
who treated him has tested positive for the disease. Photograph: Reuters

The news that a nurse in a Spanish hospital has been infected
with the Ebola virus by a patient she was helping to treat will greatly
dismay those trying to reassure people in Europe and the US that they
are safe from the disease.

This should not happen. In countries with sophisticated healthcare
systems, such as Spain and the US, it ought to be almost impossible for
a nurse to become infected once the hospital is aware that it has an
Ebola patient.

In Dallas, ambulance workers were put at risk and are now effectively in
quarantine because of ignorance: the hospital did not know that Thomas
Duncan might be infected with the virus when they responded to the call
to transport a sick man.

But in Spain there does not seem to be that excuse. The priest Manuel
Garcia Viejo, whom the nurse was helping to treat at Madrid’s Carlos III
hospital, had been repatriated from Liberia precisely because he had
Ebola.

The virus is transmitted from one person to another through bodily fluids
and the sicker the patient becomes, the higher the levels of virus in
those fluids, which include blood, urine and vomit. The sick are more
dangerous to people nursing them than to almost anybody else. But
strict infection control procedures work in the challenging circumstances
of west Africa most of the time and should not fail in Europe. Any nurse,
doctor or anyone else who has contact with a patient must be in a
protective suit, complete with gloves and face mask. The patient will be
in isolation and strict hygiene and sanitation measures will be in force.

Among the urgent questions now facing the Spanish health authorities
will be whether the nurse treating the priest might have removed or
failed to put on any part of this protective clothing. Experts will hope
there is a rapid answer to that, because there is a real danger otherwise
that scare stories, without any scientific evidence, will circulate on the
internet.

Scientists and doctors have repeatedly said that Ebola is not transmitted
through water droplets in the air from coughs and sneezes. It does not
have a respiratory route for infecting people. It will be important now to
ascertain exactly what happened in Madrid so that any such rumours can
be quickly scotched.

^^^ I'ma gonna needa Scapegoat, STAT!
​

 

[JohnGaltfla]

Have no fear! President Obola will keep it "contained."

 

[Possible Impact]

Nurses Ana Mato blame the spread of Ebola her partner

The Minister of Health is responsible for the first and last exposure,
as her fellow profession. "The risk is never zero," reported from AME.

• Ana Mato, forced to stand up for Ebola after infection Nurse
• Health and contradicts claims that nurses are prepared to face the Ebola
• A nurse who treated Garcia Viejo missionary in Carlos III, first in Europe infected by Ebola

Ana Mato, Minister of Health
EB / 10.06.2014 • 19:58
https://translate.google.com/transl...ulpan-ana-mato-contagio-ebola.html&edit-text=

"Ana Mato is responsible." So for sharp viewing from the Madrid
Association of Independent Nursing (AME) to emphasize that "we
must assign responsibility" for the spread of Ebola that has suffered
one of his companions to the care of the missionary Manuel García
Viejo was entrusted, infected virus.

As reported came from that repatriation was assessed missionary Miguel
Pajares, sources of stress to ElBoletin.com AME in the medical
community "were not sufficiently trained" to meet the Ebola infections.
Since then, the lack of transparency that surrounded the treatment of
two patients in the Carlos III Hospital is criticized and now puts it shows
that errors and improvisation "have consequences" and that they "come
to light".

While not ruling out the possible error that could have been the
responsibility of one's own nursing assistant, whose identity had not yet
transcended the afternoon, his colleagues stress that the first
misconception is that only should have required the work of "people
trained "in cases of medical emergency of this scale. "The risk is never
zero, although all measures be taken", have denounced from AME.

The companions of the first is already infected by Ebola in Europe say
they are "worried" and "nervous" by Carlos III and nurse because of
government mismanagement is evident. It is why blame the head of the
Ministry of Health, Ana Mato, everything happened. However, they show
their hope in that, according to understand, it is an early stage in a
"younger without other medical complications" patient, as was the case
of the two missionaries returnees and died in Madrid.

Now just a month ago, and according to sources AME told this same
portal, possible contagion feared. Remarked on which note that Miguel
Pajares was infected by his sick Ebola, something that could happen to
themselves. "If we catch we put people in danger," claimed to be aware
that any social activity could be a risk factor.

