EBOLA "I am scared for those who will follow me" ????

LilRose8

Veteran Member
SO according to this, people who test negative can still have EBOLA yet nearly every case we have heard of across the nation are sent home because they test negative or don't meet criteria!!
And, this nurse is whining because she is in quarantine??? I just don't understand these people. Don't they want the public to be safe??

http://www.aol.com/article/2014/10/...=maing-grid7|maing9|dl6|sec1_lnk3&pLid=552113
NEW YORK (AP) - A nurse who treated Ebola patients in Sierra Leone is the first test case of quarantine policies now in effect in three states over heightened fears the deadly virus could be spread by health care workers returning to the United States.
The sketchy details of how such quarantines will be handled are drawing sharp criticism from humanitarian organization Doctors Without Borders, and infectious disease experts said Saturday that many of the logistics about enforcement are likely still up in the air.
Kaci Hickox, a Doctors Without Borders nurse, remained isolated at a hospital Saturday, a day after she returned to the U.S. and the governors of New York, New Jersey and Illinois announced mandatory 21-day quarantines for arriving travelers who had contact with Ebola patients in West Africa.
Health officials said Hickox was transported to a hospital after running a fever, but the nurse told the Dallas Morning News she was merely flushed because she was upset by a quarantine process she described as treating her like a criminal.
"This is not a situation I would wish on anyone, and I am scared for those who will follow me," Hickox wrote in an essay for the newspaper.
Health officials said preliminary tests for Ebola came back negative for Hickox but Newark University Hospital would not say if she would be released for the balance of the quarantine period or remain in the hospital.
In the very early stages of Ebola, patients may still test negative because the virus has not yet reached detectable levels in the blood. The U.S. Centers for Disease Control and Prevention says it may take up to three days after the onset of symptoms for the virus to reach detectable levels in some patients, prompting repeat testing in some cases.
Doctors Without Borders executive director Sophie Delaunay complained Saturday about the "notable lack of clarity" from state officials about the quarantine policies, and an American Civil Liberties Union official in New Jersey said the state must provide more information on how it determined that mandatory quarantines were necessary.
"Coercive measures like mandatory quarantine of people exhibiting no symptoms of Ebola and when not medically necessary raise serious constitutional concerns about the state abusing its powers," said Udi Ofer, executive director of the ACLU of New Jersey.
Doctors Without Borders said Hickox has not been issued an order of quarantine specifying how long she must be isolated and is being kept in an unheated tent. It urged the "fair and reasonable treatment" of health workers fighting the Ebola outbreak.
"We are attempting to clarify the details of the protocols with each state's departments of health to gain a full understanding of their requirements and implications," Delaunay said in a statement.
Indeed, health officials in all three states with quarantine policies did not return messages Saturday from The Associated Press seeking details about enforcement.
New Jersey Gov. Chris Christie, campaigning Saturday in Iowa for a fellow Republican, said he sympathizes for Hickox but said he has to do what he can to ensure public health safety.
"My heart goes out to her," the governor said, while also noting that state and local health officials would make sure quarantine rules are enforced. He said the New Jersey State Police will not be involved.
Dr. Irwin Redlener, a Columbia University professor and director of the New York-based National Center for Disaster Preparedness, said the logistics of such a policy are "a problem."
"The challenge now is how you translate this quarantine plan to operational protocol," said Redlener, who attended a meeting with New York City Mayor Bill de Blasio and New York Gov. Andrew Cuomo on who should be under home quarantine and how to monitor them. That could involve case managers who keep an eye on home-bound people, Redlener said.
Cuomo and Christie on Friday imposed a mandatory quarantine of 21 days - the incubation period of the deadly virus - on travelers who have had contact with Ebola patients in the countries ravaged by the virus - Liberia, Guinea and Sierra Leone. A similar measure was announced in Illinois, where officials say such travelers could be quarantined at home.
The quarantine measures were announced after a New York physician, Craig Spencer, working for Doctors Without Borders returned from Guinea was admitted to Manhattan's Bellevue Hospital Center earlier this week to be treated for Ebola.
His fiancee was released from Bellevue on Saturday night but will remain quarantined in the couple's Harlem apartment. She and two of Spencer's friends would remain quarantined until Nov. 14, officials said. They currently do not have any Ebola symptoms.
Hospital officials said in a statement Saturday that Spencer was awake and communicating and "experiencing gastrointestinal symptoms."
De Blasio was not consulted by Cuomo about the new airport regulations, and the governor's warning Friday that "hundreds and hundreds of people" could be infected by simply riding a bus with an Ebola patient ran contrary to the mayor's attempts to tamp down public fear.
"We understand in a fast-moving situation, sometimes there will be moments where the communication is not everything we want it to be," de Blasio said Saturday after he had lunch at a Manhattan meatball restaurant visited by Spencer earlier in the week.
A senior White House official said Saturday that how to treat health care workers returning from the affected West African countries continues to be discussed at policy meetings on Ebola as the administration continues to take a "careful look" at its policies.
At the same time, the administration, in considering policy changes, says it is trying to balance the public's health and safety with the need to eliminate Ebola at the source.
"We will not hesitate to take any action that we feel has the potential to fortify us against additional imported Ebola cases," the official said.
But Redlener warned that quarantines might discourage doctors and nurses from going to West Africa to help, an issue raised by aid groups and Dr. Rick Sacra, one of the American health care workers successfully treated for Ebola contracted while he worked in Liberia.
"Until Ebola is under control in Africa, we're never going to see the end of such cases coming to the United States," Redlener said.
 
