US Patient Zero Duncan exposed four days before arriving in Dallas

US EBOLA PATIENT HELPED CARRY CONVULSING PREGNANT WOMAN JUST FOUR DAYS BEFORE HE FLEW FROM LIBERIA TO TEXAS

Officials confirmed this week the first patient has been diagnosed with the deadly disease on U.S. soil.

Thomas Eric Duncan flew back into the U.S. on September 20 from Liberia, touching down in Brussels and Washington en route.

It emerged just four days before Mr Duncan boarded a plane bound for Dallas, Texas, he helped carry his landlord’s convulsing daughter to a Liberian clinic to be treated for Ebola.

The woman, named by the New York Times as 19-year-old Marthalene Williams died the next day, after being turned away from the overcrowded hospital  that didn’t have room for her.

The landlord’s son and three neighbors who came in contact with the woman also died soon afterwards.

But Mr Duncan wasn’t showing any symptoms when he arrived at a Monrovia airport on September 19, and therefore was allowed on a flight out of Liberia bound for the U.S.

Current policy dictates that only those displaying symptoms of the disease are barred from flying. But Ebola can hide in the system for up to 21 days, raising serious concerns the disease will start turning up around the world.

In Liberia, Mr Duncan worked moving cargo for FedEx, but had recently quit his job when he acquired a visa to visit the U.S. where his son reportedly lives.

He is one of an estimated 13,500 people from the Ebola hot-spot countries of Sierra Leone, Guinea and Liberia who currently hold visas to visit the U.S. and could possibly spread the outbreak.

However, that estimate takes into account all people from these West African countries who are already in the U.S., and those who have been to America and since returned home. It’s still uncertain the exact number of visas waiting to be used for travel to the U.S.

http://www.dailymail.co.uk/health/article-2777623/Four-weeks-stop-Ebola-34-global-organisations-warn-international-conference-ONE-MONTH-stop-epidemic-spiralling-completely-control.html

CDC Emergency Response Team Deployed

Federal team deploys to Dallas to track anyone who had close contact with Ebola patient

By DAVID WARREN and LAURAN NEERGARD  Associated Press
October 01, 2014 – 11:56 am EDT

DALLAS — A nine-member team of federal health officials is tracking anyone who had close contact with a man being treated for Ebola in a Dallas hospital, the director of the nation’s top disease-fighting agency said Wednesday.

The team from the Centers for Disease Control is in Dallas to work with local and state health agencies to ensure that those people are watched every day for 21 days.

“If anyone develops fever, we’ll immediately isolate them to stop the chain of transmission,” CDC Director Tom Frieden said in an interview with The Associated Press.

The Dallas patient on Tuesday became the first case of Ebola diagnosed in the U.S. The unidentified man has been in isolation at Texas Health Presbyterian Hospital since Sunday. Health authorities have not revealed his nationality or age. He was listed in serious condition Wednesday.

Three members of the ambulance crew that transported the man to the hospital have tested negative for the virus and are restricted to their homes while their conditions are observed.

The man was vomiting when the ambulance got to the hospital, Dallas city spokeswoman Sana Syed said.

The ambulance crew is among 12 to 18 people being monitored after exposure to the man. Some are members of his family, but not all, Syed said.

Ebola symptoms can include fever, muscle pain, vomiting and bleeding, and can appear as long as 21 days after exposure to the virus. The disease is not contagious until symptoms begin, and it takes close contact with bodily fluids to spread.

Officials said there are no other suspected cases in Texas, but the diagnosis sent chills through the area’s West African community, whose leaders urged caution to prevent spreading the virus.

The man left Liberia on Sept. 19, arrived the next day to visit relatives and started feeling ill four or five days later, Frieden said.

Stanley Gaye, president of the Liberian Community Association of Dallas-Fort Worth, said the 10,000-strong Liberian population in North Texas is skeptical of the CDC’s assurances because Ebola has ravaged their country.

“We’ve been telling people to try to stay away from social gatherings,” Gaye said Tuesday at a community meeting.

The CDC has not advised that people avoid large gatherings in this country.

The association’s vice president warned against alarm in the community.

“We don’t want to get a panic going,” said vice president Roseline Sayon. “We embrace those people who are coming forward. Don’t let the stigma keep you from getting tested.”

A man walks up the stairway leading to the Texas Health Presbyterian Hospital in Dallas, Tuesday, Sept. 30, 2014. A patient in the hospital is showing signs of the Ebola virus and is being kept in strict isolation with test results pending, hospital officials said Monday. (AP Photo/LM Otero)

Frieden said he didn’t believe anyone on the same flights as the patient was at risk.

“Ebola doesn’t spread before someone gets sick, and he didn’t get sick until four days after he got off the airplane,” Frieden said.

Four American aid workers who became infected in West Africa have been flown back to the U.S. for treatment after they became sick. They were treated in special isolation facilities at hospitals in Atlanta and Nebraska. Three have recovered.

A U.S. doctor exposed to the virus in Sierra Leone is under observation in a similar facility at the National Institutes of Health.

The U.S. has only four such isolation units, but Frieden said there was no need to move the latest patient because virtually any hospital can provide the proper care and infection control.

The man, who arrived in the U.S. on Sept. 20, began to develop symptoms last Wednesday and sought care two days later. But he was released.

At the time, hospital officials didn’t know he had been in West Africa. He returned later as his condition worsened.

Blood tests by Texas health officials and the CDC separately confirmed his Ebola diagnosis Tuesday. State health officials described the patient as seriously ill.

Dr. Edward Goodman, an epidemiologist at the hospital, said the patient was able to communicate and was hungry.

The hospital is discussing if experimental treatments would be appropriate, Frieden said.

Passengers leaving Liberia pass through rigorous screening, the country’s airport authority said Wednesday. But those checks are no guarantee that an infected person won’t get through and airport officials would be unlikely to stop someone not showing symptoms, according to Binyah Kesselly, chairman of the Liberia Airport Authority’s board of directors.

CDC officials are helping staff at Monrovia’s airport, where passengers are screened for signs of infection, including fever, and asked about their travel history. Plastic buckets filled with chlorinated water for hand-washing are present throughout the airport.

Liberia is one of the three hardest-hit countries in the epidemic, along with Sierra Leone and Guinea.

Ebola is believed to have sickened more than 6,500 people in West Africa, and more than 3,000 deaths have been linked to the disease, according to the World Health Organization. But even those tolls are probably underestimates, partially because there are not enough labs to test people for Ebola.