Nurses also explains the protocol for professionals in contact with the
two deceased returnees temperature was taken twice a day and up to 21
days after completing his care to the plaintiff. A practice to do in the
home and, if displayed fever, are advised to call the emergency number
112 and follow the directions in each case. It is unknown whether the
infected came to his reference hospital on his own initiative or
recommended by other health professionals.

For his part, President of the General Nursing Council, Máximo González
Jurado, said to Europa Press that prompted an investigation "depth" of
what happened. This same weekend, has revealed, had received a
detailed report on the protocol followed in the Hospital Carlos III de
Madrid for the two cases of repatriated missionaries who had already
tried in our country.


​

 

[Possible Impact]

Staff Carlos III costumes complaint
did not meet the rules

The hospital responds that they have met the security measures for Ebola


A health of Madrid, first Ebola contagion in Europe

Miguel Angel Medina
Madrid
6 OCT 2014 - 21:52 CEST
https://translate.googleusercontent...8.html&usg=ALkJrhgD-FnszFpsxiWs42m6b7goiuNsYA

Medical personnel who treated Miguel Pajares
a suit with gloves subjects with duct tape.



Medical personnel of Carlos III denounced this afternoon that the
costumes that has treated the two Spanish priests infected by Ebola did
not meet the necessary safety requirements . In his words, the
normative case for a brand like this condition is necessary to use a
clothing level 4 , ie, fully waterproof and breathing apparatus. The
clothing used to serve both as Miguel Pajares Manuel García Viejo was
only level 2 Yolanda Fuentes, deputy director of the Hospital Carlos III -
La Paz, has denied that any breach of its security measures. "The
costumes are well matched to the protocol and the security measures
required for this disease," he explained.

As seen in the pictures supplied by staff of Carlos III, the suit used does
not meet these characteristics : not vented and gloves are latex and are
secured by adhesive tape. The complaint also risk has meant that the
hospital has not been evicted to meet García Viejo, criticize and waste
from the rooms of the two religious were expelled infected by the same
elevator that used the rest of the staff.

Sources acknowledged that indeed, clothing independent staff had gloves
as may be seen in the images, but said that "meet the security protocol
for Ebola." The deputy director of the hospital said that the
recommendations of the World Health Organization and the Ministry of
Health did not require a special added protection for this case, and have
complied with all the necessary protocols. He also denied that the waste
would follow the route reported by staff. "That elevator was blocked for
these patients," he added. "The Carlos III Hospital is well equipped to
handle all the cases we have addressed," he concluded.

Health personnel in costume to meet Miguel Pajares


For his part, President of the General Nursing Council, Máximo González
Jurado, Europa Press reported that last weekend received a "very
documented report" on the protocol followed in hospitals treating
possible cases of Ebola . The document, prepared by a medical
professional, it is emphasized that the measures "are very safe from the
point of view of public health, while from the standpoint of labor present
many problems."

"I do not want to alarm without studying it in depth, but this is a major
complaint," said Gonzalez. He also lamented that since joining the first
case of Ebola in Spain and the first steps have not been reported or have
been asked to review nursing profession were taken. "You made us
sharers in the protocols and in no time we review has been sought."
Given the spread of the nursing assistant, Gonzalez has said: "not worth
us warm cloths Something went wrong and it can not afford going to ask
health authorities thoroughly investigated and if it is not done we will
take the necessary measures.. ".

Meanwhile, the president of the medical union AMYTS, Daniel Bernabeu,
has expressed "a mixture of dismay and outrage" to hear the case of the
nursing assistant. "We have worked according to established protocols
and will have to analyze exactly what circumstances it has been possible
contagion. • No contact was a risk that the Government had to take," he
has told EFE.


​

 

[Tristan]

So, is she dead- or not?

One article has colleagues expressing "surprise that she had died"... this one above has her "placed in isolation". Man, I wish we still had JOURNALISTS...

Summerthyme

Until more info comes in I'm going to go with infected and in quarrantine, after a nice holiday. Chalking it up to sloppy writing.

I do wonder if this nurse had an unreported breach such as a needle stick that didn't penetrate the skin fully or some such.

The note of another nurse potentially being infected is worrying...