"...Don't they want the public to be safe??..."


Another self-answering question.

(at least given the attitudes & behavior of some recent Docs w/o Borders types after returning to the USA)


Hats off (I suppose?!?) to the NY-NJ authorities for imposing quarantines on returnees from W.Africa who exhibit E. symptoms - even if NOT obviously 'contagious'.


jmho
 

DustMusher

Deceased
IIRC back in the early days of this outbreak in Liberia the WHO was saying they were getting negative results on the EVD tests only to have that same person show up a few days later with full blown clinical symptoms implying the test produces false negatives early in the disease process.

With the travelers being screened on arrival it looks like they are running the test when fever is present and if negative the traveler is delared Ebola free and they can go their merry way with little if any follow-up. Wish this protocal would be explained. Is it a different test or what so they can declare Nobola. False negatives will kill us all.

DM
 

China Connection

TB Fanatic
Look thousands a week are probably flying in from Africa and not stopped but one runs a temperature and everybody panics and even after testing clear!!!!!!!!!!!!


In other words if she is held all of those coming in from Africa or at least the worst areas should be held in quarantine like they are doing with her.


A local authority where I live shakes their head at attempts to stop a virus from spreading. Go to any school and watch whatever virus is about for the year work its way through the kids during the season.


.
 

amysgarden

Inactive
I have a problem with her quarantine. In other articles it states she is being kept in an UNHEATED TENT in New Jersey and given PAPER SCRUBS to wear. That makes no sense at all.

It makes more sense (and would be cheaper) to have her stay home and keep a guard outside her door to make sure she doesn't "go bowling."

Who will ever take care of Ebola patients (at home or abroad) or even tell the truth about if they did, if they are being kept in these conditions.

Amy
 

Heliobas Disciple

TB Fanatic
Found this interesting blog post on this nurse. Surprise Surprise. She works in PR for the CDC.

http://weaselzippers.us/203600-nurse-held-in-quarantine-in-new-jersey-throws-a-hissy-fit-in-writing/
(fair use applies)

Nurse Held In Ebola Quarantine In New Jersey Throws A Hissy Fit In Writing…Update: Her Article Fails To Note She Is CDC Employee

Seldom have I ever seen a medical ‘professional’ so self-concerned, so lacking in basic human concern for the possibility of carrying a pandemic to millions. Sorry, dear, above all, DO NO HARM!

