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CDC - MMWR - Ebola Virus Disease in a Humanitarian Aid Worker — New York City, October 2014

cdc.gov - April 3, 2015

In late October 2014, Ebola virus disease (Ebola) was diagnosed in a humanitarian aid worker who recently returned from West Africa to New York City (NYC). . . .

. . . In NYC, the public health response to one Ebola case was resource intensive for a local health department, with participation of more than 500 DOHMH staff members and expenditures of more than $4,300,000 in DOHMH funds. These figures include not only the direct costs of the local public health response (e.g., contact tracing, environmental issues, and health care worker monitoring) but also the indirect costs of increasing citywide preparedness after identifying the one case (e.g., enhancing hospital preparedness, active monitoring of returning travelers, and community outreach).

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Report Slams U.S. Ebola Response and Readiness

NBC NEWS  by Maggie Fox                                                                               Feb. 26, 2015

The United States fumbled its response to the Ebola epidemic before it even began, neglecting experiments to make vaccines and drugs against the virus, and cutting funding to key public health agencies, a presidential commission said Thursday.

Americans focused on their own almost nonexistent risk of catching Ebola from travelers instead of pressing to help the truly affected nations, the scathing report from the Presidential Commission for the Study of Bioethical Issues says.

They've been acting against their own best interest, the commission said in its report.

"Both justice and prudence demand that we do our part in combating such devastating outbreaks. Once we recognize our humanitarian obligations and the ability of infectious diseases to travel in our interconnected world, we cannot choose between the ethical and the prudential," it reads.

"Ethics and enlightened interest converge in calling for our country to address epidemics at their source."

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Notable Absence of New Ebola Quarantines at New York Area Airports

NEW YORK TIMES    By Anemona Hartocollis                                                          NOV. 24, 2014

NEW YORK   ...since Kaci Hickox, a nurse, flew into Newark’s airport on Oct. 24 and was kept at a hospital for three days, no one else has been caught up in the quarantine dragnet at the New York and New Jersey airports.

The absence of quarantines is striking, not only because both governors emphatically defended the policy as a necessary precaution, but also because most people returning from Ebola-stricken countries arrive in the United States through Kennedy and Newark Liberty International Airports.

...New York and New Jersey officials say no one coming through the two airports since Ms. Hickox has reported direct contact with Ebola patients.

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N.Y. doctor, free of Ebola, discharged from hospital

USA TODAY                                             Nov. 11, 2014
By Matthew Diebel, Doug Stanglin and Liz Szabo

NEW YORK — Craig Spencer, a New York doctor whose hospitalization for Ebola stirred fears that the disease might spread throughout Manhattan, was declared free of the virus Tuesday and released from the hospital...

Dr. Craig Spencer, center, is flanked by New York City Mayor Bill Bill de Blasio, left, and his wife Chirlane McCray as he leaves Bellevue Hospital after being declared free of the Ebola virus on Nov. 11 in New York. (Photo: Andrew Gombert, European Pressphoto Agency)

The release of the 33-year-old physician, who tested positive for the virus Oct. 23, means there are no longer any known Ebola cases being treated in the United States.

The volunteer with Doctors Without Borders, who contracted the disease while treating Ebola patients in Guinea in West Africa, said:

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Craig Spencer, New York Doctor With Ebola, Will Leave Bellevue Hospital

UPDATE 

New York doctor cleared of Ebola, which means there are no known Ebola cases in the U.S.

WASHINGTON POST                                                                     Nov. 10, 2014

By Mark Herman

The doctor who contracted Ebola in West Africa before returning to New York City has been declared free of the virus, hospital officials announced Monday. This news means that 41 days after the first Ebola diagnosis in the United States, there are no known cases of the virus in the country.

Craig Spencer, 33, who had been treating Ebola patients in Guinea, was diagnosed with Ebola on Oct. 23. Bellevue Hospital Center in New York City, where Spencer was being treated, confirmed in a statement Monday that he “has been declared free of the virus.” Spencer will be discharged on Tuesday, according to the hospital.

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357 people now being monitored for Ebola in New York

LOS ANGELES TIMES                                                                                        Nov.5, 2014
By Michael Muskal                                      
The number of people who are being actively monitored for Ebola in New York has tripled to 357 people, none of whom has displayed any symptoms, city health officials announced Wednesday.

The vast majority of those being monitored arrived in New York in the last 21 days from West Africa, the New York City Health and Hospitals Corporation said in a statement. Those under monitoring are being checked out of “an abundance of caution,” the statement said.

The latest announcement comes as Ohio said it was officially Ebola-free and Texas prepared to end its observation period for the last 27 healthcare workers. The Texas group will complete its 21-day monitoring period on Friday, according to state officials.

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http://www.latimes.com/nation/nationnow/la-na-nn-ohio-ebola-free-monitoring-20141105-story.html

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New York doctor with Ebola improves, nurse reunited with dog

REUTERS                                         Nov. 1, 2014
By Jill Serjeant

NEW YORK --A New York doctor with Ebola, who triggered a national debate over mandatory quarantines for health workers returning from West Africa, was upgraded to stable condition on Saturday after nine days of treatment.

Dr. Craig Spencer, 33, the only person in the United States currently being treated for Ebola, will remain in isolation, New York City's Bellevue Hospital said in a statement. He has improved to "stable" from "serious but stable...."

...Texas nurse Nina Pham, 26, who recovered from Ebola last week after treating a Liberian patient in a Dallas hospital, was reunited on Saturday with her dog, which had been quarantined for three weeks as a precaution.

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http://www.reuters.com/article/2014/11/01/us-health-ebola-usa-idUSKBN0II1SP20141101

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Analysis: Alarmed by Ebola, Public Isn’t Calmed by ‘Experts Say’

NEW YORK TIMES                        NOV. 1, 2014
By
When public health leaders and government officials make the case against isolating more people returning from the Ebolahot zones in West Africa, or against imposing more travel restrictions from that region, time and again they cite science and experts. It isn’t working very well.

Many support the efforts of Gov. Paul R. LePage of Maine to isolate a nurse who treated Ebola patients in West Africa. Credit Craig Dilger for The New York Times

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Judge rejects strict limits on U.S. nurse who treated Ebola patients

REUTERS
By Joe Page                              Oct. 31, 2014

(FORT PAGE, Maine)  Declaring Ebola fears in the United States "not entirely rational," a judge rejected Maine's bid for a quarantine on a nurse who treated victims of the disease in West Africa but tested negative for it, and instead imposed limited restrictions.

Nurse Kaci Hickox (L) joined by her boyfriend Ted Wilbur speak with the media outside of their home in Fort Kent, Maine October 31, 2014.Credit: Reuters/Joel Page

Nurse Kaci Hickox's challenge of the Maine quarantine became a key battleground for the dispute between officials in some U.S. states who have imposed strict quarantines on health workers returning from three Ebola-ravaged West African countries and the federal government, which opposes such measures.

Maine Governor Paul LePage said that while he was disappointed by the order from Charles LaVerdiere, the chief judge of Maine District Court, the New England state would abide by it.

Hickox, 33, said she was pleased with the ruling and said people need to "overcome the fear."

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