 

[Hermantribe]

Here in California, the fear and rumors are already spreading, at least by the teenagers. A "friend" (someone she's never met but is friends with on Instagram) told all his "friends" (who probably have never met each other either) that his sister is a nurse in Riverside County, and there are cases in the county. All of the information disinformation, lies, rumors and crud by stupid and/or bored people is starting. Kinda like going up a roller coaster.......

 

[Kris Gandillon]

Staff Carlos III costumes complaint
did not meet the rules

The hospital responds that they have met the security measures for Ebola


A health of Madrid, first Ebola contagion in Europe

Miguel Angel Medina
Madrid
6 OCT 2014 - 21:52 CEST
https://translate.googleusercontent...8.html&usg=ALkJrhgD-FnszFpsxiWs42m6b7goiuNsYA

Medical personnel who treated Miguel Pajares
a suit with gloves subjects with duct tape.



Medical personnel of Carlos III denounced this afternoon that the
costumes that has treated the two Spanish priests infected by Ebola did
not meet the necessary safety requirements . In his words, the
normative case for a brand like this condition is necessary to use a
clothing level 4 , ie, fully waterproof and breathing apparatus. The
clothing used to serve both as Miguel Pajares Manuel García Viejo was
only level 2 Yolanda Fuentes, deputy director of the Hospital Carlos III -
La Paz, has denied that any breach of its security measures. "The
costumes are well matched to the protocol and the security measures
required for this disease," he explained.

As seen in the pictures supplied by staff of Carlos III, the suit used does
not meet these characteristics : not vented and gloves are latex and are
secured by adhesive tape. The complaint also risk has meant that the
hospital has not been evicted to meet García Viejo, criticize and waste
from the rooms of the two religious were expelled infected by the same
elevator that used the rest of the staff.

Sources acknowledged that indeed, clothing independent staff had gloves
as may be seen in the images, but said that "meet the security protocol
for Ebola." The deputy director of the hospital said that the
recommendations of the World Health Organization and the Ministry of
Health did not require a special added protection for this case, and have
complied with all the necessary protocols. He also denied that the waste
would follow the route reported by staff. "That elevator was blocked for
these patients," he added. "The Carlos III Hospital is well equipped to
handle all the cases we have addressed," he concluded.

Health personnel in costume to meet Miguel Pajares


For his part, President of the General Nursing Council, Máximo González
Jurado, Europa Press reported that last weekend received a "very
documented report" on the protocol followed in hospitals treating
possible cases of Ebola . The document, prepared by a medical
professional, it is emphasized that the measures "are very safe from the
point of view of public health, while from the standpoint of labor present
many problems."

"I do not want to alarm without studying it in depth, but this is a major
complaint," said Gonzalez. He also lamented that since joining the first
case of Ebola in Spain and the first steps have not been reported or have
been asked to review nursing profession were taken. "You made us
sharers in the protocols and in no time we review has been sought."
Given the spread of the nursing assistant, Gonzalez has said: "not worth
us warm cloths Something went wrong and it can not afford going to ask
health authorities thoroughly investigated and if it is not done we will
take the necessary measures.. ".

Meanwhile, the president of the medical union AMYTS, Daniel Bernabeu,
has expressed "a mixture of dismay and outrage" to hear the case of the
nursing assistant. "We have worked according to established protocols
and will have to analyze exactly what circumstances it has been possible
contagion. • No contact was a risk that the Government had to take," he
has told EFE.


​

Based on the nationwide nurse's group comments this morning, this is EXACTLY what they are concerned about here in the USA as well. Using level 2 or less gear in the presence of a level 4 pathogen.

And the CDC smugly saying ANY hospital in the USA can adequately deal with Ebola patients.

We know that behind the scenes, from objective reality, personal experience, and news reports, that in general within any normal USA hospital there is a lack of good information being distributed to the hospital staff, there is inadequate training and many do not have adequate gear or facilities to actually accomplish this mission. They will be simply trying to do the best they can with what they have to work with...sounds like the facilities in West Africa.

 

[VesperSparrow]

Maybe TPTB need to consider EBOLA hospitals. One in each county of the United States.

 

[Kris Gandillon]

Maybe TPTB need to consider EBOLA hospitals. One in each county of the United States.