Written by Nurse Kaci Hickox, via Dallas News:

I am a nurse who has just returned to the U.S. after working with Doctors Without Borders in Sierra Leone – an Ebola-affected country. I have been quarantined in New Jersey. This is not a situation I would wish on anyone, and I am scared for those who will follow me.

I am scared about how health care workers will be treated at airports when they declare that they have been fighting Ebola in West Africa. I am scared that, like me, they will arrive and see a frenzy of disorganization, fear and, most frightening, quarantine.

Keep reading…


Update:

Our reader, Azgirl, examined certain words in Kaci Hickox’s 874-word screed.

How many times did she refer to herself? How many times did she refer to America or the U.S or our country, public safety, citizens, or the welfare of 312 million Americans?

I: 43
me: 11
U.S.: 2 (she returned to the U.S.; the U.S. must stop treating people like her so unfairly)
America: 1 (in reference to her returning home)
United States: 0
citizens: 0
safety: 0
welfare: 0

Reader Blue Sky also notes something rather interesting. Kaci Hickox is not a present employee of Doctor’s Without Borders, as the short introductory bio in the article might have suggested.

Kaci Hickox, a nurse with degrees from the University of Texas at Arlington and the Johns Hopkins University, has been caring for Ebola patients while on assignment with Doctors Without Borders in Sierra Leone.

But she is actually a CDC employee, you know the CDC who, along with President Obama, has been fighting the concept of travel bans and quarantines on travelers from Ebola-affected countries.

She is currently an “Epidemic Intelligence Services Fellow” whose responsibilities include:

applied epidemiology, biostatistics, public health surveillance, scientific writing, and working with the media, as well as emerging public health issues.


Funny how this was not stated in the article…

Update

Hickox’s article was updated since our piece to include that that she worked as a ‘disease detective’ with CDC employee (although it still fails to note her involvement in advocacy and media relations). They may have picked up on our article.

Nickarama | October 25, 2014 9:42 pm
 

Hfcomms

EN66iq
Sorry sweetie. You go and work with Ebola patients because you care about them and are concerned for them then have at least as much care and concern about your own people that you might return and infect. All health care workers that go overseas to work in the zone factor in at least a 21 day quarantine when you get back. I couldn't forgive myself if I got sick and infected people back here because I was simply too stubborn to stay at home for three weeks like I should.
 

4RIVERS

Veteran Member
While I applaud her going to West Africa and treating Ebola patients, which is something I wouldn't do, I also expect that being in the medical field she would not wish to spread it within her own country. I'm sure the Dr. in NYC thought he didn't have it either, but if he had been quarantined, like she has been, then we wouldn't have potentially hundreds of exposed people running around NYC.

Granted, I'm sure her whining about how she was treated and that no one knew who was in charge is entirely accurate, but does that mean we should let go home? Absolutely not! Ebola is not a disease you can play with. If it ever gets a foothold in this country it will be very difficult to eradicate and cause untold misery and death, no matter how great our health care system is.

So, as libertarian minded as I am, and as much as I hate intrusive government, and as much as I can't believe I'm agreeing with the Governor's of NY & NJ, I think mandatory quarantine of those returning to the US from affected countries is the only way to keep it out. I would agree with her that the process could be improved, but she was the first case, maybe she can take solace knowing we learned from her treatment.
 

Plain Jane

Just Plain Jane
I have a problem with her quarantine. In other articles it states she is being kept in an UNHEATED TENT in New Jersey and given PAPER SCRUBS to wear. That makes no sense at all.

It makes more sense (and would be cheaper) to have her stay home and keep a guard outside her door to make sure she doesn't "go bowling."

Who will ever take care of Ebola patients (at home or abroad) or even tell the truth about if they did, if they are being kept in these conditions.

