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Quarantine debate turning into a chaotic brawl

THE WASHINGTON POST                    0ct, 27, 2014
By Joel Achenbach, Brady Dennis and Lena H. Sun

The Ebola quarantine controversy has become a chaotic brawl involving politics, science and the law. The rules on quarantining health-care workers returning from West Africa are changing almost daily and varying according to geography and political climate.

The Pentagon announced Monday that Army personnel returning to their home base in Italy from Liberia will be held in quarantine for 21 days — even though none have symptoms of Ebola or were exposed to patients infected with the virus.

The military’s policy does not appear to track new guidelines announced Monday by the Centers for Disease Control and Prevention, which called for “high-risk” individuals and health-care workers without any symptoms to be directly monitored by state and local health authorities.

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The Flu, TB and Now Ebola: A Rare Legal Remedy Returns

Discussion of the legal and civil liberties issues involved in quarantines

NEW YORK TIMES                                  Oct. 27, 2014

By and N

It was nearly 100 years ago that an influenza pandemic led to sweeping quarantines in American cities, and it was more than two decades ago that patients in New York were forced into isolation after an outbreak of tuberculosis.

In modern America, public health actions of such gravity are remarkably rare. So the decisions by New York and New Jersey on Friday to quarantine some travelers returning from the Ebola zone in West Africa have taken public officials into unfamiliar legal and medical territory...

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Insurance companies now write Ebola exclusions into policies; offer Ebola-related products

HOMELAND SECURITY NEWS WIRE                Oct. 27, 2014

U.S. and British insurance companies have begun to write Ebola exclusions into their policies for hospitals, event organizers, airliners, and other businesses vulnerable to disruption from the disease.

As a result, new policies and renewals will become more expensive for firms looking to insure business travel to West Africa or to cover the risk of losses from Ebola-driven business interruptions (BI).The cost of insuring an event against Ebola, for example, would likely be triple the amount of normal cancellation insurance — if the venue was in a region not known to be affected by the virus.

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http://www.homelandsecuritynewswire.com/dr20141027-insurance-companies-now-write-ebola-exclusions-into-policies-offer-ebolarelated-products

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Quarantined Ebola Nurse Kaci Hickox to Be Released by New Jersey

ABC NEWS                                          Oct. 27, 2014

by Josh Margolin

 

NEWARK --New Jersey has decided to release a nurse who was fighting an order that forcibly quarantined her after she returned from Africa where she treated Ebola patients.

The release was announced this morning after Kaci Hickox, hired a lawyer to sue over her mandatory 21-day quarantine. Shortly before the decision by the New Jersey Health Department, the nurse said she hopes "this nightmare of mine and the fight that I’ve undertaken is not in vain.”

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White House Presses States to Reconsider Mandatory Ebola Quarantine Orders

UPDATE:    Under Pressure, Cuomo Loosens Policy for Ebola Quarantines in New York

NEW YORK TIMES                                                             Oct. 26, 2014

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New York doctor with Ebola gets blood transfusion from aid worker who survived disease

FOX NEWS                                Oct. 26, 2014

Doctors treating New York City’s first Ebola patient have given the ailing doctor a transfusion of blood plasma from an aid worker who was infected with the deadly disease in West Africa and survived.

Dr. Craig Spencer received the donated plasma Friday from Nancy Writebol, a health care worker with the Christian organization SIM. Writebol was treated in August at Emory Hospital in Georgia.

Bellevue Hospital, where Spencer is being treated, said Saturday evening that the 33-year-old physician is “entering the next phase of his illness as anticipated with the appearance of gastrointestinal symptoms.”

The public hospital said in a statement that the patient is “awake and communicating.”

Read complete story

http://www.foxnews.com/health/2014/10/26/new-york-doctor-with-ebola-gets-blood-transfusion-from-aid-worker-who-survived/

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No mandatory Ebola quarantine for health workers coming to Washington area

WASHINGTON POST                                                                               Oct. 26, 2014

By Spencer S. Hsu and Nia-Malika Henderson

One day after governors in New York, New Jersey and Illinois imposed a mandatory 21-day quarantine on medical workers returning from Ebola-stricken countries in West Africa, public health officials in the District, Maryland and Virginia did not follow suit Saturday, intensifying a national debate over how to prevent the spread of the disease.

Health officials are working to develop a consistent approach for the area around the nation’s capital. Joxel Garcia, director of the D.C. Department of Health, said that a mandatory quarantine was not scientifically justified and could have a chilling effect on the medical personnel, many of them volunteers, needed to treat Ebola patients at home and overseas.

The differing views highlight challenges confronting federal and state politicians as well as health officials as they race to keep up with fast-changing circumstances and competing political, scientific and legal demands, experts said.

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As Ebola Spread in Dallas, New York Honed Protocol

Health workers at Bellevue Hospital in New York on Oct. 8 demonstrated the gear that staff would wear to treat patients with Ebola. Credit Adrees Latif/Reuters

NEW YORK TIMES                                                                        Oct. 25, 2014

Detailed description of the differences in the way the Dallas Presbyterian Hospital and New York's Bellevue hospital handled their Ebola patients:.

"When Craig Spencer, a young doctor just back from treating patients with Ebola in Guinea, fell ill with the virus in New York on Thursday, the paramedics who went to get him were dressed in protective suits. He entered Bellevue Hospital through a rear door, far from the busy emergency room, and was taken to a state-of-the-art isolation ward that was locked and guarded.

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MSF Nurse Held in Isolation in New Jersey

doctorswithoutborders.org - October 25, 2014

NEW YORK – Kaci Hickox, a Doctors Without Borders/Médecins Sans Frontières (MSF) nurse who returned to the United States from Sierra Leone on October 24, 2014, is being held in a medical isolation facility at Newark University Hospital in Newark, New Jersey.  

Preliminary blood tests reveal that she does not have the Ebola virus.

Upon arrival at Newark Liberty International Airport at approximately 1:00 PM yesterday, Ms. Hickox was taken aside for screening. Her temperature was measured and was shown to be normal. She was nonetheless held at the airport. After three hours her temperature was again taken with a forehead temperature reader. The device revealed a slight elevation in temperature. After being left alone in a room for an additional three hours, she was transported by police escort to Newark University Hospital by medical personnel in full protective gear.

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Ebola In US: President Obama Lauds CDC Response, Urges Public To Be 'Guided By Science'

INTERNATIONAL BUSINESS TIMES                 Oct. 25, 2014

By 

U.S. President Barack Obama again encouraged Americans to be “guided by the facts, not fear” in their assessments of Ebola virus disease as he discussed the first confirmed case in New York and the national response by the Centers for Disease Control and Prevention in his weekly address Saturday. Obama also mentioned the recoveries of Ashoka Mukpo and Nina Pham, who both tested negative for Ebola this week, and stressed the difficulty of contracting the virus.

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