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Obama wants to ensure hospitals ready to follow Ebola procedures

Police officials, left, and a barrel for disposal of hazardous waste stand by outside the residence of a health care worker who tested positive for Ebola, Sunday, Oct. 12, 2014, in Dallas. The worker, who was caring for Ebola patient Thomas Eric Duncan, tested positive for the disease in preliminary tests. If the preliminary diagnosis is confirmed, it would be the first known case of the disease being contracted or transmitted in the U.S.
Police officials, left, and a barrel for disposal of hazardous waste stand by outside the residence of a health care worker who tested positive for Ebola, Sunday, Oct. 12, 2014, in Dallas. The worker, who was caring for Ebola patient Thomas Eric Duncan, tested positive for the disease in preliminary tests. If the preliminary diagnosis is confirmed, it would be the first known case of the disease being contracted or transmitted in the U.S. AP

The director of the federal Centers for Disease Control and Prevention in Atlanta said Sunday that the agency “is deeply concerned” to learn that “a breach in protocol” at a Dallas hospital resulted in a health-care worker becoming infected with the Ebola virus.

“At some point, there was a breach in protocol,” Dr. Tom Frieden said. “And that breach in protocol resulted in this infection.”

Texas health officials said early Sunday that the worker, who Frieden said “had extensive contact” on multiple occasions with Ebola patient Thomas Eric Duncan at Texas Health Presbyterian Hospital Dallas, had tested positive for the virus. She was found to have a “low level,” Frieden said.

The Associated Press reported President Barack Obama has gotten an update about the latest developments from his health secretary and his assistant for homeland security.

The White House says Obama has asked the Centers for Disease Control and Prevention to move as quickly as possible in investigating the apparent breach of procedures.

Obama also is having federal authorities take more steps to make sure hospitals and health care providers are ready to follow the proper procedures in dealing with an Ebola patient.

The worker’s contacts with Duncan came during his second visit to the hospital, when he was admitted with serious symptoms. He was released from the emergency room after his first visit last month.

If the preliminary diagnosis is confirmed by the CDC, it would mark the first known case of the disease being contracted or transmitted in the United States. Ebola has killed more than 4,000 people in West Africa.

Duncan, 42, from Liberia, died Wednesday morning at Texas Health Presbyterian.

Frieden said it appears that the worker had contact with only one person while she might have been infectious. He said the agency will conduct “a complete investigation on how this may have occurred.”

Dallas County officials hurried early Sunday to reassure residents that they were not in danger.

“While this was obviously bad news, it is not news that should bring about panic,” Dallas County Judge Clay Jenkins said at a somber Sunday morning news conference at the hospital.

“That health-care worker is a heroic person,” Jenkins added. “Let’s remember that as we do our work that this is a real person who is going through a great ordeal, and so is that person’s family.”

Ebola is not airborne — it is spread through direct contact with bodily fluids of a sick person or exposure to contaminated objects such as needles. People are not contagious before symptoms such as fever develop.

The worker, whose identity was not released, was isolated after reporting a low-grade fever Friday night, the health department statement said. She was “self-monitoring,” according to hospital guidelines, and was put in isolation within 90 minutes of reporting symptoms, officials said.

The test results were received around 9:30 p.m. Saturday.

An apartment in the 5700 block of Marquita Avenue, near Greenville Avenue, in Dallas was decontaminated, according to Dallas Mayor Mike Rawlings. Rawlings said that neighbors had been notified.

All emergency cases are being diverted from Presbyterian’s emergency room “because of limitations in staffed capacity,” the hospital said.

Dr. Daniel Varga, of Texas Health Resources, said the worker was in full protective gear when she provided care to Duncan during his second visit to the Dallas hospital. The worker was listed in stable condition Sunday morning.

Varga did not identify the worker and said her family has “requested total privacy.”

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

Frieden said the CDC is taking several steps to safeguard health-care workers. Among them: Education and training is being ramped up and the agency suggests that the number of workers who care for patients is kept at “an absolute minimum” and that care be limited solely to essential procedures.

This report contains material from The Associated Press.

Read more here: http://www.star-telegram.com/2014/10/12/6194068/dallas-hospital-worker-tests-positive.html#storylink=cpy

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