Amy


I have seen this as well and it is concerning. A good seven or eight years ago I was involved in Pandemic Planning for my school district. It involved attending alot of meetings on the district level, other districts, county agencies, and church groups. My memory may be faulty but I think we were told that these mobile tent hospitals would be used because they could be heated. Why is this not happening now?
 

jazzy

Advocate Discernment
maybe im being simpleminded, but all these americans whoa re treating ebola patients (and i applaud them) before they come back to the US have to be quarantined THERE for 2 or 3 weeks, take an ebola test and only can get on a flight after that--after a quarantine and with proof of a neg test result.
i realize it might not catch every single one actually infected who may develop symptoms a few days later, but the average seems to be 14 days but it night be a start.

that lady sure was whining. especially it has been proved by Spencer that a person can come back home, feel fine and then develop symptoms later. just because she feels fine Now is no proof she is not carrying the virus and the viral load is not yet high enough to be detected or develop symptoms.
 

John Deere Girl

Veteran Member
I don't feel sorry for her. It was her choice to go to a place where this virus is. If she had a choice, she would be running around the streets in the US right now, possibly spreading it here. IMHO she has no common sense.
 

2Trish

Veteran Member
I feel sorry for the nurses here in the states. They are not trained to deal with level 4 diseases and now are being forced to so without any comprehensive training. It's like telling a podiatrist, "guess what, you're going to remove a tumor from a brain in an hour". Yes, they know what a tumor is, but no they have never done brain surgery. I don't blame them in the least for refusing to attend those who have been exposed to ebola.
 

Old Gray Mare

TB Fanatic
Is it the money? Is the CDC willing to pay her and others it has sent over to the zone to self quarantine for 21 days after getting home? Who is going to pay to admit possible false negatives or even untested positive?

New Jersey weather in October is way too fickle for paper scrubs and a tent. I'd complain too. They need to work on this. FAST. IMHO there are enough almost empty malls and commercial space in the NJ/NY metro area, in centralized locations, to provide heat and shelter for these cases. The sooner they get them set up with prepositioned supplies and at least a skeletal staff the better. Hospitals are not set up to handle an influx of patients that need to be quarantined.
 

Faroe

Un-spun
I have a problem with her quarantine. In other articles it states she is being kept in an UNHEATED TENT in New Jersey and given PAPER SCRUBS to wear. That makes no sense at all.

It makes more sense (and would be cheaper) to have her stay home and keep a guard outside her door to make sure she doesn't "go bowling."

Who will ever take care of Ebola patients (at home or abroad) or even tell the truth about if they did, if they are being kept in these conditions.

Amy

I agree. I don't care if she is "likeable," or if she seems to think she is special. The facts as reported show her case was handled horribly. A tent? A paper gown? for real? She can't even wear proper clothes? She is being treated worse than a criminal.

Posted guards would be a the residence would be a much better solution.
 

Faroe

Un-spun
Also, if true she is a CDC employee, are they eating thier own now?

They couldn't have warned her what she would face upon arrival back in the US? They couldn't have assigned an advocate for her to make sure the NY?NJ? authorities treated her properly? They couldn't have set her up in isolation in thier own facilities?

Wow.
 

Palmetto

Son, Husband, Father
This dumb southern boy wonders why the hissy fit?

There are powers working hard against any reasonable attempts at limited quarantines.

Curious minds want to know why

Palmetto
 

WalknTrot

Veteran Member
Where is the cite that she is being held in a tent? I saw mention of a temporary tent outside a hospital while she was being evaluated, but that's it.

Sorry, buck up child. You carry the potential to kill a whole bunch of people if not properly quarantined. Future travelers to W. Africa should take all this into consideration.
 

Terrwyn

Veteran Member
I agree they should be quarantined before they even leave Africa. And then again after they arrive home.

However, I think the authorities could do better than a tent and paper clothes if that is the truth.
 

nchomemaker

Veteran Member
So, is what we are witnessing the Hegelian dialectic? I wonder what solution the consensus will bring about.