That would be a boatload of "shovel-ready" jobs! They could solve the unemployment problem at the same time by literally drafting (which they have the power to do) every able-bodied person in the US to be on the construction teams! Then that would also boost the economy due to all of the employment and all of the purchasing of land and construction materials and medical equipment for all these new hospitals. This could literally solve "all the world's problems!!!"

 

[Possible Impact]

Martin Enserink @martinenserink · 6h
Sixty health care workers
who were in contact with the nurse in Spain who contracted #Ebola
are now being monitored, according to El País.



M.P.G. ‏@Magpoga

Este es el protocolo que han seguido con la auxiliar de enfermería contagiada de Ébola.
Exigimos dimisiones ya!!!

This is the protocol followed with nursing assistant Ebola infected.
Demand resignations and !!!

Lots more on the #anamatodimision hashtag (resignation)


Defense of Public Health requests the "immediate resignation"
of Ana Mato for the Ebola Crisis


EcoDiario.es | 6/10/2014 - 21:53
http://translate.google.com/transla...iato-de-Ana-Mato-por-la-crisis-del-ebola.html

The Federation of Associations for the Defence of Public Health (FADSP)
Monday branded "appalling and irresponsible" management Health
Minister Ana Mato, and health authorities in Madrid regarding transfer
and care of the two missionaries repatriated Ebola causes, after news
that a health doctor who treated Garcia old has been infected.

In a statement, demanded the immediate resignation of the Minister Ana
Mato, "mostly because we need competent people who can address the
problem with security."




​

Meanwhile in DC:

Mark Knoller @markknoller · 3h
Pres Obama signs bill requiring new studies
of post-acute care treatment & costs by Medicare
for setting new reimbursement rates.




Mark Knoller @markknoller · 3h
WH says it's expanding Medicare’s "Five Star Quality Rating System"
for nursing homes and home health care.




Mark Knoller @markknoller · 3h
POTUS now at DNC fundraiser at local restaurant.
65 donors paying minimum $10,000 per to attend.
1st of 7 fundraisers he's doing this week.

 

[babysteps]

That would be a boatload of "shovel-ready" jobs! They could solve the unemployment problem at the same time by literally drafting (which they have the power to do) every able-bodied person in the US to be on the construction teams! Then that would also boost the economy due to all of the employment and all of the purchasing of land and construction materials and medical equipment for all these new hospitals. This could literally solve "all the world's problems!!!"

Staffing might be a problem, however...

 

[JohnGaltfla]

That would be a boatload of "shovel-ready" jobs! They could solve the unemployment problem at the same time by literally drafting (which they have the power to do) every able-bodied person in the US to be on the construction teams! Then that would also boost the economy due to all of the employment and all of the purchasing of land and construction materials and medical equipment for all these new hospitals. This could literally solve "all the world's problems!!!"

We already have them along with existing FEMA orders for their use:

They are called football stadiums.

 

[Cascadians]

Yes, that's how it is. If you are lucky you have a box of gowns, box of gloves, box of masks, box of booties. Rushed and have to put it all on and off (off is where most mistakes are made) by oneself because chronically short staffed. By the time the need is known, these supplies are hard to get and restocking is not timely. And they are supposed to be one time use but ppl give up and just hang them by a hook and re-use for entire shift, so much faster. None of these standard PPE supplies are anywhere near sufficient for a Level4Pathogen.

 

[Dixielee]

I am taking our annual Hazmat class this Wednesday and I bet they hit heavily on Ebola! We do dress out in complete gear with the respirator et al. What they don't tell you in these articles is that it is extremely difficult to do basic care while in these suits. You can only stay in them about 15 minutes and I can't imagine having to do basics like IV insertions, opening and injecting meds etc with those heavy, clumsy gloves! The only thing we really ever envisioned having to do in them is to run someone thru the decontamination process to remove hazardous material. I don't see how I could possible do my job wearing one of those suits.

On another happy note, ER staff takes care of everyone who comes thru the door and we do not all wear hazard suits all day. How many times have I stood in someone's path as they coughed, sneezed or vomited on or near me?? Ebola symptoms, in the beginning, are like every other complaint that walks thru the triage doors. I am very concerned and our hospital is taking it seriously.