Found this interesting blog post on this nurse. Surprise Surprise. She works in PR for the CDC.

http://weaselzippers.us/203600-nurse-held-in-quarantine-in-new-jersey-throws-a-hissy-fit-in-writing/
(fair use applies)

Nurse Held In Ebola Quarantine In New Jersey Throws A Hissy Fit In Writing…Update: Her Article Fails To Note She Is CDC Employee

Seldom have I ever seen a medical ‘professional’ so self-concerned, so lacking in basic human concern for the possibility of carrying a pandemic to millions. Sorry, dear, above all, DO NO HARM!

Written by Nurse Kaci Hickox, via Dallas News:

I am a nurse who has just returned to the U.S. after working with Doctors Without Borders in Sierra Leone – an Ebola-affected country. I have been quarantined in New Jersey. This is not a situation I would wish on anyone, and I am scared for those who will follow me.

I am scared about how health care workers will be treated at airports when they declare that they have been fighting Ebola in West Africa. I am scared that, like me, they will arrive and see a frenzy of disorganization, fear and, most frightening, quarantine.

Keep reading…


Update:

Our reader, Azgirl, examined certain words in Kaci Hickox’s 874-word screed.

How many times did she refer to herself? How many times did she refer to America or the U.S or our country, public safety, citizens, or the welfare of 312 million Americans?

I: 43
me: 11
U.S.: 2 (she returned to the U.S.; the U.S. must stop treating people like her so unfairly)
America: 1 (in reference to her returning home)
United States: 0
citizens: 0
safety: 0
welfare: 0

Reader Blue Sky also notes something rather interesting. Kaci Hickox is not a present employee of Doctor’s Without Borders, as the short introductory bio in the article might have suggested.

Kaci Hickox, a nurse with degrees from the University of Texas at Arlington and the Johns Hopkins University, has been caring for Ebola patients while on assignment with Doctors Without Borders in Sierra Leone.

But she is actually a CDC employee, you know the CDC who, along with President Obama, has been fighting the concept of travel bans and quarantines on travelers from Ebola-affected countries.

She is currently an “Epidemic Intelligence Services Fellow” whose responsibilities include:

applied epidemiology, biostatistics, public health surveillance, scientific writing, and working with the media, as well as emerging public health issues.


Funny how this was not stated in the article…

Update

Hickox’s article was updated since our piece to include that that she worked as a ‘disease detective’ with CDC employee (although it still fails to note her involvement in advocacy and media relations). They may have picked up on our article.

Nickarama | October 25, 2014 9:42 pm
 
http://www.nytimes.com/2014/10/26/nyregion/nurse-in-newark-tests-negative-for-ebola.html?_r=0

snip: Doctors Without Borders said on Saturday that “there is a notable lack of clarity about the new guidelines,” and that it was concerned about the treatment of Ms. Hickox, who worked with the organization. It said she was in an unheated tent set up as an isolation ward next to a building at University Hospital. But a hospital spokeswoman, Stacie Newton, said the nurse was “in a building that’s part of the hospital.”

snip: Kaci Hickox grew up in Texas and worked for the C.D.C. in Las Vegas until recently, when she moved to Fort Kent, Maine, her mother said. She has worked in several African countries with Doctors Without Borders.
 

LilRose8

Veteran Member
I feel sorry for the nurses here in the states. They are not trained to deal with level 4 diseases and now are being forced to so without any comprehensive training. It's like telling a podiatrist, "guess what, you're going to remove a tumor from a brain in an hour". Yes, they know what a tumor is, but no they have never done brain surgery. I don't blame them in the least for refusing to attend those who have been exposed to ebola.

Well said. This training is coming far too late, under much too much stress for retention of instruction and with improper equipment.
 

Mulder

Contributing Member
Sadly I think that the old adage of "Do no harm" has been reinterpreted by many medical professionals as: "Never do anything which may harm my bank account balance".
 

SurfaceTension

Veteran Member
The last I heard (1-2 weeks ago) Doctors Without Borders had 9 of their workers dead and at least 16 others infected. One would think that a responsible organization facing such dangers would arrange their own strict quarantine protocols to keep from being a vector themselves. That they can't figure that out & be in front of any possible - or even perceived - risk to other populations leaves to wonder what kind of group this is.
 
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